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031-202-018
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P - s AP 31-202-18 ✓ ,,1 - ,` H.�RMAN LACKEY t�a l 1084 Tehama Ave., �roville t _ _Permit# 1939-75B,(demolish res.) ;^ AP-31-202-18 HERMAN LACKEY 1084 Tale ma Ave. , Orovi1 le Perm*,t# 1940-75P,E.(util ,- ,�- J� . , MH) I• EC, — — a i 1 GAS b31 SUPPORT STR CTUR_E iD COMPACTION TEST RDQ' AP 31-:202-18, ` HERMAN LACKEY"`-" 1084 Tahema Ave., Oroville contra Ernies MH Transport, l4ary ville Penit# 1981-75MHI � rL2" Issued 7S our, — f 31-202-18 Permit#2565-83P E�Util MH ELEC q-9-8--L.Zoo /t ) GAS COMPACTION IEST REQ /yt0 �jl '3 SUPPORT STRUCTURE REQ All q,g' e031-202-018 ,-j, ,PERMIT#96-0771 ` +LACKEY,. ,Herman t 1084 Tehama, Ave., Or'oville ol Ele Ser Ch/SF . 1 O 1 d i rj11 I 0 L 031=202=018 PERMI'T46"0771•' LACKEY, Herman 1084 Tehama Ave.01''Oroville'J Ele Ser,Ch/SF.' / -67X10.7-) es �F�6s' �ddress Date Date GAS Date Meter By -------- 45 - ELECTRIC Da te c/ Meter By 61 COUNTY OF BUTTE- DEPARTMENT OrmVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, alifornia 95965 - Telephone (916) 538-754111J/ ITNO. APPLICATION AND PERMIT Z ;// ASSESSOR PARCEL NUMBER 'I 031--202-01$ ZONING AR BUILDING PERMIT OWNER Fi'r:RM LACKEY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1034 TEIIAMA OROVIL:LE CONTRACTOR'S NAME OWNER TELEPHONE 534-1732 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ SUILDINGADDRESS 1084 TEIL40A PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 OIROVIIIE Each Trap 7.00 LOT NO. SUBDNISION•SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE j SF Q Duplex ❑ Mobilehome ❑ Other i SPECIFY I Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C�/ ' Ii — Mobile Home I S I GI W I @20.00 PERMITFEES Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main ServiceE00v OR LESS ( 200A OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 1 LICENSED CONTRACTOR'S DECLARATION � I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law)or the following reason: 0 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project.' ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. OR ADONS. ( d ACC. BLDS. ) 3.5Q Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 07.50 WER (aPs NGLE OU LETTUS C R. ) Ex. Occup. (OUTLET OR FIXTURES BAL R 1.50 Ex. Occup. FIXEDAPPLN o.j OR .A) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 23.00 PERMITFEE 9 .00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �j� 1 ^q Date Signature of Applicant - 1Mo"Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures,over'3 stories in height. , . Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE (�(� �vv(�•00 TOTAL FEE $ 66.00 HAZ. I D. FEES I IMP FLOOD I COF PARCEL PD HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have B ,. y PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 195153 - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF,DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californ1a 95965 - Telephone (916) 538-754169 P IT Flo. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-202-018 AR ZONING BUILDING PERMIT OWNER HERMAN LACKEY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1084 TEHAMA OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE 534-1732 CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDING ADDRESS 1084 TEHAMA PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 OROVILLE Each Trap 7.00 LAT NO. SUBDNIS IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF )� Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ 0ti1'Ities ❑ Installation ❑ Other ❑ L Describe Work: e A cS er C,r Mobile Home I S I GI W 1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 800vOR LESS ) 200A OR LESS 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License LawPr the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BUDS. ) s0. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIA. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 ® 1.00 BAL 0 .SO Ex. Occup. (oFIXETs(REso.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 23.00 PERMITFEE $ 66.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit�those visions. /of X____ Date �'! /D_ /cy 4 Signature of Applicant - 2"Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable the Butte County Code and/or Resolutions indicated above for which fees have been By PERMITEXPIRESON (D provisions to do work paid. Date 1� e) Receipt No. 195158 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property. Owner: An "owner -builder" bdilding permit has been applied for in your name and bearing your signature:; .+. , - , Please complete and"'return ,.this information at your earliest opportunity to avoi3 unnecessary deelay. 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 :XES[i/j NO[ ). 2. I HAVE[V] HAVE NOT signed an application for a .building permit for the proposed work. 3. I haves; contracted with the following person (firm) to provide the proposed construction: M 5 1,�3�' _ ADDRESS: _ CITY• PHONE: CONTRACTO-R-'-S-LICENSE NQ. - I plan to provide portions of ttus work; -but I'have-hired- the •�followingiperson 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: PROPERTY OWNER: SOCIAL SECURITY NUMBER: � DATE:L&Sf- NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder,of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible=part3rmf-record on such a permit. Building permits are not required to be signed by property owners -unless they:.amr,P rsortally performing their own work. If your work is being performed by someone other than yourseW-�yau may protect yourself from possible Iiability if that person applies for the proper permit in his or her name. -Eowzactots 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 ben. -at -and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 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 several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for -you if you do not carry out these oblie-vers, and -these risks are especially .._ r=ect_tn worker's` �pensvvion inrartce. 0 For more sp4ific inibrrr,Auon afjut ..our ob>.i6atibns -ur-.der Yedoral 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 PavineaLs- and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed tc 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 "ownerbwlder" building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personall% _ -- Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento. CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerel Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This O%yner-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE BUILDING,DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE /o Sy TeLiam OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date _ c '" Inspector b REV 10/92 .. / LOCATION: • - - I '`' CONTRACTOR � � � �CO DATE." A.P.#:"� l O �. - 0( ZONING: PRE -INSPECTION FOR: DATE TO INSPECTOR P ERMrr HISTORY: [ ]NONE LLOWS: . C l TYPE OF OCCUPANCY: BUILDING INSP.CTOR' S REPORT Building Description: ( ] - mmercial/Usage: [ Residential/# of Units: Mobile Home: Yes[ No[ ] [ ] Currently Occupied. [ ] Abandoned/Vacant. lectric: Zyes [ ] No { Electric is currently : [ ] On [ ] Off Condition of electrical9 b c�- as:Cirrentl Natural [ ] Propane[ ] No ] Y On( ] O] Obvious problems: ion: Plumbing working Yes[ °'J'No[ ] Well: Yes[ ] No[""r Potable water: Yes[ ] Nof ] Obvious Sewage Problems: Recommended: [ ] Issue [ ]Hold for: Date: ector: �.� t. !- �31r'� • e ' t f% ,f�' .�;ri; • L �t•'.�a ((� �,. ��.}l�s �'a1 F I L� r �a, ,1 ° t , � L �t 'S y�• �i�T,•'•' `� .i Fi,� {',a"'yF.;�fSt'�+y`"4,��.� ♦�'t.-fa.r• ` y.i xi i } "�, 1 '�� ��' �,11�` � tYi !��' a; Sy i� � y� f �� u �L �i•,•y s.l �'Ss }i T\i �t J3 j L,.;ryr'�.,•'k•'J �'�tr 4r w rYb, t Yjio j'. �' �' i ' � � � a'4' 1�1T�r�h1��� �'�'[�•�.3"�l' �,��,�^�,yi, �'. ��+JJi Y i �"� i�` f' ?iii t'a�i �.t Y�� «j �. �_ �. C,Y' .��.I�•�e,r� 1 n� 'l"Fd1�i:�'« sR -14 H { h ` .r r J,� k h ..! 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It Ity t i . } r •�i • -�� � ;;� �;,,f�"3t f� ti�c,4 � { rY'' r ���y"s�"3�• • '�r < f-• , � <. p < !t7^ r � �?1 t �. � r _ 7 St':�,`'K t"-' .thy }yyy'''''f ' ••i S t' t t 4• � f W . v.K �<y .bks nth f .;� t;t r, � � � " t N1 • S t i •.'„r ���w. � S L y t S��}.��� t� k 'q ty S. t t 24�t��c,. f•*A �Y��r ,s ° ��•tf Ibrs�:�Sf" rt Af n A; i, -, "d �• r' : t is r art f%-, r t1, .w i+f ti'r tiM' Y I+trrlyti•^t" �Rr i t ."r}1i L ' rt �.. r -',•[rte r(: �i' 1 t��+'` t» • r as � . : �, ^ , ...,,..•,,,,t,M, rr:,w v wY,,..r.._---_,,,`"-_• _ _ - - - - -- AP 31-202-18 ' s liKR.M,AN LACKEY 1084 Tehama Ave., Oroville I s = I Permit# 1939-75B(demolish res.) HERMAN AP 31-202-18 { ', ';' } {• ', ,' LACKEY Tate ! ",�: � #7rt• �r° " . � � ;_• ^y� t S ;,' , t'. 1084 ma Ave., Oroville l R �.Lvr �:, 4• �, , Permit# 1940-75P,E(util., GAS_ h / SUPPORT STRUCTURE c " RED. soh � CORPACTION TEST REQ. ; � AP 31-202-18 "� LACKEY 'i 1084 Tahema Ave Oroville contr: Ernie s MH Transport, ary vi1_le `" '� •' _ �.,; Peen it# 1981-75MHI � f•. Issued 31-202-18 r—e n4- ��, Permit#2565-83P ESUtil MH) c ELEC �7-5-<43 Zoo ft Zl��g,cjU ! ti GAS c-,5-83�p11GL• 7= �4 COMPACTION ZEST REQ /1 tc Tj2 e} SUPPORT STRUCTURE REQ 410 L 5 3 t < .9��4tfSJyxrj � it � i - °*i'•r F � mak.. { .. .• � t t� t .+s;+ r t ` ' 4108s 7• tTx:. tv h ]y V t ifj �j, � l� •W rY' � fy r d t, t r sa 2565-83P,E(MH) " "PERMIT NO. i u PERMIT EXPIRESh�`J/Q_ • is OWNER HERMAN LACKEY $ CONTR. owner ' R ASSESSOR PARCEL 31'202-18 - LOCATION 1084Tehama, Oroville f. • f {ir{ i t. S t' » Temp.- Power Pole'-" ' OFFICE'COPY y Temp. Elegy;+ 4,1 " Calle : - :-.-..-.� �,...y �` #► "'� GAS,- ' • �Meter•By Temp. emp. GasELI'ECTRIC'.c'°+' _.�,.�a.►"� �r`k's3'� - 'Date� , • Called 2 JOB FINALEDI(Date)"" � 4 - Signature _. ' x. J OK O = Not OK - = Not Applicable MOBILE MES * = Not Ready MISCELLANEOUS Date MOBIL HOME UTILITIES (P ) OK except a's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except It's Zoning Requirements -Setbacks -Easements 1, Zoning Requirements-Setbacks=Easements oils; Special MH Support -Sketch 2, Footings; Size -Depth -Spacing -Connectors 4. ewer; Location -Test -Fall -C/0 -Concrete ate ; Location -Test -Easement Needed (Sketch) _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing lectricity; ocation-Clearances-Grnd.-/ mp-Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6 Test -Wrap:/ /"L"ft./ /"Nat. or/ P'L"ft./ /"LPG 6. Carports; Windows -Doors motility Clearance 7. Elec. —� C -BI XV�'Date _ Jg3 Card -BI Date Card -BI Date ,Card -BI Date Card -Bl- Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date - POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval v 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 6K = Not OK = Not App: Rea = Not Ready RESIDENTIAL„(Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Fig. -Steel 54. Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Service.Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection - - 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑ Yes 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. 74. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -_ 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At - _ 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral -'-'Yes El No Service -Riser Conductors & Ground -Main Disconnect 75. Following [] ❑ Yes ❑ No; Plantems Ye Drive Yes No; Walks Planters ❑Yes ❑No 76. Stucco; Brown -Finish __- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------------------- Card B -I _ ----- -_-._-.-_ __Date- -_ _ Card -BI -- Date -_ _ 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C-.-Ducts; Insulation & Support _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan_Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI 35. Attic Access & Platform if Furnace in Attic --------- - -- -- -- ----- --- -----------------. Date - _ Card -BI_ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card' -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: _ _ 36. _37. 38. 38. 39. 40. Sills; Proper Material & Anchors Walls; _Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Flow Nailing_ Draft Stop in Walls (rat proof) _ _Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat At Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiling Doors -Sill H_gt. & Dimensions__ _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, Californi-a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 100?—) ASSESSOR PARCEL NUMBER Z NING AIH BUILDING PERMIT OWNE tELEPHONE SQ. FT. OCC. BUILDING V.ALU TI N OWNE'R'S MAILING ADDRESS Drb CO RAC O 'S NAME ` • h r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKN Pi- Total Valuation $ Filing Fee $ -49-99-, LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �/tJ r Penalty $' ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADORES 10 PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 i--� Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome5A�Other SPECIFY Building sewer 5.00 Mobile Home 10.00e , TYPE OF WORK New El Addition EJ Remodel❑ Utilities Installation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.& OR ADDNS. 1 ACC, BLDGS. 1 2/20sgft ONTRACTORS LICENSE LAW - I declare under pens ty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y 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 CONSTR (MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS &1 NON.RESID. SINGLE OUTLET CIR. I Ts OR FIXTURES Ex. OCCUP. 200900 BAL®30 FIXED APP LNS. OR \ FIXED Ex. QCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 '] Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 ORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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, qosts, and expenses which may in any way accrue agai said County in con que of the granting of this.permit. X.1221d,ZidDate Signature of Applicant — Owner]4- ❑ Agent EJwork 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 $ TOTAL PERMIT FEE $ SIV _V OCCUP. GROUP I TYPE OF CONST. PARCE PD H I ISSU This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. TO OF PUBLIC WORKS ,o By Date PERMIT EXPIRES Date_��"a�� - Receipt No. 417-a WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT or "t> THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE,'CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: Address: ,._.�� Acct. No: A. P. No.: Phone: >=\r =' J `;? No. Units:' Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By:_ Date: CSA 26"` Remarks: SC -0 R - - - _ 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: Date: 3 Remarks: /( MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID " T Return to DPW Section 26-8.1 of .the AGRICULTURAL STATEMENT OF ACKN IWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Butte -County Code requires, this acknowledgement 83-27967 SHOWN be recorded prior to.issuance of a building permit. ' •. '. 2 The property described herein is adjacent -to land or included An�3 } within an area zoned for a ricultural purposes,, and residents of g PrP ELEANOR".::: :` r - CLLRK - R�C�JF;ieu this property may be subject to, inconveniences or discomfort arisingY-E from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, -and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established_ agricul- tural.zones which have as a priority use for productive agricultural purposes,- and residents within said zones and on adjacent property should .be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. r All that real property situate in the County of Butte, State of California, . described ,as follows: r `L �-t,� r L el �� lCv, c,�i A,(t2',� +:�`%c�1 .J%I r 1�Y111�4z, cl.( C.G�l.c�t�s�l� .Z vtc dw.f ,c /y7, -p 1xu�i a. 1 + t4.,, t<1 ��'```'` -e' C`/� `` . ,� . t/i r, ts�c y j f ��e, �irCi. e v�• 'Cn , e, il, i cr lK/7, K.`�,1/17i 1.4i CtiiYy -C/1. FF(�lf� �+�'14� .�'IJ Lniti c�� •Q.� ✓`�J� ;�J �/l1 n �'t. •&_14 A-Z� au I �-t'l �� /j(, , •�- LLC�()rte�(1% � /� ��° � iJi.Z. , �`'iifiLw'Q.:t.(!Mivil�/ t"� (l.C�-'rtl�(L'y'n- /�''�C.' ..t. C� -jetis•�p (�-c> —A�``,%G,G �zzrc' _d f ,t� �a,¢ '7 I'i66 !/ i� Wil:' .•�:. .yc � SJ`/j'% /;�+.tr�, •�..cG !. -plc du, ¢ --Lt �pwAgG a _S I � tli. 4,x,'- 3' Xir: � � -tw 'et�M sxov-d, 0 i 6 ie.'r .ti- dL4c, /���, Tic t✓t` uy,.v✓. v %t1 CtJ•C�IAI t • AL Fi ox .G,, a J I �•� BLE. Ce T c - its • Z.L lC�' L5. t,s•aX r��t �e`.I e�Co'T /L� �- !.4 -r-.!1'•��1/1r—L�it3% �`2Q(t.l,�(, ', ,tk{iAC, VA6YC.t. LL244 0,PROPERTY OW RSti- tc�'t1e/uL�nc-a4 31 "0 • ,Ev`ZtC`i'IDate, Y� a: .,•6 eLA14—, .: c� 3 6,5— State ,5-State of -11 On this the IGS day of Ad:kt i, i _5_;r_ , 19 _, SS. before me, -the undersigned Notary Public, personally County of appeared~ , tanuaweuudutnnutuuutamn�euim OFFICIAL SEAL LeANNE M. Kt60DEAUX NOTARY PUBLIC • CALIFORNIA COUNTY OF BUTTE F. 1/, CO MsslaA Erphss Jury 13, 1934 ■nuuamuinn4nsuo�nmaa�uuenswnanu�ly. a known to me to be the person(s) whose name(s) ��- subscribed to,the within instrument and acknowledged that Utz executed the-same°for the purposes therein contained. ` IN WITNESS WHEREOF, I hereunto set my hand and official seal; Pres ent A. P. NO. a • ti v Notary Public A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment exo for a 2 ft. eave overh&ng. Jr. C. - -J A i r l� Utility connections shall be withi ? r p, R, 4 ft. of the mobalehome, either directly.'behind or within the reg 1 ' half of the roadside (left) of the 4mobilehome. r4 F, Q v �0 T cc au �f{t♦ r P t00k s , -----M ki- I , rt f- p �{ 1, kept on the job at J,'fimes and .it is -unlavrr' I r� make any changes ar a0leretions on sarnowi r.11;• writrhon permission from the Departmqn_t of lie Works, County of jEjyedtm i�VI,' 0 25G S'- 8 TTE COUN NG DEPAR ArPPROV G a r Y r ' 0 MENT Butte Co. Planning Comm. MAY 2 7 1982 Oroville, California 1 (VOTE:—All Materials & Workmanship Shall Be in Accordance. with. Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and +fie National . A IV r p, R, r4 F, Q v �0 T cc au �f{t♦ r P „ . S.- r rt Cq n �{ 1, G a r Y r ' 0 MENT Butte Co. Planning Comm. MAY 2 7 1982 Oroville, California 1 (VOTE:—All Materials & Workmanship Shall Be in Accordance. with. Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and +fie National . -Butte (V Omni LAND OF NATURAL WEALTH AND BEAUTY PLANNING COMMISSION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 PHONE: 534-4601 September 30,.1982 Robert & Beverly Lackey 1084 Tehama Avenue Oroville, Ca.. 95965 Re: AP 31-20-2-18 Dear Mr. �nd_B4rs. Lackey: Enclosed is your validated Use Permit No. 82-27 to allow a second single-family dwelling on the above -referenced parcel. If you have any questions, please feel free to contact our office. Sincerely, AB. A. Kircher Director of Planning /hd Enc. cc: `department of Public ?;corks (2) Environmental Health Fire Department - I BUTTE COUNTY PLANNING COMMISSION USE PERMIT Soptomber 300 1982 DATE (Registered mail receipt), 82.27 PERMIT NO. AP 31.202-18 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Robort & Beyerloy Lackey is hereby granted a Use Permit NAME in accordance with application filed: Si27/82 to allow a second sinftlo- faraiiy dwelling on the north date gid© of Tehama Avonue, ap- 10roximatoly 300 feet gest of Trith At,r0n1,, 1• Failure to comply with the conditions specifies herein as the basis for approval of appli- cation and issuance of Permit, constitutes cause for the revocation of said permit in accor- dance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be com- pleted by the permittee within 12 months of the .delivery of the countersigned permit to the permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: 1. Pay Thernalito aroa drainage fee for a now living unit on an existing lot, $250.00. (PV) 2. Socond family dwelling to be connected to 3'hermalito Irrigation District sewor and water. (BH) 3. No more than one mobilo hone to be leased, or rentod, or tho occuptancy or uno of the mobilo hoeos or the site to be used in such a wanner As to create a mobile home park as dofinod �y State of California or Butte County laws, regulations or ordinances. (PD) 4. Applicant must also comply with all other applicable Stato and Local statutos, ordinances and roguiations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. CC: Health Department Department of Public Works (2) Fire Department Chairman of Planning Commission a� MH Utll.. PERMIT NO. 19 ,0-75P.E ,r d � f E M tiMH UTIL. ';,PERMIT NO. 07 PERMIT EXPIRES '-�owNER Herman Lackey :CONTR., ;LOCATION (A.P. 31-202-18 ) z~ 1084 Tehama-Ave., Thermalito y�f i 4 F b, r{ \i ,l • a r 1 i Temp. Power Pole k Called PG&E Temp. Elec. Serv. A Called PG&E A v A ZVI` Temp. Gas Serv. °y Called PG&E .�'7C s -0g - / �� FINALED .�`� �(D a`fe (Signature) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wequired.separation from lot lines and buildings and generally conform to plot plan?. Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) YesA"No 3. Are footings and supports properly sized, spaced, and braced as pew approved plans' (Note possible variation at spring shackles.) (Se.e.c. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes/_ No ' 5. If mor Phan a single unit, are crossover connections properly installed? .(Sec. 5088) Yes k No �. Water A. Is flexible connector of adequate size and properly installed (1/2" ID mx.n.)? iSec. 5566) Yes(Z'No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes�No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes ---'ONO 7. Wastes and Drains 1. A. Is connection made with Schedule 40 DWV and have flex connectors at.each end? YesL./No B. Does it have.minimum �4".per foot slope and is it properly supported? Yesl-�No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?-, .Yes No D. If coi�ch-isnot State'of California approved, does station have required trap and vent? Yest�No 3. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at _east as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes P-`� No B. Test OK as per following procedure? Yes" No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or'test with slope gauge _minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments.. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance,vents properly installed? Yes 40 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating'of mobilehome with a minimum of 00 amp) and 'other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yesti No C. Is power supply cord or feeder assembly properly fused? Yes e No D. Is continuity test satisfactory as per the following procedure? Yes XNo-- 1. De-energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. 'Switch all breakers and switches in.the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity .from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? "11. If everything okay, sign -off card and tag services. MOBILEHOME DATA �+ Manufacturer and/or Namestyle M Length 4 Width Vehicle Serial No. r 44 / 2., 6,3 e q �, State Identification No./ O `% 7 Y.`� 2 Additional Information or Comments: r COUNTY OF BUTTE `— DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING'(Cont'd) PLUMBING Setback ' �.� Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in s Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically -Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final 7, Sanitation 'Patio FIREPLACE ` Final /n Z 5— Footings Footin s Footing ELECTRICAL Masonr .Walls Throat Rough _� W Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final C.I.- 4,� A-51 DATE REMARKS OR CORRECTIONS q o��_ �-�/�. ho / has7"3 i'- /�a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �/95�D-7S auuwiicc lUPlUWVllL0LlVCS u� MU t,vunty of csune to enter upon the above-mentioned property for inspection purposes. Date�� J� Signature of Permitee or /- Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR G'F1 PUBLIC WORKS By Date,'/, •-7J_ B 1lding permit expires Date...............`...�� ' 6 BUILDING Owner E SQ. FT. OCC. BUILDING VALUATION Mailing Address 77 ` ' Tel pho e No. 3 Fireplace Contractor -Q 1f1C 11& Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address/_C PLUMBING No. @ FEE PERMIT FILING FEE �� p0 r , Z 77-0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1,50 /0 Each gas water heater or vent 1.50 A. P. No. — —2 Zonin P Gas piping system 1 - 5 outlets 1.50 40,0 Each additional outlet 30 F W. Sa Fire Dept. Fire Zone Use Permit Building sewer 5.00 , EQA Parking Plans Parcel Declaration Parcel M P 60' R/W Im r p ov ents Lawn sprinkler system 2.00 g. Plans,Rec'd Porcepprovol Plans Npproval Permit Fee - $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,®O ' Main service incl. 1 meter q?,00 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) + Single Family ❑ Duplex ❑ Mobil Home S Others ❑ Range, Cook -top or Oven 1,00 Water Heater or Space Heater 1.00 Light fixtures bal�d?o Receps., switches & fix outlets b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee U21,00 V_A 125 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this �C permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and 'state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ auuwiicc lUPlUWVllL0LlVCS u� MU t,vunty of csune to enter upon the above-mentioned property for inspection purposes. Date�� J� Signature of Permitee or /- Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR G'F1 PUBLIC WORKS By Date,'/, •-7J_ B 1lding permit expires Date...............`...�� ' 6 This set of pla-r+s and specif icrtions MUST be kept on the job at all times and it is unlawful to r.,rvp anv chnnaes or ciltero-L Wins on same without written permission from the Department of Public �( Works, County of Butte. All utility connections 4ha1l '9e located within 4 ft. outside the recti r third section of the mobile hom, OR on the left (road) side of the mobile ® home. A permit will be required for the installation o _the mobilehome., Septic system and location ' _..,. to he as e er M 1T' B�e County - Health Dept- Ica %y0 LlT� .f..p �•/G ? 3'' gdirements. S A n" Aph`k �4-A bliql4s Thvgt4q. Setback shall be 5 ft. frau+ the side property line and 5^. #t, free• the centerline of the roast, permitting a maximum of a 2 ft. eave overhmlJ, aye�to ^Cagcit M,�ale u n < �O r; ov fo BUTTE COUNTY BUILDING DEPAPT� A`NT APPROVED ` • � � I� LAct'6y � COUNTY OF BUTTE — bEPATr�VENT-OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541_ APPLICATION AND PERMIT I/ authorize representatives of the County of Butte to enter upon the above- entioned property for inspection purposes. Date Sig lure of Permitee or Agent Z� Receipt No. ,2 (� a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF►_1)UBLIC WORKS By •� Date 6" 2-'_7 uilding permit expires Date G"76 BUILDING Owner L.4GeE S0. FT. OCC. BUILDING VALUATION Mailing Address /d44f !/ Telephone No. Fireplace Contractor � ��-�r /' LE � � Total Valuation Mai I i ng Address e,,a;e 84&�;, Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address r PLUMBING No. @ FEE PERMIT FILING FEE $3.00 p ti Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping .1.50 Each gas water heater or vent 1.50 A. P. - Za Zoning & Planning Gas pi ping 'system 1 - 5 outlets 1.50 . Each additional outlet 30 F ,Saai4a4efi Fire Dept. Fire Zone Use Permit Building sewer 5:00 EQA a king PlansP Parcel Declaration Parcel Ma 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Pla Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .jti0 y� — Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 t Light fixtures Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 1� 1'9^%1Z hT(O's4i COUNTY OF BUTTE - Defirtment of Public Works 7 County Center Drivc , Oroville, California PHONE: 534=4541 Ln . utility r 20' M E 0 0 min � w K• w N rt w to n m N S1 rt K :Jw 5 K a w w o rt n a' r (o ri If so, specify *For plans and specifications of support system, see other side. G,aakey ��- MOBILEHOME INSET LATION INFORMATION ® � �Q/y- �� � Lot Facilities Mo'bilehome Data 1. re Ri/ j/ b Plot plan dimensioned, location of moBile 1. Length Width .2 and utility connections? Manufacturer )rg(f l=lyi a9 /u 1- Yes_kL No Vehicle Serial No. S,4//,,2 le GS U 2. Electrical. service equipment ampacity .� Insignia Control No. !7'��a iC 17�� 1 Circuit breaker ampacit.y /0 0 2. Feeder assembly ampacity j o Permanent Wiring Connection E.� Conduit size .2�' Ampacity ��� IR 1M Power supply cord, (amps) ReceptacleAmpacity 3. Gas inlet size 2/y 3. Gas:. Natural LPG •�r--®— Mobilehome connector size Gas riser size 3 Capacityama 4. Drain inlet size � 4. Drain connector: describe.on reverse side 5. I -later riscr.size 5. Water connector: describe on'reverse side 6. Are utility connection orated outside 6. Designed loads: the rear 1/3 of the mobilehome.within Roof live load sf. 4 feet of the left- wall? YesNo _ Wind load psf. . If not, show dimensions. above. (only for cmobllehomes manufactured after 7. Is the mobilehome clear of septic tank, October 7, 1973) tside public leach fields and locateXer-work 7. Manufacturer's installation instructions? utility easements? YesNo Yes No 8. Do you propose to do o on the g, Will the mobile home be installed on a property other than the mobilehome separate support structure?yes installation which will require a permit! No /�'. .Yes No, ( If so, specify *For plans and specifications of support system, see other side. G,aakey ��- MA Ipa �Pa Ln irts \ �O ADDITIONAL COi M'77'dTS — Drain Connector, ;escribe Water Connector, Describe_ LOAD BEt'u:ING SUPPORT AND 1OUTING I4FOPIIATION Pier_ Spacing Used Maximum Pier Load____,�?Sd-D Maximum Column Load (multi- nits only) , Soil Bearing Capacity Footing Dimension TYPE OF PIER. USED Steel Concrete Concrete Block Other TYPE OF FOOTING MATTRIAL USED Pressure Treated Wood 1-C Concrete ,Redwood (Grade) Other Approved Type LOAD BEARI\G SUPPORTS 0 BUTTE COUNTY BUILDING DEPARTMENT APPROVED ",PERMIT NO. 1939-75B P E t M yMH UTIL. PERMIT NO. PERMIT EXPIRES �y 76 1OWNER Herman Lackey CONTR. YLOCATION (A.P. 31-202-18 ) 9 1084 Tehama Ave., Oroville .r .E Temp. Power Pole Called PG&E _ /eE ElServ.. G&Eerv.G&E FINALED� ture) Setback Forms Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor ° Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing ZI Sewer Fdn. Vents Fixtures }: Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL FIRE SPRINKLERS Test Final MECHANICAL Heating Cooling Ducts Ventilation Final _REMARKS OR CORRECTIONS_ Rough Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final s COUNTY OF BUTTE — DEPARTMENT OF PUBLIC R S �. 7 County Center Drive — 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property r ins ection purposes. j y X Date /� Signature of Permitte e or Agen Receipt No. � [� (or1 [/o io White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR rOPUBLIC WORKS p By— Date llding permit expires Date .................................... BUILDING Owner r L SQ. 'FT. OCC. BUILDING VALUATION Mai I i ng Address / Qcl /� `r� Telephone No. ��� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ S, C9 o $ S` Building Address '44"'s-5 PLUMBING_ No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 --.ZO z —/� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER N] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 / Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures h20 al d2o Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE, 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property r ins ection purposes. j y X Date /� Signature of Permitte e or Agen Receipt No. � [� (or1 [/o io White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR rOPUBLIC WORKS p By— Date llding permit expires Date .................................... �� � J \`\\ ,�. � � � � ,, � � e �� �� ��. � . �, � ,, \ . I 717.90 Mb . Recofded at the request of OROVILLE TITLLE COMPANY Return to ....... erman__Lackey Rt.._2,._BOX_ 237'--A ...................................... --_._- Oroville,L__Calif:ornia 4 ve 600x1369 PACE " RECORDED AT THE REQUEST Of OROVILLE TITLE COMPANY APR 23 1965 at —ate Min. pas tq o'clocl OFFICIAL RECORDS OF BUTTE COUNTY, CALIFORNIA. E H L M. . ESTFS, County Recorder BY OEPUTY REC:ORD'ER ` GRANT DEED (Joint Tenancy) For value received WILLIS H. RUFF and MARCELLA RUFF, his wife, GRANT ............ to HERMN LACKEY and WILD -IA J. LACKEY, his wife, as JOINT TENANTS all that real property situate in the County of Butte , State of California, described as follows:. A portion of Lo.t 16, in Block 87 of Thermalito,.according to the Official Map thereof, recorded in the office of the Recorder.of the County of Butte, State of California, June 8, 1887, more. particularly described as follows: Commencing at the Southwest corner of said Lot.16; theace.East along the South line of said Lot 16, a distance of 10 feet to the .Southwest corner ' of that certain parcel of land conveyed to W. B. Hengy et ux, by Deed dated August 7, 1950 and recorded.August 9,.1950 in Book 5L7 of Butte County.Official Records, at page 231; thence North along the West line of the land conveyed to Hengy, as aforesaid, 175 feet to the Northwest corner thereof; thence East along the North line of the Hengy Parcel and the North line of the land conveyed to Ralph Kyniston et al by Deed dated Povember 6, 1950 and recorded November 8; 1950 in Book 561 of Butte County Official Records, at page 2614, a distance of 106.0 feet to the East line of said Lot 16; thence North along the East line of said Lot 16, a distance of 180 feet to the Northeast corner of said Lot 16; thence West along the North line of said Lot 16, a distance of 116 feet to.the Northwest corner of said Lot 16; thence South along the West line of said Lot 16, a distance of 355 feet to the point of commencement. Dated- April 15 1965._ -------------` � 1'r3rCel;Za:Ll'� .. ,i STATE OF CALIFORNIA ss• .j'; . �A ............................Count.7i Of ,3uttc i A Fi 23rd, 19.0?......, before me,.. acl B. Ste11e r, On I?......:-.._......................_............._..... -J .............................._...... a 1VoCciry. Public, in and for said ....................... _..... County and State, personally appeared ..._. Willis H. Ruf t a-ia_- 1-arct11a: .......................... _................ -------------------- •------ ...--------------------- ..-............................... ----....----------......----...-----•----=---........---- known to me to be the pers.on.Swhose names ._......... subscribed to the within -instrument, and acknowledged to me that ... hel. executed the same ll:f y commission expires .......... 9 f 2 §A ............................................. Cc o � �. �-- Jacl: ' `, L -1 Notary Public OROVILLE TITLE COTkPi Y