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HomeMy WebLinkAbout033-010-079l D3 3-olbro`� 79 33-01- t1 HARbES THRESHER 921 Long <` g . ar R-d,,`Oroville '�':i ��" Permit 4106-88P,E(�t� !� I ,ELEC. O S'9 GAS— SUPPORT S UR -&UC ,Co IvT-AC IC)N--TEST -REQ:-- Permit` 33-01- :•5� i Y #8-89B(new garage/works hop) ------ ,� Contr: -Jim-Fields 33-01- PErmit#310-89MHI 33 010-69b THRESHER 'hShirle r y"� .921 •Lon Y g Bar. Rd, ;Orovill (add -2. e, ' decks) 033-010-079,_ AG -98-1.22 _` Q THRESHER, CHARL 921- LONG BAR RD. OROVILLE I . AG EXEMPT ' 41 033-U1 -U y-2 8 g �4b THRESHER, CHARLES - 921 LONG BAR RD., ORO VILE q CONTR: RON'S MOBILE 'i MH ON PERM FND/ i� • ,* e a a fur i a a a tp I J-1 CO bz ou w i tit '--RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 999-0053 1 1 9 Recorded I REC FEE .00 Official Records I CONFORM .00 County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Myles 09:38AM 23 -Dec -1999 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section` 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CHARLES THRESHER & SHIRLEY THRESHER REAL PROPERTY OWNERILESSOR 921 LONG BAR -ROAD MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP UNIT OWNER (dalso property owner, write "SAME") MAILING ADDRESS CRY COUNTY STATE W 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 99-2685 (530)538-7541 BUILDING P IT NO. TELEPHONE NUMBER 12/22/99 SIGNATURE OF LOCAL E Y FICIAL DATE NONE DEALER NAME (dnot a dealer sale, write "NONE") DEALER LICENSE NO. FLEETWOOD 1989 SANDALWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLJI7A/B09972SW 60'X 28' RAD474573/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #033-010-079 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept LEGAL DESCRIPTION A.P. #033-010-079 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 24, 1988, IN BOOK 113 OF MAPS, AT PAGE(S) 20 AND 21. RESERVING THEREFROM A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER BO -Y -LE LANE AS SHOWN ON SAID PARCEL MAP. PARCEL II: A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER BO -Y -LE LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 24, 1988, IN BOOK 113 OF MAPS, AT PAGE(S) 20 AND 21. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. NOTES kESIDENTIAL. 0337-010=07999=2685—�, PERMIT NO;— THRESHER, -CHARLES- ...," 921 LONG BAR RD., OROVILLE i CONTR: RON'S MOBILE + MH ON PERM FND r SPECIAL CONDITIONS u CHECKED BY SRA FLOOD CERTIFICATE REQ. f FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY 'I USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f JOB FINALED (Date) Signature ✓ = OK 0 = Not OK - = Not Applicable . MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s MISCELLANEOUS 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) i 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance 8. Frmg.; Sills -Anchors- Studs- Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date 10. Card B-1 Date Card B-1 Date 11. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Braced Wall Panels 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails i 4. Wood Awn.; Posts-Beams-Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rttrs-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 FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date Hangers -Post Caps -Anchors -Connectors Underfloor (Plans) OK except #'s Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Infiltration -Walls -Windows 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 11. Water Pipe; Test -Anchors- Regulator -Service Test Elec. Outlets & Receptacles at Kit. Counter 12. Electric Underground Garage Fire Door; Swing -Landing -Closure 13. Plenums & Ducts; Clearance -Material -Support -Ins. A.C. Duct in Garage -Damper 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Wtr. Hir.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 15. Access & Ventilation Plb., Elec. & Mech. Equip. Listed for Location 16. Insulation Elec. Receptacles in Garage (FFI.)-Romex Protection 79. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Clearance Looked under Floor I] Yes 17. Water Htr.; Vent -Access -Combustion Air Baffle Following Instld./Drive 0 Yes O No/Walks 0 Yes p No/Planters ❑ Yes 7 No 18. Water Pipe; Test & Anchor -Nail Protection Stucco Brown -Finish 19. D.W.V.; Test Fittings & Anchor -Nail Protection A.C. Unit Disconnect, Electrical -Plumbing 20. Shower Pan; Test, First Floor -Tub Access Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 21. Test Tub & Shower, Second Floor -Tub Access Water Well, Disconnect, Electrical, Plumbing 22. Gas Pipe; Sixe & Anchors Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Gas Test -Meters Tagged, Gas -Electric 23. Fixture & Transformer Clearance -Ins. Protection Water & Sewer Connected -C/O to Grade -HD Approval 24. Elec. Receptacles Spacing -Lights & Switches at Doors Energy Compliance Certificate -Other Certificates 25. Size Boxes & No. of Conductors Stapled Address Posted 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Card B-1 Date Card B-1 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral I] Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. 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 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Hir.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (FFI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor I] Yes 82. Following Instld./Drive 0 Yes O No/Walks 0 Yes p No/Planters ❑ Yes 7 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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 PEI &. No. (Rev. 12/66) APPLICATION AND PERMIT ��-= ASSESSOR PARCEL NUMBER 033-010-079 ZONING AR 1 BUILDING PERMIT OWNER THRESHER, CHARLES TELEPHONE SO. FT. OCC. BUILDING VALUATION • OWNER'S MAIUNG ADDRESS 921 LONGBAR, OROVILLE, CA CONTRACTOR'S NAME ROWS MOBILE HOME SERVICE TELEPHONE 365-6118 CONTRACTOR'S MAILING ADBOX 305, ANDERSON, CA 96007 P.O.�J CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 90.720 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 2 $ 299.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 21-00 BUILDING ADDRESS 921 LONGBAR ROAD, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 342.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome q Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15:00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MH ON PERM FND, EXISTING SITE 28 X 60 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I s I G I W 920.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Fling Fee 20.00 0OR UES Main Service 2o0A 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. 7 License Class �' �/ % Lic. No. 7'o Z % 2 7 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 TO 46. 00 CCU000A NEW CONST. DWEWNG OCCUP.3 DWE200ALLING OR ADDNS. ( a ACC. BIDS. so 5QS0. FT. NON-REOSID. T. ANCH MULTI -OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET oRFaTURES 201•00 SAL @ ,50 Ex. Occup. .FIXED AES OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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. 0 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' com�Lsotipn insL�ra�ce carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number OZ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the�— workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co with those provisions. 2_ 21 — X Date 1 Signature o App icant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TO AL FEE $ 3 2.5 HAZ. I D. FEES I I FLOOD I CDF PARC HD 2 This permit is hereby issued under of the Butte County Code and/or indicate bov or w ich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. u D to ` Date Receipt No. 281003 / $63.00 %$//e 2— JZrj WHITE -D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE-.OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER:117e,f ASSESSOR PARCEL NUMBER: �' O_/L/) "' 7 9 Proposed Building Use: 460 4 Building Inspector. 1,ZTDate: //--5 At time of permit application, /I was advised the following data must be su miffed prior to permit processing and/or issuance: gl . All items have been submitted. ft Plot plans, 3/4 sets, signed by the preparer of plans. 113. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 116. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. ❑,,9.. Manufactured Home data and installation instructions including Tie Down Specifications. 210. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ❑20. Pre -inspection for required. 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 1124. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. 1127. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. 029. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ eO. Other: Q ] — _ , rt_ Of eWQ / .p I.- - When you issue the permit, process as fol%ws ❑ Mail to owner, ❑Mail to contractor. 2LTelephone 36 S -e /J f j and hold for pickup at. office. ❑ Deliver with inspector. x Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application: In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the _person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant .� r.7,,.,,rA yIL�"��h.•f�i-..�)"WY�`'r^�.i'4,�Y.M....'w�n' ..� ,11r'•,,.r\ .n4�M".n(t: �.�i••�-''�.. f'�'r`'�'i/� � � 1 TYOF BUTTE - DEPARTMENT -O . ,.EVELOPMENT'SERVICES_- BUILDING DIVISION f 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 5A-7541 PERMIT APPLICATION DATA SHEET r OWNER: n f,65' el— ASSESSOR PARCEL NUMBER: 0 — 7F Proposed Building Use: #Mm �j�� Building Inspector: Date: / At time of. permit application, I was advised the following data must be su miffed prior to permit p cess' g and/or issuance: :•; 6722F, Date Received By ❑ . All iems have been submitted .----------------------------------------------------------==------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ., 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- 118. --------------------------------------------------------❑8. Haiardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9 anufactured Home data and installation instructions including Tie Down Specifications .------------------ Feesof $ ?;Z y So------------------------------------------------------------------------------------- ' ❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs.--------------------------------------------- 017. ---------------------------- ❑ 17. Planning approval for (A) Use: Q ):::�_ (B) Parking: --------------------------Q— ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0. Pre -inspection for required Request to Building Inspector on te) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- H;, ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Ch k to H.C.D $ .--------------- �er: -43 % c1 v► per m � • ------- _ . When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ETelephone36S4// S and hold for pickup at office. ❑ Deliver with inspector. xApplicant: Date: ; Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: } Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: / U t ElPlan Check List 2. Additional items required: Contractor, designer, owner, was_advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: S Date: /oZ —/'(7 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services;';$uilding Division: 't � ,,, �� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT S-ERVICES - BUILDING DIVISION ' 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT `�� ASSESSOR PARCEL NUMBER- ZONING / BUILDING PERMIT OWNER —�it� r TELEPHONE SO. FT. OCC. BUILDING VALUATION 9d 7 OWNER'S MAILING ADDRESS Or I I C RACTOR'S E TELEPHONE ' 's /Ion e C IU Pc TORS NG ADDRESS, Vv �7CJ� ed p� O. -30 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 6 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ ,QQ BUILDING ADDRESS 'p Energy Plan Checking Fee $ OI_D I'll J 744 $ PERMIT FEE $ 15,0 LOT NO. SUBDIVISION NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome K Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 0z) Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Re/model ❑ Utilities ❑ Installation Other ❑ Describe Work:./TJ'nf C�i'h'IQi7 elil f Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ Zb x&D ELECTRICAL PERMIT Filing Fee 20.00 Main Service ' AOR 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. /T,2 / -Z � License Class - Lic. No. (C/ OWNER -BUILDER DECLARATIO 1 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 I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 6 ACC. BLDS. -- FT. NEW NON -RESOD. MULTI - RANCH OUTLET P7.50 POWER APPARATUS 8 SINGLE OUTLET CIS. Zo @ ,.� Ex. Occup. ouTtFT OR FocruREs BAL @ .so Ex. Occup. DUTLEEDTs AES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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: K1 I 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 IQ -e d Lr.�.�� S Policy Number r IA -3 9q9 $o a 13. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ f' X _ Date _L Si ature of ApplAnt - ❑ n r 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 FEE $ ' Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON pate ReceiptNo. / 00 2_y WHITE-D.D.S.-B.D. CA ARY-ASSE R PINK -INSPECTOR GOLDENROD -APPLICANT r1VDlt,ettUME -SUPPORT DATA ` If other than single wide, Luitme Mfr. /�� �//�Q furnish Setup Model No. y 471— di Year idtll _.(ft.) Box Length__6,C/ (ft.) Tagalong or Expando Size ft, x n all mobilehomes manufactured after October 7, 1973, furnish manufacturer's inst anliAl and structural setup sheets (if not on file with the County of Butte). om--INTS (chuck one)f5;�11. Wood -pressure treated or foundation grade.�2. Other specify) uppORTS (check one)© 1. Concrete block.F]2. Other (specify) Pier Footing Sizes and Locations SINCLE-WIDE MULTI -WIDE I i— t •Line Main Beams — — -- — — — —— — — — s Line 2 18 Lino I --- -- — -- — — — 0 Line 2 . — — — — — Main Beams — — --- — — ------ –+_Line 4 Tag or Triple Line 1 + Llnr 1 ('Tera• Srxe-Min. ------------ Shoping-Max- Fnnn Hnds-Max. ------- I�fnc.L. SI•ro-Mln.-__-________ „x a Spac IlIg-Max.-------__ Fr,,m t.nds-Max.------- Size -min .------------ Y lniatl-,n (From Front) „ I fnc_4_ P.ieera Siz.•-Min.------------ Spd, iex-Max ._________ From Ends -Mex.------- „ Linc --5_ hoof Wads: -Slzc.-M Line 1 Openings: Size -Min. ------------------ .x Each Side of Openings With Width Over Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ "x Spacing -Max._______________ From Ends -Max.------------- „ (� x L „x „x „ Linc 5 Piers: (Under Bearing Walls On y Size -min ------------------- Spacing-Max ----------------- From ------------------ Spacing-Max.----.- From F.nds-Max..----- ----__ x local lon (Frum Fro ' x nt) 1,4 to h v 6� _'Al I . . ......... . .... .... . 1 U COUN riUlILDNG IEP AP P 0 V F w.. PRE -INSPECTION .REPORT OWNER:Q LOCATION:_Z- CONTRACTOR: 4 PRE-INSPETION FOR: DATE TO INSPECTOR: 2 Y ��� �/1�( S� i PERMITHLSTORY:( ) NONE DATE: % 2 A.P. #• •33 - p/ ���� ZONING: ( FOLLOWS: Building Description: ' BUILDING INSPECTOR'S REPORT ' Commercial/Usage: Residential/# of Units: , Currently Occupied AbandonedNacant Electric: Yes No Electric currently On Off Condition of Electric ` Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working r Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspecto Date Sketch buildings on reverse and indicate location on property. j1Wv •!R'7n!•l • . - _ i 7 6 ..: t z�i t(; y r '� CJ -..id ��-_ .,.� 4 (/� PROM '� _ ♦ '- �I'. } .w rr -. .:i • 1 � • - F rrr����l?S �'� ya } 1 d y w _ , i 1. !!!I'i" �' y,.,_ ,F..J• _ • - :. • • • • - Jfrh •t '� Jr 't -�. r ti } y� F / '*.�° +7� :`' '"tet.'^ �' Y'' ' "��'i�ft.J,•,. •riiiit#310 —89MHI Issued10-esy yl 4119-119 *'NI-. THRESHER, Shirley 921 Long Bar Rd, Oroville (add 2 decks) 033-010-079 '•AG - r •8422 THRESHER, ' • • AR RD. OROVILLE E � . ' � " i Sias ♦ £. ,.� F � � '•,�„ •21 LONG • ,��. ti -S, 4 a .'� Y +• ,+ i� k x . * - - � F AG EXENTT '+.`ms's Zvi _.w -._ +.. J_ _ ,.. `� �.wiffilA.[ .a.1i. �. � 4v ^. �. .. [c':s..v.-.2�T�.�r. .c��'si _ .._ .. .✓ _ .. - � 12i ti_Slr._ ]� `•_' i' � ..�:��!'f�-�''3�!� � .w� � 3A�.aVt'3. � .?2_. ., , � `:;k. 1` .��s,.. �., z.rti ti � � �t !,_ SV` y. 09: 30 MID UHLL.F_Y TITLE OfZCIU: LJ ' t _'5 i j ! 'v.I�I 1 �i tJO. iC'tr; D03 ° �sl � .� t►V01: 1 I v r � � I � !� l �atiS 'cL[i'0&'3-'££0 - 56-66 6 b7 '�;!•"� - i ._. �iESIDENTIAL 33-010-65 4129-89B THRESHER, Shirley 921 Long Bar Rd, .Oroville (add 2 decks) A2 -7�� - 90 J•= OK., _ O = Not OK Not = ISI®BILE HOMES Not Ready MOBILE 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / P'Nat. or/ /' L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Data Card B-1 MISCELLANEOUS Date ELKS VERS, CARPORTS, GARAGES, Plans OK except #'s 11. mg Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings �I ' Date , Card B-1 _ /f Date Card B-1 Date l Card B -i Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water SupDly Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (Single ' = 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 -Bloc kouts-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. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Undertir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. 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 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 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: (NOTE: An entry must be made each time you visit job site) (` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, Cali;cnia 95965 - Telephone: APPLICATION AND PERMIT WORKS PERMIT NO. 916/538-7 1, ASSESSOR PARCEL NUMBER ZO IN f 6TELEPHONE BUILDING PER OWNER l� SH1f-�-�Y rN s%�� g-qe SO. FT. VALUATION �jOCC. /BUILDING v � d-�O OWNER'S ^ L'^0 /,� 6 MAILING ADDRESS �� �' I t5%b' Of 5701 U; CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILIG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 5 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 75 1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other �C- S SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e . TYPE OF WORK New ❑ AdditionX Remodel ❑ Uttiliitties ❑ I�ntstallation❑ Other ❑ Describe work: L�_ � ail76X X %0/ to Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.5d OR A.D.S. C ACC. BLDGS. , /:2sgft NEW CONSTRESID, BRANCH CIRCUITS) NO N•R RES BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. Occu zo ® eAL030s0a FIXED APLINIS EX. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation. permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 a' County in cons quence of the granting of this permit. /, �Q %� ''�� Date O5�— / Signature of Applic nt - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTALFEE 7° AL HAZ cuA PARK F PAR PD IssuE This permit is hereby issued under sions sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. -< �% WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �,..+� ,.,,.+4+`rr'�-"tc'+lbws►'a�.x`+f1E+°r�'hruw"a{"`wY' �,n.a�-rr�-t+sT.i'it�%.r. . COUNTY OF BUTTE - DEPANQT CWF PUBLIC WORKS - BUILDIN DIV ISI N u 7 COUNTY CENTER DRIVE - OROVILI'-F, L LrKNIA 95965 - TELEPHONE: 916/538-7541` PERMIT APPLICATION .DATA SHEET Permit No. OWNER C✓ rf7 1 rL-LEY :r d iL(_16 H6 -a- A�—, .No. 3-3-a6 - A 4 Proposed Building Use en wx� Bui,ldi,ng Inspector Date 1:2 - F'— F 9 At time of permit application, I was advised the following data must lse'submitted prior to per processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... ` 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs,.with-wet signature on plans .. 5. Hazardous Material Form .. ........................................ . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Kon -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. 14. Sanitation approval from g 2 n Health Department - 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of It (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner,❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement . `....... . 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to..cpntractor. Telephone 5_33-%0n' and hold for pickup at n" office. Deliver w%inspector. Other Applicants i s l Date Copy of plans sent Health Dept., Fire Dept., Other Date The f'oliowing data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_lnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mai l_counter by date .� .s Plans checked by Date Plans approved by Date • .�, Sets of plans on hold in . File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance cy P er oc tion AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.K. for: -ed—room mobi le Clearance for--zz=-- NOTE water Supw Y, Water Supply C ther COUNTY OF BUTTE - Dapartment of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION 1, Attention Property Owner,: An 'owner -builder" building permit has' been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement '(yes or no) e.S 2. I (have/have not) �na.v e, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:. Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Addressj, City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 010 I ;...�14� J j X l a OtItt'rez"A'41t�- q/ IT •,y. — — �..., �• .:. ,. .9 '.:, c. '•+lfR�&:JG� _'x:=;.=.. -.pc :ft.�i:4�1..?:axCG�l.+r�+� .. _...._....._._._. D t P-1 /F P, OA1 r Ld O 0 0 top rail to be 36 M not tate ra+Is to be --- _ _ over�! i Cf y pas 1- ' L Max Rw q,, Klin. Run Run measured toe to to 3/8" max. tolerance betty la gest &:sm'a1iast► I �an�,r'C./�s 33 C s %/C -,Ds X /,A7 L'' t,) ,' o t✓ ,RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 23 -Dec -1999 1999-0053119 Has not been compared rith 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. CHARLES THRESHER & SHIRLEY THRESHER REAL PROPERTY OWNEWLESSOR 921 LONG BAR ROAD MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CRY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP UNIT OWNER (i[also property owner, write *SAME*) MAILING ADDRESS QR coum SIAM ffi BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTERDRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 99-2685 (530)538-7541 BUILDING P IT NO. TELEPHONE NUMBER ffv 12/22/99 SIGNATURE OF LOCAL E Y,91fFICIAL DATE NONE DEALER NAME (dnot a dealer sale, write "NONE*) DEALER LICENSE NO. UNIT DESCRIPTION FLEETWOOD 1989 SANDALWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER CAFLJI7A/BO9972SW 60'X 28' RAD474573/4 SERIAL NUMBER(S) LENGTH X WIDTH I INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGALDESCRIPTTON ASSESSOR'S PARCEL NUMBER A.P. #033-010-079 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept y BUILDINGPERMIT NUMBER: 99-2685 Address or location of unit: 921 LONG BAR ROAD, OROVILLE, CA 95966 Legal Description of Real Property: A.P. #033-010-079. 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: CHARLES & SHIRLEY THRESHER x Owner's address: • 921 LONG BAR RD., OROVILLE, CA 95965 ; INSIGNIA OR HUD NUMBER: RAD474573/4 ` SERIAL NUMBER OR V.I.N.: CAFLJI7A/B09972SW MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 1989 - OFFICIAL APPROVING INSTALLATION: DATE: 12/22/99 PHONE: (530) 538-7541 - urn S13C' r LEGAL DESCRIPTION A.P. #033-010-079 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 24, 1988, IN BOOK 113 OF MAPS, AT PAGE(S) 20 AND 21. RESERVING THEREFROM A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER BO -Y -LE LANE AS SHOWN ON SAID PARCEL MAP. PARCEL II: A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER BO -Y -LE LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 24, 1988, IN BOOK 113 OF MAPS, AT PAGE(S) 20 AND 21. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. Xi i m VALLEY TITLE AND ESCROW a 8 1 T$ 8 4/�\` Oder No. i E,aowNo. 103079-3 OU -042610 Rea Fael 5.00 Lmn Na. : ,11GC 15.00 API 033-01-0-032-0 Parcel, 3 Racordze Total RO.AO Oi(letal Pecord• WHEN REZ'ONOEO MAIL TO: County at Dit t• ? PAIDVALLCY Mj Co. A40 SHIRI.£Y THRESHER Gaedsco J. CrubGa 2543 aro-Quincy 11W. 61600rdsr Orcvllle,CA_ 95955 II Ii:OOpm ti•D�c-60 ! vs 1 i __ _ I _ _ _ _ SI.1C� IdCY�. rN16 \IMf fflq �k r.CRIitIY USE WAIL TAX STATEMENTS TO: OOtI/IDRAi�iITRNQF� TA><� 15,40 BRAD e..,wlfga . • �i.�{b, " N wa0�+> rwgad; Os Same An Above KX Ca•a nsS O Qf e n , o- . yr IM•r of rw.,e/«w �y,v1,I1ws f 6�,utun o1 4s �0.�.1 W �e .aj 1r-ZL,� wvly MIO VALI:F;1 i IT1:E ANO ESCROM GRAFT DIED. FOR A VALUAO�E CONSIOt RATION. receipt of whit% if "rety 1tk n1..1►At,d HENRY T. RVNGC. JR. and CYNTHIA A, RUNGE. hvSband and yIfz h..c• GRANTIS$ 10 CHARLES THRESHER and SHLRLEY iHRESIt1:R, husil)SPA and wife, ra Joint Unarm) :h nal P,cfAny 16 IhrXUxK unlncoz-pozated area Cormry o/ Butte SWA d C,IifP"14L dwrrdltnA Of PARGRt_ St FARM 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED EN THE OrPICE OF THE RECOKOSR Or THE COUNTY Of BUTTE, STAT'a OF CALIFORNIA, VN OCTOe£R 14, 19661. IH 90" 113 OF MAPS, AT • PAGE J SI 20 $,No. 21. RESERVING THEREFROM A NON-EXCLUSIVE RICHT :;P WAY FOR ROAD RL40 PUSLIC OTIL:\TY PURPOSES OVER SO -Y -L£ LARF A5 £.HOW.N Or :SAID pARCeL. MAP. __EAkCEL III A NON-EXCLUSIVE RIGHT OF WAY FOR ROAR AND P.9sC=C UTILI-,? FL14pO&E6 Q-VLR 90 -Y -LE LM, AS SNOW14 OH TliAT CEXTIAN PAKCEI.. W.P. RtL:ORUYC, IN THE OF1010C OF THE RECORDER OF TIM COUNTY CF DUTTC. STA:£ OP CALIFGRIIIA, ON OCTOBER 24, 1909, IN BOOK ill O7 MAFS, AT PAGE(S) 20 A11D 21. V.XCFPTTNG THEREFROM ALL TNAT POATION LY144 W11'0IN THS 9C•4NO3 ON PARCEL 11 DESCRIBED HERSIN, ell 1 I 'JAY 1'. RUNCE, U, ,J o,•rc as C;ftd0Aw1* Iw j Ylsiti 4 CAt.[1RtlIA w...._.-....... -, .. , .... .. .. _ , ��'��' 1q /C •"3a .' '� wp�.,��,� -7� tx+lalty o! aatn 1 l'1v NTHIA A. RUNCE :7' 1 i1► \ ti'PIA1p s aM M, Ma 914,0 0W• ek ll►if )qt -4 Wr of.23j_3..�1 101&, teles se, W.. _.. .___` .`• \i�rfl�e.A •tnrY Ito M w rer""tIw 5tr.w O Al011r pslaflM1o11ad and e►elq pPlaafity al7ps�fal nfnfr t. t&lleffl� ­_., sar—ili Iw>M 1o00140Li "11cfelr:m� r • eat+• to 0o Us &ntt94:ar4 %%su U -i M r0 W GAMOAl LS 19 -OWL lwt �Y1� �MII Afd ad at10My IA rCL of .A. rlq i�snl7w �ilof lit. IA1 aWft.ldpeA !O w �iaS bio f1 � s OM1� ..4 y _Jlli VCIW44tY act ant rbcs wd u tri CAU a� tolunury I.t and Awd u! •r M1s JA -�, lar ur roe W a\+�+a Uhfeu rnuaaw! •eer�eeoews�se0e�aaesa� or wN W40 diet ifaree 0f .[ tlprlelrq w omxtA�1 a! flu, iter t" WA bee tf t W _ 11 ,�Uv. :. OaflirL F. flusit Mt71te9 lit! !_10111 i a!l11m4 tea d/,1' vd ywl, W V,it � ; !�� • ,• .,-„...�.."'r.rpt . fAlittoe"� \'• �:•r.+!•/'1.4,w 1111 I./gp • t.✓ ■•raala•raeaeaaraleaaasPe� •. s+gaolw ENG OF DOCUMENT .Y=P4_::�F•r=)d�:!, _ _ . . •i':il•ru..-n..:'k;:. - _ .. NOU-15-1999 15:26 F+ C9/►+DUTPS/S;,UO `:1e; 323 9244 P.`r24ib STAIE OF CALWGWA • SUS(ft4a, TaA"KRUTION AND tgW21KG AaEMcr r+AAt itweie, avwn o+ DET Of HOUSING; A Z CONAM�IENELOPMEW Dwbtu% reaa tr a SaMtr'fe _ lit � 0t ot ma Title Searcb Date Printed : 11 /15/99 Decal 4: LAL52U U:a Cede: 5FD Manufacturer: 05534 PIXZ WOOD RM INC llr Vwd Pace G►de: A.Ks •Ttadenarne: SANDALWOOD Rating Yea.-: N- ludeL 4603D Tax Type: LPT Manufactured Date: 01/10!89 Last IL.T Amount: Registration Exp: Date IL Fee ?aid: First Sold On: 02122/89 II•T Exemption; NaNF. St:rat Number HUD Label i Ins;$= Length Width CAFU17AO9972SW RAD474S7? 60, 14' CAFUI7309972SW L4.rA74574 (0 t4' Record Conditions: PPF exempt Registarod Owner: allRLES W Ma-,XTA SHIRLEY'IMSHU,'iR'S 921 LONG BAR RD OROVQ,LE, CA 95965 Lest Titte Date: Odif.WN4 Last Reg Cards 04,r,4.94 Sate/Transfer info: Rix $�S,174 00 Trsnafir.eA on 02,2249 Sito Address: 921 LONG BAR RD OROVILLE, CA 95965 Situs County: t3U?TE Legal Owner: BANK OF AMMUCA 11090 WHJTE }LOCK RD RANCHO CORDOVA, :A 95670.600: Lie* Perfected On: 01/15/94 M28M 9M• END OF TITLESEARCH ,_'l•7e] 9Ci1'0t I�LiS9_ < ='I i?i�Uct• .'11:1 :,�1 y:::]?:.. ;.>_:iY� :;�: Li DEPARTMENT USE ONLY STATE OF CALIFORNIA DEPARTMENT USE ONLY BUSINESS, TRANSPORTATION AND MOUSING AGENCY �` DEPARTMENT OF MOUSING AND COMMUNITY DEVELOPMENT NEW DECAL DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STICKER APPLICATION FOR DUPLICATE REGISTRATION CARD OLD DE- 'TRANS CODE SITUS cc M ufactursr Trade Marr» e�f�vo �GL� �GJ ILT Exemption o -CAL• Data First Sold N DECAL/LICENSE M MANUFACTURER SERIAL NUMBER(S) MUD LABEL OR MCO INSIGNIA R 5aQ--)- 0-1+ i 4 sal b �f �.S 3 DEPARTMENT USE ONLY USE CODE EXPIRATION DATE TAX TYPE ORIG COST CODE YR CLERK'S INITIALS PPF ILT EXT LPT PPT RF RECEIPT NUMBER(S) RECEIPT DATE(S) ILT Registered Owner(s) (print true name(s)) Last First Middle MRF PEN1 z. PEN2 a. Current Mailing Address scrset9a / �� ��� / ledTRF Cityf— i f County Stag Zip TOD Future Mailing Address pr different than above) Street OUPT City County StateLp OUPR SUED SitUS (location) Address of unit Street v7 D/'1 CONF Clry pp u Co Or /� (_ S 5 Zip REPO Legal Owner (Ilenholder) (print We name(*)) vZ n /� ��J[�c.. 'f� m e- • e RREG RSF Mailing Address sheet n /l �/n City, sate zti/ ,\ (it//•LL/ l.. /�DUC /\ QHC�I�LD �C•C-!J G� PLT First Junior Lienholder (print true name) SIT UTP RT ASF Mailing Address Street cI ry Saa Zip CCP Second Junior Lienholder (print We name) TOTAL MailingAddress Street Clry sate Lp Mobilehome Park Park Name Operator Name I/We certify under. penalty of per)nder the laws of the State of California that the foregoing Is true and correct and that the registration card has been: Lost 11Stolen, 13Mutilated, 13Illegible, or 13Not Received Executed on // — 5— 7 l atOro V 1 /� 1�� J (Date). a /1 4 o (City) (State) ire of Applicant .2(7197) STATE OF CALIFORNIAM,a BUSINESS, TRANSPORTATION AND HOUSING AGENCY "� DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT s _ DIVISION OF CODES AND STANDARDS r REGISTRATION AND TITLING PROGRAM"" °fes STATEMENT OF FACTS This unit is a: 0 Mobilehome Commercial Coach El Floating Home E Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) Lfi/_ 5a o5( 2- Sa L, --hk_)01)d 0j4F J/-7 416 099 -n2 az)_ I/We, the undersigned, hereby state: bco-o-L5 �as� 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-/ I '5'qqat Oro V I ne— (Date) (City) re(s) 7 w . Co.1 CJ Address `? n Printed name(s) C4 City State (I �-- HCD 476.6 (REV 9/'91) (State) i '3 77 It C (ARLES' W THRESHER CDL N8527651 11_35/ 1210 SHIRLEY A THRESHER 2665 ( 921 LONG BAR RD (530) 533.9608 OROVILLE, CA 95966 gate Od D e J .,4 r vl Bank of America Oro Darn Branch 1169 CttSrD711CY� F n 1620 Oro Dam Boulevard 111Cf Orov lle, CA 95966 (530) 533-4950 1 9 9 1 r 12 1000 3 581: 2665697,�1 :sem — 0 7 3-1 3 i n January 24, 2000 Charles & Shirley Thresher 921 Long Bar Road Oroville, CA 95966 Dear Mr. & Mrs. Thresher: -LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: Request for HCD 433A (Mobile home on Foundation System) (A.P. #033-010-079) Your 433A (Mobile home Installation on Foundation System) was recorded by our office on 12/23/99. The 433A cannot be sent to the State Department until you provide our office with a check made out to HCD for $22.00. - Until this is received, we cannot send the information to HCD for processing and you will continue to receive a bill from HCD for registration fees. - Should you have any questions concerning this matter, please contact Alice Mefford of this office at (530)538-7541. Yours very truly, ` z✓ Scott Rutherford Chief Building Inspector SR:aam BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIN I Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farts implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. i - v ZONING©33_ 46 OWNER PHONE NO. OWNER'S AD RESS LOCATION OF BUIL G USE OF BUILDING SIZE OF STRUCTURE - c X SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME --LCTSTEEL CONCRETE OTHER (Specify) TYPE OF SIDING (90?22 1. wa§v ROOF COVER G FLOOR TYPE d�k a(vi ESTIMATED COSY OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: , - - - FRONT 5 5 m,, SIDES 2-2 REAR X 114,' - AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 10—/ , 0 Permit Fee - $60.00 Receipt No. oga5 Signature of Owner �•���1f cJ,lo�A The above described AG Building is exempt from a building permit. FLOG I PAR L I P.D. ROOFI ISS Manager Building D' isio By b Date WlLfh? White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ' U&TY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 2V ASSESS6RPARC ER: Proposed Building Use: Building Inspector: Date. At time of permit applicati n, I was h1dvised the following data must be sub ' ed prior to permit p6cess g and/or issuance: Date Received 3, 40. All iiems have been submitted .----------------------------------------------------------------------7-------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 1:17. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ?09. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------------------------- ------------------------- 0 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- 0 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ; ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------- ------------------ ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EJ) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance.--------------------------------------------------------------------- � -- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- El 29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other:------- Wh$n you issue th2e permit, rocess as follows ❑ Mail to owner, []Mail t c ntractor. !Telephone J� (PO0 and hold for pickup at �y �� office. ❑ Deliver with inspector. - Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Index permit application for the above items numbered: 2. Additional items required: Date: Date: By: Date: By: ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. PERMIT NO. 4106-88F E MH PERMIT EXPIRES OWNER CHARLES THRESHER CONTR. owner t ASSESSOR PARCEL 33-01-65 LOCATION 921 Long Bar Rd, Orovi.11e ' /yl Temp. Power Pole .t , Called PG&E Temp. Elec. Service Called -PG&E. Temp. Gas Service Called PG&E ' JOB FINALED (Date) Signature = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/' P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -61 Date Card -131 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -61 Date Card -B1 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -61 Date Card -61 Date Card -81 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) = OK U = Nbt OK ' = Not Readyiable MOBILE HOMES • MISCELLANEOUS 'r Date MQBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS, GARAGES, (Plans)OK except #'s V,Zoning Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements .,%6ils; Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel wer; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails 44pater; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ctricity; Location-Clearances-Grnd.-/ / Amp-Concrete Ga ; Location- est-Wrap / /"L"ft. 7/"Nat. or /"L"ft./� /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-13170Date Card-81 Date 10. Roof; Shthg-Roofing Card B1 Date Card-B1 Date 11. Ext.; Steps-Doors-Landings Date MQ91LEHOME INSTALLATION (Plans) OK except #'s o.ning Requirements-Setbacks-Easements Card-131 Date Card-61 Date . ootings; Size-Spacing-Marriage Line Card-B1 Date Card-131 Date V. Pas; MH Test-Demand-Valve-Connector lectricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s d(prain; MH Test-Fall-Flex Connector 1. Setbacks-Easements ,GVater; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability titer and Sewer Connected-C/O to Grade-HD Approval 3..Pool Structure; Steel-Connections-Thickness- Dead Men -Lining .Gas and Electricity Tagged its; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI r . Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enclosures-Panel boards-Ins. to Main in Conduit Card-B1 Date — / Card-B1 Date Card-B Date Card-131 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-61 Date Card-61 Date Card-61 Date Card-131 Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE 6EPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name � -, 14� Owner's address 7 Insignia or hud number Manufacturer's name Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 4 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE EV R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional. explanation, please contact this office immediately. Inspector L%%G�%%/L� Date /� D J- COUNTY OF BUTTE - DEP 1 TMENT OF PUBLIC WORKS 7 County Center Drive - OrOville, Cblifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE MIT N / v!� Q ASSESSOR PARCEL NUI.tiBER C/J ZO ING BUILDING PERMI O ER C - I -PHONE SQ. FT. OCC. BUILDIN�ALUA3JON OWNER'SMAILINCyA D ES CONTRA 'S NAME TELEPHOT4E r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN CC Total Valuation $ Filing Fee ,$ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ vy PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION AME PARCEL MAP -L-0 Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehor Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 0.00ea TYPE OF WORK New F-1 Addition Remodel E:1 Utilities Installation❑ Other [_I Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, 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 CONST. DWELLING OR ADDNS. ACC. BLDGS. OCCUP.IN,hQsq ft NEW CONSTR TI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 2ALO 30 eL0 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 1k The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c1equence of the granting of this permit. { I Z _ �r X C Date . _, o Signature of Applicant — Owner E4 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h fight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEscNo L ' o PARC KJX1;_71S This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D R /TO PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / Date/.-` % / — 17 —26 Receipt No. WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT •-.� -•- v v.. .. . � .. ..�.v -h... ``. .. `�. �;���„S.��iwc.t:y11'�'•.r�•''f�,...r..•.3'ih`1Y�.'i Rte: "•.0«i- �-."0••.. Y._ �.,.�_,. COUNTY OF BUTTE - DEPARTIjAENT1'0F>PU-.BL,IC WORKS - BUILDING DIVISION , 7 COUNTY CENTER DRIVE - OROVILLE, GALIFORNM 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No < ; /y5 �G�s' 7 . Proposed Building Use Building Inspecto Date i At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3c9'Irg� 3. Complete plans in dup icate triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, vvith wet signature on plans . . 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 1 : Park fees paid ... :................................ ................ l� z2-.da&4: School District fees paid ................. 13. Sanitation approval from CI29z::Pz� Health Department ... 14. City of Chico plumbing. permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) ' 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... Pre-Inspec. request to R Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance 2. Owner -Builder Verification (Given to owner ❑,`Mail to owner ❑) .. ` 3. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of sig/n"atureauthorizatio ........................... 25. lIO�GLCGGC�G�, �G2l�i ') 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. \_ Telephone_��9garl! and hold for pickup at�office. 'Deliver w/inspector. Other A p p I i c a n t ����PA c� agaLT Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitt d prior to permit issuance: (Circle new it -§4n not checked above). 1. Index permit for above items No. 2. Additional items required: c Contractor, designer, owner, was advised of above required data by_phone___nail_counter by date ° Contractor, designer, owner, was advised of above required data b y ! 9 q y_phone_m�� counte�b date Plans checked by Date Plans approved by' Date Sets of plans on hold in File cabinet AP folder i' k Copy—DPW TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner, Location AP# A Aj Plan Approved for: Sewage Disposal Water S74 ,upply,&tx j' Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom o ile home. Other NOTE *** _PA) Sanitarian ate TO Buildino Department -� FROM: Environmental Health SUBJECT: Sanitation Clearance —.010A lo r Owner. Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.R. for: Clearance for bedroo mobile home. NOTE * * * Other Water Supply Water Supply Sanitarian a e COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. .I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have /have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name .t r -pt- - - Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and p�j ovide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address'. Phone Type of Work Signed: Property Owner Social Security Number - Date / a -2 T ` "z NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. OWNER PERMIT "t �— M UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compactio: Test -Req. Service Size Other Load Type Pipe Size Lerith YES NO YES NO :• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 959rD5 - Telephone: 916/538-7541 APPLICATION A D PERMIT ER IT ASSESSOR PARCEL NljJb R G)C ---- © " ZONING _ BUILDING PERMIT OWN R TELEP NE !' SQ. FT. OCC. BUILDING VAL OW E 'S MAILING ADDRESS CONYACT R'S NWF_ - TELEPHONE CONTRACTOR'S MAILING ADDRESS d /'// ff /fes Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /�� /J U V Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 ` Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel Utaliti s Ilation Other ❑ Describe work: �- "sem Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business f and Professions CO a and my license is in f[IIJ forge and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a\ OR ADDNS. ACC. BLDGS. / , h2sgff NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS 6 {SINGLE OUTLET CIR. aoeaoe Ex. Occup OUTLETS OR FIXTURES eAL030 FIXED AP Ex. OCCUp. OUTLETS (PRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling - Hood 3.00 Ventilation Permlt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs,and expenses which may in any way accrue 'against sal ounty in consequence f e granting of this permit. X Y Date Signatu a of Applicant — Owner❑ Contractor' Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TYPFJ echo woo P REEL 11,PD I . ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 0faECT6R OFJqkIBLIC By PERMIT.EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2-�S'0_ Receipt No. WNIT!-D.P.W.. YELLOW-A3el33OR. P. INK -INSPECTOR. GOLDENROD -APPLICANT i :S�v 7 r i., '�. h�'y r'. �t� t .. °.^ { r •. ; ri �. r*w.xd' ATF i,. ,.r t..rfs ; , } ;'r ._t 4, e COUNTY OF BUTTE - DEPARTMENT.OF.PU.BiIAC WORKS - BUILDING DIVISION ` V7 COUNTY CENTER DRIVE - OROVILLE, CALIFclhMA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ - 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. :W7. Engineered truss details and layout in duplicate (required prior to plan check) -8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 1. Park_fees ai .............. 12. r/`M1- . School-Districf fees aid ................. -2— 7 13. Sanitation approval from Health Department 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..... ......... ................. . .:26. 't (Date) When you Issue the rmit,Zn—and ocess as follows: Mail to owner. Mail to contractor. Telephone r hold for pickup at r!� office. Deliver w/inspector. Other 17 Applica Date 7 - F__ Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to per it iss ance: (Circle new item not checked above). 1. Index permit for above items No. Za 2, Additional items required: Contractor, designer, owner, was advised of above required data by—phone --- inail_counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked Sets of plans on hold in Copy—DPW Date f �Z- dans approved by File cabinet AP folder Date wrtr:.*c,.7,R �i-{•�ln� ik :—rr'...�...sv'"CV"`$'.Ary"p•,d::K`'"►^RTiK�!^�i"idj�iT;-F'S'f3R1i�. � '�"'a.�r.c'M 6nr'•r'�w.�r..:n t. .j BUTTE COUNTY SCHOOLS DEVELOPMENT,,:F..9E CERTIFICATION FORM (One Form per Building) A.P. NumberPBuilding Department No. School District f(`)i/ Ne OlCity 0 County [M Jurisdiction Property Owner Project Locati Subdivision Residential Developments # of Living I Ad iUnits a Commercial/Industrial: Lot Number Sq. Footage ion (Group R) Sq. Footage on .(I'ncluding Exterior Roofed Areas) AA/ff 9 Buildsia'g Department.Representative ,.Y ate District Id No. Qnfl School District certifies that (Applicant Name) (Phone Number) t (.Str et (Address ) 04 (City) (State) (Zip Code) pp has complied with the requirements of Resolution No. -J'%-/ a-- '�. 00 by the payment of $ o�1100 J representing /400'. square feet. �... $ 1/s, School Di,, ict Representative Date PAID BY CHECK NO. / BANK NO REMARKS ;.r PAID BY CASH white -applicant, yellow-buil,ding.department, pink -school district SCHOOL . FEE (5/88) NOTE: --All M -•'m als & Workmanship $',-,•:,.!! Be ins Accordance v/::: %ecognize-d Good Practices d nd Of a qusalr i•r: :il,ed for ane Specified use in the Uniform' Bui.Jii rg, Plumbing & Mechanicaal' Codes sand Me National Electrical Code. r' 0-000* tb i A setback of�}t: fmm thi �` di property lines and a setback / he of 50ft. from the road ' m centerline. shall be clear of i ` Pructyres or equipmr�ent exce t for a 2 ft: eave ov7rhang. ' Aut nis got of plan's and speciffcatlons Iv�M 19 kept or( the jo at all times and it is unlawful +c makgany ch ges or alterations on same withcut` ' en per ission from the.Departmont of taU Works, County of Butte. A permit will I k0fdetion of i ility connections shall be viithr,� ft* of the mobilehome rer ectly behind or within thehrear� go siL If bf the roadside (left) of the, AIS obilehome. I. 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'�9UM . . . --je.��`,- -"E.0F,7.!;qo- 4-4Ve1Mn ,; - ­,. �,:...­%,-.,,.� . . , . , . :�.. , , � . "'. �' - 1- , ;, __ �­--,: ", -�, 1 ,. , , �;� , , . �•­V��. .. . .".... ,_ -_.i_- . .. '. r .. � ,SdFz. 408.i " 0 �­ Z. zw: . . �.­­.-_ ...1. .....-I P. .".;--..- . .., ... ­ ... I ­ ­ - . - . . _.. : - .; . . ... .. . ..'i �;W*W_q IS2!t -,O.R.: pyo . .711.r `.j.,.11,.�.-. "•.1." -, 0. , . -. 0, ''.1 - , - Wz..t .. .. � ­ '; ix ir IsP.37'.7PS'.-Pa�4 A0. - I , Y" - Q ..,t ,;__:�� z -'-'�� : -.­'. ,,* t'-'- .. - _�`.`­, .....;:c%, \,.. 15 :� '' .. , ��-4��V;l `� 11j"M"N' �.-�.!-.,-"-:00. , "i ­ ', .. AS locos - - �" . ! .., .. . -:.----.-..- - I � . � . � � . - . I - - IA . . . ,, � I•I � . 1� . I I . � .. • . .. , . � .. , , J . I . . . . . � I . I - ____ Al BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET i1-- J 1. Owner's Name: �� I les lAldlPeS�i�ae - 2. Installer's Name: cJ iiY%% f 3. Is the site currently under permit? Yes ® No (If yes, furnish permit number Is the site an existing site? (If yes, furnish two plot plans.) Yes 1-1 No OR 13;1 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 a No 1-1 (If no, clarify 5. What is the mobilehome electrical rating? ------ ----- --- %l> l% Amps 6. What is the mobilehome site service rating? ------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? ----- �� Amps 8. Is there any other electric load to be served by the -------------------------------- mobilehome site service? Yes No � (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? --------------- (in.) 10. What is the type of gas service? ------------------- Natural � LPG 3 11. What is the gas pipe length from meter or tank to the * 12. mobilehome?--------------------------------------------- (ft.) What is the mobilehome gas demand? ------------ ---- (BTU) *(This information not required if pipe, length less than -§eft-, . natural gas or less than 50 ft. on LPG*.) MOBILEHOME SUPPORT DATA a If other than single wide, Mobilehome Mfr. �' �D� furnish Setup Model No. Year Year Width— 626' Box Length__�,le,9 (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)a 1. Wood -pressure treated or -foundation grade. 11 2. Other (specify) SUPPORTS (check one)®1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 _ Line 1 — — Li 2 Main Beams i nc 2 — — — — — — — — — — — ——-�.14f.� Line 3 — -- — — — — — — — —'— — amine 2 Main Beams --- — ----- �--- s -Line 4 Tag or Triple in, 4 Line 1 Line I Piers: Size -Min. ------------ Spacing -Max. -•------- Fran Enda-Max.------- 1.1nc •L Piers: Size-MIn. ------------ nx Spaclog-Max.--------- ,. From Ends -Max .------- Lj:q!� 3 IL+of I -ado: Size -Min. ------------ Location (From Front) ' A- "I M, -off ,. L1.na. 4 Piers: S1z.•-Min------------- Spa, J.,X-Max ---------- , From Ends -Max .------- , Line 5 Koof Loads: Size -Mill .--•---------- location (From Front) Line 1 Openings: Size -Min. ------------------ "x Each Side of Openings c�`N/7/%Iq.S With Width Over-------- � l Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------------ "x 'Spacing -Max.--------------- From Ends -Max -------------- K x ` "x — "x "I Line 5 Piers: (Under Bearing Walls Only) Size -Min .---------=-------- "x Spacing -Max.--------------- From Ends -Max .------------- ux - ---- ---"x' -- — ax nx nx ,.x ox ux , DOUBLE VaM PIERINS 14DRKSH= X]II. - PSF RGC1r mtm �Pvw Q _17- -0" Z' -B" W%X. REAR OVDU NG (TYP) "A —G IME PIERING TABU: 11-0" VAX. -PIERING PIAN-DRAWIMrY OR IfIAM RAIL SUMM g'0MMC SIZES. IMATIM IMCE PMCRnC WMX = _ m I .W, DWr1AL FW7 M VIM= 2M ItnF3 CM Do D•TI' MCIR STH DTMaCR 5711 WrMCF FEAR W+LL r UrAnow u >Cr V= V= PMT pcsr PWT POCr , v; im 271!� Solo IP -461415 3 ;- nm 51M 2qX 8 xm 310y2c Nox2 36x Footing sizes based on 1000PSF soil bearing value. 'If soil conditions differ'see the piering plan dry ing or the Hcrm Technical Installation Manual for method of czlcalaticr, r..,. 1`,-. Fr'.' r•r^qG '"o C,i' 2i"�``i.,s.'f.'a�r wart.aa'+1"Ki6`:;rF`r'@ri''W.i1,Yii`'u.bt'•ir+' Ih . •a sP°" , BUTTE COUNTY SCHOOLS DEVELOPMENT 'FEECERTIFICATION FORM (One Form Fer,guilding) A.P. Number 3-oi 7�3a.:2$u lding Department No. 4E/ %tea School District �Lrey,,y ��,� a Cit Q County Q -Jurisdiction Property .Owner Project Location/Address 592/ Subdivision Lot Number Residential Development: a/ Sq. Footage (apC' # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage. New. Addition (Including Exterior Roofed Areas) Building Department Repr sentative Dat District Id No. Q01PQAO_V} � al-,y%ttliui School District, certifies. that (Applicant Name) (Phone.Number)" 9a/ ' r � � (StreeV Address) f (City) (Stage) (Zip Code) has complied with the requirements of Resolution No. 9647 00. by the pa ment of $ 024100' representing %QO square feet. 6/� School Dis t Representative Date 1 ' PAID BY CHECK NO. /%( REMARKS BANK NO PAID BY CASH r. white -applicant, yellow -building department, pink -school district §. SCHOOL. FEE (5/88) ' k - 6' P a F Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT SecLioll 26-H. t of t:he Butte County, Code -3_.,, requires Lhis acknowledgement be recorded prior to :issuance of a building permit. The property described herein is adjacent to land or included within an area zoned -������ �' '�'' FOR for agricultural purposes, and residents Paf f ' 0:011 A.M. of. Lh.is property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but lot :limited to herbicides, pesticides, and Cert.i.lizers; and' from the pursuit_ of agricultural operations including•, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor., Butte County has esLabl.istle(I ,l;;ri(ul Lural zones which have as a priority use for producive agricul.Lural purposes, .111(1 rrtiidc Ill within sai.d zones and on adjacent property: should be prepared to acceptsuch it" li i c nr( or disconform from normal, necessary farm operations. __PARCEL I s— - PARCEL --3 , AS -SHOWN ON` THAT-' CERTAIN-PAR'CEI; MAP, -RECORDED- IN THE ­OFFICE O' -- THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 24, 1988, IN BOOK 113 OF MAPS, AT PAGE(S) 20 AND 21. RESERVING THEREFROM ANON -EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER BO -Y -LE LANE AS SHOWN ON'SAID PARCEL MAP. PARCEL II: A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER BO -Y -LE LANE, AS SHOWN ON THAT CERTIAN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 24, 1988, IN BOOK 113 OF MAPS, AT PAGE(S) 20 AND 21. _EXCEPTING THEREFROM ALL -THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. r - \ F.. �, 1 Slate ofd-����Or�/�l) On this the 1-✓ - day of l(4 Ilford mc, SS. the u d rsigned Notary Public, persona ly�appear.ecl County of 6 -�Ulf Personally known to me. 1�Proved to me on the I);l;;is ttr' of satisfactory e0 dence. R;, , JANE ANDOE a i f - M �Zo be the person(s) whose name(s) --- ' NOTARY PUBLIC CALIFORNIA k, ",© °x( Butte County subscribed to the within instrument and acknowledged Lh,ct a Gp �+�`' s u '`F ,,�� MyComnussionExpiresJuly11.1 executed the same for the purposes therci_n contained . IN W I I'NI?tib 9r, �., o�®m®®®�®®®,,®®®®®®cpm®®�1HEREOF, I hereunto set my hand and off:ic:i.al. sea... Present A.P. No. ��(' C,��' Notary Public 3 - PERMIT NO. BtB9 � PERMIT EXPIRES � OWNER CHARLES THRESHER ' CONTR. owner ASSESSOR PARCEL 33-01-65 't LOCATION 921 Tong Bar Rd, OROville t a 1 i - i t. Temp. Power Pole v - 7 r Called PG&E Temp. Elec. Service Called PG&E / s Te mp.•Gas Service i Called PG&E �((y JOB FINALED (Date) �v �', Signature = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable Not Ready Datt UNDERFLOOR (Plans) OK -except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48, Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Mate rial-Supprt-ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -61 Date Card -81 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39: Sills, Proper Material &Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 61. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 64. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) OK. .• 0 = Not OK Not Not Readyiable 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: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -81 Date Card -B1 Date Card -131 Date Card -131 Date MISCELLANEOUS Date DEgKS,COVERS,CARPOR GARAGES Plans) 0K exce°rat #'s ZP�g Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. orts; Windows -Doors E IAYIFrmg; Sills-Anchors-Studs-Rftrs-Trusses 9. S ailin eneer-Stucco-Mesh Roof; Shthg-Roofing xt.; Steps -Doors -Landings Card -131 Date and -B1 Date Card -131090,t7 Date and -131 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date I Card -131 Date Card -131 Date ., - ,. .-•� �-«-�---s-. �..r-r+.: Wiz.. aczsaca�:�*�s-•; �•%�s,�+++F COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891'-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 7 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector v/ Date '2 �112/—U COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891'-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT No. A routine Inspection indicates that the following violations.of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. InspectorZ" �Z Date - -4 Z2 tiU x. .7r, i, xj InspectorZ" �Z Date - -4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillri, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 33 —O 1— S ZONING AR BUILDING PERMIT N R oG� ,;,r les r e s ej-- TELEPHONE 3,3-Q60 $ SQ. FT. OCC. BUILDIN ALUAT N �p Z) At 6 OWNER'S MAILING ADDRESS aS 3 d l'c)- tlw - you' l 25f t CONTRACTOR'S NAME .0 e- r TELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ 3 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Sa ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ -75' PERMIT Filing Fee 10.00 n.PLUMBING �� �0A,, ar' Each Trap 1 2.00 ill U Ora , , �,L - Q%-� V t (� Solar or heat pump water heater 20.00 LOTNO. SUBDtYISION NAME PARCEL OM�� Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRlJCTURE SF❑ Duplex[] Mobilehome❑Other a� �- (t90�r� p PECI FT Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10 00 ea TYPE OF WORK 91 New pT Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: P,'�-0.L `/L e� X '41) Lo',1L us AA01f�,. 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 r•Q ! Main service 60ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OC , OR ADDNS. ACC. BLDGS. h2SgIt wi NEW CONSTR. U TI.OUTLET NON.RESID BRANCHCIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occu 1.20050C P OUTLETS OR FIXTURES eAL(930 FIXED A EX. DCCUp. OUTLETS PLNS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 consequen a of the g anting of this permit. 7 X e,�d. 1 �. - Date 1 `I J — % '�� �y Signature of Applicant - Owner 2 Contractor ❑ Agent ❑ f" OSHA permit is required for excavations over 5'0" deep and demolition or construct -le of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ZZ r3zyw , OCCUP. CONST.TYPE SCHOOL I FLOOD PAVI PD NO SSU This permit is hereby issued under sions of the Butte Count Code and/or work indicated above for which DI ECT OF PUBLIC BY PER IT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS Date •-( �eipt No. 31:96 '- -3 `1,-D.P.W., YELLOW-ASBC330R. PINK -INSPECTOR, OLDENROD-APPLICANT ,. .. . ,� �.., .. _.._. ,. t' .. .•: "j �' 7 ..' - . i ��-J3r 4-�..�y./M .y.�,T y r -. . .. .. 1. ryr F. f *COUNTY OF BUTTE -DEPARTMENT OF PU7 i'- WORKS -BUILDING DIVISION t 7 COUNTY CENTER DRIVE - OROVILLI�'CALIFd,RMA 95965 - TELEPHONE: 916/538-7541 " n { PERMIT APPLICATION DATA SHEET / /1 Permit No. OWNER 4,14r-le5 7-A r -e5 k-0_1 A. P. No. Proposed Building Usea Building Inspector Date. Vtz . ,T At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... - 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ` 11. Park fees paid ..................................................... �2. School District fees paid ................. _ 3. Sanitation approval from L�:M U %I %j I:P _ Health Department ... _ 1 . City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec'-requestto 19. Pre -Inspection for required ...... Building Inspector (6 ate) 20. Contractor's license, information (No., Name Style, Classification) .... •.. . 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ r 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of' signature authorization.......................................� 5. When pu issue the permit, process as follows: Mail to owner. Mail to contractor. � Telephone _!!��a*4 6 !and hold for pickup at office. Deliver w/inspector. Other Applicant e QJAA c� Date - - Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pri o permi is ance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: i Contractor, designer, owner, was advised of above required data by_phone_—mail counter by / date Contractor, designer, owner, was advised of above required data by—phone —mal I—counter by/ date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet r AP folder Copy—DPW TO Buildincr Department FROM: Environmental Health SUBJECT: Sanitation Clearance ISP S - 33 Owner. Locatift AP# Plan Approved for: Sewage Disposal `� Water Supply G/ Hold final for: Water Supply Final clearance O.R. for: Clearance for bedroom mobile home. NOTE *** Sanitaria Water Supply Other COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building .permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yga or no) 2. I (ham/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed . construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property .Owneri-eaaJL Social Security Number Date Z__s( Q NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center. Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: .916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your.earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) Wa- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions.of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date /— %-3 $� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and '19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. -93- This .at of pla and specifications MUST b - kept on tho jab at -.!I times and it is unlawful t( ce- I make any chongey �r altsrr�tions on earn® witnou+' v"j*en .permission from the Department of Pub- lic Works, County of Suffe. ) - NOTE:. --AH Material & WoAmanship Shaft �e in Accordance `wig h `Re;c gnized Good . Practices and of cr..,auolity Ores :r l�ec for the Specified use in the Uniform Building, Plur;I ing & Mechanical Codes and the National Electrical ode. .gyp A setback oNft, from the property lines and a setbsick of 50ft, from the* road ' centerline shall be clear -of structures or equipment except 'for a 2 ft, eave overhang.IL , I ,moi,✓�;� / o00� IUWDI C DIS. APP )l E� . . . . . . . I , , , ­ � . ... . I I. � . : - I . `- . i __ ' ,- p r > o , ,\",yIgN t{`3 t t , . rr * 4 J �f•i s c . yysJ� w idla[ o� ozyo ,. soo S6/ �v-'. �f i .. .11N. %JOJ. 3l!!'B. Ol 03G�JP Obt%d J r iIY%; -1 ':> ,�,,t<qy�-gyp g+, 07�1512'3NM0 ON/1S/r'3c ,t sc a o- izx,?:� 7/d, .L,IN/!OV 070 jO .7 , il �.eif „ = l ,..a hz;, y;v �,. D'l.• Y N—a /.a1 t i' +� /.�1r C/� _ f ,/f j� yr ,/,� r IT i �.� t r �I �'. rr�Y - y ' ,�J r 7' Z::C93HS C'1 c p, O try l vp ,1 A.r .. 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