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030-350-079
-35-79 1262-90P., E FRE-E-MR, Ruby 1419, Oli-e Grove Lane, Oroville Contr : Mobs eme Center, 3, (utilities/MH � ELEC�� _Y;-"?'" Y; { , GAS COMPACTION TEST RE9101 SUPPORT •; STRUCT RE f r 301:35579 Permit#1 63_9 MF-I' �asi:a installation/MH) 030-350-079 BP04072 1 BEACHKOFSKI, DOROTHY INALED 1419 OLIVE GROVE LN., OR VILLE. f 2 OPEN DECKS/MH 030-350-079 04-1834 BEACHKOFSKI, DOROTHY 1419 OLIVE GROVE LN, OROVILLE Cont:' SIERRA MH s� EX MH ON PERM FND I LE . J � F-,* t low�. M �? LE. L RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 IIII III III I III' I 210 IIII II II I III I IIIII GDGD41653 Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Jason 11:06AM 09 -Jul -2004 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DOROTHY ELISE BEACHKOFSKI REAL PROPERTY OWNER/LESSOR 1419 OLIVE GROVE LN. MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY C Y STATE ZIP 0A1 834 530 538-7541 1 ITNT E ONE N B P S'. S NATURE OF LOCAL AGENCY OFFICIAL ATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CHAMPION 1989 SC644C MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 0906441492A/B 40'X 24' , CAL362885/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 030-350-079 . HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. A � Jul 09 04 10:54a Ccurtr- Hgnes 5305346427 P.3 Exhibit A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALI E-ORN..IA,_ DESC-R-199D. AS- FELLOWS c PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP , RECORDED IN THE OFFICE OF THE_.RF.CQRD ,P-.Qf-. THE_C.QU=.._QE.BUT-E-,-...S-TA-TE GF CALlF0AN-I-A, ON-- FE8R-UA-R'� 24-, 1972, IN BOOK 41 OF MAPS, AT PAGE (S) 32. AP NO., 0.3Q. -3.5Q_.079._ PARCF`L I,I:, .. A NON-EXCLU$IVE PUBLIC EASEMENT FOR IN.Qz tESAtJD. DGRESS AN.Q.. P.UBLIC. UTILITIES OVER THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF. 5QTTE, STATE. QF O11j.IFORNIA.,• ON FEE3RU.ARX 24,. 1972, IN BOOK 41 OF MAPS, AT PAGE (S) 32. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL 1 DESCRIBED HEREIN. PARCEL III: A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE gELLEf��IN6 DESCRIBED I;AN9: COMMENCING AT THE SOUTHEAST CORNER OF LOT 8, BLOCK 97, OF THERMALITO, ACCORD-ING TO- TKF-.. 0-FFI-CIA- MA -P- T-H-F,RSOF, REC-ORDE-D- I -N- THC-0,FF-ICa--O€ TPIE RECORDER OF.THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JUNE 8, 1887; THENIiG....W=._ALQUG__.Tl3E_.SDjLTH--_LINE O— LGTS 8-- AND- -7-, O-F--TH-F- ABO'V& M-ENTZON-E-D-- MAP, A DISTANCE OF 263.51 FEET TO THE TRUE POINT OF BEGINNING FOR THE QAR.CE.L_ .QF LAND HEREIN. DESCBIAF.n;_ THENCE _ ERQNL SAIJ2. PO -INT- ..OF- B€GINN1-UG--ON- A - CURVE CONCAVE TO THE RIGHT HAVING A RADIUS OF 20 FEET THROUGH A CENTRAL ANG_L_E QF 5V 00 . AN ARC_ QZ.S_TANCE__QE. 31___4 __ FEET ss . TH€DLCE_._N.QBT_H_-A DI -STANCE - OF 444.01 FEET TO THE NORTHERLY LINE OF THE ABOVE DESCRIBED PARCEL; THENCE. WF_$.T. AND..PARALLEL S_W.1_TH-..THE__.S.Q�T-H_LIbE-_OLE LOT- 4,_. OE TRE ABOVE MENTIONED MAP, A DISTANCE OF 60.0 FEET; THENCE SOUTH A DISTANCE OF 443.99 FEET. -TO T-LiE_. @EQINN.ING_ .QF-. A_. C_URVE_..CONf-AVE_ TO - TALE✓ P TCHT r.. HALING- A R-AD-lUS- o_F_ 20 FEET, THROUGH A CENTRAL ANGLE OF 90020' 00" AN ARC DISTANCE OF 31.43 FEET TQ.TH.E_.S_QU_TtL_LIAE_..QE SATD...LQT...7-;--THEALCE- EA -S -T Al-,- T4E SGUT- H --LIN£- OF LOT 7, A DISTANCE OF 100.0 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL 1 DESCRIBED HEREIN. 0 n RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CORY of Document Recorded 09 -Jul -2004 2004-0041653 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DOROTHY ELISE BEACHKOFSKI REAL PROPERTY OWNER/LESSOR 1419 OLIVE GROVE LN. MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE SC644C MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY C STATE ZIP 0 1834 530 538-7541 T EP ONEMA Q�t- WNATURE ATE OCAL AGENCY OFFICIAL NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO CHAMPION 1989 SC644C MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFIt•RJMBER 0906441492A/B 40'X 24' CAL362885/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION CFF A TT A CNF.T) ASSESSOR'S PARCEL NUMBER 030-350-079 Jul L19 04110:543 Countr-j Homes 1 5305346427 p.3 Exhibit A THE LAND REFERRED TO HEREIN IS'DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA,. DESCRIBED A -S- FOLLOWS: PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP , RECORDED IN THE OFFICE OF THE_. RE.C.QRDER_. Q.C.. T -HE_ CQULLTY._QE-. A[]_ TTFr...S.TAT.E Off' CALIFORN-IA; 014 FEBRUA-R—Y 24-, 1972, IN BOOK 41 OF MAPS, AT PAGE (S) 32. AP NO.. 0.3Q-3.527079.- e.ARCQL ZI: A NON-EXCLUSIVE PUBLIC FAq$M_$NT FOR IN.QTRESS-_ASID FGRESS AN.Q..P_UBLIC UTILITIES OVER THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF 5QTT$., STATR. QF QA1j1<QRNIA,. QN FCB. ARY Z4,. 1972, IN BOOK 41 OF MAPS, AT PAGE (S) 32. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL 1 DESCRIBED HEREIN. PARCEL III: A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE FOLLOkTIN� DESCrI3BD LAidB: COI?ME*ICING AT THE SOUTHEAST CORNER OF LOT 8, BLOCK 97, OF THERMALITO, ACCORDING- TO- TH-E...Q..FF1-CIAO- M.A.P.THSR-SOF, R-E-EOR-DEDl- IN- THE O-FF -ICE- OI' T14E- RECORDER OF.THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JUNE 8, 1887; THENCZ...WEST.AL0XG_--THr' SDILTdi L -INS OR LOTS- 8 -AN -D- 7, 0—r --THE- ABeVmr- KE-47ION£-D MAP, A DISTANCE OF 268.51 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL_ .QF LZAND HEREIN. DESCELaEl) TH_gaCE _ FRQLL SBLQ. POINT 4F- BEGINNING- ON CURVE CONCAVE TO THE RIGHT HAVING A RADIUS OF 20 FEET THROUGH A CENTRAL ANGLE QF 5,V QO'. AN ARCL DI.S_TANCE_QF- 3? 4D-_ FEET.;_.. TH€ALCE_.-NORT_jL-A DI-STAgCE- OF 444.01 FEET TO THE NORTHERLY LINE OF '"HE ABOVE DESCRIBED PARCEL; TkiENCE. WF. -ST. AND P&RALLEIL-W.ITEi..TH.SjaUT_EL.LIbE_QE..LOT - 4T. OF THE -ABOVE MENTIONED MAP, A DISTANCE OF 60.0 FEET; THENCE SOUTH A DISTANCE OF 443.99 FEET, TO THFI. BEGINNING- .QE...A-C aVE_C(2RCA-VE_TO_THE_ RlfifiZr HAUIN-GL-A RADIUS 0-F- 20 FEET, THROUGH A CENTRAL ANGLE OF 90020' 00" AN ARC DISTANCE OF 31.43 FEET TQ.'�EiE . SS2UTli_ LZNE ..OE SALD..LQT_...'-,_-THEUCS EAST ALQNG- THE SGUTH- LINS-OF- .. LOT 7, A DISTANCE OF 100.0 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL 1 QESC,RI_BFD HEREIN. BUILDING PERMIT NUMBER: 04-1834 Address or location of unit: 1419 OLIVE GROVE LN., OROVILLE CA. 95965 Legal Description of Real Property: 030-350-079 SEE ATTACHED W 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: DOROTHY ELISE BEACHKOFSKI Owner's address: 1419 OLIVE GROVE LN., OROVILLE CA. 95965 INSIGNIA OR HUD NUMBER: CAL362885/6 SERIAL NUMBER OR V.I.N.: 0906441492A/B MANUFACTURER'&,NAME: CHAMPIOP OFFICIAL APPROVING INSTALLATION: DATE:/0% PHONE: (530) 538-7541 H.C.D. 513C SPATE ®F CAt.IFORWA • BUSINESS, TRANSPORTATION AND NOUSINO AGENCY ARPIpt.P SCHbVgp';OKSGE11, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Diri.SIon Godoo Standards 4'Y® of and 'ter' p Bi Ly Title Smirch G Date Ptinted : 06122%2004 Decal #: LAR4244 Use Code: SFD Manufacturer: 90086 CIJAWION RM BUILDtRS Original Price Cede: AKJ Tradename: CHAMPION Rating Year: Model: SC644C Tax Type: LFT Manufactured Date: 11/21.111989 Last ILT Al icups, Registration Exp: bate ILT Fee Pfdd: First Sold On: ;.0/15/1990 ILT Exemption.: NONE Serial Number BUD Label / Insignia Length Width 0906441492A CAL362885 40' IT 09064414928 C.AL162886 40' 12• { Registered Owner: DOROTHY ELISE BEACKKOFSKI 1414 OLIVE GROVE LN OROVILLE, CA 95965 1Llast'r%tie Date: 09/26/2000 Last Reg Card; 09/26/2000 Salo/Transfer Info: Prix $20,000.00 Tran*tred on 0711:3/2000 Situs Address: (419 OLIVE GROVE LN OROVIL•L1r, CA 93966 Situs County: BUTTE Open. k scrow: MID VALLEY TITLE PO BX 1068 2295 FEATHER RIVER I31. OROVILLE, CA. 95965 Escrow File No: 220955AM Pending Brayer: STEPHEN MCMAN Dcaler Name: None Reported Escrow Opencd On: 04/09/2004 Expires on: 08/07!2004 Title Searches: MID VALLEY TITLE PO BX 1.068 2295 FEATHER RIVER BL OROVILLE, CA 95965 Title File No: 221764MAM MID VALLEY TITLE PO BX 1068 2295 F,EATRER RIVEN BL OROVILL.E, CA 95965 Title Fi(c No: 1503836.KB END QE TITLE SEARCH *** n . --r-r• � 71-1 T '1-11 1 1 .x -1-1-1Hi1 G I W SU : EL tooz/RE /9011 Jul 03,04.10:53a Countrtj Homes RECORDINC REQUESTED BY llldncllTitle_�Esccoiv CntnuaaK AND \VIIEN RL --CORDED MAIL TO K•'°° Dorothy Elise Beachkofski 1419 Olive Grove L,anc__. Addnu Oroville, Ca. 95965 ` Ory, st.1, rap o:da x. 00192213-001 reel No-..03A-15Q:Q22 5305346427 p.2 1111111111111111111 111111111 11111111 izQ7100-10m)26Le-tS6 Recnedrd_. N REC-FEE 19-00.-_. Official Records I TAX 62.70 Countyy Of I WT. E_- I` CANDACE J. GRUBBS I Recorder I R(ISEMMY D1LKS[K (.. Assistant I Maureen 09:00AM 13 -Jul -2000 I Page 1 of 2 GRANT—REED.- Till', FORM FURNISHED BY BIDWELL TITL L & ESCROW COMPANY Fbe-Uiu)crsigncd Grontoz(s}IIcd uc(s�.. Documentary Transfer Tax is $62.70 0 City/Town of 0 computed on rult value or interest or property conveyed, or 0.-Unir)ggporated Argy Q__ fell_veru-.)ess_valur_of:licrs-or-incumbrances..cemainiugal._ the time ofsale FOR A VALUABLE CONSIDERATION, recciet of which 1s hqeby acknowledged, - Wendell R.. Kestle and Anne M. Kestle, Husband and Wife as Joint Tenants hereby GRANT(s) to Dorothy •Elise Heachkofski, a Married Woman as Her Sole and Separate Property the foliowin& real property in the Q City of Q,UpinCorporatcd Ares County of Butte. State of California: See Exhibit A attached hereto and made a part beleQf,- Qatccl_- July 12, 2000 - �u Wendell R. Kcsilc Anne M. Kestle STATE OF CALIFORNIA + SS: COUNT OF ISuttc , On !S before me, the undersigned, a Notary Public in and for said County and State, personally appeared Darrell Hindman eecsooall.Y_ known to he (Qr proved—to-me. on. tbebasis. of satisfactory evidence) to.be the person(s) whose names) is/aze subscribed to the within instrument and acknQwleclged to me,that lie/she/t`hey.exepateo the, .3ame-_. inhis/her/-.heir. authorized capacity(ics), and that by his/her/their signatures) on the instrument the �'eerson(s), or the entity upon behalf, of. wh, ch..the vtsan-r-s-)'acted—, executed the instrument. WITNESS m hand and official 3ea1. - ` `.. Signet u e L IAAIL TAX STATEfAENTS TO: Same as Above _ NDRA 4 sit a 6661 - COMM. - COMM. 1 1230377 *07ARY PUtitr-=F0RXIA COIIMIY-OE-MnE-.. u Comm. Expires July 20. 2003 ) Jul 09 04 10:54a Country Homes 5305346427 p.3 f Exhibit A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORUI-A-,- D€SCRTB-E D AS- FBLLOW-S PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP , RECORDED IN THE OFFICE OF THE-.RE_CARD.ER_.O1'_.T_HE_.C.QUN2'Y.._QE..BUTTE-r...S-TATE OFCAL1FORN-IAy- ON- FSBRVA-R-Y--24-i 1972, IN BOOK 41 OF MAPS, AT PAGE (S) 32. AP NO., 03Q735Q.079, RARCF`L. LI: A NON-EXCLUSIVE PUBLLC ZASEM,ENT ZOR IN.QRE5S_AND.FGRE�S AN.2..P.UBLIC. UTILITIES OVER THAT CERTAIN PARCEL MAP', RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF.5UTTD, .STATE ,QF Q_11LIF9RNIA.,. ON FEBRUARY- 24,_. 1972, IN BOOK 41 OF MAPS, AT PAGE (S) 32. EXCEPTING THEREFROM A.LL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL 1 DESCRIBED HEREIN. PARCEL III: A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE FOLL©(a?-IN,--DE-S£f-I-BE-D LAid-B-:- COMMENCING AT THE SOUTHEAST CORNER OF LOT 8, BLOCK 97, OF THERMALITO, ACCORDING- TO T-HLE_-QFFI-GFAI--MA T-HSREO4E, RE -GOR -DF -D- IN- THE- OFFICE--OrF- TIE RECORDER OF.THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JUNE 8, 1887; THENC.E_..W.E.ST_._ALQUG_--THE_-SOU_Ti--LTN-E-_OF LOTS- 8 -AND ... 7-, O-F--TH-& AB&SFE MtEN-TIONE-D-- MAP, A DISTANCE OF 268.51 FEET TO THE TRUE POINT OF BEGINNING FOR THE PAR -CE, L_ .QE LAND HEREIN. DESCSLflED� THENCE- FROM.. SAT D _PO.IN-TOF- B€GINN-ING- ON-� A-- CURVE CONCAVE TO THE RIGHT HAVING A RADIUS OF 20 FEET THROUGH A CENTRAL ANGIJE OF 5�° �0.: AN. ARC_ QI.S_TAN.GE_QF.. 31-._4IZ_ FEET;_ THEN-CE_--NOBTEi-A DI-STAPICE OF 444.01 FEET TO THE NORTHERLY LINE OF THE ABOVE DESCRIBED PARCEL; TktENCE.. WF -ST.. AN D_ P.ARALLEI.-KIT I..TIiE_.&QUT-E LIbE__QE.-L-QT. 4,. OF T:KE-AI-30V-E MENTIONED MAP, A DISTANCE OF 60.0 FEET; THENCE SOUTH A DISTANCE OF 443.99 FEET...TO THE_. DECD.INN.ING_.QE...L�CJMVE_-.CQN_CAVE- TO- TR—E RIGHT HAV-IN�.A R-AD-1US-_O-F- .20 FEET, THROUGH A CENTRAL ANGLE OF 90020' 00" AN ARC DISTANCE OF 31.43 FEET TQ.TLLF-. S-QUTK-..LZNF_...QE. SAZL2.- LOT ..7.;--T-HEUCE. EAST ALDNG--'FH-E SGUTH- LINE--OF- LOT 7, A DISTANCE OF 100.0 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM ALL,THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL 1 DE.SCRI BF�D HEREIN . . Jul, Qg.,04.10.54a . Countrj Homes 5305346427 p.4 'BUTTE COUNTY V. z -4 j y. .... . ..... r ...... ;: 4. 7� 2 y" RECORDING PEOUICSTCD .... ... . ... K;TrE CbUN1'Y.TI azi :..a w.Eft amcc—co I 7n 12:' , L a n N 51, '^CC ADOV9 T-9 ZINC FOR MCCO.DC-8 Us& -L-� tf—f., t— ....................... .... ....... "T* U-------- a W1,11ii �Iiparate P-.0p0r1y' FOR� V:4t.UE RECEIVE6.`w-, - 3�%l F -71"M* 101 s. uniucorporat NTTENAN7S all that real propcny situate in the:` 1 according to -the"' - he Cct�� Y" t"'. -offilefal flierenf,.-filed Jn: tliu'cf:lcc'.cf'.tlic,:'Recorder of -the t acrited Butte. 'hare of 'Cafffoir:n CAL fo s*- _Cc�c6ientiinj at`thc'-Softheast cornei of said Lot 8 in said Block 9 ;yt ence` -.c Sotjr. ;� inc..' `s'idAnt:8 4k�.A� It once .'of- '116' feet;, 04ace ... Was a -ter_jy_,qlong'.t1 _h' 1 of 'd I s'C lto'.Ithe,true. poi '�f begirming 'for. 6e.`03rur__.. North a cc r. t n " ** S 'in - ' J ' I"' ` c` -fro= said point of beg!nning, o la'' d .'here' .,"scri ed; t.ienc olstartce -ith the South -line" _% -a — _o� 3.20 fz.ct;_.rhencq, Wes r,.and , Rarallel %. - "of:"said -Lots:.3 and '4. 'c* of. Zdi.5jevt;.: thence South a di.stm c� cc o�a...ploiht'011ch bears Vest and pairallel.;Fith.. -South live of:sa4d:1:ots f t Chu. East and parallel *:ith the S-,>u,tl1 -rcr. cl -and- of way-for.'roa MIER p -'�n "' i�t il I ty' .purposes. -oye r -.the fo Ilcrw f- u c ing described parcel e� alonr,= - z.Co=tncing At..Che S.ppcheaic cornet qf Lor 8 in -said Mock 97; thence West -268 C the South line of 'Lots 8 and 7.'*a diiEancc of zl feet to -the' rue poto-c--at-1— ..: - eti 7. . e nin : for the parcel ojia herein described; coerce frort said -point ci —j b gi it,.& through - C-2 _ginnlrig.on-a curve rpricavu to the riEht; havir.g a radius of 20 feet a central anele o 1: h 89* -58' bf.)" on arc d:sfa cc of -31-.-0- Fee -t- - thaftcp_ - -11 he Z: of tlir: above d;scribed parcela di 4,44.01. feet to 6 rthcrly line stance of 7 thence West and payallel. 'wtta ti.e- Sogrh-,Ine..of. Lot a distance of 60.0. feet:' t jj_- thence South -a distance of 4z-3- 9 feec'tti"rhe bcgIntA4,P_G:a-c3:,, cczLcamr___to_. a the rLghr.-hAving ft radius of 21 fee'i,'through a central angle of 90' 20' 00" an ai; distance oi*31.43 feet *1 the Scuth line of said Lnt 7; dunce Cast along the South line of.Lot-7, a distance of-106-.-01eet w .. . ....... 7, ...... ... BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-754.1 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041834 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date'' 07/01/2004 APN: 030-350-079-000 the Business and Professions Code, and my license is in full force and effect./j O 3 e G �7 �� License Class: N Licensee Number: Site Address' 1419 OLIVE GROVE LN ORO Date: _Z4( L6 Contractor. Koh Map Index: Description: EX MH PERM FNDN (960) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BEACHKOFSKI DOROTHY ELISE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7310 REDHILL RD 7000) of Division 3 of the Business and Professions Code) or that he or BROWNS VALLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95918 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: BEACHKOFSKI DOROTHY ELISE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SIERRA MOBILE SERVICE ❑ I am Exempt under Article 3 of the Business and Professions Code BILL REID 466 CIRCLE DRIVE Date: owner: OROVILLE, CA 95966 530-534-0599 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 License #: 470386 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy Total Square Ft: 0 S. F. O I certify that in the performance of the work for which this permit is Valuation: $0.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I '�J //,, 'e l �J - I &SD U 2 ei u J Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code; interest, -and attorney's fees--- -� - — --- -- - - -- CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Codo ?ndlor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to d ork indicated ab a for which fees have been paid. j t7-1 �C/ By: \ Date: Name: '7 - /-Address: Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of B to County to enter upon the above mentioned property for inspection purpos . Print Name: Signature: Date: 0 Owner U Contractor ❑ Agent for Owner 13 Agent for Contractor T r. NOTES RESIDENTIAL r PERMIT NO. — 030-350-079 04-1834- BEACHKOFSKI,DOROTHY 1419 OLIVE GROVE LN OROVIL ' 3 LE j Cont: SIERRA MH F EX MH ON PERM FND ' ? THE HCD FORM 433A FOR THIS MH CANNOT BE rF I RECORDED UNTIL ONE OF THE FOLLOWING HAS I BEEN TURNED IN TO THE BUILDING DIVISION: t' { (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). ,. i (2 STATEMENT OF FACTS (ONLY ON.- NEW MH'S). #� INSPECTOR TO VERIFY SERIAL & LABEL #'S. SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (D e Signature t I� t e t I 1 Ft 1 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (D e Signature t J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows 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-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access 68. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 71. Fireplace or Stove, Clearance -Hearth Date 72. Card B-1 Date Card B-1 Date 73. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 24. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 25. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 26. Size Boxes & No. of Conductors Stapled Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 27. Romex Installed Close to Edge of Studs & C.J. Plb.; Elec. & Mech. Equip. Listed for Location 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Guard Rails & Deck Construction -Post Caps 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 36. A.C. Ducts Insulation & Support Glass Protection 37. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 38. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Water & Sewer Connected -C/O to Grade -HD Approval 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK . 0 = Not OK NotNo Applic Readyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Le 1. Zoning Requirements -Setbacks -Easements Gas; MH Test -Demand -Valve 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Wat a Sewer Connected 4. Water; Location -Test -Easement Needed (Sketch) !K -License 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Verify #'s with Office 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Electric 7. Well Clearance & Disconnect Frmg.; 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 B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERFP6NVfT END SYSTEM (ONLY) g Re rements-Setbacks-Easements ooti ; Size -Spacing -Marriage Line Le Pfking Footings; Soils -Size -Depth -Spacing -Connectors -Steel Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Wat a Sewer Connected 8. d Electricity Tagged s !K -License Decals 11 Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 v ,a MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041834 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/01/2004 APN: 030-350-079-000 the Business and Professions Code, and my license is in full force and effect./j ((7O 3e 6 ( License Class: �" License Number: i Site Address: 1419 OLIVE GROVE LN ORO Date: 7 i b Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: EX MH PERM FNDN (960) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BEACHKOFSKI DOROTHY ELISE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7310 REDHILL RD 7000) of Division 3 of the Business and Professions Code) or that he or BROWNS VALLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95918 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law 'does not apply to an owner of property who builds or improves thereon, and who does Applicant: BEACHKOFSKI DOROTHY ELISE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SIERRA MOBILE SERVICE ❑ I am Exempt under Article 3 of the Business and Professions Code BILL REID 466 CIRCLE DRIVE Date: Owner: OROVILLE, CA 95966 530-534-0599 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 License #: 470386 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: 9 insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. ❑ 'I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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. Dater / e'e I ! 0 &570 U Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, -interest; and attorney's fees. - - — -•- _ CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR anNor I hereby affirm that there is a construction lending agency for the Resolutions to d ork indicated ab a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By:� /-� Date: / ^ (r S Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. , I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of B Ite County to enter upon the above mentioned property for inspection purpo5p3. Print Name: Signature: Date: -71Z07"' 0 OwnerCET ontractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. Q%� BUILDING PERMIT APPLICATION DT1 0✓ AND SUBMITTAL REQUIREMENTS BP 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 BIN # OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION CONTRACTOR OWNER Name - —� I J� Address y t� State C A City Q� Phone 534-0599 State c Zip y S9 6 c Phone Class B Fax E-mail Planner CONTRACTOR Name Sierra Mobile Service Address 4 6 6 Circle Dr. City O r o v i l l e State C A Zip 9 5 9 6 6 Phone 534-0599 Fax 534-0709 E-mail Lic. # 470386 Class B APPLICANT SIGNATURE X 77 For office use only: ARCHITECT/ENGINEER Name 4,1 Address SRA City No State Zip Phone 0 5 9 9 Fax E-mail Planner State License Number APPLICANT SIGNATURE X 77 For office use only: APPLICANT NAME Name 4,1 Address SRA City No State Zip 9,47e c Phone S 3 0 5 9 9 Fax E-mail Planner APPLICANT SIGNATURE X 77 For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# 03 0 - 915b - 0 7 9 Property Address V) Cross Street WORKER'S COMPENSATION Policy Number 4257 Carrier State Comp I n s If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Foundation under existing M/H Sq. Footage o ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: -> 1E,(��'6131dg SRA ReceiptSheriff #: Sheri +dp SMIP Date:0 I w, Other Total KAFORMS\BUILDING F0RMS\81dgApp1SubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). o 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 - ' .. r 7' _ 'ti^+�:Tr.".+�'i�r`°."5:..TgY' � •� - R'tng1���.a�`'�`�M"'14..xt��-cT,ryiC,">'�'r31'vi��' _. �� ,.,,�, y .� ,,,„�„fm 4,.- •v4T ^..; .. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �'PERMIT APPLICATION DATA SHEET OWNER: �`� ^'w ASSESSOR PARCEL NUMBER "-2z• , Proposed Building Use: Counter Technician. Date: IP • 3 ' Items required in order to apply for a pe m t. All boxes M ST be checked OR marked NA in o e apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ' ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. �❑ // 27. Encroachment Permitr dri71ay fr blic Works Dept ........................... AK 28. Pre -Inspection for required....... ❑ ' 29. Contractor's license inform tion. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :.................. ......... .. ❑ 33. Recorded tcopy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits............................................`............. ❑ 36. Deed Restriction......................................................................................... ❑ 37. Grant Deed H. Title/Statement of Factsetter from Legal Owner�Check to H.C.D. $ --� ❑ 38. Other: ❑ 39. Other: When issued Telephone V e/- D s 9 4 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: G Z } f 1. Index permit application for the above items numbered: Plan Check Letter ,Sal ' ' nal items required ' Contractor, msigner,re owner, was advised of the above data by lidphone, ❑mail, ❑counter, by �_ Date: x•30.04` r, designer, owne'r�y�a dvised of the ove ata b ❑phone, ❑mail, ❑ counter , b Date: Plans reviewed by: V V l Date: 'a Plans approved by: �� Date:v ' Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division A ."'4 Building Permit Number: O c f_ 1 8-2# Owner Name: Qom,,, chxoh5� Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your'parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation -- requirements: 1. - Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: �� r Owner Name: (kA,6�910A� mfl Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 19 Fire sprinklers are required in this structure. == = The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback ofo 91 ee from the side and6V ree'l from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. i Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: (Z U f7 i F(Z C 1-14A , f 2'. Installer's Name: _hi 0 L?( L r Hy cc t t TE 1 /w C 3. Is the site currently under permit? Yes F I No M (If yes, furnish permit number the mobilehome electrical rating? --------------- ) OR Is the site an existing site? . Yes the mobilehome site service rating? ------------- 2 0 o No N (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 F] (If no, clarify 5. What is the mobilehome electrical rating? --------------- /00 Amps 6. What'.is the mobilehome site service rating? ------------- 2 0 o Amps 7. What is the mobilehome site circuit.breaker rating? ----- 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes ❑ No (If yes, -identify the load and size: (Load) (Amps) 9. What is the mobilehome.site gas pipe.size?-------------- �/°� (in.) 10. What is the type of gas service? ------------------ - Natural © LPG 11. What is the gas pipe length from meter or tank to the mobilehome?-------------------------------------------- i COUN I_,'r ) * ?---------------- - , .Jk 4G DE AHI �. 12. What is the mobilehome gas demand. _ *q (BTU) ` �� V . *(This information not required if pipe length'less than 6 ft. on natural gas or less than 50 ft. on.LPG.) BUTTE COUNT BUILDING DEPARTS ENT MOBILEROME SUPPORT DATA If other than single wide, Mobilehome Mfr. CHA- " Pi a H furnish Setup Model No. SC 6 qq— C Year 15i' E q Width (ft.) Box Length i-10 (ft.) Tagalong or Expando Size ft. x ' ft. 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. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one). 1. Concrete block.�2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE .��Line Main Beams —� Main Beams — — — — — — —' — � Line'l Tag or Triple r.+gyp 4 Line 1 Piers: Size -Min. ------------ Spacing -Max. --------- From Ends -Max. ------- Line 2 Piers Size -Min. ------------ n-.o Spacing-Max.---------S_From Enda-Max.------- Line 3 Roof Loads: Size -Min .------------�N x�� 2N „x�� 24 ,k70 Location (From Front)Q-_ M 0"111--0 2 I '. +..I 140'_ 0 e 4 Piers: Size -Min.------------ ,k n Spacing -Max ---------- , From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Line 1 Openings; Size -Min- ------------------a 1�O I, Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------------,x , u Spacing -Max.--------------- ,_ „ From Ends -Max.------------- It „x „x11 „x „ 11 Line 5 Piers: (Uader Bearing Wa is Un y Size -Min .------------------ ,k n Spacing -Max.--------------- r_ „ From Ends -Max.------------- �_ n 25 I go 8: 30 i,I H 0 11 E LDER T C 12. 4 it 4,1 .... ..... 13u-TTE COON' e' NJ PARTMF ,,IUILDI"o DE 6, P P R Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/212003 SECTION INTRODUCTION GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS - SET -UP INSTRUCTIONS FOOTER SIZES INDEX PAGE NUMBER 2 3 4&5 6 7- 8 'Approval RELEASE DATE MANUFACTURED HOME/MOBILB BOMB FOUNDATION SYSTEM HEALTH AND SAFETY CODE,.SECTION 18551 APPROVED .9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 WIND ZONE I - SINGLE 9 9/2/03 DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 ~ - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST SUWBa TO CORRECTIONS NOTED PROVAL DOES NOT AUTHORIZE OR APPROVE ANY ISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS Stade of California 7"N Ptiouafa an d Community Developma� WDES AND STANDARDS SPA*.. r1 . calpsture> QKOFES$/ON9 .tF V, No. 9245 a s C10 Tq\/ Of CAUFO APPS' d31 fl - 00 V N O O O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main.rails. The system is approved to'be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls-with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone. I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. arc® Page 2 California ` 9/2/0 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads'. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure. center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor. to the top'of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03. C= Longitudinal Stabilizer Devices The use of LSD systems on a 'single or multi. section home replaces longitudinal anchors, stabilizer plates and straps. ' The Longitudinal Stabilization Device (LSD) is vseci with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is- shown on pages 10-13. LSD Combine Vector Dynamics & LSD 1. Longltudlnal Foundatlon Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 Per system) 4. Tie Bracket (2 per system) Note: Two struts =1 L,SA. Can be used on one Pad or opposite ends of the home. Exa m pl e5 of Po55ibl e placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single 5ection I I .I I I I I I I I I I I I I I I I � I I I I� ( I 18 Ft. Max Wind Zone .I Double 5ection 32 Ft. Max, Forgreater widths use triple section design. Wind Zone Triple 5ection I I I I I I I I I 1 I 1 I I I 1 1 I 1 I I 1 1 I I I i i I I I I I I I I I I 1 1 I 1 1 I 1 I 1 I I I 1 1 I 1 1 I Page 6 Wind Zone I Tag 5ection Iwr 48 Ft. Max. California 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes In Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zoned, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it Max. Unequal Pier Heights 4aximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Page 7 California, 9/2/03 Set -Up Instructions for Vector'System #59018 r ij• � � r 8 4 Long U -Bolts 1. Set Vector. Pads 4. Inside brackets & straps Clear all vegetation where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks, resting on pads; centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 ';;6q. Califor < =HOP -1 9/2/03 Md. *: i' 1 ll i rh.� t88': 1. Set Vector. Pads 4. Inside brackets & straps Clear all vegetation where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks, resting on pads; centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 ';;6q. Califor < =HOP -1 9/2/03 W co WIND ZONE I, SEISMIC ZONE 4 _.._.._._ ..._, ..,.,.. Anchors Required Per Side L.S.D. 0 to 40' Vector Dynamics Systems Required for 0 2 41' to 66' 3 Double Section Homes 3 67' to 84' 4 \ , (Materials Required) 85' to 90' 5 0 4 Section d oUbie - to o� a�2 _G. n9 - .; EXa - _ .. , _ _ - • i�:l .ice -':-r-'. _= _. \ _ _ yL � � _ ` ' \ - ti r:�'r- _ - • . x ' r mss'' � 1 _ _ 1 at \\ ._�.-w-N:.�'-•..i4[a%- --_>. = � .,.c®haa�xSf�. tii^'a'^�•.i� ._ .:2 �.�Y �1 ,.. i�..'aE�' _ NOTE: Vector Systems should be spaced as symmetrlcally as possible along the length of home. Pier spacing must be consistent with I manufacturers' instructions and/or state requ No anchors required. For pier heights up to 46" for WIND ZONE I 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Bearing Capacity: 1,000 PSF minimum Anchors Reauired': None ('MArrianc w.11 ,.,,.k— .. , k_ ired by home manufacturer) Home Length Vector Systems. Required _.._.._._ ..._, ..,.,.. Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' 5 0 4 r-acn vector System .requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.- Longitudinal Stabilization Device See Page 6. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More'than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts; alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in,; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. - _ Ot 20x20 400 sq. in. _ or 16x18 = 288 sq. in. or 17x25=425 sq. in. -- EQUALS EQUALS _ 2 -Vector Pads # 59275 ' ' - 1 -Vector Pad # 59271 - 288 sq. in. or 432 sq: in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent liste bore. "Foundations in soil. with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in Oar with site condilons H Page 17 California 9/2/03 PRE -INSPECTION REPORT OWNER: LOCATIONt WY-2-7-111 �� CONTRACTOR: REASON FOR PRE-INLI DATE TO INSPECTOR: " Building Description: Commercial/Usage: Residential # of Units: Currently Occupied Abandoned/Vacant: DATE:6 r. A.P. # � j ZONING: PERMIT HISTORY ( ) NONE X�SEE ATTACHED BUILDING INSPECTOR'S REPORT Mobile home # of Units: allef ( ) Yes ("40 Electric: Electric Currently . ( On O Off Condition of Electric UUP Gas: Currently n () Off Condition Sanitation: Plumbing Working ( es Obvious Sewage Problems ( ) Yes ACTION RECOMAMNDED: ISSUE Hold for permits or verify: Inspector: ZNo . ( No ( es () No Date: ['�TT71Tl1TT TTTTT. T%T%T!'40 lIAT T)r, rr, T)or, A TLTT% TATTIT/-i ♦ rimT-m v e, • _ _ .i .. .. y -. "- - - - 30-35-79 - 1262-90P,E FR N, Ruby 1419 011 Grove Lane, Oroville Contr: Mo Home Center] (utilities/MH ELEC �� GAS COMPACTION TEST REQ WV SUPPORT STRUCT RE 30-.35-79 Permit#1 - MHI nstallation/MH) 030-350-079 BP04072 BEACHKOFSKI, DOROTHY 'ELL . 1419 OLIVE GROVE LN., OR��ILLE 2 OPEN DECKS/MH Saul oy 1 i t 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO,. BUILDING PERMIT APPLICATION ()� 1 ) �3 AND SUBMITTAL REQUIREMENTS BP 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 BIN # OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION CONTRACTOR OWNER Name Address466 Circle Dr. Address y t c>r State CA City QQ{ Phone 534-0599 State c.- Zip Phone Class B Fax E-mail Planner CONTRACTOR Name Sierra Mobile Service Address466 Circle Dr. City O r o v i l l e State CA Zip 95966 Phone 534-0599 Fax 534-0709 E-mail Uc. # 470386 Class B APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address YC C C 2 O -A City No State Zip Phone o 5 9 7 Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Flood Zone Address YC C C 2 O -A City C No State Zip 9 r7 Phone S% yc o 5 9 7 Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AN O3 0 g57b _d 7c Property Address Cross Street ) WORKER'S COMPENSATION Policy Number 4257 Carrier State Comp Ins If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at die time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Foundation under existing M/H Sq. Footage 0 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Receipt #: Jej62-) C (�� Ci Amount: - ) SRA Sheriff SMIP I I Other Date: I/ ` 1� ' _, J � Total KAFORMS\BUILDING FORMS\B1dgApp1SubRgmts.doc Page 1 of 2 REV 4-30-04 _91 - NOTES PERMIT NO. t A . 1 , r k 1 RESIDENTIAL 1 030-350-079 BP040726 i BEACHKOFSKI, DOROTHY I 1419 OLIVE GROVE LN., OROVILLE 2 OPEN DECKS/MH t 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (D ) / o Signature CHECKED BY J=OK, 0 = Not OK : = Not Readyab1e ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size-Spacing-Marriace Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, C S, CARPORTS, GARAGES (Plans) OK except #'s oning Requirements -Setbacks -Easements ro Soils -Size -Depth -Spacing -Connectors -Steel 3 -'Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 2. Braced Wall Panels f Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 54. 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 57. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 60. Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date Ext. Steps -Door & Sidelight Protection -Landings 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 71. 22. Gas Pipe; Sixe & Anchors 72. 23. Fire Sprinkler; Test 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date Garage Fire Door; Swing -Landing -Closure Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al _ 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 87. 35. Smoke Detector 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date Ventilation Throughout House Card B-1 Date Card B-1 Date Glass Protection Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 94. 38. Condensate Drain & Overflow, Size & Grade 95. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 96. 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing I Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79, Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes ❑ No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: "� . Ins Pea 4-1 d'Dy-� fee- p�7( S.7. 04 4 Sg Z_;s G COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES _ 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA,- (530) 538-7541 *y CORRECTION NOTICE o Gil-i��z� OWNER PERMIT NO. �r; ..7 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 tom+ completed. If you have any questions pertaining to this matter, or need additional explanation, !^ please contact this office immediately. 4L C_57�P-5 REV 10/92 w;, 7 n.. t.�._?+•'c..ti�-.�•" 'r -ti-. .� ^,Y �r+ e^ .. ,�,.-_,+.,,er..----...--•..r. r-r�._ r_.. >�-.a �.wr. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE a' OWNET R PERMIT NO. A routine inspection indicates that the fcllowing 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. COI:.NTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE ER PERMIT N0. A routine inspection indicates that the fol owing violations of butte county Ordinances exist at the above address and should be correctec. Please notice this office when correctionof work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. /e'y2 4141 r i2S %Cif . 1X/�� Date —7 Inspector REV 10192 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040726 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN• 030-350-079-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1419 OLIVE GROVE LN ORO Date: Contractor: Map Index: Description: 2 open decks (294) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner.. gEACHKOFSKI DOROTHY ELISE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7310 REDHILL RD 7000) of Division 3 of the Business and Professions Code) or that he or BROWNS VALLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95918 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their - sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: BEACHKOFSKI DOROTHY ELISE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business / and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier. Total Square Ft: 0 S.F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. Date: �� l J1O V v Applicant: WARNING: Failure to secure workers' compensation coverage is { ' unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resoluynylo do work indi d abo r w ' fees have been paid. 2 Name: BY Date: 3 l// 0 0 PERMIT EXPIRES ON: Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte n I eby authorize representatives of Butte County to enter upon he above mentioned property for inspection purposes.--� Print Name: -Q Q d Signature: % Date: 13 /��� 'VI Owner ❑ Contractor 0 Agent for Owner 13 Agent for Contractor I-- i I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION' 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPDgO-? DATE: ! APN: ^ sem-• _ ZONING: OWjNf RIPS LAV NAME.. 6�L& s OWNER'S FI ST NAMV: E. PHONE STREET ADDRESS:I FAX CITY, ZIP: r0 W N c VaAE-MAIL: SITE ADDRESS: CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT M APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: LICENSE NUMBER . LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: X � Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: Amount Received: O.B.- I 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. I personally plan to provide the or labor and materials for construction of the proposed property improvement: YES NO 112 I HAVE -P HAVE NOT ❑ signed an application for a building permit for the proposed work. have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY. PHONE: CONTRACTOR'S LICENSE NO. 4. 1. 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' ADDRESS PHONE TYPE OF WORK S NED: PROPERTYOWNER: SOCIALSECURIT'YNUMER: DATE: NOTE. This Owner -Builder Verification is required by Section 19531 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 x OWNER BUILDER INFORMATION Dear Property Owner. OB.—I 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 -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own word with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an, employer and you are subject to seveial obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and umemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation koz ance. ♦ 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 sttucture 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 time property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by 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 retuned. re4iuilv- NOTM ``,, tt �w� Ivrc .B.O. er, spection Yhis Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER �' 0 TYP. •z -- CrUAR�RAIL '(16 PLYWOOD CC EYL ea0� . - (� 1� 2'u4'• PRESSURE' 'rRF11r .1 • M-�—• 1 VOLTS RFDWODD'1-l1.A7r e M N. 4'��� DECYIUG' • OIIZDER • • �• • +h� . '• • • • w PREUST 4*94" POST ac IER _ • .. 6 III. Apr,Q=E DIACONAL BRACING. TYPICAL RESIDr�MMIL ST�P.S •a^' pQ�CK : ,...NTY Coy �ry ofg:u_ fe .. • • G� •- i4"xl 'MIN, F'OD7'!N6 De attm nt of Detgllo p . e�tjr�N r igs ° 7 Co'i my `en e Qrl e Ora�i91'e. �C . 95965 -7�3$040R )538�1.p(,�5 ttwebsite;uunyfi ds Z6 -5A1loel • • • CLIP`. _ ' � 2' x 12" STAIR STRIIJGEIZ. 4fi'e.�. NIA' . ' 'x 12' PIS '' ?DP VIEW • a HAU09I11L .NOT 5HOU11J -FOR CLARITY. 2"K(#* Zdl-stv DECI(ING '(ALT) 3/g". BOLT ' 5 pace,4 so 4ha+ a. Dr*g-' .GIRDERS _ _ j4'(Sphere- eanno 1'le TAG PLYWOOD CC E%T. ,. ' . 2'u4' +h rte, cLj 11 MOBILE IIDME M OIZ DEC.II; :9� :l • MTI.. rpm (EA. `may •' I MAX. CLIP DE 9"MIiJ. To NO ' 4'K4' POST �' I •z -- CrUAR�RAIL �'2DF..� ea0� . - (� 1� 2'u4'• PRESSURE' 'rRF11r .1 • M-�—• 1 VOLTS RFDWODD'1-l1.A7r e M N. 4'��� DECYIUG' • OIIZDER • • �• • +h� . '• • • • w PREUST 4*94" POST IER _ • .. 6 III. Apr,Q=E DIACONAL BRACING. TYPICAL RESIDr�MMIL ST�P.S •a^' pQ�CK : ,...NTY Coy �ry ofg:u_ fe .. • • G� •- i4"xl 'MIN, F'OD7'!N6 De attm nt of Detgllo p . e�tjr�N r igs ° 7 Co'i my `en e Qrl e Ora�i91'e. �C . 95965 -7�3$040R )538�1.p(,�5 ttwebsite;uunyfi ds Z6 -5A1loel BU'T fE COUNTY BUILDING DIVISION APPROVED m lu. > Lli > Po 0 0i ny � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040726 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN• 030-350-079-000 II the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Andress: 1419 OLIVE GROVE LN ORO Date: Contractor: Map Index: Description: 2 open decks (294) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BEACHKOFSKI DOROTHY ELISE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7310 REDHILL RD 7000) of Division 3 of the Business and Professions Code) or that he or BROWNS VALLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95918 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: BEACHKOFSKI DOROTHY ELISE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier. Total,.Square Ft: 0 S.F. Policy #: • I certify that in the performance of the work for which this permit is Valuation: $0.00 11 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: '+ WARNING: Failure to secure workers' compensation coverage is /S'0 ' CU unlawful, and shall subject an employer to criminal penalties and one ' hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti n o do work indic d abo r w ' fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 2 Name: BY f Date: `J O •: PERMIT`EXPIRES ON:— Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte n I eby authorize representatives of Butte.County to enter upon.}he above mentioned property for inspection purposes... --7 Print Name: -Q LZ �' O / Signature: eo Date: 3 /�d� �Own 13O wrier Contractor ❑ Agent for Owner Agent for Contractor ,A t ; 30-35-79 1262-90P,E FREEMAN, Ruby Oroville 1419 Olive Grove Lane, 1 Contr: Mobile Home Center J (utilities/MH) / 3 a 1 Y c V 1 ' I OFFICE COPY t Address r GAS aMeter By Dat i ELECTRIC j Meter By Date OFFICE COPY y Address 1 � 11 GAS Date Meter By ELECTRIC eter By Dat M r -�v JOB FINALED (Date) Signature C Pacific Gas and Electric Company Ruby M. Freeman 1,419 Olive Grove.Lane Oroville, CA 95965 Dear Mrs. Freeman: 2226 Veatch Street Oroville, CA 95965 916/532-4135 Phillip J. Earlewine Service Planning Supervisor This is to inform you that I have recently fielded your request for gas service to serve your residence located at 1419 Olive Grove Lane, Oroville. All necessary information has been sent to our engineer- ing department for a new business job. Please obtain the necessary utility inspection from the local building department and have the tag displayed at the meter location. I wil`r"contact you at a later date with the necessary Rule 16 gas charges and agreements. Our construction date is tentatively scheduled for the week of June 18, 1990. This date is only tentative and may be adjusted depending upon the date in which your facilities are ready to receive service. Please call me if you have any questions, 532-4141. Sincerely, AL H. DaSilva New Business Representative (A I AHD.: rem W .19 3S 30 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memoria#" Yay, Chico—,P-4one;891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWN -e/� 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 wor -'is completed. If you have any question pertaining to this t)/ matter, or need addional explanation, please contact this office immediately. Y \�1-991r-��— Date Inspector �,AtSIDENTIAL 30-35-79 1262-90P,E I ' FREEMAN, Ruby 1419 Olive Grove Lane, Oroville Contr: Mobile Home Center (utilities/MH) _ --j _ I OFFICE COPY Address i GAS !` 1 Meter By Date ELECTRIC ' L' Meter ByY Da ' + JOB FINAL 'ED (Date)— { Signature 14W fl .�T?w+'e.'vs�rnrrlN"1.li^.---„LR*+�+swA�xv.-y..'1R3>rw..�r..�:7+..•.wv-.•,JMv.�.+.ilT ..-'.�......... .tf^w �..,.,--f'«.^3,;i I- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 MemoriEl Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. pie C) (-,J-- e.jo 04 _eco ��� po���,� h al.ac t. 40 Z� v r i I 1_1' 10 1 1> V t'-\ Date J /`� ✓ �� 'i zlnspector��- Q v� yCOUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Cir t-* „+,.a rr- /2(02 - OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1 \ �ryulGi•o ��,s(Q �P42f =�2Q,-oua1 Date ,4 147 fo Inspector O/ L T MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 12 9'd PERMIT N0. oR0 '.Address or location of mobilehome �'�•� /ivt tsi r v LG •..c r "Owner's name /r,? t o �? V �" f t t �/"r a '^ Owner's, address / L/,/ r! s• _ ' Insignia or hud number r Manufacturer's name �� n^ r• ""' �`�l� �y`< _ 4 -Serial number of V.I.N. Year of manufacture (Official Approving Instcllotion) (Date) r IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN TtjE MOBILEHOME IS INSTALLED ON X FOUNDATION SYSTEM. ,� 513B White - Owner, Yellow - Installer, Pink - D.P.W. J=OK ' O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s A. Zoning Requirements -Setbacks -Easements . Soils; Special MH Support Sketch Sewer; cati -Test-Fall-C/O Concrete 4. Water; catio Test -Easement Needed (Sketch) 5. Electricity ocati Clearenc s-Grnd-/ /Amp -Concrete 6. Gas; Location-Test-Wra L"ft. ---7--Utility Clearance Pen oO c% Pl a.% 4 .,orevci Date,JV 7190 YO Card B-1 /3-4- Date Card B-1 I Date . Card B-1 Date Card B-1 j XZoning Requirements -Setbacks Easements j Footings; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector Electricity; MH Test -Crossovers -Breakers -Clearances ,5(Drain; MH Test -Fall -Flex Connector j �§/Water; MH Test Reg Connector j ter—• . Water and Sewer Connected -C/O to Grade-HB•Appreval - Gas and Electricity Tagged Exits; Insp.-Sketch . Cert. of Occupancy A DateV- J Card B-1 YXV Date Card B-1 Date Card B-1 Date Card B-1 1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg: Rig -Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'S 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip :Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane I boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Gfnd.-/ /" Fig. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas Water 73. A.C. Duct in Garage -Damper -& 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 13 Yes ❑ No; Walks 0 Yes O No; Planters 0 Yes 11 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 86. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 - 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. y 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT CEJ 7 �- ASSESSOR PARCEL NUMBER ZONI G BUILDING PERMIT OWNER Rubv Freeman TELEPHONE 534-7236 SQ. FT. OCC. BUILDING VALUATION OWNER S MAILING ADDRESS 2750 Lincoln Blvd. #233 Oroville CA CONTRACTOR'SNAME I Mobile Home Center_ Inc. TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 Feather River Blvd., Oroville CA 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Olive Grove Lane Oroville (1419) Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. I SUBDIVISION NAME PARCEL MAP 12- Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehori 0 -her SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00e -� TYPE OF WORK New Addition F-1 RemodeUtilities Installation❑ Other ❑ Describe work: '^'/'�tt�C.{{11 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 i Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): P y P 1 y ( ) Ik 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. 261905 Classification C-47 Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ( ACC. . ) , 2/zQsgft MULTI -OUT NEW CONSTR RANCH CIRCUITS) NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. OCCp OUTLETS OR FIXTURES U e2AL@ALd 30 30 FIXED APLNS EX. QCCUp. OUT LETS P(RESID.IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (cheek one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 ns7o my i onse uence of the granting of this permit. X Date 4-24-90 Signature of Applicant — Owner ❑ Contractor K{ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ Ct HAZ cuA PARK SCHL FLD I PAR PDii Ss Th's permit is hereby issued under sions of the Butte County Code and/or work indic ed a ve for which fees 1 CTO OF PUBLIC Bv// P RMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date go Receipt No. & (t I -7 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance aI've dove- Z, -7f0 owner location AP # Driveway r d ,e_ permit vte��,l has been issued for the above property. f si ature - date 4 COUNTY OF BUTTE - DEPARTMI NRLY-1 F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - 09O4ILtE:CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER U13 A P. No. Proposed Building Use ;Building Inspector �e- Date L S At ti f permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ...............:........ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation .......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobile home installation data including manufacturer's installation instruc"tions....................................................... 10. Fees of $ .... :................... 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 4ce3. School District fees paid .............. , 4. Sanitation approval from r/ D Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... k1 8. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy)�- 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... X5. Letter of signature authorization 26. r�ih �i y r -e c l�........�_G. o� • .............. �� 27. When you issue the permi , process as follows: Mail to owner. Mail to contractor. 4 _ Telephone 3 03and hold for pickup at Q��office. Deliver w. /inspector. Other _ , Applicant s/SZ'���"-- .Date `7 GS yU Copy of Diaz -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 t ermit issuance: (Circle new item not checked above). 1. Index permit for above items -No. 2. Additional items required: Cont -ctor, designer, owner, was advised of above required data by_/phone_Lnail—counter by(92 ..date -I Contractor, designer, owner, was advised of above required data by—phone—mail—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date ,S-- - --f v 90-016611 ; Recorded Official Records County of Butte Candace J. Grubbs Recorder 1:48pm 25 -Apr -90 Rec Fee 5.00 Cash 5.00 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT - Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. CD 1 The. -property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the.pursuit of agricultural operations.including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,. smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or-disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP OF A PORTION OF LOTS 4, 5, 6 AND 7, OF BLOCK 97 OF THMMALITO, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 24, 1972 IN BOOK 41 OF PARCEL MAPS, AT PAGE 32. TOGEITMWITH AND RESERVING 7LiEREF'R0M AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE ROAD SHOWN ON SAID PARCEL MAP. Date: STATE OF CCALIFORNIA COUNTY OF_rte ) ��l —I—;ss. PROPERTY OWNERS: T OrL F -ii (G_ j 1 Lbefore me, the undersigned, a Notary Public in and for c j o said State, personally appeared k C P e -.Personally v known to me (ocproved-tame-orrthe basis-of-thevattrof r- a e+lykRewra twTre) to be the person whose name is subscribed tothewithin instrument, as c m awitness thereto, who being by medulysworn, deposed and said: U E (That he/s4eerresides in (Cle-IC)V1 U k that he/she was present and saw 1 ®®®®®aMaa010is 01nallm00.0II9O000� Personally m CYNTHIA A. COLLIER to known to him/.ber to be the same perscn(sl described in and who ® el T executed the within instrument, as a party(ies) thereto, sign, seal .`� NOTARY PUBLIC -- CALIFORNIA c� and deliver the same and that said parly(ies) duly acknowledged ® o Butte County19 Co. the presence of said affiant, that he/she/ My Commission Expires Oct. 30,1992 they executed the N PI same, and that said affiant, thereupon at the party's(iesy request, ® ® ® ® N 12 m Is 14 ® m ID W g a ® ® ® a 0 a ® ® ® is EN subscribed his/her name as a witnes thereto. WITNESS my ha officia 11, Signature � (� �." �(• (This area for official notarial seal) Present.A.P. No. 19 before appeared on the basis ;ory evidence. subscribed to rntained. id official seal. ib 1 is 9ERMALITO'R-RIGATION DISTRO 410 GRAND AVENUE '.il. 1803 OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Olive Grove Lane Owner's Name: Ruby Freeman Date"f April 24, 1990 Address: 2750 i'Jineoln Blvd. ;)233 Acct. No: Urov4 11e A.P. No.: 30-35--75 Phone: 534-P236 No. Units: l Applicant/Agent: Rick Tripp (Mobs - 1e home Cente_) Agents Proof: Address: 1-P40 Feather River Blvd. Fees: Phone: 533--44403 Application $ 30 Ou Arrearage Preliminary Review By: Date: CSA 26 550 00 Remarks: Sewer connection fees wi-11 be thoseSC OR 900 00 appli.calile at time of cor:nection to the, sewer 1st mo. S.C. collector system, anct must be pa:' -d prior to Other connec-Lion. Cleanout up to . grade required at l ae. 1420 property Total Fees 00 Collected By:. Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after dame above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after cate above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE -TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID *HERMALIT,'Q 011GATION DIST 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: ` Address: Acct. No: A.P. No.:�—; _ .. . Phone: - No. Units: Applicant/Agent: I Agents Proof: Address: . Fees: Phone: Application $ Arrearage Preliminary Review By• Date: CSA 26 L Remarks: SC -OR t 1 st mo.. S.C. - t Other - • - - _ x ,� .---- Total Fees -. '� Collected B " y:. Date:' Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW- APPLICANT, PINK -DPW, GOLDENROD -DPW tO TID 1190 / L {. SVDa �9 0114 70 BROOKDALE DR 534-8240 OROVILLE, CA 95966 1 ' ��.q 11 -ss � .�_ 1z10 Pay to the order o/ ` oaD u-�1.L �/1.d110Wi`C TI^i RECEIPT TOTAL TENTATIVE ;. Oro Dam Branch 1169 CHECK & STREET PUBLIC COMP- FIRM OTHER APPLICANT RECEIVED FROM DATE NO. RECEIVED MAPS ERIE INSPECT SIGNS DOCUMENTS LIANCH HYDRANT �p 3 :>-r,,, - / OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT SECTION RECEIPT 11454 ISSUED BY C i / L {. RICK TRIPP CDL N0913860 �9 0114 70 BROOKDALE DR 534-8240 OROVILLE, CA 95966 1 ' ��.q 11 -ss � .�_ 1z10 Pay to the order o/ DOLLARS I,les�. I ..,.sem Fa..f' I, �-, ar• } .. -!.'ta. Bank of America 1 �. r..er� r„}rpt b ;. Oro Dam Branch 1169 "' `"• _t, ..� . P.O. Box 2158 Oroville, CA 95965 L2L0003581:0L14L693��10238211'3 RECEIPT 11454 ISSUED BY C i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: A U 17 `' F9 h- C kI A jam( 2.. Installer's Name: Y✓1 0 CSI L K did h-% cc t4 TE rj N C 3. ,Is the site currently under permit? Yes F1 No (If yes, furnish permit number ) OR Is the site an existing site? Yes El 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 F (If no, clarify C 5. What is the mobilehome electrical rating? --------------- /0 y Amps s 6. What is the mobilehome site service rating? ------------- 0 U Amps 7. What is the mobilehome site circuit breaker rating? ----- I O U Amps 8. Is there any other electric load to be served by the F1 mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) y 9. What is the mobilehome site gas pipe size? -------------- 3 (in.) 10. What is the type of gas service? ------------------- Natural ® LPG 0 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------- - (ft.) 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less. -than 6 ft. on natural gas or less than 50 ft. on LPG.) 13U. TTE COUNTY BUILDING DEPARTMENT APPROV D MOBILEROME SUPPORT DATA If other than single wide, Mobilehome Mfr. CHAKI furnish Setup Model No. Sr 6 q11— C, Year Width (ft.) Box Length '40 (ft.) Tagalong or Expando Size ft. x ft. 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)El. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one). 1. Concrete block.R2. Other (specify) Pier Footing Sizes and Locations SIdCLE-WIDE Line 1 Piers: Line 1 Openings: Size -Min. ------------ l- Size -Min ------------------- Spacing-Max - ------------------Spacing-Max. --------- ,Each Side of Openings From Ends -Max. ------- 1_ With Width Over----"""- line 2 Piers: Size -Min. ------------ 1`Z �.x�ii„ Spacing -Max. --------- 1 , f �� H From Ends -Max .------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ x Spacing -Max.--------------- From Ends -Max .------------- �_ 1 I.ine l Roof Loads: - -- Size -MSO. ----------- MN ,Ix II I1x k ,1 1 11 „x3o112N ,1x?�11 y Ik3o 112 ,k3.� . ,1x Location (From Front) 6- 0 , 12 1- 0 , 2' 1_ j, U®,_ 0 Line 4 Piers: Size -Min .------------ Ik n Spacing -Max.--------- From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ e .5 Piers: kunaer aearing walle unayi Size -Min .------------------ ik 11 Spacing -Max ----------------- From ------ ------From Ends -Max.------------- _ u Location (From Front) :T)Vd U ��-•-�- Y _ t � � ry W J �••++ 1 +JT..�� i =. i 7� G.1� 1 i r. 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Al el ii�b�'il d3Q-II 113 3WOH I,I(-) I.3WHH.D 1•1083 Oc : `t o6 , sift- '�� STATE OF CALIFORNIAIss. &T COUNTY OF' -e_- I On 990 , before me, the undersigned, a Notary Public in and for said State,lpersonally appeared_' C Jv(i l j' ersonally U known to /me d to be the person whose name is subscribed to the within instrument,as C: II a witness thereto, who being by me duly sworn, de'�poosed and said: E That he/ske resides in �(L� Vl 1,1 ,PIAT iFOR—N l that he/she iz was present and saw — �� �y � ®®..mo.IN.a®■a®..sae.®®m®®0® N personally ,...,, CYNTHIA A. COLLIER "a@ known to himAhw to be the same person( described in and who o� NOTARY PUBLIC -CALIFORNIA i executed the within instrument, as a party(ies) thereto, sign, seal ®Butte Butte County 13 N and deliver the same and that said party(ies) duly acknowledged p My Commission Expires Oct. 30,1992 O ., OD r o in the presence of said affiant, that Wshe/tt+ey executed the 0 tJ same, and that said affiant, thereupon at theparty's(ie request, ®��aaa.OriYooe�offo�a��a0a6® o o subscribed his/Mer name as a witnes thereto. 1C0 .i WITNESS my han� d officia I/ Signature (This area for official notarial seal) 90-016611 Rec Fee 5.00 Cash 5.00 Recorded Official Records County of f Butte Candace J. Grubbs.� Recorder 1:48pm 25 -Apr -90 CD 1 Return to DPW - AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT - Section 26-8.1 of the Butte County Code requires this acknowledgement be. recorded prior to issuance of a building permit. The. -property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited .to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said'zones�.and on adjacent property should be prepared to accept such inconvenience or-disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, -,described as follows: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP OF A PORTION OF LOTS 4, 5, 6 AND 7, OF BLOCK 97 OF THERMALIT0, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 24, 1972 IN BOOK 41 OF PARCEL MAPS, AT PAGE 32. TOGETHERWITH AND RESERVING THEREFROM AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER - THE ROAD SHOWN ON SAID PARCEL MAP. Date: PROPERTY OWNERS: 7-N0_5 State, of ) On this_t}3 day of 19 , before me, the und�igned Notary Public, personally appeared County of ) Personaly known to me. / / Proved to me on the basis of satisfactory evidence. to be the persons) w ame(s) subscribed to the within instrument and ackno executed the same for the purposes IN WITNESS WHEREOF, I hereunto set Present A.P. No. -30 - 3 ged that itlleeiqn contained. my haftq and official seal. Public END OF DOCUMENT .004NTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS ^'i County Center Drive - Or&ille, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. gnc ASSESSOR PARCEL NUMBER _ _ o ZONI N (, BUILDING PERMIT OWNER4" Riih)ZFrppman TELEPHONE 534-7236 SO. FT. DCC. BUILDING VALUATION OWNER MAILING ADDRESS 2750 Lincoln Blvd. #233 Oroville CA CONTRACTOR'S NAME Mobile Home Center Inc. TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 Feather River Blvd., Oroville CA 95965, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1419 Olive Grove Lane Oroville Permit fee J $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pume water heater 20.00 LOT/O. t} SUBDIVISION NAME PARCEL MAP W-3, al Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeE3 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel Utihties ❑ I tallation❑X Other ❑ Describe work: flat 0414 it _ 90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW er ur ) I declare under penalty) of perjury y (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in fulll force and effect. 261905 C-47 License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CDWELLING OCCUR .&) .s OR AD NS.( ACC. BLOCS. , 2/z¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. ) - Ex. OCCUp(OUTLETS OR FIXTURES 9A @530 Ex. Occup. FIXED LEP(RE SID IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ji I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 liabilitie judgments, costs, and expenses which may in any way accrue against d :��hconsequence of the granting of this permit. Signature of Applicant— Owner Contractor XXI Agent XI ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structurefs over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAz CUA PARK I SCHLFLD `— -- I PAR PD H IV Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for )which fees E 0 PUBLIC BY PERM T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.66(� WHITE-D.P.W.. YELLOW-ASSrSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY -`OF BUTTE - DEPARTM.EkT_T.OF PUBLIC WORKS - BUILDING DIVISION r 7 COUNTY CENTER DRIVE,: OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNERA. P. No. i Proposed Building Used % i Building Inspector -- -A <:-- Date At ti a of permit application!', I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ....:................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of..plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design'lCompliance and supporting documentation ......... j 7. Statement of Intent for Non -Heated and AC Buildings 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .. .................. ................................ 10. Fees of $ i ....................... 11. Chico Urban Area fees paid ...................................... . 12. Parcfe s paid ................................................... ¢� 13. 11Z School District fees paid .............. 14. Sanitation approval from Health Department I+ 15. City of Chico plumbing permit ..................................... 16. Plot plan and grusiness license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. 21. Pre -Inspection for required Pre-Inspec. request to Building Inspector Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4 R f ' I I Date) 2 . ecorded copy,l o Agricu tura Acknowledgment Statement ......... r� 25. Letter of signature authorization ................................... / - 6. 27. When you issue the permit, 9'ro ess as follows: Mail to owner. Mail to contractor. Telephones "�03 and hold for pickup at office. Deliver w. /inspector. Other ff a Applicant ��/y Date ?r �0 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent LI Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date ,, Sets of plans ohu`hold in ' File cabinet AP folder Copy—DPW 1 , w -70 16PA • 1 0L Vc �rt20V- LANA . I THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 �'^ir' �• fill � r r 1 Il .' . IG03 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: ullve Grave Lane Owner's Name: Rubv Freeman Date: April 24, 1991%. Address: 2750 Liricoln Blvd. #233 Acct. No:-/) 219114-4160 U.:ovi_lle A.P. No.:30-35-•79 Phone: 534--P236 No. Units: 1 Applicant/Agent: Rick Tripp (Mobile Home Center) Agents Proof: r Address: ].740 b'eattjer R.fcyLr Blvd. Fees: Phone: 533--4:03 Application $ Su 0 a Arrearage Preliminary Review By: Date: CSA 26 550 Iu Remarks: b0lgOr connection fees wJL11 be thcoe SC -OR 900 anUlIcable at time of connection to the E'1?0WC.r 1st mo. S.C. rc�llertclr. sys �erl>, and imist bo para prior to Other ci�njiection. cleanout uta to cgl:ad* t:ecitured at 1ar0p,_,fray line. � %�J .�%"'.�, .�.. 1430 ,U t G• Total Fees ti"C,•n�r� `-'� Collected By:�/ Date: Field Review By://,Q ,,/i�,r� �'�inL�f,.�.,, ., Date: — 9 Remarks: A/ A � . /L rte" MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). El 30 days after elate above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existin'd construction", prior to Mar. 5,.1974). ❑,:180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLO�CANTrP_-IN.K—DPW, G� O��_NROD . DPW to TID AP # OWNER [ retv1. PERMIT MH UT IL . CLEARANCE DATE �5: f vl INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Other. Pipe YES NO YESI NO Size Load Type Size Length NQ PA i!>fi6 set of pians and specifications MUST be 1QW on the job at all times and it is unlawful to f Rite OnY changes or alterations on same without Dfrom the epartment of Public courdy of sums. I 10� I Pow%( p°` ZNxKa WAr6IL, I h�oQ��E YCWca, I' 1401..,E pGWcR ' 4r OF A setback of 5 ft. from the property lines and a setback i I 120eld of 50ft. from the road centerline shall be clear of WATIM structures or equipment except t"fo6 ---i'► F for a 2 ft. eave overhang. (g .:. 6 # _ 'r_ BUTTE COUNTY 1° �O 3% BUILDING DEPARTMENT APPROVED( ► ;;M`3 IT 1-1 z .1 • 0 2 tat Jl 4 J CT lil O y.' 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Ar; 4 ❑ ❑ — ❑3 — ❑ 0 � Scale: 1 o UT TFo �e55ors Parcel Number: � 3 c� �. _ 00er Name o 0 0 0 :Address / Phone No. o 0 L° gtion ° ° �a.• site v N �-i Coltgdt: Name Phone Oct-.► 23,2003', PROVIDE FOR ALL ADJACENT PARCELS SIZE ZONING: GEN PLAN: USES: