HomeMy WebLinkAbout030-430-012kP 30 -12
F JOHN EDWARDS
1697 Leta Lane, 0rovi-11e j
.'kerit# 4309-75P,E(ut M-�j) p4217j
PLEC.
GA
- ------------
su 0 STR CT E
----CH�TAQTIQI� TE �TREQ!
30-43-12
ONTR .- Ernie's ME Transport,Marys'.
ermit #4'8&9-75?4HI
F+ssued-
OSV-430-'012 00-0024
HARFU[SON BELT
1697 LETA LANE, OROVILLI
CONTR: HEAL rIAWI- 4109100
GAS METER RELOCATION
B08-0506 030-430-012
RESIDENTIAL SFD-Mobile Home PFS
NEW MH PERM UND EX- SITE 15 I�(R
1697 LETA LN r -i t-vp
N
�F�REDR�ICKW�IN.TO
-30 , :430 , -0 , 12-
B08-0699 - O'� -
S' Demolition
DEMO EX MOBILE HOME,,
1.6�7. LETA LN
-FREDRICK.�4�9)�
13
�IH Util.
.PERMIT NO. 43019-75P�E
P
E
UTILf.
APERMIT NO.
PERMIT EXPIRES
IOWNER jc)hn Fd1.jq-rd.-'
fL'bCATION (A.P.
-1697 Leta Lane, Droville
Temp. Power Pole
Called PG&E oe
Tgnsp, Elec. Serv.
Called PG&E
TioxIn Gas Serv.
c
S
Ge
rv—
E
r
P Ae
S v -
Called PG&E
JOB
FINALED
D t
te
(S tux
COUNTY OF BUTTE DEPARTM�NT -OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
Setback -
Forms
Main Bldg.
Footings
Stemwall
Slab
Piers
Garage
Footings
-Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
Firewall
Parapets
Restroom Finish
Windows
Siding
Roof Sheathing
Roofing
Fdn. Vents
Garage Vents
Prov. for physically
handicapped
Conformance of ex.
structure
Final
FIREPLACE
Footing
Throat
Final
PLUMBING
Soil Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water P'ipinq,9!5e
Sewer Z4Z_
Fixtures
Water Htr'.
Heaters
Appliances
Gas Piping & Test
��. Gas .,g,,4z
�anitation it
Final
FIRE SPRINKLERS
Motors
Test
Water Htr.
Final
Subpanels
MECHANICAL
Grd. Fault_Frot.
Heating
S e r v I c e C"-,
Cooling
Temp. Pole
Ducts
Underground
Ventilation
Permanent
Final
Final
ELECTRICAL
DATE REMARKP OR CORRECTIONS
,Al
MOBILEHONME INSTALLATION INSPECTION CHECK LIST
Is the mobilehome located with required separation from lot lines,and buildings and generally.
conform to plot plan? Ye No
S
Does the mobilehome have required clearances above,ground? (Sec.5085) Ye No
S
Are' footings and supports properly sized, spaced, and braced as per approved plans? (Note'
ng shackles.) (Sec. -5082 & 5083) Ye S4 No
possible _vAriation at spri
Is the mobilehome level? (Sec. 5088) Yes No—,
-If more than a single unit, are crossover connections properly installed? (Sec. 5088)
�Yes No�_� Al 4.
e.,�l Water
Is flexible connector of adequate size and properly installed (1/2" ID Min.)? (Sec. .5566)
Yes_-� No
Test," Does*water'piping withstand working pressure or 50 lbs. air test? Yesy No
"Backflow -..If coach is not State.of Califo;pia.approved, does station have backflo device
and pressurd-relief valve? Yes N
wastes and Dj�ains
Is connection made with Schedule 40 DIN and have flex connectors at.each end? Yes A—.No
Does it'have minimum per foot slope. and is it properly supported? Yes No
�4
Are an' leaks detected in drainage system after running 3 -gallons of water through'�each.
y
-fixture including +washing �machine standpipe? Ye No
S
If ,.coach is not State of Calif ornia approved, does station have required trap and vent?'...
Ye No
8. Gas Pipingand Gas Vents
Connector .- Is mobilehome connected to the gas -supply with. an approved 3/4" minimum
mobilehome connector not more than 6-ft.,Ion'g? Note:. All piping is to be at least as,
large as the mobilehome gas line ifilet without reductions other than the mobilehome
connector.. Yes_A_ No—
T�s t OK as per following procedure?- Yes No
open al.l�appliance connector valves.
Shut off appliance burner and pilot valves..,
Air test'with manometer to 10"-14" water column., or test with slope gauge (minimum,
6oz.. -maximum 8 oz.) calibrated in tenth pound increments- Test for 10 min., without
drop.�
Connect a s metar to r-,iobilehoiue with connector), turn on C�as, test -connections with
soapy water.
Are all appliance.vents properly. installed? Ye S No
9. .,Electrical
-A. -Is service large enough to provide adequate auiperage-to mobilehome (must equal ratin- of
mobilehorie with a minimum of I'll 100 amp) and other facilities on lot, i.e.,water pumps,
.-garage, cabana, etc.? Yes A No
`11B.. Is there proper clearances around panels? Ye No
S4
(D!� Is power supply cord or feeder assembly properly fused? Yes — No VIC) 4-1-1'
I continuity test satisfactory as per the following procedure?. Yes— No—
De-energizG electrical wiring system of the mobilehome at tho pedestal.
Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
Suitch all breakers and switches in the mob.ile'home to the "on" position.
Connect one lead of a test instrument to the mobilehome -rounding conductor and,
apply the other lead to each mobilehome supply conductor'�:' including neutral.
All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line),.including fixtures and.appliances, shall be tested for continuity from
such equipment and the grounding conductor.
Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
Teen the,grounding electrode and the chassis of the
test shall then be made betv
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service.equipment may be approved for energizing
"��'d by Health I epartment for water and sanitation?
s job card signe
11. If everything okay, sign off card -and tag-s6rvices.
MOBILEHOM�E DATA
Manufacturer and/or Namestyle lk-A F—A—E-Of A -AZ
Length 6P Width
-Tehicle Serial Nlo. Ka 5'6-3
.State Identification No.
Additional Information or Comments:
COUNTY OF'BUTTE DEPARTMENT OF PUBLIC WORKS,',O�-V.o 5).
7 County Center Drive Orovi Ile;' California 95965
Telephone:, 534-4541
APPLICATION -AND PERMIT.
duuiur14U l'uprusertidtiveb at ine uuurtty ut MULLU�IU unter upun ine
above-mentioned.prope�rty !or inspection purposes.
X Date A)5 dA-� 71-)"
Signature of Perrnitee or Agent
Receipt Nol-3sook
White-D.P.W. - Y.ellow-Ass.essor_,-,Pink-Inspe�t6r -'Goldenrod.Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or. resolutions to do work indicated
ab(5ve-for which fees have been paid.
DIRECTOR OF'PURLIC WORKS
V
ilding permit expiriai§.Date
BUILDING
0wner.Jo,14;,)(,
-SQ. FT. OCC. BUILDING'.VAUIAfIW4�
Mailing ��ddress'-,�2.J.;�S-
7,Fn e
Fireplace�
Contractor
Total Val6ation
Mai I i nd Address
Permit Fee -
Plran Checking Fee &/or Penalty'
0.
Telephane N -
Permit Fee !$
bu . ildirid Address' 9; 7
LUMBING. No. @ - FEE,
PERMIT'r.ILING -FEE. $3.GO J
ulzln,44
Each trap," 1.50
Repair drainage�or. vent piping �1.50
Watee piping -+75ft-. /10
E ch. as water"heater or vent -1.50.
4 9
A. P. No.
Zonin g—
9:j
bas-piping'system 1 -5 outlets'
Each additional o6tlet _30
Fklr
�-_C
F I re D ep t.
Fi re Zone
Use Perrnit
Building sewer.
. Parking
EQA P lans
ParCe!
Declaration.
Parcel -Ma
61
6 R
.ImprbVem
Lawn, sprinkler system 2.'00
, "I
r
Bld . ons R.c'd
I &0�. r 8-3e P P rA!�gf
Plans ��Ppl 11
Permit Fee, $ 3-3
NEW,[:] �ADDITION E] UT'ILITIES Lo OTHER,
ELECTRICAL NO. @ - FEE
PERMIT FILINGFEE $3.00 _7
Main'service incl.:l meter
Additional nieters, each 1.00
Su . b -par - fel (12 or less). (mo're than 12)
Single Family Duplex Mobi I Home Ot' h e rs'
Range, book --top or Oven 1,;00
a
Water Heater,.or'Space Heater 'i.00
5
Light.fixtures— . bal (d 10
20025.
Receps., switches & fix outlets HE
CONTRACTOFtS LICENSE: LAW
I am licensed under the . -provisions of Chapter 9, Div. -,3, of the
State of California Bus'in'ess'.`& 'Professioris bode' under the name
style*of:
Ho ad, Ex., Fan or F.A. Furn. Motor 1.00
Evap.booler, gar.disp..or D.W. .1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5,00,
Temp. Power Pole
Li -cense No. Clas'sification
Misc. wiring
I am exbrip't.from the Contractors License Laws of the State of.California.
Permit Fee $
WORKMEN'S COMPENS ATION. INSURANCE.
1,-am'aw�re of the-provi sibris of Section 3700 of. the Cal ifornia Labor
'Code -which r6q6ires every employer -to be.in'sured. against liabili.ty
Jor�Workrfien'.s Compensation.
El.�I have -placed on file with the County of'Butte a certificate of
Compensation Insurance.
certify -that in 'the performance of the' work for which this .
rmit jsjs�sued_ I shall. not employ any person in any manne�
to becomd, subject to thb Workmen's,Compensation Laws of.
Cal -i forn i a..
MECHANICAL No. @ FEE
PERMIT FILING FEE MOO
Heating
Coolingr
V . entilation
Hood �-2.00
Permit Fee $
I certify that I have read thi�,application and state that -the above
informiation is correct., I agree to comply to al l,'County Ordinances
�and State -.Laws,. relating to building construction, and hereby*
TOTAL 7 FEE
_ERMI
duuiur14U l'uprusertidtiveb at ine uuurtty ut MULLU�IU unter upun ine
above-mentioned.prope�rty !or inspection purposes.
X Date A)5 dA-� 71-)"
Signature of Perrnitee or Agent
Receipt Nol-3sook
White-D.P.W. - Y.ellow-Ass.essor_,-,Pink-Inspe�t6r -'Goldenrod.Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or. resolutions to do work indicated
ab(5ve-for which fees have been paid.
DIRECTOR OF'PURLIC WORKS
V
ilding permit expiriai§.Date
I%
It
!`CO,.UNTY-OF:BUTTE:�'-'.` :.DEPARTMENT OF.PUBLIC WORKS
alifornia 9
7,t' nty , enter.Drive —' orovill6, b 5965.
ou C
Tel;e&6ne:, 5�4-45
Appuutm ANDYERMIT:
.-authorize representatives of 'the County of Butte to enter -upon-the This-permii is' hereby issued under theapplicable pro visions of
ibned property forl"nspection purposes-., the Butte County'Code and/or resolutions - to do.work i
above for which fees have been paid.
h.
WORKS
DIRtCTOR-OF PUBLIC
X:.
Signat&,of I?...rmit_e'e or,Age'nt By Da t e 2_�/Z �V7
I i.-',
Receipt No. 'Z36
White-D.P.W: YellowAssessor _'Rink-lnsp�Sto�,:- Golden�od-Appli,cant Baift4FT peftlitexpires, Date
BUILDIM
Owner
SQ." FT.- OCC. -BUILDING VALUATION
Ma i ling Address
-6 No I
7
Fi replace
Contractor v
;4
;3ot6l Valuation
-Mai I ing Add.res; 7. R -7 jG(�_T_1_11&1-Z , U.,
Permit Fee
Plan Checking Fee Vor-Penalty
Telephon..N
re, H2
Permit Fee
Building Add/res
PLUMBING.- No. @ -FEE.
PERMIT Fi'LING FEE $3.00
Each Trap 1.50
Repair drainage or,vent piping. 1.50
Wat6r'piping 1-.50
Each gas'water heater*or- Vent 1.50
A.. P. No.
36 -4 3 2-
Z.ninlg & Planning
Geis piping system 1-.- 5 outlets 1.50
Each addi f ional, qutlet, .30.
FAef
yy_�,ftrri
. 7tati�[
Fi re Dept.
Fire Z o' n'e
_'O'e.0e rniii"
S
Bu'iIdihq,'sFe)ker 5.00
EdA
Parking
I Plans
Parcel
I :Declaration
Parcel Map.
60z�R/W'l
-Impr�qvements'
Lawn,sprinkler system 2.00,
Ido. P?4�n
B s Rec',�
Parcel 'LrKro�-
P-
I a n 4Xp�'pr o.V a I
Permit Fee $
N EiVEI 'ADDITI.ON.,E] UTILITIES 6 T'H,ER-
ELECTRICAL. No. @ FEE.
PERMIT-FILING FEE $3.00
Main, service incl. 1 meter
0 q' --L 7
;Additional meters, each 1.00
�Sub-panel (12 or less) (more than 12),
Si.ngle Family Duplex Mobil Home Others
Ranqe, Cook -60 or oven- 1.00
Water Heater or Space Heater 1.00
Light fixtures lbal 010
Receps., sw�itbhes & fix outlets
CONTRACTORS -LICENSE' LAW�,,
I. am license . d und . er the provis - ions,of -Chapter -9,-Div. of� the,:
State of California Business & Professions Code under the name
style of:
Hood, Ex.'Fan or'F.A. Furn. Mo - tor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air con.di.tiofier or heat pump.
Wateir pump
�Mobil Home Fa ilities 5.00
c
Temp. P owee - Pole 5.00
License No.12,,Yi/2 classliicatiom ---------------------
-.:Misc. wiring
I arn exempt frorn the 6ntractors License La%�s,of.thb State.of Caiifomia.
Permit Fee.
i$
MECHANICAL No -I. @ 'FEE.
WORKMEN'S COMPENSATION INSURANCE�,
I a�� aware o`f , tlie provisions of Sbction3700,of . the - California Labor
Code which requires every employer to be insured against liability -
for Workmen's Compensation.
1. have placed'on fi le With -the County 'of'- Butte. a certificate of-
Workmen's Compensation Insurance."
F1 I certify that in the performance of the work for which this
perm&,i� issued I shall not employ.any person.in any manner
so as td become subject to ih6 Workmen.s Compensation -Laws of-
California.
'FILING FEE- -
PERMIT �3.00
'Heati . ng
�Cooling
Ventilation,
Hood 2.00
Permit Fee. $
I certify., . that I hav . e !, read'this appli - daLt . ion and stat e that'the above
information is�corre6f. I agree to comply to -all- County Ordinances
and State Laws relatina to., buildinq, construction, and. hereby
30
YOTAL, P ERMIT'FEE
is
.-authorize representatives of 'the County of Butte to enter -upon-the This-permii is' hereby issued under theapplicable pro visions of
ibned property forl"nspection purposes-., the Butte County'Code and/or resolutions - to do.work i
above for which fees have been paid.
h.
WORKS
DIRtCTOR-OF PUBLIC
X:.
Signat&,of I?...rmit_e'e or,Age'nt By Da t e 2_�/Z �V7
I i.-',
Receipt No. 'Z36
White-D.P.W: YellowAssessor _'Rink-lnsp�Sto�,:- Golden�od-Appli,cant Baift4FT peftlitexpires, Date
wn, I
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joy
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1,U U I'LL I k1la: 1JLJ �L.L_
.7 County Center Drive, Oroville, California'
PHONE: -534-4541
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M6BILt,'IIOME "INSTALLATION ANF ORMA%ON
:6:-1ot Fa S
cilities,
Mobileho6e, Data
0
Plot dimensidnied; , location of mo Ue
1 Len�gtt�, Wid
and �tiiityf_conni ctions?
e
Mahutacturdr P L PIWAIL
T
�es� No
Ve*hicle Serial N6
:.7`2.,'r% Electri'cal service'e . �ui -am a it
pment
Insignia Control' N6.
Circuit, reaker ampacit T
2:0' Feeder ssembly"ampj��_Ity
P eriiian6n t...Wiring Xonn ec tion
Conduit size":
sup�ly c ord
Receptacl t iO
paci. y.
'3 Gas inlet size�
-3 Gas- 'Natur�al LPG,
ehoint� 6onnect6i�`,
c
i -z e
Ca�acity
4., Drain 1 ;iz
'n ;et C e
4.�Drain-.conndctor:*des&ribe on
re:ve .-cse side
5'. Water connector:- describe on�
reverse side
;
Utility., cLr
u
ounectlo*ns Y6�ated �o' tside
I .. 11 - .
f) Designed loads:
.. .
r . . I
,,1 3,
the :C �of tli6�mobilehome within,
Roof: live load psf.
4, f e* e't o,� t, 1�-_ f t I 'wall� yes�� No
Wind'load sf
If
only nobilehomes pialnufactured'
after
E
76 'Is t o. tio i ehome .,clear of. S6ptjC tanc,
dctober 1973
leach fiel4:'and locat 1 6 outside public
7 Manuf act urer'.s in . stallation. ins
trLEC tioJIS?'
-.utility easements? Yes No.
7yes'. No
8. Do you propose to do otter workoh the
Will the mobil.6.home be insta
10-d"on.a.
other.than. the mobilehomer-
��installat16
separate support structure?
n,which -will -requii6'Zf permitY
No X'
Yes No
Avy—;
'Yes
If so,, s p e c
*For
plans and specificatl'ons of, support. system, see other side.--
4e Alt), �gpd
0 M Sljr Be in
NOTE��All. Mnterti+ & W rk nnsh.ip" ke�
u
� in
set 0 f p ions -
fh MUST be -
6166 at ell!.+;-nes.and is.
it
ance - Good, Prencilces, and
Acicord w - -, , :. ma
ce
unlcrwf6i f 0
3n c:6� (7! r -I
y pnqes or
h f* -J'A
of' cr W1
a quo'lify Pres :�-ed -for +1 e Spp��[ !C use '1.
'des..
fe,
- .. ns �on some with uj
0
i,permi§ii6n fmm the
if rm Buildin �---�,Hochqnital `CQ a
'Uni o t
rks,
eparfr� enf of Pu6lic
-C Qu nfy. of Buffe.
+ N fibnal-� Electrica_I'Cbde.
he a
h
Th
Set 6ack'shbil, �6 5 ff�jr6 M
th
id
si e,properfy ihd and 504t. from
.0,
cen er h6'c;f A -d
t Ai* e-roa t,.permitting
Se pfic s
fs+�ni �iid
aximunj -0 f
_'Coun-
v jr� f 6' %ei -as, -per
ty, Hea f 4 Dept. ke''.
r, Mei
its .
LA
b
All
0
loc, afeO
co rin Ions"
t�if,6 4 shall' 6
ff.-
fhlr.,4
S dink
out -A6, re -
;�,c lon,.of:the-a
CD
bri fhe
nlob'ile h orne
ho'' m e�
00 sid��Ofjh e mc
CD
Q:
7
y
BUTTE'COU T - .7, .. - , y
y
BUILDIN(�', D TWNT.,
z
P F R
OV
.16. q
o6l� W s
4 �'7 4/
4.1
M
U Ly j1ding Plivision
MANUFACTURED HOME SUPPORT PAtA,.
Owner's name:
#
Home Manufacturer:
Manufacture. Year':
Model Number/ Name: 4/,!3Z -a
Width: / �&�- 77 1/11:- 1-
9 ZL-� —0 (ft Length:_. -c, � ( . ) - ..
ft
FOOTINGS: Wood -pressure ti�eated or foundation gradek Other:[,
SUPPORTS: Concrete block Other:[
lwt;� �jv
Provide manufactuirees instal
manual, support blocking requirern ents and state
approved or engineered foundation or tie down system sp
ecifications.
Fier-t-ooting Sizes and Location'
S,
SING.LE WIDE
L i h e 1
Line 2 Section 1
Line 1
section 2
Section 3
Line�. �Piers:
Minimum size piers: X-
8p6cing maxlm�m:,
From ends maximum.
Line 2 Piers:
Minimum size piers:
--X
Spacing maximum:
From I ends''maximum:
Line 3 Roof Loads-
4
minimum size piers:
Location �frbm- front):
Mini,Murn size piers:
Location (continued):
Line 4 Roof Loadse
Minimum, size piers:
Location (from front),
Minimu ' m size piers:.
Location (ccintinued)-.,
0-
MULT I -WIDE
Line 1
Line 2
Line 3
Line 2
Line 4 (triple �vide only)
Line 2
Snow Load:, T3n ps
� ps
Snow Load requirements may . be obtain*ed-at
http://www.upstate-c.'a.com/butte/butte_county/
Insert AP #, view snow load in lower right comer.
ihe I Qci�nings:
Minimum size pier., X[ 941
Re uired at each side of openings over
L V '--0---9-wide.
Tk44AIF-��ov t�, �lv
M? M7A
vjw- Um. 30 Lm.
45639
LASUI LOCK71011
UNIr PILK TWY
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Divift.
15-4 1!2
934
16-3 3/4,
a
c 20-11,
A
2M
c 26�11'
6
33--10 3/4-
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Suppler -cis.
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301-5 IIV
M? M7A
vjw- Um. 30 Lm.
45639
LASUI LOCK71011
UNIr PILK TWY
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IBM
PIER LAYOUT
3P f ROOF LQA
Divift.
934
16-3 3/4,
a
c 20-11,
A
2M
c 26�11'
6
33--10 3/4-
A
5 8 -)nD
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r M -Y PIER Ulm is 0301"D !I NUUER P3�,a
45639
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Cou N
1LOING
PIER LAYOUT
3P f ROOF LQA
Divift.
APPoo02/29/08
V89
sai REV
SP.1E.
I b
M1
Xi2 Foundation System
Installation instructions for California
for Ground & Concrete Systems
.HUD Wind Zone I.,
-19; DOC
qw RA 11%.w fiV
By Tie Down Enaineerinri
Xi2 Ground System
Xi2 Concrete System
�T-'TTE GOU�q
iv
APPROVED
F S
I U'-
U.j
Engineer Approval
State Approval
MANUFACTURED mwimoatu Homil
FOUNDATION SYSTEM . .
MIALTH AND SAFETY CODE, SECTION 18531
APPROVED
MBYBCT TO CORRECTIONS NOTED
APPROVAL DOES NOT AUTHORTZE OR APPROVE ANY
OMISSIONS OR DEVIATION FROM RCQUIREMENTS OF
A"LICABLE STATE LAWS AND REGULATIONS
st"a or Califomis
DOPERMAN OfFtoftft smd Cormumhy DwW*pnw
OF CIO ES AND STAtMARDS
By ;, -- DATB��-6 /V
VA In
Thk P1w A""rfal E"km 1A q
Paw 1 of 8
FeOWN
GINITRING.
0110
_0 1.��
D'30 - o
09
Fv W lah
OF STATE OF CALIFORNIIA NUMBER:
BUSINESS, TRANSPORTATION AND HOUSING AGENCY'
DEPARWENT OF HOUSING AND COMMUNrrY DEVELOPMENT
w DIVISION Of CODES AND STANDARDS 8741488,
MANUFACTURED HOUSING PROGRAM
MANUFACTURER CERTIFICATE OF ORIGIN
)0 k I V�,N
0
CHECK IF THIS IS A DUPLICATE MdO.ENTER ORIG I NA Lhj�ot4o.
MANUFACTURE -UNIT MANUFAMRED HOUSING
XER SFD (SINGLE FAMILY DWELLING) MUMH (MULT.I.-_UINT MANUFACTURED HOUSING
NUMBER OF
TRANSPORTABLE SECTIONS 2
OCCUPANCY GROUP
MANUFACTURER NAME.
MANUFACTURER LrCENSE NUMBER:
FLEETWOOD HOMES OF OREGON INC.. #48.
1112554
MANUFAC' W5REIR ADDRVg&
2 5 PROG WAY
SLIGGESTED RETAIL I PRICE'...
'!P.O..BOX 628 WOODBURUw) OR 97&l
(city) (230)
MANUFACTURER TRADE NAME.
MODEL NAME ANDIOR NUM13M
DATE OF MANUFACTURE -
BEACON HILL
4563B 2006.
02103/2006
NAME OF DEALER OR TRANSFEREE-----
(OWNERSHIP TRANSFERRED TO):
CAUF.-DEA LER NUMBER OR
DATE OF TRANSFER:
CMHjNC.
TRANSFEREE DESIGNATION:
DBA: FREEDOM HOMES
NA
0210312006.
DEALER ORTRANSFEREE ADDRESS:
.2243 FEATHER RIVER OROVILLE*
CA 95965
(Street) (Cfty) (stme)
(zip)
INVENTORY CREDITOR NAME_
CLAYTON HOMES, INC.
INVENTORY CREDITO
ATrN INVWTDO
FWY"60NTROL
(Street) 00CLAYTONROAD MARYVILLE
TN 378
ISM
(ZIP)
SECTION
MANUFACTURER SERIAL NUMBER
HCD INSIIGNIA OR HUD LABEL NUMBER LENGTH
VADTH.
WEIGHT .
(INCHES)
(INCHES)
(POUNDS)
ORFL648A�1138-BI113
ORED481893
677
..162
2.
ORFL64.812131138-B1,113
ORE0481894
677
-20,620.
-5 W,
156
TRANSPORTER NAME
TRANSPORTER ADDRES&
(Street) (city) (Stdo)
mp)
DE.STINATION FOR UNIT DESCRIBED ABOVE:
(NAME) (Cm, (Staff)
I -dw pmalty of pV�gy uWw ft lom of ft SWA of Coft"W M ft ob" left SM UM WW Maea
Exec�od on 02103/2,006 at— WOODBURN MARION
OR'
(Cky) (Co~
(SJ09)
SIGNATURE OF AUTMRIZED AGENT. -
DISTRIBUTION: ORIGINAL(AN14- �ORWAlt!)TOTHEINV84TORYCREDITOL UNLESS THERE IS NONE. THEN FORWARD To THE PURCHASER (DEALER OR TRANSFEREE).
copy I ("am , FORWARD TO THE DEPARTMENTAT P.O. BOX IN% SACRAMENTO, CA M12-1828. WMM FIVE (3) DAYS OF, RELEASE
COPY 2 (YELLOW) - DELIVER TO THE TRANSPOIKTER TO ACCOMPANY THE UNIT TO ITS DESTINATION.
COPY3(GOLOENRW TO BE RETAINED BY THE WMXACTUREFL
HCO.483.0. Skis 1 - (7/97)
C
T OF STATE OF CALIFORNIA NUMBER:
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS 8741488
MANUFACTURED HOUSWG PROGRAM
MANUFACTURER CERTIFICATE OF ORIGIN
DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE).,
copy i "n -E) FORWARD TO THE DEPARTMENTAT P.O. BOX 1828. SACRAMENTO, CA 9WI2-1828. WITHIN FIVE (5) DAYS OF RELEASE
COPY 2 MLLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION.
COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER.
HCD 483.0 - Side i - (7/97)
CHECK IF THIS 18 A DUPLICATE MCO -ENTER ORIGINAL MCO, NO.
MANUFACTURED HOME OR MULTI;UNIT MANUFACTURED HOUSING
X0 SFD (SINGLE FAMILY DWELLING) 0 MUMH (MULTI -UNIT MAN UFACTURED HOUSING.
NUMBER OF
TRANSPORTABLE SE'61ONS 2
COMMERCIAL COAQH:
OCCUPANCY GROUP
MANUFACTURER NAME:
MANUFACTURER LICENSE NUMBER:
FLEETWOOD HOMESOF OREGON, INC. #481,
112554
MANUFACTURER ADDRESS:
2655 PROGRESS WAY
SUGGESTED RETAIL PRICE:
(Str,e) P.O. BOX 628 WOODBUR OR 97071
(City) wtew (ZIP)
MANUFACTURER TRADE NAME:
MODEL NAME AND/011 NUMBEFt
DATE OF MANUFACTURE:
BEACON HILL
4563B
0210312006
NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):
CMH, INC.
CALIF. DEALER NUMBER OR
TRANSFEREE DESrj*ATION:
DATE OF TRANSFER:
�DBA: FREEDOM HOMES
NA
0210312006
DEALER OR TRANSFEREE ADDRESS:
(Str 9 2243 FEATHER RIVER (C . Ity) OROVILLE� (state)
C - A (23p) 95965
INVENTORY CREDITOR NAME
CLAYTON HOMES, INC.
INVENTORY CREDITOR ADDRESS:
ATT'N INVENTORY CONTROL.
50PO CLAYTON ROAD MARYVILLE I
TN (25p) 37804
SECTION,
MANUFACTURER SERIAL NUMBER
HCO INSIGNA OR HUD LABEL NUMBER
LENGTH
(INCHES)
WIDTH w
(INCHES)
WEIGHT
(POUNDS)
I
ORFL648A31138-BH13
ORE0481 893
677
162
22,230-
2
ORFL648B31138-BH13
ORE0481894
.677
162
20,620
TRANSPORTER NAME
TRANSPORTER ADDRESS:
(Street) (Cky) (Stale)
-,(ZIP)
DESTINATION FOR UNIT DESCRIBED ABOVE:
(NAME) (stml)
(23p)
I cartify under penefty of paqury under ft W".of ft Stt,kta of CaMornis M Ow above lads am U%w and owreol.
Exewod on 0210312006. at WOODBURN. MARION
OR
(Date) (C RY) (county)
(state)
SIGNATURE OF AUTHORIZED AGENT:
DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE).,
copy i "n -E) FORWARD TO THE DEPARTMENTAT P.O. BOX 1828. SACRAMENTO, CA 9WI2-1828. WITHIN FIVE (5) DAYS OF RELEASE
COPY 2 MLLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION.
COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER.
HCD 483.0 - Side i - (7/97)
ca5 cy,
FROM :Butte County Public Works FAX NO. :5305384356 Jun'.',t30 2008 09:,31AM PI
X`0 CUMIENT P RMIT'.
'blio
'.,.NW—p"b6partmentofPu orks
r U. -Oro,
11. r. -D' iv vffiD, CA 95"S
n .(530) 53.8-43-56,
7 -
or leg'jbIy,0ri)it
09E V 0 R -K 19 TO B tgTART ED
Proorty'0%�Tw'fi Name,
2ta��
Peaperly Addrau,
ov4 Am,,
Addmi-
011
A0 two,
yal No.
fth Cagrtmanit
.110dier
0� 13ftcpam own.,$ Apim bm*tor
by ap
aii�kire` ply tothe Count br in cin6r6achmeki it to do iho -fi))ldj4ng -r"'
y of8utm i Pam wo k under
Wl'w adrAtdapaa with ordininew mind Itaniid- I"g.
an�maahutw 0 Tkukftraq: Fpm To
Rol&
C:466S pipt/pIpwina, IpUpIlAmmid :E3 Otliar'
yet No
"W .-SwthIh-6. ve rC4�djk Aw subjmt to g1l PUP 2 of ih� V�rmii fdrsif)-,
i Won -heretw-IMted,
Aert (U.&A.) mivgt t;o notill6d rWo work. in& days pribr io iiy-ixavatlm 900-227-2600.
td.P��.PAAYjhg: O'Dkin, cl,pitim E3,SjipAiJ.CorLdWm
LA�
4-1
L =-S
swwy::
7
pa "Chock
`7
By No.:
w
No:
Works By
-C3:4mpImeA Completad - Not OK
Ad�inm-
-01
pO
Farfm n65;i�l
06/30/08.MON 08:22 [TX/RX NO.61901 0601
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
.24 HOUR rNSPECTION #:(530) 538-763.6 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530)'538-7541 FAX#: (530) 538-2140
WEBSITE: m�.buttecounty.net\dds
"PikdA& INFORMA.
Site Address: 1697 LETA LN
Owner:
Pennit No. B08-0506
APN: 030-430-012
FREDRICK WINTON.
Issued Date: By
Pennit type: RESIDENTIAL
1697LETA LN
Subtype: SFD-Mobile Home PFS
OROVILLE, CA 95965-
Ex piiation Date:
Description: NEW MH PERM FND EX SITE 1512
(�30) 532 -1812
O&Liparicy: 11_3� Zoning: AR -V2
Contractor
Applicant-
Square Focitag.ei
FREEDOM -HOMES
FREEDOM HOMES
Building Garage Rem'dl/Addn
.2243. FEATHER RIVER BLVD
2�43 FEATHERRIVER BLVD
1,512
-OR,OVILLE,CA-9.5965
.
OROVILLE, CA 95965
Other Porch/Patio Total
(530) 532-33 01
532-33011
.(530)
1,512
7r
'-�','IFEE � N._f'Q",AT16N
DBEH Building Review Fee $78.90
DBF MH Plan Check $241.16
DBFIRE Fire� Inspection (SRA) $107.00
DBARE SRA Fire Plan, Review (S $107.00
DBMSC Mobile Home Permit Fee. $361.74
DBSM1[P Residential $9.83
PW DRAINAGE $136.00
Total Charged: $1,041.63. Fees Paid: $1,041.1613'.
Balance Due: $0.00 Receipt No:' B7034
�',"�',,.'_,,LlCtNSE'0 d 0- NTRiINCTbkis� bEaAhATION-
Contractor (Name) State Contractors License No; / Class Fxpires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
OREEDOM HOMES 839031 / B 1 5/31/2008
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for'such Permit to file a signed statement that he or she is licensed .
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(com encing with Section 7000) of Divisi9 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractors License Law [Chapter.9 (commencing with.-Sectiori 70DO)
is in full force and effect,
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit su s
bject
the applicant to a civil than five hundred dollars
X
penalty of not more 1$500]�
Please check one of the following:
ContW646'rgrati,Tre Date
1, AS OWNER OF THE RROPERTY; OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
I
COMPENSATION, W LL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
0 RKER
W S"dOMPtNtAVION OtCLARAT16W
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her.own employees, provided that such improvements
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
I . .
are not intended or offered for sale. If, however', the building or improvement is sold within one ,
WORKERS'COMPE NS ATION, as provided for by Section 3700 of the L abor Code, for the
year of completion, the owner -builder will have the burden of pr8of that he or she did not build o r
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by,
1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
EICONTRACTORSTO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
Section 370 * 0 of the1abor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or ii�nproves
My Workers' Compansation insurance carrier and policy number are;
thereon, and who contracts for the projects with a c6ntractor(s) licensed pursuant to the
. I . .
Carrier. j(L Speclafty InsuranPolicy Number: RVVD9435192, Expi Data 7/1/2008
Contractor's Licens6 Caw.).
(Th is section need not be oo-m-pFeted if the perm it T s or one hun-d-re-dTol lars ($1 00) -o -r Te—ss-.T—
I AM EXEMPT under Section 6. & P.C. for this'reason:.
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner'so as to become subject to the Workers'
Complansation Laws of California, and agree that if I should become,subject to the workers'
X
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions.
X
I hereby certify that I have read this application and state that the above information is correct. I agiee'
to comply with all City and County ordinances, rules, regulations, arid State laws relating to building
0Z
Sign.qTre Date
WARNING: FAILURE TO SECURE WORKVS, COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit.) agree to defend. indemnify, and hold harmless
Butte County,'ts officers, agents and employee's.from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with,
HUNDRED THOUSAND DOLLARS ($1100,0DO), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of an� sidewalk, street or subsidewalk: I hereby authorize representatives & Butte
ATTORNEYS FEES.
'County to enter the above mentioned pwpe for inspection purposes. I hereby certify that I am, I the
"owner or, am aut o
h if
RDV riz o on the property owner'sbeha
SaW dW9dnfTeer[?GN]- Print Date
'CONSTRUCTION LENMNO:,�Qgl�C
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for,
the performance of the work for which, this permit is issued. (3097 civ.cDde)
IL
Owner Contractor [:]Ag6nt'for Own��g.nt for Contractor
OR:
. FILE COPY
Lenders Address city S
Jr
Tr
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES". PFRI\GT-
BUILDING PERMIT APPLICATION NO.
AND SUBMITTAL REQUIREMENTS
2 1 4 HOUR INsPECTION#- OROVILLE:
530) 538-7636
OFFICE #: (530) 538-7541 CHICO: (530) 891-2434
FEE, nLL BE JZE!2 ULRED A T TLMZ OF APPLr,
#
**PLFASE PR1N`T C
LE.Ai�LY
I Received by, Amiunt
or office us
Zoning Rood Zone
Occ. SRA. -y"
Type COME SRA
Receipt #.
MaP Book. Page Lot # Sh
Planner SHP
DaWApM 7�9 �-o
Date: ther
OVERFORSUB ITTAL P..EQUj
KA'ORMS"U'LONG '0RMS\Bldl;ApPJSubRqm REMENTS
Lj.aoc Page 1 of 2 Total
REV 7.27-04
-OA
BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM'
.1 COUNWI
-(One form per Building)
2008
APR 1
Schodbistricv�. Oroville Union High'School District Building Permit Number: B08-0506
V
LOPNrENT.
Tax Rate Area No: VIC19's
Assessor's Parcel Num,ber (s): 030-430-012 Jurisdiction: County
Property 0 winer (sy.' FREDRICK WINTbN�
Project Location/Address: %1697 LETA LN
OROVILLE
Type of Development
Residential Development,
Sq. Footage: 1,512
No of Living Mobile Home ',kdditiorU S-
upplemental to
Units Installation Conversion Permit # . Cr. Demo - existing
*(No Foundation I
nspecfion) sq.
Net total sq. ft.
Deed Restricted Sq. Footage:
0
Attach siqr*d copv of Deed Restriction and Notice of Limited Use Fadlity Docu
Commercial/industiiai: =New Addition Sq. Footage:
(I ncl ud i nQ_Ma_e -no—r Tro_X777�7
Pro'ect Description: NEW MH PERM. FNQ EX SITE 1512' (REPLACEMENT MOBILE)
.3/24/2008
Bull ng epartment Representative Date
District Indentification No. 08 01 .1 5
�J \�X )�Sa� School Distfictcertifie's that V4V_—&fkCk �3 \4s��n
(Payor)
Cl sl� (0 S
_Vq�� UN lo� 'S3)
(Street, Addres s) (City) (State) (Zip Code) (Phone Number)
.has'complied with the requirements of Resolution No. 0 by payment of $
r presenting Sk square feet. AB 2926 $
e
FULL MITIGATION $
q�l �d C�%
School D—isffi—ct Representative Daie�
7
Paid by Check # Remarks:
Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days, from the date fees are paid. Failure,to submit a timely written protest will
prohibit you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the SchoU�_
District is notified by the applicable Local Planning Agin.cy,that this project is, being r'eViewed under the California Environmental
Quality Act (CEQA), this project may ubj1
be s ect-to,additional school, fees to. fully mitigate its impact on the school district's schools.
White (School District) Yellow (Building Department) Pink'(Applicaht) PDS—School Fee,Form. rev'd 3.10.08
OUNTY FEE SLjN4N4 ARY. 2-. Printed: 3/24/2008'
BUTT.E C
0
lam
a. Center DriVd" 0: 44,
Oroville'CA 95965
Department of Development Servipes
phone (530),538-,7541 Tax (530) 538-2140
Permit -�%mber;: 868-0506
Job Address: 1697 LETA LN -
Contractor: FRIEEDOM�HOMES
2243'FEATHER-RIVER BLVD'OROVILLE, CA 95965
M,
Fee-Descriptio'n Account Number Fee Amount Paid Date Pint Amt
PW DRAIN�WE
Thermalito Drainage (Temp-,Dwl)'.'. 1800770-280-1 al 1822 $136.00.
DBEH Building"Review Fe�
0 -54001-34614901 -1010 $78.90 3/24/2008 -$78.90
021
-(SRA)
I�BFIR]f Fire Inspection'
-$107.
01,00-450001-4617240-1010 $107.00.- 3/24/2008
DBFIRE SRA Fi�e?lan Review (S
0 -450001-4617240-.1010
.100 $107.001, 3/24/2008 $107.00:
DBMSC Mobile Home O�rmit Fee'.`
001.0-440001-4210500-1010 $361.74
DBF MH Plan'Che�k
0010-440001-4210500-1010
$2,41.16 3/24/2008 $�41.16
DBSMIP 116idmitial,
.1001-0-280-1011298 $9.83"
1,041.63., $534.'06
Printed By: G Bened . ict -Balan�e Due: $507.57-
W
Y�
At theAlime of permit application, I was advised the above fees are required prior to issuance of the',
it.TheseR h in, checking, process.
Perm "ay c ange during� the pla
Signature:' Date: 3/24/2008'-.,
10� Z—
Pursuant to Government c6di Section66020, you are.hereby notified those items listed'abo'w may hive been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion 6f the,above referenccd'items during which Y96 may request a'profest. The requirmenW
for a protest are s ecified in Government Code,Section 66020(a)..
p
jr
California Departmint of FQ''restr Tire'�
y 4nd" Protection
Butte County Fire,Depa-rtment
7,Tire Prevention'Bur"eau .... ...
1.76 Nelson Avenue, Or6yille CA,95965
.,-,,(530) 53.8-7888 4fice,(530) �18-�105,Fax,,_-`
0
Reference Number: B08 65, 6� Date: -'3/24/2609
0 :'1697 LETA B'-, 'GLB
Locati * n: LN
y.
Sub -Type: SF& -Mobile Home, PI,
Parcel Number:. 030-430-01.2
Owner Name: FREDRICK WINTON' Phone:, (530) 532-1812
Description: NEW_M,H �E*RM VNj) EX SITE:,1512'(REPLACEMENT MOBILE) -
To meet the requirernents'.of ,,Government Code section 51182 and Public Resource Code 4291,. Butte County.'
requires a pre-construcfion inspection to pro -actively provide the, below building'and site requirements- td. the*,
property owner.
Your property -is locatedwithih the State Res iea- (SRA of Butte County. All'developm—eht wi I thin the
ponsibility A
.SRA is required to -meet the,below requirements:
Public.R6so'urcesCode 4290
PublicResources Code 4291
V/ C-alifofnid Building Code, Chapter 7A,
Butte County Improvement Standards
Requirements prior'to scheduling the pre-in�spection:
V Full�'pla'n.subffiittal to Butte County. Development Services-Buildifig Division,
Dri,.�eway and building pad must be -identified on site
Structure location* must be staked out on the building site
RequestsJor inspections shall be made a minimum of 72 hours in.A.d*Ance by calling the Fire Pre*ent I ion
.Bureau's 24 hour inspection line at (530).538-6226'(When the recor ing comes om,
di enter the 6itension
number).
For the Pre -inspections, the, property owner or �uthorized agent is required "I t I o meet'tih e*"in§i')ectbr at the construction,
site with two hard6op , 1'es of the, site 'plan.*
I have readand understdrid the Above pre7mSDection requirements.
J,
3/24/2008,
Date
1 nature
All of the Fire'Safe Requirethents are posted on.the Butte County Fire':Degartment website at
http:i/biitt�flie.orp-/Fireiprevention/yr6tylaii/protplan.htnil
Rev'd 5R/07
FILE
�T,
bpip'ofit Sefvic . es
Bu6 Coahty-D61)a'rt'm'er!`t'of Deve' I ' " , , , _� 1� _ , t - ... .
TIM SNELLINGS, DIRECTOR] PETE CALARCO, ASSISTANT DIRECTOR.".
7 County Center Dri-�e:A
Oroville, CA 95965.
(530)"538-7601 T61ephohe`
(530) 538 21'40 Pa�::,:;, U
www.buttecounty.net/dds
S**
NOTICE.: TO BUILbER
Befo.re-your -bbilding�peiinii'6an. be. issued, your plans must be checked for compl iance with. the
alifo�nia Building Codes., In
addition,'your plans 'are routed to othet�t"e'g'ula't'o'ry,entitie� including butnot. limited to Planning, Public Works Environmental
Health, and-the'Califoriiia Depqrtrpent,off6pestry. for their,,clearances,and approvals. There are some� things youcan do to
expedite Vour. permit:� -
Make
�0' sure. your apptication, is com lete.
p -, I .- 1, � : . : . V,
0. Be, responsive to.requests from County departments for any,additional materials or requirements.
The'Building Division places its � highest� priority on processing building permits as quickly as possible and'each day1hat passes.
without a complete4pplicat6on adds to proc6ssifig.time,
Every permit, issued. by the Building Official shall expire and become null andvo*id if the Work authorized -by su6'perm' it is not
st�arted.or, completed within one year from the date of issuance of such permit., A permit may be renewe . d for a fee) prio - r1o,
expiration an indefinite number of times,- provided construction progress. has"been documented by1he Building Division during,.
each year during scheduled, inspections. No changes may be made in the original plans and specifi6ations'for such work. ' In *
order, to reinstate action on a permit aftdr:expiration,- the permitiee shall pay a new full permit fee and additional plan cliec�king
and':dodumentaii6n m . berequired. Upon completion *Of work cover . ed by this* permit, please contact this office for final
PLY,
inspection.. As 4'r6minder. to you-, it is illegal to occupy this building or any'pbrtion' of the building for, which.t.his perini is
issued Without a final ins p�ction.
..EXPIRATION OF PERMIT APPLICATION AND REFUND, POLICY*,*.
Application f6r which -a permit has not been,issued will expire one year after'date of application.
Refunds- may� orily be made'upon written request by the person who originally paid the f6es. -Refunds for permit applications, , if.
Ahe permit has.not issued, but not after 180 days from the date of fee payment. Fee's paid at the tin e, of application arefor
Pia'n,Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a harge to
-process the' refund application will be assessed. Refunds on permits (issued) may,be reque§te'd prior to the' expiration of the
pehnit,, provided no work has been done, -pursuant to the permit. An Insppction.may be required (and deducted. from ahy'refund
amount) -to' determ ine rio- work was done.
Fee/reffifid. inforinafio'n can.be're'�d on-line at fiitp://ffiunicipalc6de's.lexisnexis�com/codes/butteco/
,"When filed,'this t*
plicationi-and all. supporting, material,becomes subject to the California Public Records:-Act� All public informa ion
related to this'application is subject to 'ill be post' d on,the Co
public inspectionand W e ur"'s website for electronic access.
Reference Number: B08-0506 Date: 3/24/2009,,,
Location: 1697 LETA LN
Parcel Number: -.030-430-012
OWner Name: FREDiUCK WINTON
Phone: (5�0) 532-1812
Description: �NEWI MH PERM FND EX SITE 15121 (REPLACEMENT MOBILE)
Date: 3/24/2008
Signature of Applicant:
-FILE'.
J.
Butte Coupty Department of Development SerVices .0
TIM SNELLINGS, DIRECTOR -1 PETE CALARCO, ASSISTANT DIRECTOR 0
0 0
7 Courity Center D�ive
0
Oro 0
yille
0
(530) 539-760'1,Teleoholne
a -x
(530).538-2140 F
www.buttecounty,-het/dds
PERMIT API�tICATION. DATA SHEET**
Reference Number:' B08-0506
Date:` 3/24/2068
Location: 1'697 LETA, �ILN", GLB
Parcel Numbet: 030-430-0 12 Sub'Type: - SFD-Mobile Home P1
'Owner Name: FREDR][tk WINTON Phone: (530) 532-1812
Description: NEW-MH�PERMYND EX SITE 1512' (REPLACEMENT MOBILE!'
6 pp . rmit issu'an ce. Please co ach,�ddpartment
The ab'ove:perm.it-appiic�ei�rf,'hd��.th�,.following Clearances required priort ntact e
indicated, below' regarding spect I r quiremen s pertaihinglo your permit ap'plication:
fi t
e
Yes ..No
SEWER DISTRICTS
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 "(530) 533-0740
LO,�PUD, 1960 Elgin Street, Oroville CA95966 - (�30) 533-20001-
�,'Cit fChico, PIO'Box 3420,,41.1 Main,Sfre;dt"' Chico CA 95927 (530) 879-6700
Ell
'PARKS& RECREATION DISTRICTS
Chico Ar�a Recreation District, 545 Vallombrosa; Chico CA 95926 - (530) 895-4711'
Duiliani Park 4 Recreation District,* 9447 Midway, Durham CA,95938 - (530) 3415-1921.r.
Fuither River Recreaction*& Park District, 1200 Myers Street, Oioville CA 95966 - (�3,O) 533-201 f
V
Varatli�e']Parks & Recreation', 6626 Skywa*y, Paradise CA 95969 -6393
7(530)872
SCHOOL DISTRICTS
1717 Biggs Unified School, District, 300 B Street, Biggs CA 95917 - (530)-.868-1281
Chico Unified School District, 1163 East 7th Street,' Chico CA 95926 -- (530) 891-3006
Durham Unified School District, 4920'Pj4tney Drive, Durham CA 95938.- (530) 8954675
ridley School District, 429 Magnolia, Gridle CA 95948 - (530) 846-4723
�,E] E]
Y,
:Ei 'Marys 011e School,District,. 1919 B Street, Marysville CA 9590 1 (5 3 0) 741-6000'--
171 Oroville Elementary School District, 2795 Yard Street, Oro.ville CA. 95966 -(530) �32-3000
El Or 'Ile Union High, 221 I.Washington Ave, Oroville CA 95966 -,(530.).538-2300 Exf:,105.
Paradise Unified, School District, 6696- Clark, Road, Paradise CA 915.969 - (530) 872-6400
OTHER
R ledg'Mint Statement- -S' ns.-
�eorded, copy of Agricultural Acknow ee Attached, Instruction,
City of Biggs Planning'Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
El
E] M ..-Pther;
Other:
"When filed, this. application and all supporting material becomes subject to the California Public Records Act., All public
information related to this, applicati6n.is.sUbject to publicJhspection and will�be posted on -the County's website for electronic
access.
Signature of Applica Date: 3/24/2008
JFILE
Assessor's Parce1,Ndrnb6r:(§): 030-430�0111 'Building P�errnit,Number: 11B08 W,
Property Own r (s): FREDRICK�YVINTbN C OUNTY
Project Location/Address:� A 607 LETAIN'- - OROVILL APR I
Project. Description: 'NEW_MH,PLRMFNDEXSITE1512'(RE DEVELOPMENT
9EAVICES
Type 6f kesidential Deivelopme'iit
Permit Type: -RESIDENTIAL Permit Subtype: SFD-Mobile Home PFS1
dditiona.1 Sq Ftg:
Building Type: N /A 1,512
ew Mobile/Manufactured H� ew
.
kat
Certif e of'Existing Square Footag'e
.Existing Sq Ftg: 797 MH Replacement:... Yes
Existing Construction Type: Residential --M obile/Manufactured Home
-Demo. Permit Issued?: Demo Permit Issued 'Date:
Verified by Building Records: Assessor' Verified by Assessment Records.
Comments:
3/24/2008
OL
ja mini Representative, Date
-1!5"�FP.RPD -,E] CARD El PIZPD D]kPD' certifies that:
J
—u L
'ApplicantName Phone Number,
c6 La cr6d( Uc
ic_ f\�
Mailing -Address city - 1 State zi p
Has. complied with requirements of the Butte County, Board of Super.vis6rs.Resolution No.
by Payment of.
w6lling Units @ $ per unit f6r a total of $
Square Feet @ $ per.sq'foot for �.total of
Rem�rks:
p
by Chpo�No:
Paid Receipt T�o:
iiec'rcat'ion and Park Disttici Reiprjse�tatiV e, Date
Recorded
I REC�FEE N
RECORDfNG REQUESTED BY: Ufficial Records
Frederick�G. Winton Lounty of I
butte
CANDAE J. - GRLAS
W11 . en Recorded', Mail'Doctim6 nt' Loun ' ty Clerk, -Recorder! .
and Tax Statement To:'
Frederick G. Winton z
"'SBAM 04-SeP-2N7 I Pa e
1697 Leta -Lane. I of 2
Oroville, CA 95965
APN 030-430-012
AFFIDAVIT — DEATH OF JOINT TENAN
T
STATE -OF CALIFORNIA
jp
SS
COUNTY OF BUTTE.
Frederick G. Winton,. of legal age, being first duly sworn, d6'
poses and.says:
That Harrison Shelby Be'lt,'the &'
the same person as.Ha cedent mentioned in the attached certified COPY Of Certificate of Deathds'�
13, 1999 msoh S. Belt named -as one Of the parties in * that certain GRANT DEED,Dated July
e)� ecu,ted by Harrison, S. Belt,
ganti
ng to Harrison S.. Belt and Frederick G. Wint
on, his son, as Joint Tenants, recorded as Instrument
No -1,999-0029474 on July 13, 1999, of Official Records of BUTTE COUNTY, California, covering th . e
following described property situated in the County of BUTTE, Siate of Califomia;
Lot 12,.as shown on that certain Map entitled "GOLDENKNOLLS SUBDIVISION", -w
hich Map
was recorded in the office,of the Recorder of the County of Butte,- State of California,- on Au'
gust
18, 1964, in'Book 32 of Maps, at pages 17 and 18.
I)ATED:'/� 710 7
rederick G. Winton
SL.Ibsc4ed and sworfi-to (or affirmed) before me this day of 2007 by Frederick G. Winton,
personally knowil by me or proved to me on the basis of satisfactory evidence t'
o be the person who ap
peaxed before me.
�A, A A A
WITNESS my,hdn'd and official sea]. ' -4
KEVIN FEUERSTEIN
Commission #1449625 0
a- Notary Public - Califoxmnia
0 Butte County
My Comm. Exp. NOV. 04, 2007
4redeck Cyo-wLitn,
IV
7 0
030-430-011 00-
3 43 0024
00-00�4
B LT
VILLE,
E=
LANE' ORO
L
0 0 t
-0
So
HARRI80
N, BELT
9 L
1697 LETA LANE, 0
T OVILL
CONTR.- HEAL
S M T Lo
REL
GAS METER:OCATION
OFFICE COPY
Address
GAS
3
Meter By
ELECTRIC.
Meter By Date
A.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Orovil.le, California 95965, !, Telephone (530) 538 -AA -1 PERYIT NO.
(Rev. 12/96) AP . P . LICATIONANDOERMIT
ASSESSOR PARCEL NUMBER
030-43-012
ZONING
AR
BUILDING PERMIT VOO'
OWNER
BELT HARRISON
TEU91HONE
SQ. Fr. OCC. BUILDING VALUATION
I .
ors aqwwvs
CONTRACTORS NAME
DMIRL NFAT,
TELEP14ONE
CONTRACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S KNUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filina Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
JrEnergy
397 1 RTA IN. OR(Will-E
Plan Checking Fee
$
PERMIT FEE
LOT NO.
SUBDrVtSnNS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each _V
7.00
Solar �WReat �Uimp water heater,',��
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities El Installation 0 Other 0
Describe Work: I- A L' MLMO
Gas piping system 1 - 5 outlets
15.001 I&M
Building sewer
15.00
Mobile Home S G W
(9P20.00
PERMIT FEE $
5.06
ELECTRICAL PERMIT
Filing Fee 20.00
OR ':.s
Main Service =.,I LE
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that- I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is * full f ce and effect
License Class 02 Lic. No.. .39 3 I�*
4: OWNER -'BUILDER DECLARATION.
x Ot from the Cc cto se
I hereby affirm under penalty of �erjuiry, that I aIme em ntra I rs Licen'
Law for the following reason:
0 1, as owner of the . property, or hry,ediployees; with I Wages as their sole coLpe.nsation,
will do the work, and lb�e.strdare is riot intended or offered for saliiI.
0 1, as owner of the property, am exclusively contracting with licen.s94-contractors
'to construct the pioject.
0 1 am exempt under Sec. Business and Professions Code for this
reason . I
Main Service . TO 1..A
46.00
NEW CONST. DWELLING
OR ADDNS. & ACC. .0CCSUP_
so
3.50FT.
' NW T MULTI -OUTLET
NOWRESID.
"; 0ON5 BRANCH CIRCUIT$
@7.50
POWER APPARATUS
( & SINGLE OUTLET CIR
EX. QCCUp. (.OUTUET OR F?CTYRES
20 (0 1.00
BAL �R .50
Ex�.')Occuo.,,-1 oD�&D,,g=-.)0E'.,
5.00
temporary Service
2
Mo�ile Home Fa�ilities
20.00
_Misc� Wiring
26.00
PERMI I T FEE . $
WORKERS' COMPENSATION DECLARATION T7
I hereby.affirm under penalty of perjury one of the following declarations:1,
0 1 have and will maintain a certificate of consent to self -insure for workers'
Pc6mpensation, as provided for by section 3700 of the Labor C6de, for the
performance of the work for which this permit Is Issued. -,I
I have and will maintain workers' compensation Insur
I /I an c', as required by Section
3700 of thd Labor Code, for thq.performance of work for which this perinit is issued.
MY workersA 'I ra er and policy number ar'e:-
Carrier le -A. I
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50,
Ventilation
— PERMIT FEIE $
. Policy Nufn ber - A IIAI < X-20 �- -) if� Y - Z-3 `3
(The above sectjohs need not be completed ifthe permit is.for work cIfavaluation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is Issued, I shall
not employ any person in.any manner so as,to become subject to workers'
compensation laws of California, and agree that.d I should become subject to the
workers' compensat6h prbVisions of 's ion 3700 of the Labor Code, I 'shall
fortHwith comply with thbse-pr&Wons.
X 4) Date A /zoo t.�
Sig'nitur-6 of Applicant - 0 Own,6r 0 Contractor 0 Ageny
An OSHA permit is required for excavations over 60"deep ai on or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is -
OCC
CONST. TYPE TOTA LF E $ .35.00
HAZ.
I D. FEES IMI
FLOOD
I CDF.J
PARCEL
pD
�D
tSSUE
This permit is hereby, iss'uid under the applicable
of the Butte 6�un�'&o(ii'a'nd/6r Resolutions
indicated above for which"fees have been
rM UtA-Dat.-
PERMIT EXPIRES ON
(Date)
provisions
to do work
paid.
0 6
o
ReceiptNo. 285634- _15,00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
I
OPBUTTE�1'11_.,_�e'
y
-DIVISION
BUILDINr,
DEPARTMENT OF DEVELOPMEN F
-41
,Main.Stre'et-'lC,hic 530)%:891�
ty
�77 C6un Center.Drive 0roville,:C':k,-,_-_
�'CORRECTICIN. NOTICE
7'
.-b NER�'
A routine inspection indicdt6s that the followingM61ations of bLitte'666'
'd should be coirected, Please n
above address -an
otice
completed. -If you have any questions'pert'aini �.orm
ng to. this, matter-,
please 6ontact this office irhm eidiat6ly:_
44A,4-
.4:o�
� TO
FRI
7
n specN
to
REV 10W,,,::
7
---�'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 *'Telephone (530) 538-75 PE!4RIT NO.
(Rev..12/96)* APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
030-43-012
ZONNG
AP
BUILDINGPERMIT
B 'M
't, MRRISON
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
Ir
orif T2rgDffJS
, OROWEU
CONTRACTOR'S NAME
DANIEL HEAT
TELEPHONE
1345-2142
CONTRACTORS MAILING ADDRESS
OONSTRUCnON LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee
ARCHITECT OR ENGINEERS NWUNG ADDRESS
Plan Checking Fee
BULDINGADDAESS
1 697 =1 A "LN, agoyTT I F
Energy Plan Checking Fee
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
r%f' A
Describe Work: GAS 49T&�
piping system I - 5 outlets
—
15. 0 0. 1 c;
—Gas
Building sewer
-,-)n
15.00
Mobile Home I S I G I WF_
§20.00
PERMIT FEE $
R C; t10
ELECTRICAL PERMIT I
Filing Feel 20.00
OR LE:.S
Main Service OR LE
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is fullund effect.
License Class 1!2! Lic. NO. '39 3 s- /7
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
n sation, as provided for by section 3700 of the Labor Code, for the
/p,omrfopremance of the work for which this permit Is Issued.
I have and will maintain workers' compensation Insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permit is issued.
My workersA'=r7� carrXnd policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. DWEU_tNG so.
0 & ACC. S. 3.50
R ADONIS. OCCUP. Fr.
NEW UUMT MULTI -OUTLET
NON-RESID. 8RNNCH CIRCUITS @7.50
PSO.WGELR AP=US
E 0 CR�
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @ .50,
.=D APPUNS OR
Ex. OCCUP. El
5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE. $
Policy NLYmber A_1L4J 4�_ - 4-/ -7 1. el Ics
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'�
compensation laws of California, and agree that if I should become subject to the
ers' compensation provisions of s2A!on 3700 of the Labor Code, I shall
n.
o with comply with 7th pr io S
&
X Date
Sig'naYtTeof Applicant- 0 Owner OContractor OAge
An OSHA permit is required for excavations over 60' deep and Ademolri on or construction
of structures over 3 stories In height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONSS . TYPE
TOTAL FEE $ 35.00
KAZ
I D. FEES IMP
FLOOD
I CDF
-C
TAR 87
PO
I HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated P�ove for w^ fees have been
PERMIT EXPIRES ON
( Pa
provisions
to do work
paid.
te)
ReceiptNo. 285634 35.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
-COUNTY:OF BUTT E;-, DEPARTMENT OF DEVELOPMENT SERVICES - 6U WING DIVISION'
C,L
.;7Z,_,.qqnty er.Drive !iio Oroville.,'�U.ifornia 95965
gent
Telep�Qne.:(530) 538-7541 Z, "OERWt NO-.
(Rev.12/96) APPLICAT10,14AND PERMIT.
s7 7 6 Z73 01
BUILDING PERMIT.
ID ob
TVJWMNE
SO. Fr. T, OCC. BUILDING,-YALLI,�TION.,
-
t OWNER? *&04 AOOF=8 Y
/42 e Agaroq
0ONTRACTO7'7
I TELOWNE
�OQNTRACTORV MMJW AOr 1 91
CONSTALKFIGH UNDER
LENDOM MARJIM AD0F&89,'--'
Fir6place
Total Valuation
ARCHInECT OR ENQUAM
UCENSE NO
Filing Fee- 20.00
ART Ofl[�EWMEISRV MAAM ADOREW
4Tm7
Permit.Fee
Plan Checking Fee.'
:81.11U)MADDRIESS
Energy Pla� I i Checking Fee
PERMIT FEE
LOTM
SLPOOWK)" '"Ja
PARCEL KW
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
Solar or heat pump water heater 23.00
SF C3.: Dup*'13 Mobilbh6rne E3 Other
Water. piping 15.00
ep I ECIFY
Each gas water heater'or vent -15.00
TYPE OF WORK
Gas piping systein .1 - 5 outlets 15.00
�New 0- Addition. 131, '-Rernodel 0 Milties 0 . instaktion 13 Oth7 0
Building sower 15.00
"De 'rib r 452---/
sc 4. Wo k
Wbiie Home ISI GI W1 020.00
-
PERMIT FEE
ELECTRICAL PERMIT Filing Fee 20.00
OR
Main Service =O. 23.00
20" TO 1000A
Main Service -48.00
EW CONSf P.
OR AODNS.. ov=. 9cu 3.50,
NEW CONST.
'NO"ESID. 50
(P7.
ARATUS
UT CM
Ex. Occup. OUTLET OR FOCNA 200 1.00
BAL a .50
Ex. Occup M, E. 5.00
Temporary Service 230o
Wbile Home Facilities 2060
Wsc. Wiring 23.06
PERMIT FEE'
MECHANICAL PERMIT Filing Fee 20.00 t
Heatin�
Cooling,
Hood 6.50.
Ventilation
PERMIT FEt -S
Mobile Home Installation Fee $
Energy Insp ection ee..
F S
�Occ
Co T. TYPE
TOTALFEE s,
_Z.
D. FE 'ES
�7WO
CFF
[PARCOL
PO
I --Ul
This per it ii; he' �r the a� pi�ovisions
M. reby Issued undi plicable
of the Butte County Code and/dr R4solutions to' do work....
indicated above for which fees have been,pai.d.
By
_4W
—.Date
-PERMIT EXPIRES'ON 7--7777
Met@)
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER �ERVICE APPLICATION AND CONNECTION PERMIT
Service Address: james Carson 1691' L2ta Lane
Owner's Name: James. &,-Rose Carson
Date: 4/11/94
Address: L -eta Lane
Acct. No:051257SC
A.P. No.: 30 430012
Phone:' "533 7 Za -
No. Units:
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
'Application 30
Arreara ge
P re I i m i n a ry� R e^v i ew,,P,y,,- Date*
CSA 26
Ae'J,1 I grade
900 kJ
�a,�
Remarks:�, _,i, I–
SC -0 R
Fee-.:;� kre;,.tho' i, Ax r i e C 14, OV
U4
1 st m o. S.C.
t �ep
.to -S J
Other
YT J ZN4
F`ees
Collected By:
A
Date:
F i e I d R ev i ew By.:�; D at 6
4) /41
Remarks:.:—
Q.V,� 1,1',o� 74�
IS
L
r LJ X_.'
V
Ji -
I IT
W1, A�,
Z, -
I � 11L"
1�41M
" �k -A UT`0
"X
MON I H -L Y' bE H'' .1i QM�M'EWG E' MATICALLY
f 4, 1 " C
UPON:
Date of TI D approva )rj&&W,'�,co'nhec ion
in g, seyv e,,
30 days after c!6��6�ab: r, T ..,,,app,ro f mp'leted b�uilcling
0 "CO.,
sewer', which ever comes
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180 days aft&plate above; D'.P,- building
o on'd of approval of completed.
sewer, which ever comes
first ("new construction"', after Mar..5, 1974).
DISTRIBUTION: WH,ITE-TID, YELLOW -APPLICANT, PINK -DPW, GOLDENROD-DPWtoTID
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THE 2007 CBC, CMc, CPO, � IREQUIREMENTS PRIOR To BUILDIN(3
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ENERGY STANDARDS CALIFORNIA DIVISION OF FORESTRY
AS I L OR INFORMATION FOR
AMENDED BY THE JURISDICTION 17ECJUIREMENTS
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ALL COVERED DECKS AND
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SQUARE FEET IN AREA WILL
REQUIRE A BUILDING PERMIT
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Assosso�s Parcel Number: �APPROVED PLANS AND
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