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030-462-006
,J 30-462-06 r� HARDILBECK p � 93.Pl ]. Permit #159 8P,E(MH util) ELEC. GAS4 i SUPPORT STRUCTURE REQ. COMPACTION TEST REQ . ! I ��l01,01, :, dl 30-462-06 Permit# 2—_88MHI J. 462, F; 3110.89B r 1931 Pl •` - ` r y ,� umas Ave; Oroville t {new garage),. / r: 4006 " 030 462 PERMIT #�5 0238 ' DILBECK;. HarleyV i,. =; ,, 1931 Plumas Ave: , OrovilleY' .Cont : Lawson" .,.Cont: & ..Sparks Const .� Reroof •Det Garage 1 0 -1082 030-462-006 DILBECK, HARLEI' " d 1931 PLUNIAS AVE; OROVI INALE ;7 `. CONT: OWNER v:•�t NEW MH PERM. FDN EX S —� - i 7. ° a ti I a R f 'Y� O i r ! J J !. f ' f i ,�/ r ! !. i ,�/ j��. 1 ��' RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 05 -May -2004 2004-0026363 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR Rvrnunry T14ZV nnrr v '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. HARLEY RAY DILBECK REAL PROPERTY OWNER/LESSOR 1931 PLUMAS AVENUE 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 COUNTY STATE ZIP 04-1082 530 538-7541 PERMIT NO. TELEPHONE NUMBER JIN 5-4-04 TREOFLOCALAG CY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CHAMPION HM BUILDERS 1994 INFINITY / IL606C MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAngJNUMBER 0994606489 A/B 52'x23'8^ -RAD 75440 7/8 SERIAL NUMBER(S)LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY rE • r DESCRIPTION ASSESSORS PARCEL NUMBER AP # 030-462-006 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - Cowry Recorder CANARY - HCD PINK - Applicant GOLDENROD - Buldine DeoL 88-229 1 9. LX11T13IT "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 as follows: PARCEL A: A portion of Parcel One as shown on that certain parcel map recorded in the office of the Recorder of the County of Butte on Map 30, 1978 in Book 67 of flaps at page 17, more particularly described as follows. COMME14CING at the Northeast corner of said Parcel One and running thence South along the East line of said Parcel One, 182.325 feet; thence West and parallel to the South line of Plumas Avenue a distance of 189.945 .feet to the true point of beginning, thence continuing West and parallel to the South line of Plumas Avenue a distance of 189.945 feet to a point in the East line of Parcel 2 as shown on said parcel map; thence South 00° 00' 13" West along the Easterly line of said Parcel 2 and the Southerly prolongation thereof to a point in the South line of the aforementioned Parcel One; thence East along said South line a distance of 189.945 feet more or less to a point which bears West a distance of 189.945 feet from the Southeast corner of said Parcel one; thence North and parallel to the East line of said Parcel One a distance of 182.325 feet to the point of beginning. PARCEL B: A non-exclusive easement for road and public utility purposes over a strip of land 60 feet in width lying 30 feet on either side of the following described line: COMMENCING at the Northeast corner of Parcel One as shown on that certain parcel map recorded in the office of the Recorder of the County of Butte on May 30, 1978 in Book 67 of Maps, at page 17, and running thence West along the South line of Plumas Avenue 189.945 feet to the point of beginning fnr the line to be described; thence South and parallel with the East line of said Parcel One, a distance of 242.325 feet and the end of said line. Comp. Ex. END OF DOCUMENT NOTES' _ RESIDENTIAL ' X036=462=006 PERMIT I�, • 04=1082 DILBEC& HARLEY 1931 PLUMAS AVE, OROVILLE _ CONT: OWNER NEW MH PERM FDN EX SITE ` 'jTHE HCDfORM 433A FOR THIS MH CANNOT BE +_ 'RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: . (1) LICENSE PLATE(S) OR DECAL (THE , ' INSPECTOR MUST RETREIVE). ; (2 STATEMENT OF FACTS (ONLY ON NEW ' MH'S). „ INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA, FLOOD CERTIFICATE REQ. . FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ' t VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ' 1 ' r r� SPECIAL CONDITIONS CHECKED BY SRA, FLOOD CERTIFICATE REQ. . FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ' t VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 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.buttecciunty.net\dds 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 the Business and Professions Code, and my license is in full force and effect. License Class License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): �] I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his 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.). 0 1 am 6xempt,6nder Article $ of the Business and Professions Code WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: f I certify that in the performance of the work for which this permit is /\ issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith y6mplyl, ith those provisions. Date: ql)h- Applicant:n j v 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 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.) Address: PERMIT NO. BP041082 Issued Date: 04/29/2004 APN: 030-462-006-000 Site Address: 1931 PLUMAS AVE ORO Map Index: Description: NEW MH PERM FNDN (1248) Owner: DILBECK HARLEY RAY 1931 PLUMAS AVE OROVILLE, CA 95965 Applicant: DILBECK HARLEY RAY Contractor:. License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 iereby issued under the applicable provisions of the Bntte do work indicated abpQe fopwhich fees have been paid. PERMIT EXPIRES ❑ 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. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am.the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter up9n the abve me tion prop dy for inspection purposes Print Name: L Signature: 1 Date: L� 0 Owner ❑ Contractor %lel Agent for Owner ❑ Agent for Contractor J=OK 0 = Not OK' . = NotReadyable , MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except ff's Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Beams- Rftrs-Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Card B-1 Date Card B-1 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG Date POOLS (Plans) OK except #'s 7. Well Clearance & Disconnect 2. 8. Utility Clearance Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. 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 -Marriage 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 it's with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Roof; Shthg-Roofing 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 -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. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 61. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter 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 Cl 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 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 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 14 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 O No/Walks O Yes O 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: 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)536-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041082 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: 04/29/2004 APN: 030-462-006-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1931 PLUMAS AVE ORO Date: Contractor. Map Index: Description: NEW MH PERM FNDN (1248) 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: DILBECK HARLEY RAY to its issuance, also requires the applicant for such permit to file a 1931 PLUMAS AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DILBECK HARLEM RAY Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 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, Contractor:• and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Vempt finder Article f t e Business and Pfrofession C e Date: Owner: / License #• WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy a: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is JC issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith mply " ith those provisions. Date:RA �J f / 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 I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte Count Code an or Resolut ns o do work indi ted a e fo hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B Date: PERMIT EXPIRES ON: Address: to ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an official form or document of Butte County. I hereby authorize representatives of Butte County to enter up n the me tion prop ilyfor inspection purpose eb,;e Print Name: G Signature: /r Date:dll� 13 Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor stem (NPDES) Phase II National Pollutant Discharge EliminationtlS Storm Water Pollution .Construction Storm Water Permit and LESS THAN 1 ACRE1 Prevention Plan (SWPPP) Acknowledgement L Project -Title: the project owner/owner's agent, certify that I am aware that a constructi By signing below, I,Storm on project that disturbs 1 acre or more of land requires a Construction to s submit a Notice of Intent he State Water Resources Control Board and that rt is myresponsibility) and a check for $700.00 made (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP , t if my project payable to the State Water Resources Control Board to obtain ssuch no _ d disturb 1 acre or disturbs 1 acre or more of land. L further, certify thatproject more of land. I am aware that submitting false andlacprovided by lavation may result m revocation of grading and/or other permits or other sanctions/P Signed: Title: Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 X 1 PERMIT NO. BP DATE: �30,� APND:,y3:)/ _ 2 _ &? ZONING: AK OWNER'S tAST NAME: olLheqk OWNER'S FIRST NAME: -1114,&1f-Y PHONE: STREET ADDRESS/ ` /3/ � I_ ,A� J� r(�/'��/� FAX CITY. ZIP: ®� E-MAIL: SITE ADDRESS: CITY. ZIP: i� NEAREST CROSS STREET: TRACTILOT P APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: Notw / � /] /�� � % 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:NAi �ry\ ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) M-)r�'l-i -T--Q -MfN-p�d -t C. b 2fl vtt ALC E �ZL ZSZ5, X 67 N -1 - 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: -1 Receipt number: �J)P\ (P Amount Received: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-.7.541 Fax (530)538-2140 PERMIT APPLICATION DATA'SHEET OWNER: �1�/ 1 ASSESSOR PARCEL NUMBER - Prop osed UMBERProposed Building Use: ► V ` Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked -OR marked NA in order to Oply. + 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. h(�G ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. t ��I ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -R Ide0al B ildings. Cl 8. Manufactured homes. Data sheets and installation nst iage line info,.( )Floor Plan5Q 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 Formr-� 5A5 ice°'` 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as,applicable..I FD ❑ 16. Other j 1 i VVI / Nt 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: r(B)Parking: (C) Parcel Check: ❑ 25._ .Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form........................................................................................... �- ❑/ 27. Encroachment Permit for driveway from' the Public Works Dept ........................... 28. Pre -Inspection forrequired....... . ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 30. Worker's Compensation Carrier � Policy Number .................. t...................... 31. Owner -Buil er Verification (�ven too to owner).... 32. Letter of AX uthorization.:.......... 33. Recorded py of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction.....................................................................:............. ❑ 37. 1 Grant Deed5M.H. Title/Statement of Facts�etter from Legal Owners heck to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been inf rimed of the above items and requirements for obtaining a building permit. C /Applicant: /).� A,141,1,1,olk, Date: 1. Index permit application for the above items num Bred` " f Plan Check Lette 2. AdditjMi4 items required ntra esigner, owner, was advised of the above data by Zrphone, ❑ mail, ❑ counter, bf Date: Con ractor, designer, owner, was advised of the abo a ata byphone, ❑ mail, ❑ co me y Date: Plans reviewed by: Date: Plans approved by: Date . Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER , A.P. #D�U PROPROSED BUILDING USE 0 /V� fv` DATE .64 I. RECEIPT # DATE REC. 1. BUILDING PERMIT FEES ---Balance Due ..............•....... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES � V (paid at School District OffiVil va aX ilable PlanNCheck)..pZq 3. SHERIFF FEES (paid aDivision) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X =$ #Units Amt. y Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) ; 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid, at Building Division) i 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. I Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. 'These fees may be changed d' e Ian checking process. APPLICANT / DATEV11(a O Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev.. 2/2003) Letter of Authorization To whom this concerns at Butte County Building Dept. I Harley Dilbeck here by give my consent to Greg McNeece to act as my agent. Greg McNeece has my permission to obtain building or repair permits for my properties in Butte County. Property Owner Harley Dilbeck Authorized Agent Greg McNeec Harley Dilbeck 1931 Plumas Ave. Oroville, Ca. 95965 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School'Distict Bull,ding Department No. z A.P. Number o� 4 d eid"V Jusdiction: 0 City County-.., Property Owner Property Location/Address Subdivision Lot No. ...................................................................................... Residential Development 0 Q Sq. Footage QC No of Living M me Addition/ *Supplemental to (Group ;�_4 Units Installation Conversion Permit # ...........................................*(No foundation Inspection) ..................................................... . ... Deed Restricted Sq. Footage (Attach a signed copy of Ned Restriction and Notice of Limited Use Facility document) Commercial/Industrial �. � — Now Ruilding Department Repr Addition District Identification No. A-40 2 -0 0 School District certifies that Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) (Streit Address) 1 (Phone Number) 06 olti' 9�'960!�� (City) (state) (Zip Code) has complied with the requirements of Resolution No. representing L/ Square feet. School District Representative by payment of $ JAB 2926 HFULL MMGATION 0 2V /0 L) Date Paid by Check # Remarks: MIA- wi4'�1 0,K.0H U r jO UQ U Notice: You may Protest the Imposltlon of the fen Identified above by submitting a written protest to the Disbict. In compliance with (lavantinant Code Section 66020(a), within 90 days from the date less are paid. Failure to submit a timely wdftn protest will'prohfl* you from challenging the Imposition of the fess In any court action. 9, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form the SchoolVistrict Is notiflad by the applicable Local Planning Agency that this project Is being sulew under to Calffornis Environments! Quality Act (CEQA). this project may be subject to additional school fees tofully mitigate.1ts Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.)ft (10/03)dmT COUNTY OF BUTTE Y. 'BUILDING DIVISION .... ... DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Stieet - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 4'k OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is I, -completed. If you have any questions pertaining to this matter, or need additional explanation, ear please contact this office immediately. bG�l� �s1�� O.B.- t OWNER -]BUILDER VERIFICATION Attention Property Owner: An "owner-buildee' 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 jor labor and materials 'for construction of the proposed property improvement : YES NO ❑ I HAVE ❑HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but. I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following. persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: 'So S R: DATE: , 4 NOTE. This ®earner-RuildeP Verification is required by Section 19531 and 19532 of the California Health and Safety Code. This verification must be completed. and returned to our office before we are permitted to -issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.- 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 ofrecord 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 yourseh; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (mc luding 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 unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific infomnation about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permit, erroneously implying that the property owner isvi pro ding 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 guilder Verification" on the reverse side of this form so that we can confirmthat you are aware of these matters. The building permit will not be issued until the verification is returned. lY, NE 1 C. Vi ira, C.B.O. er, Building Inspection NOTE: This Owner Builder btfomwaon is required by Section 19830 of the Cali omia Health and Safety Code � Floor Plan 1994 Infinity' By Champion 24x52 00 t AN 030-462-006 Owner Harle'y R. Dilbeck -1931 Plumas Ave.. Oroville, Ca. 95965 Agent Greg McNeece Ph#533-0701 PRE -INSPECTION REPORT OWNER: A LOCATION: CONTRACTOR: REASON FOR PRE -INSPECTION DATE TO INSPECTOR: PERMIT HISTORY ( ) NONE Building Description: Commercial/Usage: DATE:' A.P. # SCS ��p a • U ZONING: SEE ATTACHED BUILDING INSPECTOR'S REPORT Residential # of Units: Currently Occupied ( es ( ) No Abandoned/Vacant: Electric: Mobile,home # of Units: ,l Electric Currently ( On (:) Off �✓ q Condition of Electric Gas: Currently (' On ( ) Off Condition l Sanitation: J /1 Plumbing Working ( es ( ) No �► v ` fl Obvious Sewage Problems ( ) Yes ( ' ACTION RECOMMENDED: ISSUE () Yes '(600 Kw Hold for permits or verify: Mtziq4 Inspector: f Date: 4d cl�d"WV TTTTT V%Y1kTA"C1 n1�T T11MXT-n"01M A XT" .TXTY%YA" A TLn T C%d" A TYd-%XT 1 -%XT 1MDl11D1MDTV' r��rYK /E!4 30-462-06 >s'zit#g* HA DILBECK n .PI s Ave., nYoV. i.. �_ �. P.. Permit #15 8P,E(MH Utll) .r + ELEC . x,f ol�F� •A GAS G �-' X i}3�. f SUPPORT STRUCTU E REQ. COMPACTION TEST REQ. ie �xI pp. up `5 — ' •'..e��' {R M�'� '_.t 11 .,,� '�, -.1 I, a 30-462-06 Permit# 2-88MHI x��+, �� y � ~�� �. ISS ?� � � � Y •H� hr�t �!�' s r�. r s �t?'e�43"�'� � �¢ M�� �" �,'s' � yb't" ' � + k 3 �,2 f�; f �" K � M1`*tsiv •Jx€+: f �f �' 1 — au + �'�� 6 w. �`T�- .� _u.. e�..+ti��-T n. �,.�ir' ,y ., .�+.... .-:�.���.. ..Le.k•, ��3�.j��< {?i'�+k s' .� f - - � Pr.Jy. �.� 2N _�.4n t'' C•..,t#� r '�° ;'i � �< r� £h #� i 'a, trrs.:,lfit d"e '� � i �' �� '� i� � Y�.•� +,� r .�t at T - 1, i l'?s{ � � � ti 3 - Y: Jy�'�"�'r%y�><t� �..r �Y 'pf AY •.iNt'�7j, r;' f y'': �"� 4 .' �,: hfr��' j9+�t "� l,'1' t .. ' •_� ,. t 1 V, � 'ar i ' � ' r �f s"' ,-�S�vY�: •'�- o xi'9'*.,T•< �.; ,yyrrs • +��•;$;� �' ,'� yd .:; s �,: � ,•y �' .. t ( i t �>• � .v�Fti� 117, � Y" ' C � -.� •�' ' 1�i i� t tt std � x 1 F r T T'il /.,s •�iA;.a � ti �s ra}'�?a.:-, k `�'.. y'���t� ( n �{� y`= �. 4 S I ' .. M l � _� !4i ::�. 4 =' �Dlrt A :.h� ,�W •�` C Y�YT.. �]] �Tt l 5yl .{v a �' � -., � ,�,' . * ,° % f 3 f � F y '.y 'YA.`7, s4 Y tk Cti r ,wr H4�t t •. ij - .. , � Ci Q �a+S 1'. .t ; t ' ,N t , /.l d r v !i/ t c ``,�.•df� '�rj1n"i1fy.'1l-+' I .r_i�` ... w...�wk.J../�.. _�. .��..`r..arL�. ..r ��.�. ,.L4...r_�._+S.`__��1./.��..A.......w.�..n�1a+•v_-�l.�.r.. s..�..����.. .ter?1C. �...�.�..�.......rr...r .-.._,.,. .. ' n..� - . „ , �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 DATE: . �✓ APN�& c�rv�nu: OWNER'S tAST NAME: OWNER'S FIRST NAME: PHONE: 0/e?d�ifi�i��[ Y STREET ADDRESS./ FAX. % CITY. ZIP: l,� , Y9 E-MAIL: SITE ADDRESS: `=,ti,,, 1 /j r APPLICANT NAME: STREET ADDRESS: %%j/, Q /� 1 G� — crrY. ZIP: N V l a e- / / S E-MAIL: CONTRACTOR NAME: PHONE: PERMIT NO. BP 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: C M I . i� ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) N 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: l (J� Application Received by -Date: `) Receipt number:�'� �'�L Amount Received:��� STATE OF CALIFORNIA-DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE MOBILEHOME_ DECALNO. LA07331 MANUFACTURER NAME/ID TRADE NAME MODEL DOM DOT DFS SPC EXPIRATION ClINPION HH BUILDERS CO/90086 INFINITY IL606C 04/12/94 04/13/94 10/05/94 U SERIAL NUMBER LABEL/I1JSIGNIA NUMBER WEIGHT LENGTH Wlf)TH IS UED SCC EXEMPT 5E tt ) 09946064897A RAD754407 018140 000624 000142 11/4/94 04. SFU LP 2 099460648978 RAD754408 016260 000624 000142 9 TOTAL s FEES PAID: e S60.00 A WILLIAM G HECKMAN 3. o 1650 LETA LN RELEASE OF DEALER D OROVILLE CA 95965x NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9 ** R E 4.A) S AND S OR B) E n i NAME - PLEASE PRINT a 2:. . R DI:.BECK HARLEY RAY/ x�a s a i E SUSAN JTRS �. <�-+'`:`s' CURRENT MAILING ADDRESS I A 1931 PLUAIAS AVE .a r. y CITV t'` CNTY ST ZIP E OP.OVILLE :,C�4 95965 6. At E 1. .-zp� - FUTURE MAILING ADDRESS D RELEASE OF REGISTERED OWNER 'A a , y�F' q�%rSL�c� f LOCATION ADDRESS o s 1931 PLUt1AS AVE ;� Eb ��� '� ; .� < ��wE �c�g E U OROVILLE 4 k'fl rk cllYZuja.::. mg CNTY: ST ZIP :. CA 95965..: - ..__... R S, J i 4p • PURCHASE PRICE DATE 8: L WILLIAM G HECKMAN9.` E NEW..-ROISTERED 014NER 91ONAI URP L 1650 LETA LN i s r+' �iFlE3Hf NEW LEGALSFlMkR, FILL IN IT fli, 0 - 12 *x�e o OROVILLE ' CA 95965 W DATE: 10/07/04 14:19:00 N £t M� `sg�` NAME - PLEASE PRINT E 2.A) R RELEASE OF LEGAL OWNER s' ADDRESS;y RETENTION.yOF LEGAL OWNER 12. Al CITY c ' ';°, CNTY ST Z7e C) *x* NEW 1ST JR. LIEkkoLDEJ, FILL IN ITEMS 13 - 13 * ASSIGNMENT OF LEGAL OWNER x:. 13. ^' J9,� 4 a NAME - PLEASE PRINT N'las s Via. I R O S ADDRESS R T 13. ,CITY CNTY ST ZIP "E3E•lE NEW 2ND JR. LIENHOLDER, FILL IN ITEMS 16— IS *** 16. 17 Is NAME- PLEASE PRINT ; ADDRESS CITY CNTY ST IMPORTANT THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. ZIP 02-305-001 0200044 s ..: POUNTY OF: BUTTE 25 COUNTY CENTER DRIVE 1 (• OROVILLE, CALIFORNIA 95965 7-77 \ . CERTIFICATE OF DEATH 20Or CALIFORNIASTAT204 - J •CALIFORNIA; 0 0 0 98 0 T ♦. ._ x STATIC rlLt Numulw, UK SLACK IRR ONLrmO [IIAfVR[f. MIIIT[oVTi an ALTRArN)NS LOCAL RICOIYTRATION M YeCR rill (RW. I-) Y ri- .vr..rr wtMtaunr-nRn awwl,-f: M DpsJ.,. 3* 11::?r IA1S :" 'i - s:+r ; GQ}(. HECICKAN j _ 4•DATt !IRr!Il M/OO/CCTr -.y,.ys ..... � ,q` .:.:.':`.- s. AOt r". • DOII To- LNDue a. SEE 7, WTt or DGTN HH/D DIc C YT RMOya Neun un \0812-171908 1 YDnTNt .. 93 DA YALE 08/18/2002 0303 DECCDICMT D• RAT[ Or BIRTH 10. I-" fCC1Il - NO. 11. MIUTAR f[RMCt Il rARRAL RATI/S ly EDYCATIOR_YWi CowN m* Pt Dwtw"`. •OKLAHOMA. 530-05-1700 D TO. ®Ne ❑ uNR WIDOWED 12 '•.��'. y IL RAC[ ID. Nlf►ANIG-i►[CIF/ IQ. YiYAL•tMPLOT[R � WHITE I ❑ Ta ® No II.S. POSTAL SERVICE ' 17. OCCYPATIOY IR, OND w SUfINUS lD. VGAf IM occurAT10N POSTAL WORKER POSTAL'%ERVICE-' 20. IT"weNCt•-{RR[R AND RYYBG OR LOCATION) - 2 - I 1650 LETA- USUAL tat;1 + RESIDQNCIC III. CRY Y , �•'.•' `{,•+Jiw�_ , :k t:2. CDWRT .1 , 29. nr Cp)[ 20. YRa IN COUNTY 2a. STATE ON M.vEN COYMTRr OROVILLE t BDTTER ''95965'•. ..- :f'.;s V.• 25 a CALIFORNIA • INFORMANT 2e. NANR sIRATpMOnir.. - ~ ,.• •y ' +� w - .yti•'... 'a t • 27. J•"•. 1. :•. T... I�iI MADJND ADpRiSf ([M,fT AND MYYftR PR wURM1i �IiDYtt NwtW <T OR TOM. [CaTR ZIII . �_.`_ `�.. 1MS. EVI1:0 'LEAVENWORTH 1.Jb!1 GftW ..: K•.. .., 1871 ACKERMAN=AVEIffiE;y DIIRHAI' CA 95938 tt. NANE DIP.•WRYIYIM0 fL-PIU' -'., •2pj MIOOLL • • . i f ! ' 80:-LYiT.,<NND6M, NAYO - •ipL .:' Y_ yTaTY -x.. ' SPOUSE AND 91. NAYS O/ PATHOHPIR{T 82. YYIDL[ y 88. WT ••`' 8O. s-rtr rtANt PARENT INFORMATON JOHN • w' RICHARD :.' •. IL 85. NAM[ OI YOTMOi�IRR S0. YIpDIJ) - 87. LAR IMUD[NI 38. R1- rtAT[ • EMMA PHENA STAFFORD jj KS Je�OATt YY/pO IC C Tr 40. RAC[wnNLL p/IOMiION maroalnoN({) 05123/2002 _ _ AT SEA OFF THE COAST OF MA IN COUNTY, CA"'"' ' FUNERAL •/. TYPIC W pa►OfR10Ni[I v�`::DI 42. SIGNATURE OP --low .. 43. LICCnaC N0. D1RceTOR AND CR/SEA' .,• 10 -NOT EMBALMED „ LOCAL K MAY[ DI IUMtGL DIRELTpR `.:v+ _ ,.. ae. LICW[[ Np 4e. 81 [ aTMR, 47. DATE H N I S p I C C Y T ReolerRAR NEPTIINE SOCIETY OF NO CA' FD -1440 yy_ IT 05/21/2002 MM 101., rtAC[ OI 0[1RY /: l Ol V NOf►RAL fP[GIFT OH6 10a. /K[JIT OTNDI 'MMI N AU 0a. co..7.j P1.AC6 OF RESIDENCE'`" ❑ 1P D ER/OP D DOA - DNOa/. DCAR[ DOTNtw " 'BDTTE - DEATH 105. ►TREK ADORfff-(fTN% AND NUM[ER OR LOCATONI -- Ice. Cm 1650 LETA LANE I __ OROVILLE 107. OEATN WAS CAYSm DO (ENTER SM y *Me CAME PER UNE MR A. R C, AND oI TIY[ IIR[RVAL 108, OUT. REPOSIBS TO CORBACT AwD T M � •�. - •--• Y� NO 4 •I .`� �' .'. IM MSOIATe `•-= -' uuSE (A) Cardiac Arrest ,. Mi, ns. D02-0648NYN.[R ,- '(e) 108. BIOTIC, P[RIDRYm Due To Congestive' Reart Failure 1 Year ❑ Yia ON. y 110. AUTO/OPERPo.... RRYCD CAUSE - +C_'r or Out TO (c) C.O. P. D. -T Advanced 15 Yrs. ❑ DEATH IE. NO 111. u,CD IM SCTCRMNpIG GYR Dui TO (D)`• D Ycs No 111 OTHER {IONIMAR CONDRIONS COIR111eI/T1U TO OGTN OYT NOT RELATED TO CwYa[ GR[N IN 107 Acute Bronchitis ,yf, _ 118. WAS OPTOTATION ►OIMONCO POR AMY CONDMON IN MH IST OR 1121 v TM UR TYPE OP oP[GTON AND DAT[. No I ~ PHY51. 114. 1 C[NTIA THAT TO TLV [ER w YY RNOM(. i l [DG[ SGT. DCCYRR(0 AT TN[ NOYR. DAT[ a. fKINATYRC AND OI CCRTIFlLR Ile. LN:e]Iu NO. 11]. OAT[ Y ...... C Y cuN•IC DCCtOv'.TTwom'TCAI�ctS10pamTMcl;r` n`t.9T.VOI ,A -S. 0. M•D. C-023980 05/20/2002 CERTIPICA- NY IDD/CCYT ; YY /D OICCYr 11 S. TIPS ATT[MDIND PHYSICIAN-{ HAMS -ND AOORU{. 21► E. LEAVENWORTH MD, 345 Yolo St, Orland, CA 95963 TION -/-/1978 i 05/17/2002 THOMAS I CCR'" TNA' 1N W OPINION DGTN 120. OCC1111MD INIYRV AT M911K 1[1. IMNRY pAlE N MID.,c C IT I122. WR 112. PIAC[ OI 1NJypY AT T.[ NOVA. DATE AND /LAC[ EIA- IRO- TH[ 411a[f RATED. 11-0 Ile. _.Oft or DGTH NO 124. O NATURAL D Cl D"CRIBC NOM -R,OCCURRED (E -I, MNK. R[fVLTED IN INJURY CORONQR'6 iY1GUlE .OYICIOE �ACCIDENT�IIIVLfT11GATION❑D use ONLY SHEDS[ 125. LOCATION (STRECT AND MUM." OR LDL•ATION AND CRY. [IP, , 120. INGNATYRE Or CORONER OR DVYTY CORONER 127. DATE - M I D O IC C Y T 128. -mo HAMS: TTL[ Or CORONER OR .-UTI .0.0.ER STATIC A 9 C O E F G H FAE AUTH.I CENCUS TRACT REGISTRAR X1036 ,yE..... r. -J1,rr,IS 72433 _ ``r ,.'EyRe ; •:Y`..: ,-ri CERTIFIED COPY OF VITAL RECORDS= E Imo= c F 4 _ GV STATE OF CALIFORNIA, COUNTY OF BUTTE This is a true and exact reproduction of the document officially registered and placed on file in the office of the� Butte County Clerk -Recorder. iw �& 11D O _ . �. Y 7,• �� COUNTY CLERK• ECOPDER %'�" '�� �w •-�- ' j�' f . _- This copy is not valid unless pre ared on an engraved border,-di;playing the date, seal and signature of the County Clerk -Recorder. I�,%��.,�, - i ,.., _.t,��ble:;:.-. -__._ : ����JF•` .. - �.�I .. .. .. .. <���1a,msr... �te>;-xs��1a �T�.vE�ranil:::�.�o `ti �U .3xs�e :�L��`C�y:�yy.��tee�n�l:::ji'�L�-fei"'.'''G�!•�.' � '6(y�tYSaiL- .1�'t•'r�'�Y'r:'` �3Z � A wt3•?y . PT- z - r i. JI... }... r� +> ;r a' • ' 1 r RECORDING REQUESTED BY ORDen. 1-142283 AND WHEN RECORDED MAII.'f0 F Nam• Mr. Marley Dilbeck su-1 1931 ?lumas Avenue A40'- Oroville, CA 95965 Cly a swe L F Name sepal neurosa cny s Scala L MAIL TAX STATEMENTS TO same as above aP' 030-46-2-Ob6-0 J 88-022919 Rec Fee 7.00 DOC 11.00 Recorded Total 18.00 Official Records County of Butte L:1 WELI. TI'rl.0 C O. Candace J. Grubbs Recorder 8:00am 15 -Jul -86 BG 2 J I SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE b ESCROW COMPANY The undcrsipped grantor(s) declarc(s): -'4'q'V Docume ntary transfer is $ 11. 00 kSFFR ( xy, ) computed on full value of property conveyed, or Pq/O ( ) computed on full value less vabie of liens and encumbrances remaining at time of sale. (XX ) Unincorporated area. ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, W. G. IIECKi4AN hereby GRANT(S) to HARLEY RAY DT_LBECK, an unmarried man the foilowing described real property in the unineorporat:ed area of the Countv of Butte State of California: See Exhibit "A" attached hereto and made a part hereof I)ated. May 13,-1988 STATE Op CALITOR.- 'A ) COUNTY OF P-atte TS$. On May 13, 1988 before Inc. Ilse undersigned, a Notary Public in and for said State, personalty appeared W. G. Heckman ?;0.+rvtCtltlONRtIKi{S4R(x# proved to me on rhe basis of sat- Isfacion• evidence to be the person whose name is sick ribcd to the within instrument and acknowledged Ilial h L, executed the same. 1C'i'1'Nt•.titi mY hand and nfF-ial SuaJ. 1 ' �. ^ W. G. HeckmdSt (�eodro®®ta®maarae®aosvNooms� • YVONNE PECK a 0 Y WTARYPIIBLIC-CALIPORNW e WI D County O � NyObinrteoYfnExpreuNW.1.tB0/ ®�taaeonc�eotaooalaomoeotsaoee � (This area for Official notarial seal) 88-22919. L•'Xtt?BIT "11" The land referred to herein is described as follows: All that certain real property situate in the County of Butte,. State of California, described as follows: PARCEL A: A portion of Parcel One as shown on that certain parcel map recorded in the office of the Recorder of the County of Butte on Map 30, 1978 in Book 67 of Maps at page 17, more particularly described as follows: COMMENCING at the Northeast corner of said Parcel One and running thence South along the East line of said Parcel One, 182.325 feet; thence West and parallel to the South line of Plumas Avenue a distance of 189.945 .feet to the true point of beginning, thence continuing West and parallel to the South line of Plumas Avenue a distance of 189.945 feet to a point in the East line of Parcel 2 as shown on said parcel map; thence South 000 00' 13" West along the Easterly line of said Parcel -2 and the Southerly prolongation thereof to a point in the South line of the aforementioned Parcel One; thence East along said South line a distance of 189.945 feet more or less to a point which bears West a distance of 189.945 feet from the Southeast corner of said Parcel one; thence North and parallel to the East line of said Parcel One a distance of 182.325 feet to the point of beginning. PARCEL B: A non-exclusive easement for road and public utility purposes over a strip of land 60 feet in width lying 30 feet on either side of the following described line: COMMENCING at the Northeast corner of Parcel One as shown on that certain parcel map recorded in the office of the Recorder of the County of Butte on May 30, 1978 in Book 67 of Maps, at page 17, and running thence West along the South line of Plumas Avenue 189.945 feet to the point of beginning for the line to be described; thence South and parallel with the East'l.ine of said Parcel One, a distance of 242.325 feet and the end of said line. Comp. i Ex. END OF DOCUMENT A e H.C.D. ATTACH CHECK h"ti ..e+..'��... J. :Z ,F A. �Y+.•4 Yt.-wj J� �••, .+`v. !� "f+. '�C • a _ '� -., "• � � _ 420 74}� HARLEY-R DILBECK; �• ,� _ �� , SUSAN DILBECK ,PHONE 530-533-8510 , ' . • I - k 90-504/1211 3 1931 PLUMAS AVE - '�t r'-` ":� o it, OROVILLE, CA 95965 Pay to the 2� Order of 1 _. (✓��`J �L.CW/ /"' — l � ` U0l![7Y5 8t o.uu. e. TRI COUNTIES DANK _1-800-922-8742 NP For _- ��:L3`504'_5�:04;20Fq 49-10 .0HARLANn z000 �.• ._ ,. ._,. t.,_ - .. ..._ .� _'�J"r%'_ , r.'r57;., ,, .. .. 6:- ^': .r ....r_zr, u.>' _':+r. 5+�'^ _.l; a=.2 ... �, NAME: AP#: DATE: A A Building Permit Number: Owner Name: 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.' L > a Page 2of 2 Building Permit Number: b q Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. _`yti F Fire -sprinklers are required in this structure. The following parcel map requirements shall be met: M All structures and equipment including overhangs shall.be clear of all easements. A setback of( et om the side ander e'ef from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive. soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. ` J i C Floor Plan 1994 Infinity By Champion 24x52 Ole- wl 0 /Lot 4 p P AN AP 030-462-006 1 Owner Harley R. Dilbeck Agent reg -McNeece 1931 Plumas Ave. Ph#533-0701 Oroville, Ca. 95965 I 1. Owner's Name: H XLH Y X, 2. Assessor's Parcel Number: 3. Installer's Name:__ 04&11 4. Is the site currently under permit? Yes[ ] No[V] Permit No. 5. Is the site an existing site? Yes[kf No[ ] (If yes, furnish two plot plans). 6.: What is the electrical rating of the mobilehome? /040 Amperes. 7. What is the mobilehome site circuit breaker rating? /00 Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 14 9. Is the main service remote from the mobilehome site? Yes(] No[ ] If it is, what is the rating? 'Amperes. 1 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[.Ifyes, please identify the load and size: a)' The.mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type ofgas service at mobilehome site: Natural[ ] Propane[] None[ ] 12. Size of g s pipe at the mobilehome site from the meter or tank: 3�/ inches. t 13. What is the gas pipe length from the meter or tank to the mobilehome%2. 14. What is the mobilehome gas demand? B.T. U. *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). . , . THE OTHER SIDE OF THIS FORMMUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION r ,�. UILDING ®EPART[i��..� PF1 0, V ; Mobilehome Manufacturer:d /a�O/O& Manufacture Year: t If other than single wide, furnish Setup lvfodel Number: Z,406 L Width: (ft.) Length: 5 (ft.) Tagalong or Expando Size . (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade(] Other: SUPPORTS: Concrete bloc*,] Other- Provide ther Provide Tie Down Specifications for all Mobilehomes:�,, Pier Footings Sizes and Location SWGLE WIDE MULTT-vVIDE Line 1 t Line 2 Line 2 .............................................•.._........................................._....-- Main Beans Line 2 Line 3 Line 1. Line 2 .............................................. Main Beams Line 2 ...............•-•--.......................................................................... Line i • ............................................. 5 Tag or Triple ' e 4 t Line I Piers: Size minimum: r 1 x Spacing maximum: t` From ends -maximum ` Line 2 Piers: Size minimum: x [30 ]. Spacing maximum: From ends -maximum ` Line 3 Roof Loads: ;3 Size minimum Location (from front): �t Line S Roof Loads: Size.. minimus TT', Locati-WRo�mi kk& A P Line 1 Openings Size minimum: ] x [,?0]. Each side of openings with width; 'Over:,,,, ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum ` ` v 2"x 2'x 3/16" 21 STEEL ANGLE Q IL CHASSIS FRAME DETAIL "A' 1/4' GRIPPER PU TE 'N/ STEI`L(FOAME - r• •� © SEE DET,�IL �'a" Ln C14 m l� m '= / m Sr" TUF—t PERMANENT l0U%lDTIOV SYSTEM 04 id I /2" A vESM-CIF GUARD OOWANY iv n ,.,, 5-53 FAM - PERK1i�IS ROAD MK*OM. C.L 95823 Ln Yl: WOO 382-8831 F'Jc C3 11► 383-5207 (2) REQUIRED 0 GRIPPER BASE CO Q 1/2-t31l�IC-A307 x 4 HOLT W1TH NUTS - (4) REQUIRED 01 1/2" SCN 40 PIPE RISER WITH _ 41/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE a2" SC1i 40 PIPE STAlU1 WITH TWO . • e1/3' A@JUSFER MOi>5 � ABESCO A5? 3/8" CAD FLATED BOL', HU a MASHER COUh7ER BORED FLUSI- VITII WITOW AT 8' Q.C. (B) vuRm 11,V STAN Bi5'c AdESC6 AIS PAD #503 36" RAX 1) 81 TOM OF RAD _ 0- /2..-- .S" :.R LOCK M YdTH 01 /8"Bi80sE �^ PN PLAT STS (4) REQUIRED SIS TEN (2) REOWRED 1/4" GR8'°ER- PF 1/1' GRIPPER BASE BASE 1/2" A307 POLI-' (2) REQUIRED - t/2" A307 900 3/.8'x 6"x 6" (4) REOUIRED STEEL PLA -E.. 1/2" A307 EOL" --f C—BEAM 9S PAO 503 3/8" CAD FLATED BOL', HU a MASHER COUh7ER BORED FLUSI- VITII WITOW AT 8' Q.C. (B) vuRm 11,V STAN Bi5'c AdESC6 AIS PAD #503 36" RAX 1) 81 TOM OF RAD _ COACH 'C" FRAME— 0- /2..-- .S" :.R LOCK M YdTH 01 /8"Bi80sE �^ PN COACH 'C" FRAME— - COACH "J" FRAME 2" CHANNEL -N " GGIPPER 4" r 1 TEK PLAT STS (4) REQUIRED SIS TEN (2) REOWRED 1/4" GR8'°ER- PF 1/1' GRIPPER BASE BASE 1/2" A307 POLI-' (2) REQUIRED - t/2" A307 900 3/.8'x 6"x 6" (4) REOUIRED STEEL PLA -E.. 1/2" A307 EOL" --f C—BEAM 7—BEAM (2) REQUIRED ATTACHMENT ATTACHMENT 1- 10-00 --moi T-rv--] 10.00 09/16 HOLE (TYF)� STAND BBS - TOP VIE71 IT91 Ur^• �p-q $ $ + 8' 1/2' DIA. HOLE (8) PLACES _ 4 + 30" STEEL 'FRAME TOP VI EW r.. STATE APPROVAL WAYhE T. POLVADO, PE—USTIHG NO- F94.249 SHEET I of 3 F' y C/ r: rj •} z���v t c Q�3 � t-- V 0 � cFi q U •� c 0 c, m � e s d WAYhE T. POLVADO, PE—USTIHG NO- F94.249 SHEET I of 3 F' GENERAL NOTES GUS GUARD TUF-1 1. DBSIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C' SEISMIC ZONE "4" iE SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEMA IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL. SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAN SUPPORTS SHALL BE LOCATED AND SIZED FOR THE (AADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS". 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4', OR WHEN R WILL ADVERSELY AFY:ECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FEN, UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PR_SSUK AND SHALL RE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAs. VCIDS UNDER PADS. 6. STRUCTURAL STEEL FABRICATED ACCORDING TO RISC SPEOFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECIRODES-370 PLATES -ASN:! 436 BOLTS -SAE GR S=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED By USK AND ASSOCI4TES FOR THE FODUTWING LOADS_ "WABLR IDADS: EORTZOh'TAL VERTICAL GUS GUARD TUF-1 2200# 600U,j GUS GUARD MCP PAD 2200p 600'i.� GUS GUARD E -Z TIE PAD 2200f 6000# S. DURING PRELIMNARY INSPECTION, THE ESTIMATOR SMALL ENSURE TBAl. MOBLE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTM COACHES MAY 8E RETROFITTED 10 RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 U19TS AS 55I0'AIN ON THIS PAGE OF TYPICAL ecggg� FOUNDATION PLANS. rim 10. THE GUS GUARD TUF-i SYSTEMS ARE SAFE FOR 64STAL1AIM IN FI.000 PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT ..f OF iHREE FELT. �i il.`MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED' ,,. `C -THE NUMBER OF -rUF-1 UNITS UNDER EACH UNIT IS ?� -THE SAME AS SHOWN REQUIRED PER EACH UNIT - 12.•`S yg1GLE-WIDE UNRS REQUIRE ADDITIONAL RESMAIA. x (SEE SHEET /3) 1 I Au maAL CMOMEMS AND ATTADIVEFTS ITEMS $NALL K PAMCTTME AWED. ItT��W O CONCRETE SLAB IS N E)OSTANCE, PAD IS NOT 0 'CREQUIREO. ANCWR STAND TO CONCREEE SLAB WITH TUF-1 PERMANENT FOUR (4) i/2'. 3 1/2" EXPANSION ANCHORS FOUNDATION SYSTEM �1-�GUSfGUARD TUF-1 FOUNDATION SYSTEM PROVIDES �... JILI,IY kl[ SHOWY LOAD TO 100 PSF WHEN INSTALLED ABESCO�" GUARD COMPANY 1YTTH .EI(ISTIN(; STANDARDS REQUIRED BY COACH 5851 I LOM - PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACAAME+T'I.O, CA 95823 6N E-4 BASIS. PH:(800) 382-8831 FAX: (916) 383-5207 16. FOUNDATION BLOCKS 16'x t6'x12" POURED Vi PLACE AT GROUND LEVEL MAY BE USED AT INSIAUDS DISCRETI04 ALTERNATIA TO PADS. SINGLE WIDE COACHES DOUBLE/WLft:fIPLF COACHES E= 2' MIN. / 6' MAX. E= 2' MIH. / I C MAX. S= 6' ABN. /16' MAX. 5= 6' MIN. / 22' MAX VARIES 10'-70' (SEE TABLE ON SHCET #S) - — -- £ %-" S — S --- S F - ---- I� a IN - RIDGE 13EAM SUPPORT AS REQUIRED BY MANUFACTURER ���jjj a (TYPICAL) L �, a Q E37 Q Q 17 Q 8' NOM. �] 2 NOM. —`-'' • PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHEIR SIDE TO TW- MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) v'� V 4F. c re STATE APPROVAL ro 2 0 4 a 0 •� V Q y H 0O WAYNE T. ?OLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 0 CHASSIS FRAME 1/4- GRIPPER PLATE (2) REOLAREO 1/4' GRIPPER BASE 1/2-13UNC-A307 x 4 - HOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH- A1/2- ADJUSTER HOLES AND 3/8 - THICK TOP PLATE 02- SCH 40 PIPE STAND WITH TWO - 014K ADJUSTER HOLES- ABESCO ABS PAD 1503 STEEL FVAME OCR 36' MAX 70 BOTTOM OF PAD - 01 /2'x 3" C.R. ow LOCK PIN WITH 01/5' BRIDGT. PIN LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION kwm-vm UNTI3 S GLR wm3t umm LENGTH OF HOLE 1111 24 44 UP TO 44 3/4' DIA. x 18" LG. 1/2-x 3 1/7' 12 1 12 1 1 1/2'x 8- LONG 20 L.20 I 2D 24 (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8- CAD PLATED BOLT, NUT & WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM _ - •• AT 8' O.C. 1 (8) REQUIRED -1 CONCRETE PAD INSTALLATION POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION - CHASSIS FRAME 1/4- GRIPPER PLATE (2) REOLAREO 1/4' GRIPPER BASE 1/2-13UNC-A307 x 4 - HOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH- A1/2- ADJUSTER HOLES AND 3/8 - THICK TOP PLATE 02- SCH 40 PIPE STAND WITH TWO - 014K ADJUSTER HOLES- ABESCO ABS PAD 1503 STEEL FVAME OCR 36' MAX 70 BOTTOM OF PAD - 01 /2'x 3" C.R. ow LOCK PIN WITH 01/5' BRIDGT. PIN LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION kwm-vm UNTI3 S GLR wm3t umm LENGTH OF HOLE 1111 24 44 UP TO 44 8 19 8 -1 to W 12 1 12 1 1 &'-1- Io w 20 L.20 I 2D 24 1GTN of WIDTH OF HONE HOME 10 121 a UP TO 6 1 8 I 6 6 - lb 6wl B I B I e B bit -1 to an 10 1 tD k10 10 NUMOM OF TUF-1 RVOUIRED NUMBER OF TUF-1 REQUIRED � r N SINGLE WIDE UN115 REQUUtf (4) E -Z TE PADS GUS GUARD TUF-1 PERS A*E3P r TO BE PLACED AT APPRO MATELY EQtML KMRVALS ALDHG EACH FRAME RAIL. 't_ j -may 1.*IC STATE APPROVAL fx ao l OF G►��4�� ` 9 u �w TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD CLAIM 5851 FLOW - PERKINS ROAD WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 or S W PERMIT NO. 1590-88P,E(MH) PERMIT EXPIRES OWNER HARLEY DILBECK CONTR. .,;,-UNKNOWN ASSESSOR PARCEL 30-462-06 LOCATION 1931 Plumas Ave., 0rovii1e OFFICE COPY.. Address' GAS' Meter By Date ELECTRIC, Meter Ovf Date OFFICE COPY Address GAS Meter By Date ELECTRIC A. Meter By Date Temp. Power Pole Cal Temp. I Cal Temp. Cal JOB FI Sig • _MOBILEHOME'INSTALLATION ACCEPTANCE : %— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE _ OROVILLE, CALIFORNIA - 534-4541 ' PERMIT N0. ,,'Add ress or location of mob ilehome Z_ -�' • e, `Owner's name- yk�A&f Lit tfitX�L+ " ``Owner's address j 7 ! ! '' L Z - Insignia or hud number Manufacturer's name :Serial number of V.I.N.. y Year of manufacture il (Official Approving Installation) 11 f (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION - ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY 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 R Sz 0 V 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. Inspector Date J COUNTY 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 Q(52 - &Y PERMIT 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 corrvlion of work is completed. If you have any question pertaining to this matter, of nd additional explanation, please contact this office immediately. _ - Inspector Date / l _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive.. Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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 c rrection of work is completed. If you have any question pertaining to this matte , or need additional explanation, please contact this office immediately. COUNTY 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 AIT 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. Inspector ,/'/'/ Date �/ j COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 4 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. l Inspector" Date =OK o = NotOK RESIDENTIAL (Single and Duplex) - = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth _ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -131 Date Card -B1 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection . 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -61 Date Card -131 Date Date ELECTRICAL. (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -61 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -61 Date Card -81 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. &•Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79, Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑,Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections " 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -61 Date Card -81 Date Card -B1 Date Card -131 Date Card -81 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) = OK 0 = Not OK = Not Readyable MOBILE HOMES Date MOJ31LE HOME UTILITIES (Plans) OK except #'s ing Requirements -Setbacks -Easements oils; Special MH Support -Sketch ewer; Location -Test -Fall -C/O -Concrete fi/Wgr; Location -Test -Easement Needed (Sketch) le city; Location-Clearances-Grnd.-/ / Amp -Concrete as; Location -T st-Wra / P'L"ft. /"Nat. oW/"L"ft./J, "LPG . Utility Clearance Card -B1 Zk Date! Card -B1 Date Card -B1 Date I t Card -131' Date Date MO 1 EHOME INSTALLATION (Plans) OK except #'s oning Requirements -Setbacks -Easements otings; Size -Spacing -Marriage Line as; MH Test -Demand -Valve -Connector ctricity H Tei �Crossovers-Breakers-Clearances ain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval and Electricity Tagged CAFVxits; Insp.-Sketch W-vCert. of Occupancy Card -131 S Date'? // Card -81 Date Card -131 Sj� Dat(j 1S (6 Card -131 Date deo t I 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- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -81 Date Card -61 Date Card -61 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -131 Date Card -B1 Date Card -B1 Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT jPERMIT NO. ASSESSOR PARCEL NUMBER x - 1-0�n ZOhl N BUILDING PERMIT OWNER Ck TELEPHONE SO. FT. OCC.1 BUILDING V ION ER' MILING ESS / r v ' C� CO R•S NAME 40 11A) n TELEPHONE CONTRAC-TO'R'S MAILIN ADDRESS Fireplace CONS R CTION LENDER - ./VIO 111111- UNKNOWN Total Valuation is Filing Fee $ Au)_e' LENDER'S MAILING ADDRESS Permit Fee $ ARCH ECT OR ENGINEER LICEN SE No. Plan Checking Fee $ / Energy Plan Checking Fee $ ARCHI E T OR ENGINEER'S MAILING ADDRESS Penalty ; BUILDING ADDRESS a Permit fee /5 $Pill PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping . 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G VO.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑� UJtjJitjes� Installation[] Other ❑ i Describe work: r�'//�i ///�/•�1\ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 f ` Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of • perjury ) p y p y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business - and Professions Code and my license is in full force and effect. icense 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 of[ered for sale. (Sec. 7044) 99—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.9 , OR ADDNS. ACC. BLDGS. �2dsgft NEw CONSTR U TLOUT LET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. zo®eoe Ex. Occup OUTLETS OR FIXTURES AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �f Consent to Self -Insure. l� ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned. property for inspection purposes. alaiso liabilities, ree judgments, costs,mandeex expeness the ses which may in anof y was against 1 9 P Y Y Y of the granting of this permit. against said County in7747 Signature of Appl ant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ?J 1910 OCCUP. CONST.TYPIJ JSCH00LJFL000,PARC�&JPD ,Y ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC �? By � PERM EX IRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Zi— 1. �' Z%"� Receipt No. i 6 � WNIT[-D.P.W.. YlLLOW-ASeCSSON, PILAR-IN9PlCTOR. GOLDlNROD-APPLICANT • s ., .. - . r. ;r. �;i.: �r .. .r'; t.-.ra.;.-ri.+e.•.�+,.. �y...Fi.. r `_ .. y __. I - y a. • COUNTY OF BUTTE - DEPARTMEIN+TAF-PIiBLIC WORKS -,.BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILVE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 t'" PERMIT APPLICATION DATA SHEET J� Permit No. OWNER //0r 4J>y. ��C A. P No. 1-3) `q1�°L o. Proposed Building Use Build ing`Iinspector Date f At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED All items.have been submitted. . . . . . . . . . 62F-2. Plot plans in duplicate. replicate, igned by preparer of plans. . 3. Complete plans in duplicate.— /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Inten�jfoi� Non- Bated and AC Buildings. 8. Fees of $ (o` � , - 9. Letter of signature authorization. V J10. Sanitation approval from �J, Health Dept. `c �-9 11. P.lann_ing•approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to ownei Mail to owner ❑.) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 7. Building Inspector Pre -Inspection for Required- Pre-Inspec. request to (Date.) t p q 8. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. 20. Plot plan approval from city of 21. Engi eered tru7es'in du icate (required p or to Ian check. W�you issue the permit, p ocess as oIIows: Mamat(D(r)bffice, ner, Mail to contractor. Telephone and hold for pickup Deliver w/inspector. Other Applicant to s - I Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: ( rcle new i,tem not checked above). 1. Index permit for above items No. 2. Additional items required: y Contractor, designer, owner, was advised of above required data by_phone_Jnail_counter by date Contractor, designer, owner, was advised of above required data by—phone —mal I counter by date f Plans checked by Date Plans approved by ` Date ✓ -�•�r .". Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance F owner location Driveway permit Q_ 4J2, has been issued for the above property.-. si ature „ -- date NeLurn Lo IWW AGRICULTUKAI, �TA'1'lN1,NT OF AUK N0WLL1)Ghl`ILSNT J G, FOR RESIDENTIAL DEVELOPMENT Section -26-8.1 of: the Butte County Code requires Lh:is acknowledgement be recorded prior to issuance of a building permit. The. properly described herein is adjacent Et8-01�311l3 - Lu land or i ncludcd within `an area zoned for agricul.tura.l. purposes, and residents of Lhi.s properly may be subject to :incon- incon-venienc:es veniencesor discomfort aris-ing from the use of agricultural- chemicals, including, but not. limited to herbicides, pesticides, and ferL.i.l:izers; and from' the pursuit NOT CpM,I'ARCis4'aTFt ol: agricu] tural operations including, ORIGINAL DGLU; &,IfT but. not ].i.miLed Lo cu1.Li.vaLion, plowing, spray -i ng, pruning, and harvesting which oc. cas.i onal.ly gener.aLe dust, smoke, noise, and odor. Butte County has esLablished ogr i cru I - Lural zones which have as a priority use for productive agricultural. purposes, and resident.-; w i L h.in sa i.d zones and on adjacent property should be prepared to ac.cepL such i.nconven i me e or disconform from normal, necessary .farm operations. All LhaL real. pr.operLy situate in the County of Butte, State of Ca:l.ifornki, described ,is foi:lows: 30 G4 fil. _A_A No D, 0 J 9s-4/ Date: T�II s ��,-T, IN P R3 t�D, g�l PROF TY FN S. LJrY . d SL�rLe of c) On ..this the day of 19�before nu•., o- ) SS. the undersigned Notary Public, personally appeared I County of ) a DEBORAH A. DAVIS a " �+ °� Personallyknown to me. Proved to me on the basis U NOTAriY PUBLIC -CALIFORNIA. BuneCounty n of satisfactory ev-idence. ® � ' My Commission Expires April 30. 1990 19 tai be the person(s) whose name(s) is �Ibscribed.to the within instrument and acknowledged that he ��wrn�aro�p�aa���sere®�®a�rl�,. -- --- executed the same for the purposes therein contained. LN WITN l;titi WHEREOF, I hereunto set my ha end official seal. Present A.P. No. Not ry ;c. Deborah A. I3avis - - _.+� , ,- 's � J � . OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT OR PUBLIC WORKS LAND DEVELOPMENT SECTION ,4zP 36 -4li�Z -a6 HARLEY R. DILBECK COLN J0953557 PH. 534-9364 703 ORO DAM BLVD. SPACE 416 OROVILLE. CA 85965 . RECEIPT issuso •r 511-3--19, n 0364 SIERRA CENTRAL CREDIT UNION " OaovlLLE OrFICE P.Q BOX 189.400 NELSON AVE C 40ML .E. CA 95965 `919-1-41) C a4L AI:32110?4??OI:0080080LLL763n• 036tli W" $ .40-0. 06 1'0167 Days weft/►T NO. TOTAL TtwTA71Vt •alpIN1p■CT CNfCw a evasur ""LIC COM1- rlw■ wscslvs0 MA.• •N7N• OOCYM wNT� LIANC■ NTOwa N7 orN.w APPLICANT RCCCIVCO FROM OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT OR PUBLIC WORKS LAND DEVELOPMENT SECTION ,4zP 36 -4li�Z -a6 HARLEY R. DILBECK COLN J0953557 PH. 534-9364 703 ORO DAM BLVD. SPACE 416 OROVILLE. CA 85965 . RECEIPT issuso •r 511-3--19, n 0364 SIERRA CENTRAL CREDIT UNION " OaovlLLE OrFICE P.Q BOX 189.400 NELSON AVE C 40ML .E. CA 95965 `919-1-41) C a4L AI:32110?4??OI:0080080LLL763n• 036tli W" $ .40-0. 06 1'0167 A THERMALITO - IRRIGATION DISTRICT 410 GRAND AVENUE,• "J', OROVILLE, CALIFORNIA 95965 TELEPHONE 533.0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 19 31 i'luma v Owner's Name: till = C`•'��"a�� Date: Address: '�,e: to 'Jane Acct. No: 53'--!k ^.3 ' i A.P. No:: 30 •:C2 Jt.16 Phone: No. Units: 1 Applicant/Agent: '-;%irl?v 16-` -nc'. Agents Proof: Address: Fees: Phone: Application $ 20 > Arrearage Preliminary Review By: Date: CSA 26 5:0 ' Remarks: SC -OR - rlf rat-; Qtr i ' 1. c.' 1st mo. S.C. y. CO kill-, CIL s�Jal(1 v CO �. {� it -.� .� L��1 �1� .-. 1. �� � �' .. ��1 T! f f Other ri r�i� LI Total Fees 3Z" �l n rr, /i1 .�//U Collected By: Field ��/� Date:' Review By�s✓ Date: C� Remarks: ii /� •��= �C D /y� Irl /`r�/ /p � /� a ,,/ /� // � .1.+ .� 7`/� C'/`R-��• ,C3�'c�A G' f'.� ct � , � Jr',f} %�/ C �. �� 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 i� 886 2' ��r I _ THERMALITO IRRIGATION DISTRICT • •1 • r 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 • TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: ,,-.r, .• Owner's Name: Date: P Address: `� ? : L . ,. c, Acct. No: A.P. No.: 3" sir, UOC Phone: No. Units: � Applicant/Agent: Agents Proof: Address: Fees: Phone: Application Arrearage Preliminary Review By: Date: CSA 26 + = Remarks: SC -0 R ; z- 3-- - . _. •-, _ ,�-, ' :' <<;1. `:.1' 1st mo. S.C. - Other - Total Fees i _ • _ ,� 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). ❑ W 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT �0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 V APPLICATION AND PERMIT 0 ASSESSOR PARCEL NUMBER o- ti ;1 -06 Z NINA BUILDING PER OWNER H ; TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MA LING ADDRESS 31- V I t tA•�& CONTRACTOR'SNAM 'e. r t1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS �- Permit Fee $ ARCHITECT�R ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS L,_YH(,s) e - Permit fee $ S,od PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 II OU L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[:]MobilehomeK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W0.00 ea TYPE OF WORK New ❑ Addition ❑ emod I ❑ Utilities ❑ stallation OtheKo Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty p y of perjury y (Check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) [ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.al OR ADDNS. ACC. SLOGS. / , /20sgft NEW CONSTR '.OUTLET NON.RESID .BRA CH CIRC TS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. / EX. OCCUp(OUTLETS OR FIXTURES eAL@30 FIXED APLNS EX. Occup. OUTLETS PRESID IREA.) 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation + Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in con qua c of ?e granting of this permit. - ' X V 1 Date / — �— Signature of Applicant — Owner Cant.acror ElAgentEl An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.0 Mobile Home Installation Fee $ y5 d Energy Inspection Fee $ TOTAL PERMIT FEE $ -76,00 occuP. CONST.TYPE ISCHOOLII'LO:TARCELP I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TO PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. % % yyU WHITE-.D.P.W.. YELLOW-ASSE390R. PINK -INSPECTOR. GOLDENROD -APPLICANT -W. 1 a • •�}r1�y .. L� : rv`ulitra++; 1V , r a h ti' 7 °Y �• �i.r+3 �r'f d {} t i n ^ .�- COUNTY OF BUTTE - DEPARTMENT OF- PUBLIC WORKS - BUILDING DIVISION r� 7 COUNTY CENTER DRIVE - OROV,ILL,; LIkC1RNIA 95965 -TELEPHONE: 916/538-7541 PERMIT, APPL CATION DATA SHEET /I Permit No. OWNER 140-r i��-, �i �6'5c K A. P. No. 30-g6a-0(_ Proposed Building Use Building Inspector - Date -7- At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 8. 9. 10. 11. 12. 13. 1,4. 16. 17. All items.have been submitted. . . . . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans. . Complete plans in duplicate. /triplicate, signed by preparer of plans. ` Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . School District "Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC Buildings. Fees of $ , . , , , , , Letter of signature authorization. . . . . . . . . . . Sariitation approval from Health Dept. A . Planning approval for (A) Use: (B) Parking Certificate of Workmen's Compensation Insurance. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) Improvements may be required. . . . . . . . Mobilehome Installation Data. . . . . . . . . % %— Pre-Inspec. request to Pre -Inspection for Required. Building Inspector �) 1 (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone 50 -7507 '"}`Ssald hold for pickup &ou: Aoffice, Deliver w/inspector. Other / Applicant w 4 Copy of plans sent Health Dept., Fire Dept., Other Date 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_—mall counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Dated - )tfl 6 Plans approved by Date 116 Sets of plans on hov in File cabinet AP folder Copy—DPW MOBILEROME SUPPORT DATA + If other th_ n single wide, �/ 9 Mobilehome Mfr. xw 4 SI 1) furnish Setup Model No. �. �C� Yea) Width (ft.) Box Length (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 y foundation grade . 2. Other (specify) SU7?PORTS (check one) 1. Concrete block Other (specify) Pier Footing Sizes and Locations 51NCLE-WIDE MULTI -WIDE Lne Line 1 Line 2 _ _ _ _ _ _ _ _ _ _ _ _ o Line 2 Main Beams Linc 2 Line 1 Piers: ' Sire -Min. ------------ Spacing -Max. ---- From finds -Max. ------- LLle 2 Piers: Size-Mln.------------ "x ' Spacinq-Max---------- From Ends -Max. ------- Line 3 fLrof loads: Size-Min.------------ Main Beams Tag or Triple Line 4 Line 1 Line 1 Openings: Size-Min.------------------� "x Each Side of Openings With Width Over--------- E= Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ x------------------- -Spacing-Max ----------------- From Ends -Max .---------- -- '.'x"x Location (From Front) Linc 4 PLers: Line 5 Piers: (Under Bearing Walls On y S1z':-Min-------------- - „ Size -Min------------------- nx nx Spa" iug-Max.--------- �_ Spacing -Max .--------------- From Enda-Max:------- From Ends -Max .=------------ Linc 5 Noof mads: . Size-Min.--•---------- 1•+catlon (From Front) "x "x I. _ "x "x "x "x "x "x 1. Owner's Name: i, BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 2. Installer's Name: , 3. Is the site currently under permit? Yes H� No (If yes, furnish permit number Is the site an existing site? (If yes, furnish two plot plans.) Yes F] No OR 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 El— (If no, clarify /J 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Amps c 7. What is the mobilehome site circuit breaker rating? ----- U 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? -------------- _U_— (in.) 10. What is the type of gas service? ------- 12-------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?=-------------------------------------------- % (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG:) (BTU) — il - - _ — • — �' �- - — Q� . — .A—sl,itb ck # 5 ft.rorn_th _ _ - -- - - %- -- re ^; J-► es and a setb ck — �� of o't `'sr m th ne e road.' . ha �I-b a or- - -�- - — t All t® � ■ o MEN ON IMMEM M ■MEN MEMO No MEN 0OEM No M ONOEM mom MENEM MENNENNONE E ME 1 11 1 111 1 MINE nil MENOMONIE 0 fMENOMINEE0 MEMEMEME MENNEN SEEMMOMMEMEOMEN X110 81L" w� I BUST. p, El R . ELS � ■ o MEN ON IMMEM M ■MEN MEMO No MEN 0OEM No M ONOEM mom MENEM MENNENNONE E ME 1 11 1 111 1 MINE nil MENOMONIE 0 fMENOMINEE0 MEMEMEME MENNEN SEEMMOMMEMEOMEN I .,� 1 I _ d I 1 I � 1 s i - 11 ; rt I I , 1 I LI I T-1 i a r I I 1 _I I I -ti , 4; I s � I I i r r -- E ------- 1 - - -- - - ='- - -- - ' - - - -- - 1 ,1 ., utte Count L A N D O F NATURAL WEALTH AND B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 ° - Telephone: (916) 538-7266 RONALD D. McELROY Deputy Director June 27, 1988 W. G. Heckman RE: .AP 30-462-06 1650 Leta In. Oroville, CA 95965' Dear Mr. Heckman: At the regular meeting of the Butte County Board of Supervisors,.held on June 21, 1988, the Board granted permission to cross the one -foot no access strip on Plumas Avenue, to parcels AP 30-462-03, 04 05 & 06. If'you have any questions regarding this -matter, -please contact this office at your convenience. Very truly yours, William Cheff Director'of Public Works J Mendonsa Assistant Director JM/kk cc: Clerk-of-the--Board--.— Department ,n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA '95965 PHONE: 916-538-7541.. �• DATE 5/25/88 Harley Dilbeck 703 Oro Dam Blvd. Sp 416 Oroville, CA 95965 With reference to the above subject: " Attached'is: OTHER RE' Building Permit Applicatifin A.P. # 30-462-06 .Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical.Plan Sheet Owner -Builder Verification Form List of Codes Enforced L$L. We need .the following information: Permit application signed and completed_ where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including.plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design.including Street and drainage -improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way;' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing pa cel legally created Recorded copy of agricultural acknowledgement statement. OTHER Verify legal access to Plumes Ave. as recorded map shows V no access strip. Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector Return t.o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT .Sect,ion _�6-8.1 of the Butte requires this acknowledgement prior to issuance of a building County Code be recorded permit. r- 88-1 F ti 6 Z5 The. property described herein is adjacent 89-016116 I Rec Fee to land or included within an area coned 1 Cash for agricultural purposes, and residents Recorded 1 of this property may be subject to incon- Official Records 1 veniences or discomfort arising from the County of 1 use of agricultural chemicals, including, Butte 1 but not limited to herbicides, pesticides, 4 Candace J. Grubbs 1 and fertilizers; and from the pursuit I Recorder 1 of agricultural operations including, iO:55am 23 -May -88 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which 5.00 5.00 PARTY SHOWN VS -_ 1 occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural. purposes, and residcniti within said zones and on adjacent property should be .prepared to-accepL such i iiconvrn i once or disconfor.m from normal, necessary farm operations. All. that real property situate in the County of Butte, State of California, described :1" follows: w o,gJ AC' CA�__V4 4 AR '=IX I'M q , '# 4 aA '5c� � No, 30� / Date: 4- 9 b ` 5g f TN S �ffc , // -TiclNRif-M..4,6��1. c% rd , SLate,of: 1 r) On this the day of May 191L, before nue, SS. the undersigned Notary Public,' personally appeared County of �) Ear -ley Eay Dilbeck ®®c��oo�ma�a®aaa■®®m®aea®®® DES®SAH A. DAVIS Personally known to me. E]Proved to me on the basis ® NOTARY PUBLIC -CALIFORNIA Butte County ® of satisfactory ev:idencc. My Commission Expires April 30,1990 a _ tw be the person(s) whose name(s) is Abscribed to the within instrument and acknowledged thaL he _ executed the same for the purposes therein contained. IN W1"1'N1;;SS WHEREOF, I hereunto set my haro-land official seal. �1 - P -d Deborah A. Davis END OF DOCUMENT COUNTY OF CUTTE.: DEPT. OF PUBLIC Wf,)Pj<8 JUN 16 1988 0 a ..r 030-462-006 PERMIT#95-0238 DILBECK, Harley 1931 Plumas Ave., Oroville Cont: Lawson & Sparks Const. Reroof Det Garage w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIV ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT �. ASSEIMR PARCEL NUMUR 030-469-006 z '"° "` BUILD G PERMIT 1 DW'IARLEY DILBECK TELONIONE SQ. FT. OCC. N BUILDING VALUATION OWNETT rYMS AVE. , OROVILLE 240. CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER NO. Plan Checking Fee S . ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS1931 PLUMAS AVE. OROVITIE PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome El Other DET GARAGE SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation O OtherXl Describe Work: RRROOF W/COMP 4SQ. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service11 OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( 6 ACC. BLDS. ) SO. 3.5C FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full fordd effect. License No. ; 'Sd `jZ� Classification O I, as the owner, or my employees with wages A their sole compensation, wilt do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONSt. MULTI -OUTLET .NON.RESIO. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 p 1.00 RAL. .50 Ex. Occup. FIXED APPLNS. OR p ( OUrLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. X—I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may.in any way accrue against said County,iryconsequence of the grant', g:of this permit. X / %`— v % - �1< < Date �- ' = Signature of -Applicant - IJ Own6r I C Infractor '3 Agent An OSHA permit is required for exca ations over 5"0" deep and demolition or :onstruction of struc[una ovrr 3 :aural::; height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCCccIN:;I. ryl'E TOTAL FEES 35.00 7_1l IIAz. __ D. TEES IMP FLOOD CDF PARCEL PD IID Issut This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic.Nted above for which fees have been paid. / Zf76'' Dain ! 7 L PERMIT EXPIRES ON 1 rr J u . :;—Tv,11tr� �,,::i•;.,11 wrlr..l , :-ic rbri--- col.0 :Tun a: t t I AN r COUNTY OF BUTTE - DEPARTMENT OF DEVyFLOPMENT SERVICES - BUILDING DTVI ON 7 County Center Drive - Oroville, Ca=.i* z, `95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AD PERMIT S ASSESSOR PARCEL NUMBER 030-469-006 ZONING BUILDG PERMIT 1 O"%ARLEY DILBECK TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNETTTr ft S AVE. , OROVILLE 240. CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1931 PI-TIMAS AVE., E PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome O Other DET GARAGE SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities ❑ Installation ❑ Others Describe Work:_ REROOF W/COMP 4SQ. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceBOOV OR LESS ( 200A OR LESS I 23.00 Main Service ( 200A TO 1000A I 46.00 NEW CONST. ( DWELLING OCCUP. I On ADONS. 8 BLOS. 3.SC FO. ACC. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and effect. License No. y �D�Lj� Classification O I, as the owner, or my employees with wages s their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS I @7.50 / POW ERAPPARATUS I 1 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES I 20 Q 1.00 BAL. so Ex. Occup.FIXED APPINS. OR ( OUTLETS (RESID.) EA. I 5.00 Temporary Service ry 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. e�T-I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or aHeating Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count i consequence of the granti of this permit. X Date Z —� % i Signature arApplicant - O Own r Contractor ❑ Agent An OSHA permit is required for exca,,ations over 5"0" deep and demolition or construction of structures over 3 stories ,n height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYrE TOTAL FEE $ 35.00 Ec� TIAZ. 0. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. B�elDat PERMIT EXPIRES ON c;P, _ !Dere/ Receipt No. j 1 [NHITE-D.D.S .-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _.. , 3110-8 30-462-06 t i DILBECK,-Harley 1931 Plumas Ave, Oroville PE (new garage) PE OWNER CONTR. ASSESSOR, PARCEL LOCATION r f . 7 { • 1 H, a Temp. Power Pole Called PG&E Temp. Elea, Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 n CORRECTION NOTICE OWNEfT 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. RMIN Date / w inspector l` = OK `0 = Not OK Not Not Ready MOBILE FOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements oning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance A 8. FrM, g; Sills -Anchors -Studs tr Trusses . iding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date ' 10. ; Shthg-R ing Card -B1 Date Card -B1 Date Ext.; Steps- oor Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Datej'�8- ward -81 Date - 2. Footings; Size -Spacing -Marriage Line Card -B1 M6 - Mard=B1 Date �� ' 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert..of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1' Date Card -B1 Date Card -B1 Date _ Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = VK 0 = NotOK RESIDENTIAL (Single and Duplex) - = Not Applicable = Not Ready r I - Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. De 3. Fig., Garage; Soils -Steel-/ P' Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe: Size & Anchors Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light-SDa Liaht Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62, Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth j 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Si. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit ioh site) A COUNTY OF BUTTE - DEPARTMENT 01 7 County Center Drive - Oroville, California 95965 - APPLI£AN AND PERI PUBLIC WORKS PERMIT NO. Telephone: 916/538-754 /� 4 IIT ASSESSOR PARCEL NUMBER ZONIN BUILDING PERMIT O WNE •//��) �, �H�Y� SQ. FT. O CC. BUILD-IINN'G� VALUiYTION OWNER'S MAIL NG ADRRR SS -a- I 4S CON Tji C, OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 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/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P RCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other gGl[ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e . TYPE OF WORK NeA Addition ❑ Remodel( Utilities ❑ Installation[] Other ❑ Describe work: 2 ��J _ lm_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE No. Classification el, 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 OCCUR.& OR ADONS. ` ACC. BLDGS. , /20sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 OUTLET CIR. EX. O( CCupOUTLETS OR FIXTURES 20®306 AL®30 1.20 FIXED APLNS.cense Ex. Occup. OUTLETS P(RESID )BEAN 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said CounV in copse ce of the granting of this permit. %�—^ Date / r7 Signature of Ap rant — Owner Controctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA PARK ___ SCHL F D PPI41 HD I ISsu This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PER T EXPIRES Date X the applicable provi- resolutions to do have been paid. WORKS Date /7 — -in Receipt No.� / IC\.,/ IC\., WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT j COUNTY.OF.BUTTE - lle artment of Public Works 7 County Cente7N-M ive,"Oroville, CA 95965 Phone: 916 -538 -7541 - OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. . , Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building.permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed -property improvement (yes or no) 2. I (have/have not) #A I%E signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed:ZZ � Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILaCALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. A)6-) Q OWNER * .� A. P..No. -- 0<Proposed Building Use Building Inspector Datelb�ltl At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 'e 1. All items have been submitted . .................................... — �+ Plot plans in duplicate/triplicate, signed by preparer of plans ........ Complete plans in duplicate/triplicate, signed by preparer of plans .. r 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. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11 Chico Urban Area fees paid ....................................... ;y 7Park fees paid ..................................................... School istrict fees paid .............. 14. Sanitation approval from Health Department �z 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre -'"spec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows:. Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant ��� �// IISIZ Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permitua ce: (Circle new item not checked above). 1. Index permit for above items No. r 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by ..date Contractor, designer, owner, was a ised of above required data by—phone _mail_counter by date Plans checked by ate Plans approved by 1:1�& Date X, Sets of plans on hold in File'cabinet AP folder Copy—DPW APS 30-962-0� t4o'TE:—All & W Aol- cc4trInc uso I the and pr )ST m. vor r CO, er 19,q A the V 0 P Serb `res ro ac\ \e-av ok ,,,Oge kvoxi, J ew A e Sha I e A Ae. \3% ,�PAX\ eQ St�v_,\,,e5 01 Ojel eaJE dor 0' . 3� A .. .. .. ............. .. .. ............ .. ...S. ....i. .. .. .. ... ...F. . Y ............. .. .. .. .. .. .. ....r.. : . . . . . . . . . . . . . . . . . . . . . . . h ................ .. .. .. .. .. .. ............. ............ .. .. ............ .. .. 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Assessors Parcel Number ❑ 30 00 — Q ©Q — ©©® Scale: 1" _ Owner Name flAe[£Y -9-,, DI t erp Address /Phone No. 3 p ; AULD, Site Location �_ Contact: Name ('____�,4 Phone �' � -- oac.. zi, 2DO3 .... ............. .. _. .. .. ...... .... ... ............. .. ............. ....t .... .. _ .. .. 4- ............ ... .. ................ ... ...... .................. ... .. _ .. .. .............. 1: .... .. ................ .K ESI ;, ._. .....t..... ....t.... .. :, ► w. i ` .' s .. .. F• d ............... _............ ......_.....-...... ....... ..... _....................... . . . . . . . . . . . • ....:. �.... J/�....Y...:......: FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres a.00r PROVIDE FOR ALL ADJArFNT PARrFI S SIZE (AC): ZONING: GEN PLAN: USES: t :n o r vi A, W-'0CL '-4 { Y OF, - � O G l — :n o r vi A, W-'0CL '-4 { Y