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HomeMy WebLinkAbout031-253-019031-253-019(DAY t`dBy��Th�rrrla/i"fo .4ue. 20x24 SHED NO PERMITS AP GER, William F ST 108 Therm ven Permit-# 1-994-74P, (util.,,MH) 8-27-03 SUBDIV TYPE OF I PERMIT NO. PLAN NO. / DATE PERMIT AP 31-253-19 M. L. BSB -s- e-391 -ito Ave., 5001 W. of 10 St Or e it,#939 :-75P E(util.� •E• - J SUPPORT 'ST R TUBE REQ. X" L_ C MPACTION T T REQ. L P 31-253- r \,CONTR.- Oroville T filer Sal Permit# /.1.72-75MHI Issued ;0_00� 3 -253-1 JCONTR : ACRO-LUME t. Orovil e Permit #5233-75 (reinstal awning for MH ). f;" 1 11151TI 31-253-1 v CONTR .• A o-Luise.,_ Qroville.__ Permit # a 75R (rPipstal. awns g & wooden deck /MH )-F1 W f 31-253-19 p , `ytJuy Busby f ����%% 1084 Thermalito Ave., Oro e - contr: Acro-Lume, Oroville rerttliL #3908�79B(uew awuiiig/Iffi) 31-253-19 CORRINE 13U-.SBY L 1084 Thermalito Avenue, Orov't le WT C ontr: Cousin Gary's MH, Re fins Permit#1473-81MHI (ex} 1 A 6_i' ) Issued =� / i r AP 31=2.5 " Corrine Busby 1084 Thermalito Ave., Oroville (FIRE REPORT - MH DESTROYED - 4/16/81) 031-253-019 03-1875 'POLSLEY, MR. 1084 THERMALITO, ORO LE Cont: SIERRA MHS - 0 EX MH PERM FND EX SIT 031-253-019 03-1975. POLSLEY, BILL ° 1084 THERMALITO 0 I Cont: ONER L W REPLACE DECKING 7 �? 31-253-19 it #1912-81is(new deck/1 - �1I - 3 2 3-19) contr: No a ley Awning, Oro. Per535-81R(new awnings/MH) PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT BUILDING AND SAFETY HM -HOUSE MOVING EP -ENCROACHMENT D - DEMOLI TION 600.1 y INSPECTION* RECORD BUILDING APPROVALS 1 - MNNA3iMAVOW-!VMU.'18IIW,IAL iw PERMIT NUMBERS 2 i SIG; DATE 1. { SIG. I DATE I SIG. DATE . ' ISIG. DATE SIG. DATE ! 1 GAS PR9"URE-TEST_,L==� ': r__', _ METERS" WATER PIPING SEWER LINE'APPLIANCES F m Q VENTS z Z j I I g iI 3 - , WF I I' W OmF UJ O = O' = IO w' OW �. Ww V WJ C7;Q t U J Ir 2 1:. x a fY W ! t S' F•i 1.. 1 I J { 3 0. U�Z1 z� K ~� ~� 'IW".aj �� I ZO �rc 1 w a z o o 'm a z { '�a om !za u SIG. DATE I I SIG i DATE SIG' DATE SIG DATE SIG: —DATE - SIG. i i DATE , SIG. DATE SIG. i I i IDAYE 1 I .r . SIG. DATE— , SIG. i I , ` i I I I ; II .-s s•a i+ DATE — - — '' 'SIG.; i s DATE ' 1 I I I .i I ' 'i 1 1 { i I I i •i +pr•. t DATE J I - MNNA3iMAVOW-!VMU.'18IIW,IAL iw PERMIT NUMBERS J i SIG; DATE 1. { SIG. I DATE I SIG. DATE . ' ISIG. DATE SIG. DATE iw ROUGH -IN GAS PR9"URE-TEST_,L==� ': r__', _ METERS" WATER PIPING SEWER LINE'APPLIANCES Q VENTS -- i e FINAL I I ( ' { I I ( I I j I I g iI 3 I I { 1. 1 1 1 K1,ECTM ICAL i APPROVAT,.4 I i{ ' I PERMIT 'NUMBERt SIG.' DATE' I SIG. I DATE SIG. DATE SIG.+ •DATE SIG. DATE ROUGH-1�V FIXTURES & APPLIANC9S METERS" FINAL l lhlfIITMW.oe7XUl/16w.wJJId/lW-1I- PERMIT NUMBERi "DESGGNATION; ' i 'SIG.' DATE { SIG. DATE SIG. ; i DATE SIG.: DATE 810. DATE I William Polsley 464 Grenache Circle Clayton CA 94517 County of Butte Attn Scott Rutherford 7. County Center Dr. Oroville, CA 95965 September 2, 2003 RE: AP 031 253 019 BUTTE COUNTY SEP 0 5 2003 DEVELOPMENT SERVICES Dear Mr. Rutherford: We are responding to the attached letter dated 8/25/03. The shed located on this property was existing at the time our parents purchased the lot and mobile home. They purchased it 20 years ago in 1983. Nothing was done to the building during the 20 years that our parents owned the property except it was painted once and some minor roof repairs were performed. About one year ago our mother died. Our father died recently at the age of 93 and because we were the only heirs the property was transferred to our name. Neither of us ever lived in the property. We recently had the decks replaced at the property. We obtained a building permit for this work. Subsequently we sold the property and are no longer the owners. We do not believe it is appropriate that the county make issue with this old shed at this time. To our knowledge our parents never were told the shed was not permitted; and for that matter we do know that it was not permitted as we understand the county records on old structures are not perfect. This shed may have been built 30 or more years ago. Yours truly, For Bill Polsley and Virginia Bondaruk August 25 2003 William Polsey ; Virginia Bondaruk 464 Grenache Circle Clayton, CA.' 94517-1432 RE: Building Code Violation Location:' 1084 Thermalito Ave., Oroville, CA. AP # 031-253-019 Dear William Polsey and Virginia Bondaruk: This, is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for construction of a 20 X 24 shed. . ; ... Since permits and inspections are required for the above work, please submit three (3) complete- sets of plans, ,.'apply.for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. Thefield authorization cannot be made until the existing ,work is'inspected and approved. •It is the County's goal. to obtain voluntary compliance with the Butte County Code. However, you should be advised that_Butte County has an active Code Enforcement Program which provides an effective means of '- .enforcemen. -1.1 '" 'tart'=compliance=*is-not-obtained.- Enforcemerit-may be`pursued through the issuance of -citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to'present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely;: , Scott Rutherford- ' .. Chief Building Inspector cc:-.+ Assessor Butte . County Departrnent ofDevelopment Services •a - ., ADMINISTRATION' BUILDINGGIS' PLANNING 7 County Center Drive BUTTE Oroville, CA 95965 COUNTY ,(530)538-7541 Telephone SEP 0 5 2003 (530) 5384140 Facsimile DEVELOPMENT SERVICES August 25 2003 William Polsey ; Virginia Bondaruk 464 Grenache Circle Clayton, CA.' 94517-1432 RE: Building Code Violation Location:' 1084 Thermalito Ave., Oroville, CA. AP # 031-253-019 Dear William Polsey and Virginia Bondaruk: This, is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for construction of a 20 X 24 shed. . ; ... Since permits and inspections are required for the above work, please submit three (3) complete- sets of plans, ,.'apply.for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. Thefield authorization cannot be made until the existing ,work is'inspected and approved. •It is the County's goal. to obtain voluntary compliance with the Butte County Code. However, you should be advised that_Butte County has an active Code Enforcement Program which provides an effective means of '- .enforcemen. -1.1 '" 'tart'=compliance=*is-not-obtained.- Enforcemerit-may be`pursued through the issuance of -citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to'present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely;: , Scott Rutherford- ' .. Chief Building Inspector cc:-.+ Assessor Butte County Department ofDevelopmentSesvices ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile August 25 2003 William Polsey Virginia Bondaruk 464 Grenache Circle Clayton, CA. 94517-1432 RE: Building Code Violation Location: 1084 Thermalito Ave., Oroville, CA. AP # 031-253-019 Dear William Polsey and Virginia Bondaruk: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for construction of a 20 X 24 shed. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR: kj cc: Assessor REQUEST FOR INSPECTION Permit No. O Locaticn: 0 Owner: � 7Contacto, Call O Phone: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. NSPECTIO Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Pipinglfest Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Ver Woodstove Sewer Piping Well Circuit Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche ' Corrections Corrections Corrections Final Final Final Corrections Ready for Final Inspec. on: Date: Comment: Fez r -I1�6 20 2--f - VU -1 i w OWNER: LOCATI( PRE -INSPECTION UP:ORT CONTRACTOR -31edlr SE'V Ul cam, PRS-MPETION DATE TO INSPECTOPERMIT TSTORY.( )NONE Banding Description: commercial/vsage: Residential/# of Units: Currently Occupied Abandone"acant Electric: Yes 4 No Condition of Electric Gas: DATE:—/0415: \ A.P. ZONING- ( VCfFOLLOWS: BUILDING INSPBCiOR'S MORT Electric currently On Off Natural Propane None__ Curry On Off Obvious Problems Sanitation: Plumbing Wotidng Well Woridng Potable Water Obvious SewageProblems ACTION RECOMMEN,¢DEAAD: ISSUE: Inspector. �,S le- J 1 A Date Z ,. Sketch buildings on'=reverse and indicate location on proper COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 a Telephone (530) 538-7541 puma N 2/96) APPLICATION AND PERMIT ��JJ BUILDING PERMIT SSD0. PARCB LlJLIB . NE SO. FT. OCC. BUILDING VALUATION iEtFPt�►�E rw�crDlls ,+,,,�� .ei r� b ' �\(jJ � - O�S•o s7a.rCTOW LENDER )EAS 61011.D1G ADORM uCEME KD. HUE= OR 19i� Zg—= OR @9VLEF M MALM ADDRESS . D��t. ADDAE65�/ J SUBDN6 NWE PARCEL UA.P to. USEOFSTRUCTURE ❑ Duplex (3 NbbDehome ❑ Other TYPE OF WORK o --END �S P,L c6, V d ` l Ab �t "h • Total Valuation S Firma Fee ,C) S `/ 20.00 Permit Fee, .SG Service 23.00 Plan Chockina Fee s Energy Plan Checking Fee S - s PERMIT FEE _ Z PLUMBING PERMIT Filing Fee 20.00 Each Tr-•----- •---•---- -----•T:Oo -. Solar or heat pump water heater 23.150 Water Piping 15.00 Each ges water heater or vent 15.150 Gas piping syslem 1 - 5 outlets 15.00 , Building sewer 15.00 Mobile HomoIST-GIWI @20.00 PERMIT FEE ( t: �U. — 20.00 Main sarvice xwoD�► °�" 23.DD Mnnn Service zoW To IN" 46.DD New L;olmr: // o�rei++a occur. 3.5t�. Olt Roml9. 1 s EAMM outtEr OR FucruREs ..m enms ® se Fv® APPUfS. OR S.OD ourLEts _.IEL Service 23.00 e FAeDifiPs 20.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 215.150 s.so PERMIT FEE I S Mobile Home InstaOation Fee S Energy Inspection F S TOTAL FEE $ Z 1t4Z. I D. Fm I WP I ESD I CDP PARCEL PD MD 6sOE This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date _-- l ICS C'r•/ 2> i r rnIIIt,fp i PC« a .z c � n` 6 g m rn` �h,FD lo, QECK d y- AP ;3J,-25:3 - 9 GER, William F. / Corrine Busby 108 Therm ven Term'.�/ 1084 Thermalito Ave., Oroville ST __-Perm t # 1994-74P, _ (FIRE REPORTI_ MH DESTROYED 4/16/81). (util .,MH) r'laidfir;= -- AP 31-25 9 - - t t M.L. BtR r 's LOT BLOCK SUBDIV. a lto Ave., 5001 W. Of lot St Or i e { r i+# 39 -75P E(Util. MH TYPE OF f PERMIT PERMIT NO. PLAN NO. I DATE 1 �� D REMARK S 1 I� SUPPORT T TUEE REQ.T C NLpACTION TEXT REQ. rs . i P 31-253- r I \ CONTR o Oroville T filer Sal Permit# /.172-75MHI Issued 3 -253- CONTR : ACRO-LUME , Orovil e I Permit # 233-75 (reinstal awning s for MH) j"* ! � � i 31-253-1 e CONTR. A ro-Lu,±e, Oroville Permit •#' 75B (r pstal awns g & wooden deck iMH j �uy BC% 31-253-19 _ usby •� r /�%� 1084 Thermalito A~`Oro e contr: Acro-Lume, Oroville >-� Permit #3908-79B(new awning/MH) 31-253-19 R CORRIN BUSBY 1084 Thermalito Avenue, Qrov' le Contr : Cousin Gary's MH, R ing i`.Permit#1473-81MHI(ex' s e) t - :. ; Issued 1 1 31-253-19 . _% — - - it 11912-81B(new deck/i ; 3-19 contr: No a ley Awning, Oro. Per 2535-81(new awnings/MH) - _---------- �� I&SO1001AQ: Main Assessor Name POLSLEYWILLJAM H ETAL Asmt # I Fee # 031-253.019.000 3 1 Status ACTIVE Status. Date �� - Addr1 BONDARUKVIRGINIA � _— Tax 000 NORMAL OWNERSHIP ,TRA 104-010 Addr2 464 GRENACHE CIR Situs 1084-_THER4ALITO AVE OROVILLE Addr3 ICLAYTON CA 94517.1432 _ �� Base Dt 01/0111984SEEM Addr4_ 1 Land 14,301 Timber Preserve Structure 34,331 'Comments 3125301900 CONVERTED 09108/88 AgPres . J Etal Fixtures _ 0, Creating Doc# 1983828936_84 Date Growing 0 i r Notes ; 48,6_32 Current Doc# 200380026635 -3Date 04/28/2003 (J Bonds Total L&I -' Fix. R 0 Killing Doc# Date 1 Multi Situs fJ Flag1 MH PP _ 0, Asmt Desc 1084 THERMALITO AVE JI SuplCnt U Flag2 PP _ 0 Zoning AR Dwell 0 r 910 MH Exempt 7,000 Acres/Sq Ft o� = 1 NIC 031 0 Asmt PP Pen Net 41,632 RIC>'tr--- Tars PP Pen I� F Appeal Pending TIR Dt Split Pending R/C PHY OWN I EXPTAX HON ATT SIT. APR. PCL jj fes'+) Q - E] Find IIf mil 1� 2003 RTEAYS, 05 j 15 j2003 9, 35; 33 AM RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 25 -Jul -2003 2003-0049140 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAM H. POLSLEY AND VIRGINIA BONDARUK REAL PROPERTY OWNER/LESSOR 1084 THERMALITO AVE MAII.ING ADDRESS 95965 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 1084 THERNL LITO AVE INSTALLATION MAILING ADDRESS, IF DIFFERENT SI ATURE OF LOCAL AGENCY OFFICIAL OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP HERBERT POLSLEY AND BESSIE POLSLEY UNIT OWNER (if also property owner, write "SAME") 1084 THERMALITO AVE MAILING ADDRESS OROVILLE BUTTE CA 95965 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 03-1875 530 538-7541 BUIIDIN PERMrr N0. 1 f TELEPHONE NUMBER SI ATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE') NONE DEALER LICENSE NO. SKYLINE HOMES INC 1980 SKYLINE MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 01750180APBP 44'X24' CAL198459/60 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCKIPTI ASSESSOR'S PARCEL NUMBER AP # 031-253-019 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Awlicant GOLDENROD - Buildine Dent LEGAL DESCRIPTION A.P. # 031-253-019 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OLIVE HOMESITES UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, NOVEMBER 19, 1959 IN BOOK "24" OF MAPS, AT PAGES 17, AND 18. ASSESSORS PARCEL NUMBER 031-253-019. BUILDING PERMIT NUMBER: 03-1875 Address or location of unit: 1084 THERMALITO AVE., OROVILLE CA 95965 Legal Description of Real Property: AP # 031-253-019 i SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551: Owner's name: HERBERT POLSLEY AND BESSIE POLSLEY Owner's address: 1084 THERMALITO AVE., OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: CAL198459/60 SERIAL NUMBER OR V.I.N.: 01750180AP/BP MANUFACTURER'S NAME: SKYLINE HOMES INC. YEAR: 1980 OFFICIAL APPROVING INSTALLATION: Aa%%7�l1� ✓.,Cis '' DATE: 7-;�03 PHONE: (530) 538-7541 H.C.D. 513C 06:03/2003 09:03 FIDELITY TITLE OROUILLE.4 53=10'709 1J0.459 PO4 ' STATE OF CALIFORNIA. OLITNESS, TRANSPORTATION AND HOUSING AGENCY t GRAY Dws, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT suvc• DIvIrIon al Codes and Standards �r� p 3 ca w Title Search '��, �t ��0� Date Printed : 05/28/2003 Decal #: Manufacturer: Tradenarne: Model: Manufactured Date Registration Exp: First Sold, On: LAC6944 00 SKYLINE HOMES INC SKYLINE SKYLTNE OB/27/19130 05/06/1981 Serial Number 01750180AP 01750180BP Registered Owner: HUD Label / Insignia CAL 198459 CAL 198460 Use Code: SFD Original Price Code: ALF Rating Year: Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Length 'Width 44' 12, 44' 12' HERBERT POLSLEY 1BESSCE POLSLEY (Tenants in Common Or) 1084 THMMALITO AVE OROV'ILLS, CA 95965-4242 Lost Tide .Date: 02/14/19$4 Last Reg Card: 02/1411984 Sale/Transfer Into: Price $10:000.00 Transferred an 12/16/1983 r Situs Address: 1.084 THEILMALITO AVE OROVILLE, CA 959654242 Situs County: BUTTE Title Searches: FIDELITY NATIONAL TITLE 455 ORO DAM BLVD SUITE A OROVILLE, CA 95965 Title File No: 104244 FIDELITY NATIONAL TITLE 455 ORO DAM BLVD SCUTE A OROVILLE, CA 95965 Title File No: 104244 Title Searches; FIDEEJTY NATIONAL TITL5 455 ORO DAM BLVD SUITE A OROVILLE,'CA 95965 Title File No. 104244 r'TDELITY NATIONAL TITLE 455 ORO DAM. BLVD WITE A OROVILLE, CA .5965 Title File No: 1 D4244 06/03/2003 09:03 FIDELITY TITLE OROUILLE Recording Requested by and Return to: CHERYL L. TYME Attorney at Yaw 55 Declaration Drive Suite B Chico. CA 95973 (530) 894.2100 Mail Tax S tawment to. WILLIAM H, POLSLEY 464 Grenache Circle Claytoj, California 94517 A. P, # 031-25-3-019-0 4 5340709 N0.459 GIFT DEED 7zi�4�3—O��EsEr35 Recorded I REC REE 111 0"icintivROf� 6 1 couCARACE�S$I Hum Recorder I RdSftRY atCKSM I Asbistatni I Andrew agr0RAM 29-Ap►-2003 I Gage 1 of R D02 Documentary transfer tax S NONE. Bona fide gift (R&T Code 1 191 I) j�� 41W FOR No CON EArATION, GRANTOR I±ER FT M. POLSLEY, a u�nmaid mai as his sole and sep to property, does he GRANT 1'L LYAM H. P0LSL1E'and VIRGINIA nun BONDARUWas tenants in coot all that real property situate in the County of Butte, State of California, described as follows: Kzt 10, as shown on that certain Map entitled, "Olive Plomesites Unit No, I", which Map was recorded in the office of the Recorder of the County of Butte, State of Califomia, Novembar 19, 1959 in Bonk "24" of Maps, at pages 17 and 18, Dated: April 4, 2003 RERBWT M. POLSLEY Description: Batte,CA Document-Year.Doc1D 200.3,26635 Page: 1 oft Order: 104235 Comment: LEGAL DESCRIPTION A.P.# 031-253-019 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OLIVE HOMESITES UNIT NO. 1 ", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, NOVEMBER 19, 1959 IN BOOK "24" OF MAPS, AT PAGES 17, AND IS. ASSESSORS PARCEL NUMBER 031-253-019. STATE OF CALIFORNIA BUSINFSS, `IRAI�'SPORTATION AND HOUSING AGENCY ;��` '�• DEPARTMENT OF HOUSING AND CONfMZJNITY DEVELOPMENT a 1� DIVISION OF CODES AND STANDARDS REGISTRATION AND =ING PROGRAM STATEMENT OF FACTS This unit is a: F7 -'l Mobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper Decal (License) No.(s) Trade Name Serial o (� SKrI-i Nc 619 I/We, the undersigned, hereby state: I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on(State) (Date) (City) Signature(s) Printed name(s) Address City_ &A41zeA 6—, - , State HCD 476.6 (REV 9/91) 4 I I i H.C.D ATTACH CHECK DFOM Ba /J _ n w _ _ I I DESCRIPTION US BANK AUTHORIZED SIGNATURE 1100001813411' 1:L2LL2267PD: L5340L40392Sul R NAME: AN- DATE: a — EXPLANATION AMOUNT 90-2267/1211 3827 SIERRA MOBILE SERVICE 1813 4 SIERRA FOUNDATION LIC NO 470386 H16B 466 CIRCLE DR 530-534-0599 OROVILLE, CA 95966 PAY Ltllw soa dy loswrea AMOUNT (l� L 12 emu. OF .DATE TO THE ORDER OF GROSS INC. TAX SOC. SEC. ST. TAX MEDICARE TAX CHECK NUMBER CHECK AMOUNT bas 3 XSb3 cD GD i $ 9,-T 00 DFOM Ba /J _ n w _ _ I I DESCRIPTION US BANK AUTHORIZED SIGNATURE 1100001813411' 1:L2LL2267PD: L5340L40392Sul R NAME: AN- DATE: a N DFOM Ba /J _ n w _ _ I I DESCRIPTION US BANK AUTHORIZED SIGNATURE 1100001813411' 1:L2LL2267PD: L5340L40392Sul R NAME: AN- DATE: a y NOTES RESIDENTIAL 031-253-019 03-1875 PERMIT NO. ]_LqLS4EY ' MR.1084 THERMALITO, OROVILLE SIERRA MHS .Cont:X MH PERM FND EX SITE ©3-l`?7S THE HCD FORM 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. F�_' 11 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) —� Signature V = GLK 0 = Not OK = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or / P' L "ft./ ' P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easemerits 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 -.0/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 PERMZFIT END SYSTEM (ONLY) Line ctricity; MH Test 6. Wat • Test ater and Sewer Connected Gas and Electricity. Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date " Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f� a MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s _ 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date 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 0 Yes 0 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing I Date FRAMING (Continued) _ 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.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 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-253-019 ZONING BUILDING PERMIT OWNER POLSL TELEPHONE SO, FT, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 1084 1056 R 57 024.00 CONTRACTOR'S NAME SIERRA MOBIL TELEPHONE -0599 CONTRACTORS MAILING ADDRESS 466 CIRCLE CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 225.25 Plan Checking Fee $ 21-00 BUILDING ADDRESS 1084 T14FRmAuTo agovmp. 9,5965 Energy Plan Checking Fee $ $ PERMIT FEE $ 268, 25 LOT NO. in SUBDIVISIONS NAME CIT TW Tj" lalxgg 24 PARCEL MAP PLUMBING PERMIT Fling Fee 120.00 J�,/Jg USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH PERM FND EX SITE 24X44 Sq ft Gas piping system 1 - 5 outlets 15.00 J S-00 Building sewer 15.00 Mobile Home S G W 020.00 PERMIT FEE S 50.00 FLODD • X, 07900 ELECTRICAL PERDMIOR Fling Fee 20.00 LEss Main Service 20OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR ADONS. ( MLIAC°a�D' sO 3.5QFT: NOR EW CONST. NON-RESID. BRANCH CIRCUITS 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES BAL @':50 Ex. Occup. O.Aa ) El 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. leave 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' compengation insurance carrier and policy number are: Carrier .0 Policy Number `tlSJ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 co ply with those provisions. XAL/I Date 6/0 -indicated Signature of pplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE HAZ. e--� D. FE IMP FLOOD X 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 above for which fees have been paid. By �y Date, PERMIT EXPIRES ON eTe ReceiptNo. 382213/ $318.25 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �� u�ar��yw.r-r�•c-v COUNTY OF BUTTE -DEPARTMENT 7 County Center Drive, Oroville, I PERMIT API ✓fLOPMENT SERVICES -BUILDING DIVISION,rA I -Phone (530)538-7541 Fax (530)538-2140 TION DATA SHEET OWNER: (/ ASSESSOR PARCEL NUMBER (3,�/` 1 C G� / Proposed Building Use: narn r4,4(, -X, S Counter Technician: _r Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. )1.. Plot plans, 3 or 4 sets, signedky the preparer of the plans. ' 02. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. 6. _Manu fac. _ ed homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or �foun_dation plans, 11 in duplicate. ❑ 7'" -eta l-buil'd`s s: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The,.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped anis signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form.... ......................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit...............'.......................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: • ...................... ❑ 19. Planning approval for (A) Use: a K (B)Parking: (C) Parcel Check: % 3®� a ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. 4 0 2,❑ 2 Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy) . Pre -Inspection for required ................ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits. ...........................................4....,,. �. ❑ 30. rant Deed,.N4.1-1. 4.H. Title/Statement of Facts, ❑Letter from Legal Owner,�(�J'Check to H.C.D. $ a Ni • �� ❑ 31. , Other: When issued Telephone 3 _! (. and hold for pickup. 1 I have been informed of the above items and requirements for obtaining a building permit. t Applicant: d Dater �/ S 3 g Y 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required T Contractor, designer, owner, was advised cf the above data by ❑ phone,' ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone; ❑ mail, ❑ couple , b i Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellowy Buildine Divisinn :.,._ Building Permit Nu er: 0 Owner Name: [ SI 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 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997'U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW aYour parcel lies within a designated 100 -year flood plain. Finish floor, electrical, HN.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 wfih the flood elevation requirements: I. 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. Pagel of 2 'i � Q ' t 0 1 Building Permit Nu r. bej Owner Name:O Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback ofob �5"eet from the side and M 54e'e'tom 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. Page 2 of 2 l6S Al 2�, x PLANNING DIVISION- BUILDING PLAN APPROVAL 6 3L � Use: Dace: ping: Landscaping:--- Other:-- r e", andscaping:Other• -7 5 rn-� BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,,XA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: V-1, c.1 FSw 2. Instal.1er'.s name: C_eV_L/S 3.,.Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR--, Is the site an existing site? Yes No (If yes, furnish two (2).plot plans.) 4. Will the mobilehome-be located at least 5 ft. away from septic tank and leach fields and clear of. all setbacks and easements? Yes !F// No (If no, clarify - ) 5.What is the mobilehome electrical rating? ----------------------- %OC3 Amps 6. .What is the mobilehome site service rating? --------------------- - `/0 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load -to be—served by the mobilehome siteservice? --------------------------------------------------- Yes No. (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe•size?---------------------- (in.) 10. What is the type of gas service?-----�E-``------------------------ Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------ (BTU) 0,01/7 ,// I 1 .(This information not required i£ pipe length leshanes 6� ft.'ori�natural gas or less than 50 ft. on LPG.) ��f��(� a MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish; Setup Model No. --^_0Z-- Year Z� Width Z- (ft.) Box Length d g (ft.) Tagalong or Expando Size "<5ft. x �— ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobiillehome unless otherwise specified. : r 9EQ5 6 . A'S 't -OC 7ED g✓- ly Single S7;EW4. 6/\/ RlA4 �,QISI Se . A Z Y (ft.)(in:) (in.) (in.) Center support Center support locations* footing sizes (ft.)(in.) (in.) 3&Y,3c) (ft.)(in.) (in.) (in.) L� 2 (ft.)) (in.) (in.) (in.) 'If center piers are other than drawn above, draw in. -locations, spacing,. and dimensions. A J. u.J Footings (check one) Wood either pressure treated o: foundation grade. 2. Other: (specify) Supports (check one) Concrete block. Q .2:. Other. (specify) Tagalong or Expando,' show support details. - Typical Support in.) (in.) Footing Size a�o J -- Max Pier Spacing -- Max" Overhang, g'''% BUTTE COUNn 11 ILDING DEPARTMEN) 4S PP 0V D (ft.)(in.) (in.) (in.) L� 2 (ft.)) (in.) (in.) (in.) 'If center piers are other than drawn above, draw in. -locations, spacing,. and dimensions. A J. u.J Footings (check one) Wood either pressure treated o: foundation grade. 2. Other: (specify) Supports (check one) Concrete block. Q .2:. Other. (specify) Tagalong or Expando,' show support details. - Typical Support in.) (in.) Footing Size a�o J -- Max Pier Spacing -- Max" Overhang, g'''% BUTTE COUNn 11 ILDING DEPARTMEN) 4S PP 0V D VECTOR DYNAMICS FOUNDATION. SYSTEM WIND. ZONE 1 & 2 INSTALLATION INSTRUCTIONS For the State of California INDEX SECTION INTRODUCTION PIER HEIGHTS GENERAL INSTALLATION SET-UP INSTRUCTIONS METAL PIER & V -DRIVE PARTS LIST CONCRETE INSTALLATION SCHEMATICS • PAGE NUMBER 3 4 5 & 5a 6 7, 7A, 7B&7C 8&9 WIND ZONE I - SINGLE SECTION 10 - SINGLE V -DRIVE 11 - METAL PIER 12 - DOUBLE SECTION 13 - TRIPLE SECTION 14 WIND ZONE II - SINGLE SECTION 15 - DOUBLE SECTION 16 - TRIPLE SECTION 17 SOIL CLASSIFICATION - 18 COMPONENT PARTS AVAILABLE UPON REQUEST Foundation System 03 -t � l S- yy-rBU77E C061 MTV 777 - Release Date 8/13/2001 Engineer Approval T U C� LU N�' 2011 T,�lF r OF C� APPROVED SUBJECT TO CORRECTIONS NOTED' APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREM&NM OF APPLICABLE STATE LAWS AND REGULATIOivS State of California Department of Housing end Community Development ID S C .S AND STANDARDS �-/o -O / (signs ua) G� r SPA NO. /0 For Further Information TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta, GA 30336 404-344-0000 FAX 404-349-0401 www.tiedown.com Tie Down Engeneering, Inc. VECTOR DYNAMICS INSTALLATION INSTRUCTIONS latmduation These instructions describe the proper use of the Vector Dynamics Foundation System in Wind Zones 1 & - 2. Additional installation instruction is available in VHS video, from manufactured housing distributors or from Tie Down Engineering, titled, Vector Dynamics Installation Video. The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone I & II & III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec- tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & II), are available through local distributors of Vector Dynamics or directly from Tie Down Engineering. Genera! The Vector Dynamics Foundation System provides the support to resist lateral and quer-turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these instructions. See manufac- tures Home Installation Manual for other pier & anchoring Muirements. The following characteristics apply to both single and multi section homes: • Main rail minimum spacing of 86 inches or greater. • Nominal 8 foot or less top plate height at side walls. • Main rail depth of 12 inches or less. • Maximum roof slope of 20 degrees (4.4 in. in 12 in.) • Maximum pier height under main rail of 56 inches (see page 3). WIND ZONE • Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. WIND ZONE 11 • Maximum single section home width is 15 ft including eaves, maximum eave width is 6" per side. • Maximum single section home width of 16 ft including eaves must use two additional vertical ties/ anchors/stabilizer plates (one per side) as listed in the charts on page 15. • Maximum double section home width including eaves 32 ft, maximum 12" eaves per side • Maximum triple section home width including eaves 48 ft, maximum 12" eaves per side The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic pad (s) has two (2) or three (3) square feet bearing area Piers not used as part of the Vector system shall be located and constructed in accordance with the home installation instructions and/or state standards. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than 56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806. The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See page 3. Note that a ground anchor is used at each Vector system location in Wind Zones II & III. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or the state. Check with the most recent regulations in California - The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations include shear walls, mar- riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the. perimeter joist or specified as a location for vertical ties. eo Page 2 California 8/2001 56 i ma: Figure Maximum Pier Height QiUind Zones I & II only) The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location in Wind Zone II, and where the pier heights exceed 24 inches on a single section home in Wind Zone I. Piers must be constructed in accordance with the manufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. 56 ii ma) r�yu�c c Unequal Pier Heights ( Wind Zones I & II onl)) 5'in. iax. Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails. The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location exceeds 24. inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your stat e.� Page 3 California 2001 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from. standing or flowing beneath the home. See manufacturer's home installation manual and state requirements for grading and other site preparation. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See pages 8 & 9. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each (set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe or TDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva- nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust- ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size and pier spacing must be consistent with home manufacturers' instructions and/or state requirements. LUMBER/MOISTURE - TERMITE SHIELD To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con- crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281 must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter bracket is used on top of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture Termite Shield may be required between the lumber and ground. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be instalfing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP TENSION All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight- ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight- ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven- tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con- nectors with welds. c � �F Page 4 Califomia 8/2001 Set -Up Instructions for the Vector Dynamics Foundation System #59007 (Kit #59007 is interchangeable with Kit #59018) 2. SET BLOCKS (OR PIERS) ON VECTOR FOUNDATION PADS Center the foundation blocks over the Vector pads. Place the pre-cut 4x4, 2x4's (side by side), Schedule 40 PVC (w/PVC adapter plate, part #59281) or 1 adjustable TDE steel compression member, (part #59043) tightly between the blocks, with ends resting on the Vector pads, and centered on each U -bolt. 3. OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of the foundation blocks and Vector pads. Place one of the short 6"- 2x4's between the bracket and Vector pad. Adjust the short 2x4 so that it pushes against the foundation blocks, removing any space between the piers and center compression section. Tighten the 3/8 bolts. 2 square foot pad placement or (1) 3 square foot pad I -S AND e Brackets to the re -cut boards or -ap with hook to each inside tie bracket. Tighten bracket. When using looped strap and a crimp seal, in place of the hook, place a 3" long section. of strap, folded in half .and inserted between the strap and inside tie bracket. Place other end of strap over the opposite (- beam and continue down to outside of the foundation blocks. Attach the strap to the Outside Tension brackets using the slotted bolt and nut provided. Wind strap a minimum of five times around the bolt. Continue tightening the slotted bolt until all slack has been removed and the strap is tight. 5. SET ANCHORS Refer to section home drawings for anchor installation information. Stabilizer plates are required for diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications 3 only), use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement. o Page 5 California 8/2001 i Set -Up instructions for Vector System #59018 (Kit #59018 is interchangeable with Kit #59007) Long U-8 1. Set Vector Pads Clear all vegetation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compression member. Attach a strap w/hook or swivel strap w/nut/washer & bolt (washers are required). Place other end of the strap over opposite I-beam & down to outside tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Page 5a California /2001 (0 CD w 1 ` WIND ZONE I - " -" home . Vector Dynamics Systems Required _ "" a Se60 of .,,Stems ay for Double Section Homes - _ _ - " .a 72 fad paCi�me°�salla�tOn (Materials Required EXamPsh01 s9eustbetoho -, - I ,♦ \\\aaar arl id sPao\n9 must undation p - I \ ♦ I \ q4 n r , Maximum allowable working drag load for the Vector System with the steel compression strut is 3,150 pounds per ♦ I - ' " NOTE: Vector Systems should be spaced as evenly as the K2 Engineering test report. Is practicable along the length of the home. Pier spacing must be consistent with home manAacdreW Installation Instructions andfor state requirements. Sall Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum \AIIAI/1 7P1AIC , Anchors Required: None (marriage wall anchors may be required by home manufacturer) 0 0 N2 sq. ft. pad Home Length Vector Systems Required 0to48' 2 48' to 71' 3 72' to 89' 4 Each Vector Foundation System requires • One Vector Kit, 2 slotted bolts • 2 ea. 1-1/4 In. ties, length will vary with pier height (4725 lb. min. break), • 1 ea. 4 x 4 pressure treated wood compression member or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member • or 1 TDE adjustable steel strut nn`vri VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified as Class 4A 413, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class 5 conditions (above 50 in. lbs.), contact Tie Down Engineering. SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D1586) Torque Value (2) 1 Sound hard. rock...... NA NA Very dense and/or 40 -up . More than 550 in. lbs. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 in. lbs. 3 sands, sandy gravels, very , stiff silts and clays 4A Loose to medium dense 14-23 275-349 in. lbs sands, firm to stiff clays 413 and silts, alluvian fill 175-275 in. lbs Peat, organic silts, 0-14 175 in. lbs 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gage the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its' resistance to penetration (flow) under load by means of the torque probe and is measured in inch lbs. The test probe has a helix on it. The overall length of the helical section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Information about geographical areas of termite infestations which might require the optional termite and moisture shield when a wood compression member is used may be obtained from the local building official or may be found in the 1995 edition of the One and Two Family Dwelling Code. Page 18 California 001 /03.1-253-019 '403-1975. POLSLEY, BILL 1084 THERMALITO',,kVt.,,OROVILLE Cont: OWNER '.,REPLACE DECKING/MH COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovillf, California 95965 • Telephone (530) 538-7541 _1 - /r H o, (Rev. APPLICATION AND PERMIT V ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE OWNERS MAILING ADDRESS - _ 1 LZrn' " SO. FT. OCC. BUILDING VALUATION GLI+It 6 r7211 CONTRACTOR'S -NAME _ - - _ 1 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ /, r^1 ARCHITECT OR ENGINEER LICENSE NO. - Filing Fee $ 20.00 Permit Fee $ r13 �. ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS r.,/ F-1., y ��. iL1TQ AVE.,$ Energy Plan Checking Fee $ PERMIT FEE $ n ^ rh LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ C" - _! J ` n-. � 2) D -X -w '� Describe Work: }��.t'" Dx:J Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lkw,.for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IOWA 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( 6 ACC. BLDS. 3.5¢FT. NON-RE81D MULTI.OUTLET 97,50 POWER APPARATUS IN. 6 SINGLE OImFT CIR. EX. OCCU OR FDTTURES SAL @ 1:00 50 Ex. Occup. OUTLEEDTS RESID.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation R 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 �•� ������,,..� fJ^'�+""� ��- 7r'" Date / U Signature of Applicant - ❑ Owner/��.,❑ Contractor ❑ Agent An OSHA permit is required fo exca�etI s over 5'0" d p and demolition or construction of structuresw 3 �tbri- h gh3.�1'' Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a4&e fqr f'whi fees have been paid. I ` .•� V (�/J✓�j By VVV 6 1, Date PERMIT EXPIRES ON U 717,14# -1. Receipt NO. �� V 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, Califor`tiia 96965 • Telephone (530) 538-7541 0 , (Rev. 12/96) APPLICATION AND PERMIT 176 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT N0_2 CIRM& 11DDcont C DR., 7 GA 95966 TELEPHONE TELEPHONE SO. FT, OCC. BUILDING VALUATION 4,000 C 5 MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: REPLACE DECKING ON (2) DECKS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main ServiceeoO0A OORR LESLESSS 2o 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License I -V I-Vor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a AM. BUDS. SO 3.50FT. R61pT. IS k uLT,' 0 FT @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU CUTLET OR FIXTURES BAS 9 .50 Ex. Occup.OUFIXTLETS AP NS DD °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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. n Xy�� Date / — Z Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is a uired fo exc ons over 5'0" de p and demolition or construction of structures o i g MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE 1= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ NAZ D FEES IMP I FLOOD COFpgRCEI pp ND 5 E This hirmit is hereby issued under of th utte County Code and/or Indic to ab e w i fees have th By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 7 i ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B. OWNER-SUII.,DER 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. personally plan to provide the major labor and materials, for construction of the proposed (: property improvement: yE.� NO El 2 I HAVE ❑ HAVE NOT signed an application for a building permit for the proposed work. have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code, This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION 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 party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an 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. ♦ 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 information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic 1 C. Vi ira, C.B.O. M er, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health mtd Safety Code OVER I t PERMIT NO. 1912-81B PERMIT EXPIRES j OWNER Corrine Busby CONTR. owner s ASSESSOR PARCEL 31-253-19 LOCATION 1084 Thermalito Ave.,lot 10, Oroville Signature �Y 4s; 'f lyy�' G' 6'. G E 'J Temp. Power Pole_ Called PG&E _ { I Temp. Elec. Service Called PG&E_ y Temp. Gas Service/ Called PG&E_ ,- i JOF HALED (Date Signature J -= OK O = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (P ns) OK except N's 1. Zoning Requirements -Setbacks -Easements tng Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2 ootings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3 cks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) e-4 —V o �}C n ; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete =6- A4uw_Awn.; Columns-Connections-Spl' cal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L" fl,/ /"Nat. or/ /"L"ft./ /"LPG -6.-Earpartc, Windows -Doors 7. Utility Clearance -z Elegy Card -BI Date Card -BI Date CA -BI /Dat Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q'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 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. 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 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL+(Single and Duplex) r 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. Fig., 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 -B loc kouts-Wrapped-S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-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 Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 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 Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 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. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 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. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except k'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. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI -- _ - --- --- Date _ - Card -BI Date Card -BI 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 q's 36. Proper Material & Anchors Comments at Final: _ 37. 38. 39. _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) f PERMIT NO. 2535-81B PERMIT EXPIRES 71a V� OWNER Corinne Busby CONTR. North Valley Awning, Oroville ASSESSOR PARCEL 31-253-19 LOCATION 1084 Thermalito Ave., Oroville Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Called PG&E / Z44/�JOB FINALED (Date) Signature V1 = OK = Not OK = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS r, Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. ning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch X, Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete ?-.'-Decks; Girders and/or JoistjngS cing-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 5. Alppm -Awn.; Columns -Connect' ec cl 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ 7 Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date OOOLS (Plans) OK except N'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 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 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 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK Not Applicable = Not Rea`+.y RESIDENTIAL.(Single and Duplex) Date UNDERFLOOR Plans OK except WS 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 Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Gard -BI. Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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 1.9. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. 65. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 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. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes El No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 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. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit; OK except N's 31. A.C. Ducts; Insulation & Support 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation gg, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI 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 q's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave , Chico — 343-4211, Ext. 70 e' 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE fo��t. A ..................... . ................................ --.V Building o- Property Address 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 pextaining to this natter, or need additional explanatioe, please contact this office immediately. �..... x, 6,. ................................................ _....,................ :•;.._....................... ......... ......................... .................. r��:...:;....... ............. j......... I' . .. .././..j..... Date. -57 .t... Inspector . .. _................... 'z� Do Not Remove This Tag (400-4) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ,695 Oleander Avenue, Chico — Phone 343-4211, Ext.'70 - 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE /09t/ BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. /1" )_ Inspectorf l t/ X / Datey! ! " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 ��/�� / ` APPLICATION AND PERMIT ASSESSO PARCEL N MBER -- 2 3— ZONING BUILDING PERMI OWZ/ORO SO. FT. CC. BUILDING VALUAT-QIO�N�y/�JEf305p DO O WyER'S MILIN�E rn /i/lC/7VE ll ot CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is - 0 Filing Fee $ 10.00 LENDER'S MAILING ADPRESS Permit Fee $ yo.,00 ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee ll $ /v.VV Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 86.,90 BUILD�y1 ESS,�4.2 "'4�� n ve ((fid !7V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 E U &iAezt//LLWater piping LOT NO. SUBDIVISION NAME PAR EL MA''P// " Y'•/ Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF ST UCTURE SF [:1Duplex❑ Mobilehome /Other SPECIFY Building sewer Lawn sprinkler system 5.00 ,—,� TYPE OF WORK New ❑ Addition � Hemod�el�4 Utilities ❑ Installation[] Other ❑ P Describe work: 10 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.b) OR ADDNS. ACC. BLDGS. 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. iLicense No. Classification f, 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(L1 NON.RES, D R BRANCH CTRCTITS 2.50 ea NEW CONSTR. POWER APPARATUS eJ NON.RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �� 00 IXED APPLNS. OR EX. DCCUp.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 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 5 Contractor 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 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 in consequence of the granting of this permit. X `J.4 Date Signature of Applicant - Owner ❑ tractor ❑ 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 $ TOTAL PERMIT FEE $ 30„00, Occup. G , TYPE OF CONST. r�/I_ Al��yl PARCEL PD HD ISSUE Y This permit is hereby issued under sions of the B ounty Code and/or work Indic d ab ve for ich IRE TO PUBLIC By PERMIT EXPIRES Dat the applicable provi- resolutions to do fees have been paid. WORKS Dat Receipt No. _450f 9,0, WHITE-D.P.W., Y, PINK -INSPECTOR, GOLDENROD -APPLICANT ELLOW-AS6l930R COUNTY OF BUTTE - DEPARTMENT JJ'F PUBLIC WO S PERMIT NO. 7 Lounty Center Drave - Oroville, California 95965 - Telephone 916 34-4541 a� APPLICATION'. AND PERMIT ASSESS R ARCEL NUMBER - ZON NG -21 BUILDING PERMIT owNE Y'S 13 -S TELEPHONE SQ. FT. OCC. BUILDING VALUATION 13 -4 CIA OWNER AILING AD RESS - - CONT A T 'S /Uo r ME �. TELEPP � h C tRA'CT R'S MAILING AD R 6 ,SS 1,^J Fireplace CONSTRUCTION LEN13ER UNKNO Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ .Co ARCHITECT OR ENGINEER LICENSE NO. 13 .S7 Plan Checking Fee ,$ Penalty $ ARC ITECT OR E GI ER'S MAILING DDRESS ��oo a �� ca Permit fee $ BUILDING ADD ESS I � PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOF SJ�iUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 / TYPE OF WORK New ❑ Addition Y� Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: k \ V\1U S Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.$) OR ADDNS. ACC. BLOGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full orce nd effect. License No.2 %/w Sa K 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I MULTI.OUTLE-f 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTF; POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR, 25 Ex. Occup OUTLETS OR FIXTURES a �@@1` IXED APPLNS. OR Ex. Occup -(OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 County in nse nce of the granting of this permit. Date Signature of Applicant — Owner g pp ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'ddeep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP. GROUP I TYPE OF CONST. v PARCEL v PD v NO �- ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC BY PE6116 EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date7—Q�'�9� Receipt No. -2 R?V WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 ORDER NUMBER ' REO. R.U. INCIDENT NO. FIRE NUMBER REG. R.U. NO. thrt ? L L ®LLQ-- OfR'Q'N LOCATION 2 ACRES BURNED SEC. WNSHI%IN RANGE MILES �IRECTIO . (Nearest 100 ❑S®❑W <2&/or <8 / _ .L 00<6 OR<8 Veh/Dwlg TIMBER &/OR 1 TOTAL TYPE P3INCIDENT RIR ❑FALSE ALARM TOP GO TO 10 ❑ WILDLAND VEGETATION �. 7- RESPONSBRILITY (AT ORIGIN) 4B DIRECT. PRQT. RE�P.(`D.P.R°) ZONE STATUTORY RESPONSIBILITY rRef.TTE ❑ WILDLAND BURNED OR THREATENED SCHEDULE A D.P.R.,17— i' fH STATE ❑ UNPROTECTED': •'- DISTRICT O❑ OTHER AGENCY D.P.R. CITY LOCAL ZONE LOCAL ❑COUNTY 06 SCHEDULE A D.P.R...:. ' ❑ U.S.F.S. t�❑ OTHER AGENCY D.P.R. (Unlncorp) &/OR CONTENTS ❑ B.L.M. FEDERAL ZONE A ' ❑ B.LA. ' 0 ❑ FEDERAL( oxcept Military) D.P.R. ❑ N.P.S. O❑ SCHEDULE A D.P.R. ❑ OTHER FEDERAL ® ❑ MISC./OTHER(°7ONE') ❑ OTHER 5 CAUSE (STARTS IN ooOOR 0 ONLY) Did not start In 1 2 6 oq ❑ SMOKING ❑ EQUIPMENT ❑ LIGHTNING ❑ DEBRIS ❑ PLAY W/FIRE ❑ CAMPFIRE ❑ ARSON OTHER/MISC. e rLANDUaSE(START3IN O 2 gROONLY) tart Ino 2 6 ero ❑ FOREST INDUSTRY TIC ❑RECREATION -FARM ❑OTHER INDUSTRY- COMRCL. ❑ DUMP ❑WILDLAND ❑ ROAD❑NON -WILDLAND ❑ UTILITY, RAILROAD ❑OTHER (� UTILITY, ELECTRIC DAMAGE ( 1 2 6 OROONLY) ACRES BURNED 7 N umber $ DAMAGEOf []NO DAMAGE IN . (Nearest 100 1 <2&/or <8 6 00<6 OR<8 Veh/Dwlg TIMBER &/OR 1 TOTAL AGRIC. PROD. YOUNG GROWTH ' WILDLAND VEGETATION (Other than T&YG) AGRICULTURAL PROD (Other than T&YG) DWELLINGS &/OR CONTENTS OTHER STRUCTURES &/OR CONTENTS VEHICLES & CONTENTS l• ` tl !TART MO. DATE EAR COUNTY e -- L- D FIRE NAME: - I ❑ A .25 ACRE OR LESS .; ❑ B 28-9 ACRES ❑ C10-99 ACRES ❑ D 100-299 ACRES E 300-999 ACRES ❑ F 1000-4999 ACRES ❑ G 5000 ACRES OR MORE VEG. TYPE ACRES BURNED 1 5 TIMBER 4 WOOD LAPID B.I.A. BRUSH OTHER FED. GRASS 1 TOTAL AGRIC. PROD. CDF TOTAL STATU-•. RESPON. OF 1 ACRES BURNED STATE U.S.F.S. B.L.M. B.I.A. W.P.R. S. (Ex -BOR) OTHER FED. OTHER 1 TOTAL 9 ON ARRIVAL ❑ 1 VEGETATION FIRE ❑ OTHER. GO TO 10 SIZE DISTANCE (Origin to head) ACRES FEET WEATHER (ESTIMATE AT SCENE) WIND DIRECTION FROM TEMPERATURE < M.P.H. OF P OVER PLEASE CDF 7540-130-0V, PERMIT NO. 1473 -81MHT 2xi st G i tP PERMIT EXPIRES— OWNER CORRINE BUSBY CONTR. Cousin Gary's Mobile Homes Redding ASSESSOR PARCEL 'I 1 —2 r; 3-1 9 LOCATION 1084 Thermalito Avenue, Orovil, Temp. Power Pole_ Called PG&E — Temp. le�ice Called PG&E_ Temp. Gase Cal led PG&E JOB FINALE[ Signature kl- r V OK 0 Not OK = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—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 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILE OME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 11'roning Requirements—Setbacks—Easements 1. Setbacks—Easements otings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability a MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining I tricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting: Distances—GFI rat ; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ate MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit zits; Insp.—Sketch ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date�AWF/Card-Bl Date Card -BI Date Card -BI Date V = OK O = Not4YK - Not Applicable 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. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test 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 Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except 1/'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps _ - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes E) No 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes E) No: Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 30. Clothes Closet Light -Shower Light 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 82. Glass Protection 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. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates, _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Ven;; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _- 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 q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. _Walls; Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac -Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) W COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the recjuirements of the California Administrative Code, Title 25, Chapter 5. under permit number for the following location: Owner Owner's Address = Mobilehome Mfg. Model Year Insignia No. ��° °' =' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. T1 . „ f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT Z07 MIT NO. ASSESSO PARCEL NUMB EF; l - X53 - l 9 ZONI G BUILDING PERMI OWR ITZI2r-IAJC 6t),r g TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C TRACTOR'S NAMy.P � VS !i(/ c.Z#/P.1/ S /Cups! LG �l l ® l - ' c oR' NG 9D�RESS S0077/��j(� C- Fireplace CONSTRUCTION LENDER UNKNOWN 4 Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 0-00 Penalty $ ARCHITECT OR ENGINEE 'S MAILING ADDRESS Permit fee $ BU ILgIp1,G TR ES�We nI L��0 V 1 `1 U [[[BJJJY l/7� / /TCY�Q/14 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 OA�/?�^,' ///// ,, � V 61!G� Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome[6__"�'Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK —/ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal Iation Other ❑ Describe work: )sof— �S'/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 VLin I !� Main service EA. ADD'L 100 AMP 2:50 NEW CONST. (DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. _ / 20 sq It CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions �Codee/ and my license is in full force %and effect. License No. Se = 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 CON5TR I.oU LET NON.RESID BRANCH CIRC TS 2,50 ea NEW CONSTR (POWER APPARATUS eI NON-RESID. \SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES 50 BAL@1 IxeD APPLNS, OR EX. OCCUp.�OUTLETS (RESI D.1 EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �— I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ' Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XC A( ` �/1� $aa=% Date _ Signature of Applcanr Owner JF Contractor ❑ Agent P� 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 $ SO.00 �j A TOTAL PERMIT FEE $ VD. eJV OCCDP. GROUP I TYPE OF CONST. PARCEL PD I ND 1 1S7 This permit is hereby issued under sions of the Butte County Code and/or work indicated above. for which DIR R OF P �" By117A— PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS �� ,^S Date ��/1 �� Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Mr. r This set of plans and'specifications MUST be kept on the job at all times and it is unlawful tc make any changes or alterations on same with- out written permission from the Department of � � � P. 016 public Works, County o "Buffs NOTE:—All-PAateriats-&-Workmanship Sha- 11' Be -in _ 5 . ._ - — —^ � Accordance with Recognized Good Practices and - - cif -a qualify prescribed for the Specified use in the - Uniform Building, Plumbing Sc -Mechanical-Codes--- — -- _ - --and the National Electrical Code. T J PA setback of 5 ft. from the- -property-lines-and.a setback T,tl sof 5oft. from the roadl;{+� �centerline-shall be clear of _ .. _. __ _ — ___ _ —_ :._ :lokae.a structures or equipment e*ce t ')��+f.'+i.,L� '•� !_•�� "�. 2:,ir �� ItJ�ti•:Fi{t,L' cI �3 �y�r - .:r!:� . ���! , it. ��'��y1 ;3.7. • ', ' ` �,,e ?7 t/73�!i�?e'�it•�� ✓ij�' :i:�:i �;Cl..."�.-^�1:.�; .',�jy..� . #+il r` _ _ _ •� — - .�, �_ ��_ �: : t- — ` '" .9i11!<`J i r'. :;!3 .:£'i!; f�lfi�rlfTi:i'� •ra'1 t' Z S+' :.':•JL :!♦ ::i t . � } . �'^,^tc 'fa�lilFri-t T:Q�:! f.5:►f!t' '��- ii f. .: / ��. s.Y: � ��'� # ' ^fit hl Oak; :J`.:tr17h=?t� 5i�i IC' ov • t �i7y�f,�l 1 fi "S �'J :ri i ti�rJti f, ir•l`y "r,r�i:,fJ 11'tt71,rtil } �j41 s • �� +...� �--�•"" ` � �„"''�'•�^�'� � `�ii� l:i�iyi .;: � 1v ii:,.iC"rIL2 . j7 t,3v r-------�--- i �:,xs.inemoiup3 irk _'�iteljL;it lc�M, . .. 41�3 1 i ly '��C►.'1 �'_ � �� ) ". •fes{�t * �. _ /i:i"S i••�Cl �'�J:':J' 1�i 11 BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,\CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: R I Ole_ J 2. Instal-ler's name: ezusio &Av4s i2lf{- 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR- Is the site an existing site? Yes No (If yes, furnish two (2).plot plans.) ` 4. Will the mobilehome`be located at least 5 ft. away from septic tank and leach fields and clear of. all setbacks.and easements? Yes %y'/ No / / • .,; (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- /0(5 Amps 6. What is the mobilehome site service rating? --------------------- " / 00 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- ��� Amps 8. Is there any other electric load to be,served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe„size?---------------------- (in.) 10. What is the type of gas K” service? ---`-=----------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? r (ft.). 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than -50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, 11 Mobilehome Mfr. y l,s furnish, Setup Model No. Year' Z5 Width 2- (ft.) Box Length (ft.) Tagalong or Expando Size ft. x -;-- ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. �► Q. �s ZOG47VD16ysr�aPs ®N- R/M �/�lS S ingl� , A L� (ft.)(in;) Center support locations* I I'll (ft.)(in.) u (ft.)(in.) (ft.)(in.) I I (ft.)l (in.) 0'3 Footings (check one) Wood either pressure treated or foundation grade. 2 Y x50 ' (in.) (in.) 2. Other: ( specify) Center support footing sizes Supporta (check one) (in.) 011"i: Concrete block. 36x30 1, 7 .2: Other. (specify) (in.) (in.) 4 lr---Tagalong or Expando,' 3(o k3 show support details. (in.) (in.) -- Typical Support in.) (in.) Footing Size 3Gx'60' (in.) (in.) 1- -- Max. Pier Spacing (ft.)(in.) 2 a -- Max. Overhang (in:) (in.) t.) (in.) 1�73-(6� BUTTE COUNn 11JILDING DEPARTMENT � PPOVED *If center piers are other than drawn above, draw in. -locations, spacing,. and dimensions. --,-4 ��x3co .. . ......... --k,•I j2AL- 7: f . 430 11"k -po pM U) iK2��C- -5, t4 k L 94-73 BUTTE COUNTY c%[ L BUILDING DEPARTM r4t ... ..... . .. -P-P"R'O'V E D SPECIAL INSPECTION REPORT Owner: s: Address: Tenant: - Building Location: /�Ll Type of Inspection requested: 1. Housing 2. Financing AZ4. Other (specify) Present use of buildin V r A. P. # 253 -- Date 53` Date of Inspection Inspector " 3. Change of Occupancy to A Sanitation (Housing 1. Water closet: - 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating' facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connectior. to sewage disposal: 12. Connection to wate;r•,supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Cocmnents: C. Electrical 1. Service ground: 2. Recept. ;.: :s 3. Fusing:_ 4. Comments:- D. oimnent:s: U D. Plumbic 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Comments: ° : E.' Other 1. Maintenance and repair: 2. Fire hazards:._ 3.' Safety hazards:' 4. Weatt,er protection: _ 5. Underfloor and attic. ventilation: 6. Conn. ents : F. Conmtercial Buildings 1. Rcof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Iftestroom floors and *galls: 5. Exits: _ 6. Improvements: 7. Zoning•_ 8. Crmtmerit: G. Field Problems or 171ola:iorxs � 1. Problem or viola _ ti( A lete c , '-` 0 AL / 2. tJl,at actiOil ta�ceai gi.ve_ccm11)ie :.i.escri;{?u.011) 3. What action .-_nfonaatiocn only - f i 1 B. Hold for tc-.) (10) days, then wri: e letter. r—,71.Letter. /-7D. other: f PyRMIT NO. ! T 3908-79B .f.. 1 (, PERMIT EXPIRES v Guy Busby, OWNER CONTR. Acro—Lume, Oroville LOCATION (A.P. 31-253-19 ) 1084 Thermalito Ave., Oroville• i }k 0 J_ Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) ` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD - BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Main Bldg. Restroom Finish 1st Floor 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water PI In Piers Roofing Sewer Garage Fdn..Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h 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 I Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION .............. Support Elec. Continuity Water Piping' Drainage Gas Piping DATE REMARKS OR CORRECTIONS ® w�` (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY 0'F BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 53.4-4541 APPLICATION AND PERMIT IJ�zl 12 GIUUIUIILC ICIIICSCIIttitIVCA� DI u1e %,ounty UI tSutte to enter upon the above-mentioned prope ,y for inspection purposes. X Date fU Signature of er e or 1,7eq ° ll Receipt No. OL � fl White-D.P.W. — Yellow -Assessor — Pink-Inssppector'— 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 PUBLIC WORKS By Date 61,7-2 -2� Building permit expires Date - Z r - pv BUILDING Owner Ce SQ. FT. OCC. BUILDING VALUATION G' • Mailing Address Telephone No. Contractor G Mailing Address /7 ✓ ,� f� ' Fireplace Total Valuation O C T hone No. Permit Fee Building Address Plan Checking Fee &/orPenalty Permit Fee 2, �ci 2 � e /CLQ' PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning 8 Planning Water piping 1.50 Each gas. water heater or vent 1.50 F can afran- Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvement Each additional outlet .30 Building sewer 5.00 Bldg. Pla s ec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES E]OT ER ❑ Permit Fee $ $ /=�iZtC ` i z X �- �j ,� �,/isti ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home�'Others El Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 1.00 NEW OR ADDNST ( ACCDWELBLDGS,LING CCUP. S\ 2¢Sgft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Calif nia Business & Professions Code under the name st le of: y G — NEW CONSTR. MULTIHCII-OUTLET NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS & NON.RESID. `SINGLE OUTLET CIR, J 250 Ex. Occup{OUTLETS OR FIXTURES B L1� Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No � � -7 Classification Misc. Wiring 6.25 ❑ 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 Wor en's Compensation. 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. MECHANICAL No. @ FEE PERMIT 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 Land Development Fee $ TOTAL PERMIT FEE is '2 GIUUIUIILC ICIIICSCIIttitIVCA� DI u1e %,ounty UI tSutte to enter upon the above-mentioned prope ,y for inspection purposes. X Date fU Signature of er e or 1,7eq ° ll Receipt No. OL � fl White-D.P.W. — Yellow -Assessor — Pink-Inssppector'— 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 PUBLIC WORKS By Date 61,7-2 -2� Building permit expires Date - Z r - pv 'i PERMIT NO. 5872-75B i P 1 E ) M r' MH UTIL. PERMIT NO. PERMIT EXPIRES �Zlflo OWNER M. L. Berg CONTR. Acro—LUme , Oroville LOCATION (A.P. 31-253-19 ) 1084 Thermalito Ave., Oroville t Temp. Power Pole Called PG&E _ Temp. Elec'Serv.. Called PG&E _ Temp/Gas Serv. _ `Called PG&E _ OF B FINALED (Date) (Signature) .y ra COUNTY OF BUTTE. —.DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback -7 Firewall 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 Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport l Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings l Footing ELECT I AL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam 0 FIRE Sftt1KLERS Motors !12 Framing Test Water Htr. Stucco Final X SubPanels Mesh MEC NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS O CORRECTIONS COUNTY OF BUTTE — DF-PARTMENT OF PUBLIC WORKS_ 7 County Center Drive — Oroville, California 95965 Telephone: 5t4-4541 APPLICATION AND PERMIT autnunca reprebentdt es of the t uuuri t outte to enter upon the above-mentioned pr a ty for ins n purposes. is Date _/ ignature o ermitee or Agent 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 QPPUBLIC WORKS By Date !Z --AO -71 ilding permit expires Date• BUILDING Owner L SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. ' Fireplace Contractor ,v Total Valuation Mai ling Address ,�® !3JL)Lu %) Permit Fee I zv Plan Checking Fee&/or Penalty Telephone No. 71 Permit Fee 13. C v ij I Building Address -J6 �70 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 / /LL r 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. — 02S3 — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FWes Vim• Sanib n, Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Pla " Parcel Declaration Parcel 60' R/W Im rove ents P Lawn sprinkler system 2.00 Bldg.ans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHE*7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �� -i�t/��gLC_ /Q X Guyix/� �C irSiat! Main service incl..1 meter OQVCAI r 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 bal hi 100 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cali rnia Business & Professions Code under the name style of: C Pd .'^ M 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. Classificatio Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. 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. M I have placed on file with the County of Butte a certificate of YY 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating , Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ autnunca reprebentdt es of the t uuuri t outte to enter upon the above-mentioned pr a ty for ins n purposes. is Date _/ ignature o ermitee or Agent 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 QPPUBLIC WORKS By Date !Z --AO -71 ilding permit expires Date• 'PERMIT NO. 5233-75B I P E M MH UTIL. HERMIT NO. PERMIT EXPIRES OWNER M. L- Berg `CONTR. Acro -Lome, Oroville LOCATION (A.P. 31-253-19 14/S Thermalito Ave.,500' W. of 10th S .,Oro Temp. Power Pole Called PG&E Temp. EIg c.Serv. Call�edd PG&E s Temp. Gas Serv. Called PG&E ,los l� . FINALED (Date) (Signature) r S COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING -JZ BUILDING (Cont'd) PLUMBING Setback 171 -77M, Firewall Soil Piping E Forms Parapets 1st Floor Main Bldg. Restroom Finisk 2nd Floor Footings Windows 3rd Floor Stemwall A Sidinq To out Slab Roof Sheathing Water Piping- " Piers Roofing Sewer Garage Fdn. Vents V Fixtures Footin s Gara a Vents A Water Htr. Stemwall A Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of e)(. _ structure I I Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLAC Final Footin's Footing ELECf R CAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE kPRIhKLERS Motors Framing Test Water Htr. Stucco Final V Subpanels Mesh ME ANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 154 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Teiephon& 534-4541 s APPLICATION AND PERMIT aurnuritu represenrauves of the Lounty or tsutte to enter upon ine above-mentioned propert f r i spection purposes. 77-_ z X nature of Perhfidee or Agent Date lG —/O— 7117 Receipt No. White-D.P.W. — Yellow -Asses or --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 O"UBLIC WORKS,, Ing permit expires Date 7� i 'BUILDING Owner „ SQ. FT. OCC. BUILDING VALUATION 02— Mailing Address Telephone No. Fireplace Contractor r,� ®— N e • Total Valuation Mailing Address ® �, v Permit Fee Plan Checking Fee &/or Penalty L Telephone No. — gAil permit Fee / i j 4i Building Address ' -• O PLUMBING No. @ FEE v P PERMIT FILING FEE $3.00 f Cit E Each Trap 11.50 O/ Repair drainage or vent piping 1.50 Water piping 1.50 (� k`)(j (J /L LC_'/ Each gas water heater or vent 1.50 , A. P. No. — a,�o� -- ( Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30' FAerS on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcelo, , Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. PlAks Recd Parce pproval Plan pproval Permit Fee $ NE ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. - @ FEE PERMIT FILING. FEE $3.00 —IIV 7- f �u/,//lbL 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 b 2 10 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: �_U • 444E 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 n License No.C29Classification ''— Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I 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. r'Q/I certify that in the performance of the work for which this ermit ,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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ aurnuritu represenrauves of the Lounty or tsutte to enter upon ine above-mentioned propert f r i spection purposes. 77-_ z X nature of Perhfidee or Agent Date lG —/O— 7117 Receipt No. White-D.P.W. — Yellow -Asses or --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 O"UBLIC WORKS,, Ing permit expires Date 7� i O RMIT NO. ~ P E 'M JMH UTIL. PERMIT NO. 1994-74P,E' i PERMIT EXPIRES 6-7 �/ OWNER William F. Kinsinger .V ;!CONTR. LOCATION (A.P. 31-253-19 ) 1084 Thermalito Ave., Thermalito Temp. Power Pole_ Called PG&E Temp. Elec. Serv._ Called PG&E Temp. Gas Serv. Called PG&E _ JOB FINALED (Date) (Signature) 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 Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS v COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 71� 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me tinned rop Ft for inspection purposes. X Da Signa a of er itee or Age 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 OF UBLIC WORKS BY Date —%— 7 B ding permit expires Date................ BUILDING OwnerA5 �����+� SQ. FT. OCC. BUILDING VALUATION Mailing Address 3O 30 57- 0 Telephone No. Fireplace Contractor �c Total Valuation Mailing AddressPermit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address o� /� /�® PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ,Q L 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/—,;2 6-:�r--1 / �anZ— P Gas piping system 1 - 5 outlets 1.50 SQ Each additional outlet .30 es J<S ire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Improv ents Plans Declaration P P Building sewer 5.00 , D6 Lawn sprinkler system 2.00 Plans Recd Parcel kpprooval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .3,00 Main service incl. 1 meter vo, �, d0 Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures yal__� to Receps., switches & fix outlets 21r LM 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 Mise. 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. rVI 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. MECHANICAL No. @ FEE PERMIT 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 $ �i ®C authorize representatives of the County of Butte to enter upon the above -me tinned rop Ft for inspection purposes. X Da Signa a of er itee or Age 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 OF UBLIC WORKS BY Date —%— 7 B ding permit expires Date................ COUNTY OF BUTTE Department of'Public Works 7 County Center Drive, Oroville, California ` PHONE: -534-4541 ,. rIOBILEiIO,�`��� I Lot Facilities 1. Plot plan dimensioned, location of mobile and utility connections? Yes No 2. Electrical.service equipment ampacit Circuit breaker ampacity Permanent Miring Connection e Ampacity � � .Receptacle Ampacity i 3. Gas: Natural LPG Gas riser size �- 4. Drain inlet size— 5. Grater riser. size fi 6. Are utility connections located outside the rear 1/3 of the mobilebom tri thin 4 feet of the left.wall? Yes VNo If not,- shoo dim ens ions. above. 7. Is the mobilehome clear of -septic tank, leach fields and located outside public utility easements? Yes No - 8. Do you propose to do other work on the property other than the mobilehome installationw, ich will require a permit Yes N If so, speci y — N INFORMAMION Mobilehome Data 1. Length Widt Manufacturer cq ,�� Vehicle Serial N. (7 Insignia Control No. 2. Feeder assembly ampacity Conduit size 1_4 - Power supply cord'(amps) 3. Gas inlet size Mobilehome connector size tf Capacity 4. Drain connect : describe on reverse side 5. Water connector:. describe on reverse side 6. Designed loads: � v Roof live load Psf. . Wind load / psf. (only for mobilehomes manufactured after October 7, 1973) )Q-'�A 7. Manufacturer'` . stallation instructions? Yes No> 8. Will the mobile home be installed on�a separate suppoort structure? Yes No x `For plans and specifications of support system, see other side. �i H z 0 ��Y ADDITIONAL COIf.,!.7tiTS �� ain Co or, Describe leuk� WlIat11er= Connector, Describe �`�✓�e 5• I :ts LOAD BEiuZ.ING SUPPORT A1TD i'OOTING INFORMATION r Pier Spacing Used Maximum Pier Load JiOla' Maximum Column Load (multi -units only) Soil Bearing Capacity. eI0"P� Footing Dimension Usod`��Q/ TYPE OF PIER USED Steel Concrete Concrete Block Other . TYPE OF FOOTING MATERIAL USED Pressure Treated jdood 30 Concrete Redwood (Grade) Other Approved Type LOAD BEARI?ATG SUPPORTS . BUTTE COUNTY BUILDING DE?ARTWNT APPROVED MIS Ut il. 'PERMIT NO. 3944-75PPE P E M {tMH UTIL. PERMIT NO. q PERMIT EXPIRES 10 WNtR M. L. Berg �CONTR. `tLOCATION (A.P. 1-253-19 ). n/ s Thermalito Ave., 5001 W. of 10th St., Oro. n M Temp. Power Pole Called PG&E TBm*,..Elec. Serv. -oll /Called PG&E 7 �A. Gas Serv. Called PG&E JOB FINALED co. 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 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 & Tes Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough �'— 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 DATE REMARKS OR CORRECTIONS MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. "Is.the mobilehome located with required 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) Yes No Are footings and supports properly sized, spaced, and braced as per approved plans? (Note . possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 14f. Is the mobilehome level? (Sec. 5088) Yes No If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes _W No 6. Water Is fl xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes: No Test - Does water piping withstand working pressure or 50 lbsair test? Yes No Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and.Drains Is connection made with Schedule'40 DWV and have flex connectors at each end? Yes No Does it have minimum" per foot slope and is it properly supported? Yes No �C Are any leaks detected in drainage system after running 3 -gallons of water through each . fixture including washing machine standpipe?..Yeso<' No I� If co ch is not State of California approved, does station have required trap and vent? / Yesy No 8. Gas Piping and Gas Vents 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 least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes,j� No B. Test OK as per following procedure? YesNo 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. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yell�_ No 9. Electrical A,% Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana,_etc.? Yes No $/ Is there proper clearances around panels? Ye s4 No /C� Is power supply cord or feeder assembly properly fused? Yes No A D Is, continuity test satisfactory as per the following procedure? Yes No 1 De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. �! Switch all breakers and switches in the mobilehome to the "on" position. �! 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,Z A11 non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity 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 Length—elo=t— Width O Vehicle Serial No. rj /lQ UB U State Identification No. Additional Information or Comments: COUNTY OF BUTTE — " DEPHF_TMENT OF PUBLIC W 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT E/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection urposes. 1 is Date Si ature of Per itee or Agent Rar•�n Aln O White-D.P.W. — Yellow -Assessor — Pink4nspector — 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 PU LIC WORKS By Date / I �. I1 Building permit expires Date �'�l `�V /7,6 BUILDING Owner SQ. FT. OCC. BUILDING VkLUATION Mailing AddressAl Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address it G�t�"� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 p0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping /sem 1,4, QO Each gas water heater or vent 1.50 A. P. No. 5_3` - Z '" Gas piping system 1 - 5 outlets 0,6v PO(� Each additional outlet .30 Fs s'o FireDept. FireZone Use Permit Building sewer /4$.00 /D,QO EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 J IS&P Parcel Approval i Plans A oval Permit Fee $ .00 33 oc NEW ❑ ADDITION ❑ UTILITIES �, OTHER [JELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter © p 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 b �2 Receps., switches & fix outlets in 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 1-6—,00 Temp. Power Pole 5.00 License No. Classification Misc. wiring YIS I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ OG 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 '744 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.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ OC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection urposes. 1 is Date Si ature of Per itee or Agent Rar•�n Aln O White-D.P.W. — Yellow -Assessor — Pink4nspector — 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 PU LIC WORKS By Date / I �. I1 Building permit expires Date �'�l `�V /7,6 ro. - o rhe Setback 'shall be 5 ft. -from # rhe side ,property line and 50 ft. fron the' centerline of the road, permitfinc e maximum of a 2 ft. eave ovdrharrg. f` fo, Ai -1 Utility co nections. shall be.., located withinft .outside the.r'ear third section of 'he mobile .home on -the left (roa ),'s'ide.' f the mobile home. b� W X57 Al NOTE: ­—All Mry#r�rsls Workmanship Shall Be in Rocnn,iYTvi `Gond Rrnct;C@S ^• f `� ��'� •for• the SnecifiPri use in the- ut�6Fm er.:°R'"+. plireihin Marhanical Codes ancf 44 the 'Nafiionai i_ledrival Cade. ii:as sit of p MUST- aBUTTE COUNTY'_ ` `•;c� > • �e�t°•ofa the.• ��i: ; ' �`:; s` and .it is unlawful to .BUILDING DEPARTMENT ewke--any chc- _,�� or ., .�.: �+'rens or same wifNew ^� #nom ('i-\ partment of w4p C" APPROVED'// P P I� O V C "t Jay 0t fluito, COUNTY OF BUTTE -` DEPARTMENT OF PUBLIC WORKS 7J 7 County Center Drive - Oroville, California 95965 Telephone: ,534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION - ' Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address r,S— �`�������r7,� Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address -+-� i1_- �,^ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 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. —2 $- 3-- Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 04s IT W<ftMTaTMnfFire Dept. Fire Zone , Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Par4zprovol I Plans provaI Permit Fee ' $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �- —%✓�J 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 fixturesbo NIO2 Receps.., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Californi usiness & Pr fession C e under the me styl f: � �� � �V t �%�' `� �� 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 N Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ $ WORKMEN'S COMPENSATION INSURANCE I 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. have placed on file with the County of Butte a certificate of r 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 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 re F sentativ of t ounty of Butte to enter upon the above -men 'o d prop inspe on purposes. Date r $' nn ture jof Permitee or Agent ReceSpt"No. —! 3'T / 3 S White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 3e dD TOTAL PERMIT FEE $ 30 od 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 0 PUBLIC WORKS B Date fib wilding permit expires Date Z""Cl ✓