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033-034-013
44 33-034-13 GR R -Y S THAY. --- ------ 0015F 293 Co a Way,-Oroville V10hATION 0 -0 33- 34-013 4 84E(ele/NH) u junk; garba'ge,-ino garbage, -inoperable vehicles, hicles, 337034-13 openTand dlise t cured.building rmit# 845-851�,E�.,Qtil, MH) 0 , 1'. , "� %L�3 0 da��'476/ 4' -,. .- , .-, ELEC,�?,cx>* *A A A" c— 6orw -- I GAsAiar 1^)6r, N11 13 3.; SUPPORT STRUCTURE REQ AID COMPACTION TEST REQ t4 b Yer' it# m t #.. -85 ss, u NOA4-k- ode.Violation Complaint to inspector o 0331034-013 02-118 I 30 day violation letter o (V SCRUBY, SYBIL, INALE 10 day violation lettei It. 293FOLINA WY. o , Abated or Closed , MHI 033-034�-013- — 02 SLED LE SCRU83Y sybiL 1, I 2 1 9j, COL I I - NA WAY,- OR CO&T:'JORD-AN CROSS MH MAIN SERVICE PANEL 033-034-013 0j- DIALED SCRUBY, SYBIL . . &, 4) 293 COLINA WAY, DROVI GAS LINE, WALL HEATER' I V, 4r.11 4. 11 M, . ...,,.: ,.r ce�_.a-•�7-a+_a e'er. �:F,•r+^iF_ -.... _co rpm^ .- .,r .. e- ,. ,,.�., p. �.. �•. Y c ,� ,�...,. .m r . ___ .. ,.-s, , ,.�. ..o; .._.. „-.N' iL 033 034=013 a%','� 02 1244'`=F' IJ "7. I 'SCRUBY, SYi311 '.r �� nit v •- x� , . WAYOROVILLE``- 293 COLINA JORDAN CROSSING ; *� CONT:,, MH MAIN SCRVICE PANE 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PtRMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-1254 ASSESSORPARCELNUMBER ZONING 033-034-013 BUILDING PERMIT TELEPHONE OWNER LEPHONE SYBIL SCRUBY 3 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 102 MMING STAR OROVILLE 95%5 CONTRACTORS NAME JORDANS CROSSING TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENE"NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 293 COLINA WAY, QRQV Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X] Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OFWORKGas New ❑ Addition ❑ Remodei ❑ Utilities O' Installation ❑ Other ❑ Describe Work: IH MADI SEWCE PAM FM BP02-1184 piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 200A OR LESS 23.00 • �. LICENSED CONTRACTOR'S DECLARATION I hereby �'eT 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.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1`as owner of the property, or my employees with wages as their sole compensation, /vwill do the work, and the structure is not intended or offered for sale. GY 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 c mplyZwith those provisions. t �, / / q X Date ! f? _` Com( �` Signature f Applicant`- ❑ Owner ❑ C' actor ❑ Ag -en An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO t000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a ACC. BLns. 3.5QFT: NON-RESID. MULTI -OUTLET @7.50 IR. 8 R A OUREr OWELEPPARATUS OUTLET OR FDITURES Ex. Occup. ens @ ':so FIXPPLN. Ex. Occup.ouTLErsED ARESID. OR EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONT. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL I PD HD JJJPE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ove for which fees have been paid. y T Date P t�' PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION `✓ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. 02-1244 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 033-034-013 ZONING AR BUILDING PERMIT OWNER SYBIL SCRUBY TELEPHONE 34-9607 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 102 MORNING STAR OROVILLE 95965 CONTRACTOR'S NAME JORDANS CROSSING TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS 293 COLINA WAY OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDNLS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 11 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00. ] TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities 4 Installation ❑ Other ❑ Describe Work: MH MAIN SERVICE PANEL FOR BP02-1184 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G W @20.00 4 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 UE Main Service zo.A OR LESS 23.00 0 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1 as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. l 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 0 1 should become subject to the kers' compe ation provisions of section 3700 of the Labor Code, I shall f c p with o e provision w�hwith t X Dat C7 a�� Signatur f —Applicant-- ❑ Owner ❑ C,4i4tractor ❑ Age An OSHA permit is required for excavations over 60" deep and demolition or construction'' of structures over 3 stories in height. Main Service To 200ALICENSED 46.00 NEW CONST. DWEWNG OCCUCUP. SO WEE OR ADONS. ( a ACO. BLDS. 3.5¢FT. awµAEOSIn T. MULTI.OU CIRCUTITS @7.50 APPARATUS a SINGLE OVREr CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FD(TUREs SAL @ .50 Ex. Occup. o. CRRo .ORE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 Z. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE XX This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ove for which fees have been paid. By )Date PERMIT EXPIR ON C - l (0 �3 I (Da te Receipt No. 353647/$43.00 43.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION _y 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 LE MIT aev 12/96) APPLICATION AND PERMIT Ion 0-116-D S PERMIT FEE $ LO No. sueOlvscNs NAME PARCEL MAP PLUMBING PERMIT I Fling Feel 20.00 Each Trap 7.00; USEOFSTRUCTURE Solar or heat pump water heater I 23.001 SF ❑ Duplex ❑ Mobileho O Other Water piping 15.00 sKcIFv TYPE OF WORK Each gas water heater or vent I 15.001 — Gas piping system 1- 5 outlets I 15.001 New ❑ Addition O Remodel O Utilities Installation O Other O / v Building sewer t 5.00: Describe Work: [, _ r___( Mobile Home I S G W I @20.00' "PEP IT FEE PA10 SPA SHERIFF OTHEtt R NVAA��R " TO SE FVT zwo COM W"t Receipt No. wMITE•0.0.3.-6.0. CANARY -ASSESSOR PINK -INSPECTOR OOLOENROO•APPLICANr PERMIT FEE I S 20MMO PERMIT ( BUILDING PERMIT Ow NER � V \✓ 1 23.0 t lYl/ / SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNo ADO s DWELLING occuP. ( i ACC. SLDS. I 3.SC S' I FT0.y NEW CONST. NON.RESID. YULT40lliLET ( BRANCH CpCUTS ) I @7.501 CONTRACTORS NAMEI POWER AP'PAMTUS t SPLOLE OUTLET CIR. TELEPHONE (° ► OR RffURES ) L - 'a °° BA.'1g .SO CorRRAC TORS MAILINO-rDOPESS- OREx. ( OTT s0.1 F. I (`/1 tee/ �J4�7 Temporary Service I i 23.00 Mobile Home Facilities ! 20.00' Misc. Wirinq C3NS TRUCTION LENDER i 23.00 LV+'DER S wuuNG ADORESS _ Fireplace I --- Total Valuation ARCHrt ECT OR ENGINEER LICENSE NO Filing Fee I S 20.C: ARCHITECT OR ENGINEERS MAIUNG ADCRESS Permit Fee S Plan CheckingFee b aLiLOINO ADDRESS � Energy Plan Checking Fee $ 0-116-D S PERMIT FEE $ LO No. sueOlvscNs NAME PARCEL MAP PLUMBING PERMIT I Fling Feel 20.00 Each Trap 7.00; USEOFSTRUCTURE Solar or heat pump water heater I 23.001 SF ❑ Duplex ❑ Mobileho O Other Water piping 15.00 sKcIFv TYPE OF WORK Each gas water heater or vent I 15.001 — Gas piping system 1- 5 outlets I 15.001 New ❑ Addition O Remodel O Utilities Installation O Other O / v Building sewer t 5.00: Describe Work: [, _ r___( Mobile Home I S G W I @20.00' "PEP IT FEE PA10 SPA SHERIFF OTHEtt R NVAA��R " TO SE FVT zwo COM W"t Receipt No. wMITE•0.0.3.-6.0. CANARY -ASSESSOR PINK -INSPECTOR OOLOENROO•APPLICANr PERMIT FEE I S / — MECHANICAL PERMIT Fling Fee 1 20.00 Heating I i _ Cooling I Hood I 6.50. Ventilation I I PERMIT FEE I S Mobile Home Installation Fee I $ Energy Inspection Fee I $ occ I COWT TTPE TOTAL FEE $ HAz. 0. TEES IMP I IL000 I COP PARCEL I PO i HO SSLE 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 PERMIT FEE I S ELECTRICAL PERMIT ( I Fling Fee:: U.00 Main Service ( moA OR LESS ) 1 23.0 Main Service ( 200A To I000A ) I j 46.00 NEW Cora T. OR ADONS. DWELLING occuP. ( i ACC. SLDS. I 3.SC S' I FT0.y NEW CONST. NON.RESID. YULT40lliLET ( BRANCH CpCUTS ) I @7.501 POWER AP'PAMTUS t SPLOLE OUTLET CIR. Ex. Occup. (° ► OR RffURES ) L - 'a °° BA.'1g .SO Occup. OREx. ( OTT s0.1 F. I I 5.001 Temporary Service I i 23.00 Mobile Home Facilities ! 20.00' Misc. Wirinq I i 23.00 PERMIT FEE I S / — MECHANICAL PERMIT Fling Fee 1 20.00 Heating I i _ Cooling I Hood I 6.50. Ventilation I I PERMIT FEE I S Mobile Home Installation Fee I $ Energy Inspection Fee I $ occ I COWT TTPE TOTAL FEE $ HAz. 0. TEES IMP I IL000 I COP PARCEL I PO i HO SSLE 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 ,o...r v-.��iN- r.,':wv.�� , .. -. r .vn..q=, •:T+we.:�-c�IA.D c�'k!T.Ti:.eT••rc'P7'i'ifF:.,3ti.7i%'!ii St^f+ Zl �^�'a�S4'�'��'Y�•••�SYi' 7 �TM✓•'i•' • 4 N r S 033 tiv 293•COLINA WAY OROVILLE� ,�-. � ,�4„, GAS LINE WALL HEQTER.�r RANGE t. 4 . f 10 a it r .. f ' r f i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 r PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-2142 ASSESSOR PARCEL NUMBER 033-034-013 ZONING BUILDING PERMIT OWNER Sybil Scruby TELEPHONE 534-9607 SO. FT. OCC. BUILDING VALUATION OWNERS MAIJbAQDr` Ming Star Ave Oroville CA 95%5 CONTRACTORS NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADD213 Colina Way,Oroville WA Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or hest pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 1 15.00 15. 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas Line/ W/ Heater/ RwlI8e Gas piping system 1 - 5 outlets 1 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ 30.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service *.'."A OR tESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 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 TO ,oaoA 46.00 WEE200A NEW CONST. DWElLM1G UP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. =.EESID MULTI.OUTLET 97,50 POWER APPARATUS a sING. olmET CIR. Ex. Occu OUTLET OR FIXTURES 20®I.5000 e . Ex. Occup. OFIxcxEED* H — ORS 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation 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. � r X Date _4 SignatureofApplicant - ❑ Owner ❑, C.6ntractor ❑ 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 TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL I PD H� This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ,- PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Q' Date `/! ` Date ReceiptNo. �5 6 V 6 `7 A) O WHITE-D.D.S.-B.D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT -COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-2142 ASSESSOR PARCEL NUMBER 033-034-013 ZONING BUILDING PERMIT OWNER Sybil Scruby _ HNE 534-9607 SO. FT. OCC. BUILDING VALUATION .OWNERS MAI D SS orning Star Ave Oroville CA 95965 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSENO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADD E s3 Colina Way,Oroville:CA � Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 1 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas Line/ w/ Heater/ Range Gas piping stem 1 - 5 outlets 1 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Fling Fee 20.00 600V OR LES Main Service 2o..OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO +000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( & ACC. BUDS. SO 3.5¢Fr. NEW R °SID. MULTI.OUTLETgcUrr, Qa 7,50 POWEPPARATUS 8 SINGLER AOUTLET CIR. EX. OCCU OUTLET OR FIXTURES BA L @ I. 0 Ex. Occu , oFuntTs AEsID,LNS °EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 f hwith c mpl with ose provision . X _ Date Signatu f Applic nt - ❑ Owner ntractor ❑ Agent An OS 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 TOTAL FEE $ HA2 D FEES IMP FLOOD CDF PARCEL PD HD IS U This permit is hereby issued under the applicable provisions of the Butte County Cod d/or Resolutions to do work i icated ove for whi fee have been paid. , Q^ Date— PERMIT EXPIRES ON U Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY-ASSSSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION J% 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 IRev.12/96) APPLICATION AND PERMIT ��— (RC AS SESSOR PARC0. NUMDE R ZOrMq BUILDING PERMIT OWNER 1 TCLEP"ON! /�. SO. FT. OCC. BUILDING VALUATION owNEr+s `7so , 7 rn r it - n Uc 6 � CONTRACTOR'S NAE TELEPNONE COMPACTORS MAAINO ADDRESS CONSTRUCTION LENDER LENDER'S WALING ADDRESS Fireplace — ARCNrrECT OR ENGINEERLICENSE NO. Total Valuation E Filin Fee E 20.0C ARCWTECT OR ENGINEERS MAJUNO ADDRESS Permit Fee E eua.DINO ADDRESS- Plan Checkin Fee $ Energy Plan Checking Fee i E _ LOT NO SUBDI'VISION'S NAME PARCEL MAP PERMIT FEE PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or hent Pump water heater 23.00 IT SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping TYPE OF WORK 15.00 sPEcsv Each es water heater or vent 15.00 Uo Gas piping systern t - 5 outlets 15.00 New ❑ Addition ❑ /Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 Describe Work: t� - ei/ Mobile Home S G W @20.00 PERMIT FEE !17 aQ ELECTRICAL PERMIT 1 Fling Fee 20.00 Mein Service eoov OR LESS zo" OR LESS 23.00 Main Service — TO IOWA 46.00 NEW CONST: OWELLJN0 OCCUP. SO OR ADONs. a Roc. ew. 1 3.Sc,T. NOIaRESID. NEW CONSTMULT�OUTLET I Qc 7.50 POWER APPARATUS i SEYOLE OUTLET CIR. Ex. OCCU . OUTLET OR fDRURES ew I.00 I Ex. Occup. oinEEn RES .)EA 5.00 CU Temporary Service 1 23.00 Mobile Home Facilities 20.00 Eno Misc. Wiring23.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heating o44�mw- 14 Cooling Hood 6.50 Ventilation PERMIT FEI_ f so GV Mobile Home Installation Fee $ A� Energy Inspection Fee E 1t1�; `NST TYPE TOTAL FEE $ �. `O IIA2. 0. PEES IMP FLOOD coo! PARCEL PO ND j ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work woo indicated above for which fees have been paid. By Date PERMIT EXPIRES ON t - NOTES RESIDENTIAL _ - 0337034-013 02-11§ , . PERMIT NO. _ ESCRUB.,, S�YBIL .JY .N 293�Q_QUNAXYY QROVILLE i r I t �l z 1 i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address JOB FINALED (Date) 2— Signature Signature V= OK 0 = Not OK = Not Applicable = Not Ready MOBILE HOMES Date MOBILE, HOME UTILITIES (Plans) OK except #'s onin quirements-Setbacks-Easements 1. Zoning Requirements -Setbacks -Easements ooti ; Size -Spacing -Marriage Line as; MH Test -Demand -Valve -Connector ct; MH Test -Crossovers -Breakers -Clearances 2. Soils; Special MH Support Sketch rain; MH Test -Fall -Flex Connector 3. Sewer; Location -Test -Fall -C/O -Concrete Water MH Test -Regulator -Connector 4. Wat cation -Test -Easement Needed (Ske h) ater and Sewer Connected -C/O to Grade -HD Approval Siding; Nailing -Veneer -Stucco -Mesh leVicity; Location-Clearances-Grnd- mp-Concrete Gas and Electricity Tagged Roof; Shthg-Roofing Gas; Location -Test -W p;-/ '�`/" L'ft. / /' Nat. or / L"ft./ I PLPG Tie D ns -Type -Installation Cert. Ext.; Steps -Doors -Landings ell Clearance & Disconnect Insp.-Sketch 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HQ)AE INSTALLATION (Plans) OK except #'s Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing onin quirements-Setbacks-Easements Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ooti ; Size -Spacing -Marriage Line as; MH Test -Demand -Valve -Connector ct; MH Test -Crossovers -Breakers -Clearances Carports; Windows -Doors rain; MH Test -Fall -Flex Connector Electric 6. Water MH Test -Regulator -Connector Frmg.; Sills-Anchors-Studs-Rftrs-Trusses L,7 ater and Sewer Connected -C/O to Grade -HD Approval Siding; Nailing -Veneer -Stucco -Mesh 8. Gas and Electricity Tagged Roof; Shthg-Roofing 9. Tie D ns -Type -Installation Cert. Ext.; Steps -Doors -Landings lgkfx..ts; Insp.-Sketch Braced Wall Panels 11. Cert. Occupancy Date ermanent Foundation Only; License Decal Card B-1 Date Card B-1 Date Date, Date 1 Date Card B-1 Date Card B-1 Date Card B-1 7 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses ! 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 4 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 F�ESIDENTIAL (%4 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.-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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 Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 Date Card B-1 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral ❑ Yes O 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 P ingle & Duplex) Date FRAMING (Continued) - I ' 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 -Ratter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. 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 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-Cohnector- 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. Htr.; 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 (F.F.I.)-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 ❑ Yes 82. Following Instld./Drive p Yes ❑ NoMalks :1 Yes J No/Planters 0 Yes '] 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 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 1 _ r"/ --I I 'T OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please co act this office immediately. Io� L41 i7t/ tlto Dater .sem% Inspector REV 10/92 1 t� G COUNTY OF BUTTE i BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES Ems_ 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 I CORRECTION NOTICE L' 4A1 "OWNER `�•`� ,- PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the src-. -above addressand should be corrected. Please notice this office when correction of work is `completed. If you have any questions pertaining to this matter, or need additional explanation, > ^ _,.please contact t is office immediately. i1 42- o '- s a t� ' i s mss.. Date _ REV 1 t� I Inspector RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded. 03 -Sep -2002 2002-0045797 Hoe not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is -evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SYBIL M. SCRUBY REAL PROPERTY OWNERILESSOR 102 MORNING STAR AVE. MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITE' COUNTY STATE I ZIP 02-1184 (530)538-7541 BUB. G P€RMIT O TELEPHONE NUMBER 8-30-02 NATURE OF L AL AGrpt OFACIAL DATE NONE DEALER NAME (if not a dealer sale, write'NONE") NONE DEALER LICENSE NO. UNIT DESCRIPTION CHAMPION 1999 AMERICANA MANUFACTURER'S NAME 099940610052AJB DATE OF MANUFACTURE MODEL NAMENUMBER 40 X 24 TRA425342/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED A.P. # 033-034-013 HCD FORM 433(A) REV, 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. BUILDING PERMIT NUMBER: 02-1184 Address or location of unit: 293 COLINA WAY, OROVILLE, CA. 95966 Legal Description of Real Property: SEE ATTACHED A.P.# 033-034-013 (x) Mobilehome/Manufactured Home () 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: SYBIL SCRUBY Owner's address: 102 MORNING STAR AVE., OROVILLE, CA. 94965 INSIGNIA OR HUD NUMBER: TRA425342/3 SERIAL NUMBER OR V.I.N.: 099940610052A/B MANUFACTURER'S NAME: CHAMPION AR: 1999 N "JOFFICIAL APPROVING INSTALLATION: DATE: 8-30-02 PHONE: H.C.D. 513C (530) 538-7541 LEGAL DESCRIPTION A.P.# 033-034-013 All that certain real property situate in the County of Butte, State of California, described as follows: LOTS 4, 5, AND 6 IN BLOCK, AS SHOWN ON THAT CERTAIN MAP ENTITLED "MAP OF THE WESTERN PACIFIC ADDITION OF OROVILLLE, BUTTE CO., CAL" WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 14, 1905 IN BOOK 4 OF MAPS, AT PAGE 16. COMMONLY KNOWN AS 293 COLINA WAY, OROVILLE, CA. 95965. a ESCrow No. Loarr, No. WHEN RECORDED MAIL TO: (02 VLtoR-AJl'N(rST)W— �Y IL_L�� CI✓�l F, .. q,5q 65 (III III II" nIl I'll Ill II ll II II IIII 200 1 --0022965 Recorded Official Records Coun_ ty Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:36AM 31 -May -2001 REC FEE 7.00 Alyce Page 1 of 1 SOC ENTARY TRANSFER TAX $ ..........L�'� .........K� r Iq t SPACE ABOVE THIS LINE FOR RECORDER'S USE Computed on the consideratipn or value of property conveyed; OR ..... Computed on the consideration or value less liens or encumbrances the undersigned grantor declares remaining at time of sale. Signature of Declarant or Agent determining tax — Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, W1 l D V, SGe-UgY Sc.�087 RV.5 BSI p t wl FE 015 -ZZ - 715\j ANT -5 hereby GRANT(S) to 5P'J 60 Vvowkok-� the real property ingthe P • P • N • -* 033-034-013-000 Countyof g V jTr— 15 s(J.OaState of California, described LO -C'21 4r , .1 jcw \nn q -P Ejm� YhAP oFTt war tstL� 'P�1CiFfZ nom TD 020,11LJ;F Bu -te Co., MAP WA'f 2ff:02pEp IN Tt+g-- O%FcCe Ttfz✓ CO��vr� OF S)UTTG; 57A- > 0eC-kU :OaMA y oto Nov6,KOC-g I IgoS cN r3ooK 4 of wlTt) PA�E lb, L�owlivtoNf_y kN�t�ps Pet - N A5 Zal3 Cv t1N� tv J t 012o\lcL(� CA, c{S�C6S. Dated 3 l a STATE OF CALIFORNIA } }ss. COUNTY OF On May 31, 2001 �" before me, Michelle A. Miller, Notary public E Y personally appeared David M. Scruby and "Dickie L. Scruby personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signa- tures) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. _ t WITNESS d ffi i al. Signature MAIL TAX STATEMENTS TO: . same as above (This area for official notarial seal) 1002(1/94 t DEPARTMENT USE ONLYSTATE OF CALIFORNIA BUSINESS, TRANSPORTATION, AND HOUSING AGENCY y,d TRANS CODE DEPARTMENT OF HOUSING AND COMMUNITY , a{ DE a Q' O0 0 DIVISION OF CODES AND STANDARDS ELOPMENT MANUFACTURED HOUSING P(iOGRAM g DECAL N0. slrus cc DEALER REPORT OF SALE OR LEASE WITH AN UWUfACTURER TRADE NAME W (/ G_ STICKER NO. MAVVN MOI NAME OR HUMBER OPTION TO BUY A USED MANUFACTURED HOME, ,,,/ FOUNDATION TYRE Ichsck onsl DATE FIRST SOLO NE MOBILEHOME, MULTI -UNIT MANUFACTURED Clerk EXP GATE 'CJ 18551 (perm) HOUSING, OR COMMERCIAL COACH TAX TYPE :AUF. DEALER L4 O No `^I F,.•I USE COOS: ORIGINAL SALE OR LEASE PRICE IlT EXEMPT ILT LPT E> MANUFACTURER SERIAL NUMBERISI ❑ SFO El MUMH OCC First lj✓�,L COST CODE RATING YEAR :URRENT SALE or LEASE PRtLE_Cid GROUP CURRENT SALE o, LEASE ATE I NAME OF MANUFACTURER , LENGTH Ilmh. a Q' O0 0 DEPARTMENT USE ONLY ]�� / �T /Q 27 `� �7- ! ((((UFACTUURRE ^ 4q M� 1 Receipt Date: MFG LICENSE NO. UWUfACTURER TRADE NAME W (/ G_ MAVVN MOI NAME OR HUMBER DATE OF MANUFACTURER t Q ,,,/ FOUNDATION TYRE Ichsck onsl DATE FIRST SOLO NE Clerk 1 'CJ 18551 (perm) ❑ 18813 (pier) I g ti y SEC/ 1141 DECAULICENSE s MANUFACTURER SERIAL NUMBERISI �G RV�3`i First lj✓�,L Middle PPF HUD LABEL or NCO INSIGNIA NUMBERISI LENGTH Ilmh. WIDTH froths.) WI [ o��,ti4o��oD52 ►'•� a,' �4s0 ILT 3. ,GAS If applicable, check one of the following:MRF i �� ❑ TENCOM AND 2 o� cccc�}O(o 1C�5 Z3 Current Mailing 35V3 y 190 1 L4 PEN1 ADD SECTION❑ DEPARTMENT USE ONLY Receipt Number: Receipt Date: Clerk Registered Lest Owner(s) [print true 1• �G RV�3`i First lj✓�,L Middle PPF name(s)[ z. RF ILT 3. If applicable, check one of the following:MRF ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO Current Mailing Street PEN1 Address I O 2 f CO iL►.1 { of G C TACK Q0 S City County O U I lsL State Zip PEN2 Future Mailing street _ C�'t Address (if 7j ^ / G Gf 1C) L_ I N q � (� �� TRF different than above) City l U.� CountyState POO Zip TOD SILUS (location) Street r av 5 Address of Unit 2-C,3 CSL t rj � DUPT City County SSI �-�- �t Sit b.S� DUPR Legal Owner p SUBD Plenholder) (print true(�O.s V name(s)1 CONF If applicable, check one of the following: ❑ TENCOM OR ❑ JTRSREPO ❑ TENCOM AND 13 COMPRO Mailing Address Street City RREG stele Zi ZIP RSF Junior Lienholder (Print true names(sll PLT If applicable, check one of the following:SIT ❑ TENCOM OR ❑ JTRS 13 TENCOM AND ❑ COMPRO Melling Address Street City UTP RT StateA"" CERTIFICATION ASF The applicant and dealer signing below state to the best of their knowledge and belief that all statements made In this application are true and correct. The dealer certifies that the described unit Is In compliance with all provisions of the Health and Safety Code and Department CCP SIGNA RE NEW qeGIMERED OER(S): regulations adopted Pursuant to the Health and Selet Code. ` /� TOTAL 2. 3. rs(f-V-1 "(POVION -SALESPERSON NAME: J. O 1L� NCD 480.3 (7/97) COPY 1 - Department, Copy 2 - Purchaser, Copy 3 - Tex Assessor, COPY 4 - Dealer Book " O. 332225 B-225762 are nnoy 6e WARNING flan-s g4sf wh1:16 noi qqlxw<n 011" biterested con1Q.-t the Division.. OVVINIERS: qI0 Cert fkA.'t Q Ow e s}Zi ORIGINAL 15SUE DAIE: 4.11) 2 A 111DfNCE Of'jEr ., L. DWNERMM'S C71JRE I): CL, FXL*S. P 0 THE SIR " U THS CERIIFI(:AIE OF TITIERfi E AND EIFfCl UNIX rrSCANC=So'MN WARNING ENI)ORSEMENTREQUIRED BY COUNTY ASSESSOR-WHEgE MOBILE HOME. IS.; - 1P -WED RW ALL WO HAVE BEEN PAR) BEFORE TITIt CAN BE TPANS'-'F ERRED Y" 1 999 0w: (.'I !'A? i P. I ON .. .. ....... 353231 irnb ,. NOTICE: THIS FORM IS COPYRIGHTED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT PURCHASER: r DATE: – – ADDRESS: Z J rh u\ asin r Lie, PHON f ' CITY: STATE: ZIP: SALESPERSON: Subject tothe termsand conditions stattedd anboth sides of this agreement Seller agrees to sell and Purchaser agrees to Purchase th Ilowing MFD./MBL. Home: MAKEC i ! �IO� DE OL'\I er{�J(�' B MS LTOROX.�WZ cL. NE �D 4 �O SITUS P� rry I- 607" r �/Oo&LE U111�''�t74e, �V' 1 I' ac L ne/ ReI !vTMOQ, D ' N BER loci APPROX. HUD OR HCD NO. DT. OF MFG. ' �� `�` • l� `µ' `'� r� ''" THE COST OF. E-MFO./MBL. HOME EXCLUDES THE LISTED PRICES FOR THESE ITEMS" SO. LIVII'NG AREA ^�' ?� T • /�(A TOW BAR! HEELS. HEEL' HUBS. IBES, % N(LE S Pp' l 1 MFD. HOME PR CE DATE MFD. ORD:p„ :uk 1,1 J ; ESCROW OPEN- r^ „,f STKq/O ER: . . ' USED HOME SALES TAX, IF ANY. (I Si SOLD PRIOR T07/ IBO) ITEMIZED ACCESSORIES AND THEIR COSTS: (SEE ADDENDUMS) J (�(� C e F, IT77/1 a�N c/,��_v_Zi E-5-- - UA,er 5 , _nt7 .. • _v_r� _SS.F _.LLLEC_T_�2.1.0 _pLu_rn.Bliu _jvD_ E:� �`z�f _ 1.i_v_t_T_� lrq M02. �U IiaL :!' p— n`' It:3t� at"'I`r• 1 �'L"' ��•"' I od 6_TOTAL TOTAL' ACCESSORIES (OUTSIDE HOME) $ MFG. HOME & ACCESSORIES $ 05 (Q`)_,•_ _iEL[\)_JJfQ •rn SALES,TAX (ITEMS NOT INTEGRAL TO HOME),,,,. T „•$•,II . �`� 1 4-71FOUNDATION SYSTEM /TIE DOWNS $ 169- DELIVERY g V `l F- $ DESCRIPTION! e TRADE-IN - SET UP V `I F a- – - `$ MAKE MODEL BEDROOMS HCD FEES $ INSURANCE'PREMIUM:(ONLY.IF SOLD BY'DEALER)"tf7$ TIT O. SERIAL NO. COLOR ESCROW'FEES ' '� '}`+'•/�I;��TS"h'x� '$ •'- * . L? AMOUNTOWI / ACCOUNT SCHOOL FEES 1Z f ( r_F F $ -^•! ' PAID ;TAXES f 1,/1 fxf [�' i�S�,$+'! »►Q."' �'t War TO WHOM:OTHERikPRE ADDRESS/PHONE 'DOC4FFE,(NOT!A•GOVERNMENTAL'CHARGE)c :1. TOTAL CASH PRICE i:+il w" {Jitauc}`r,cEr,.. THE MANUFACTURER STATE THAT INSU ION AS E INSTALLED IN THIS HOME AS F OW . (NEWY) TYPE 'R' FACTOR ALLOWANCE ON (TRADE-IN v$ F•I,Ie �"'°/•i• iLESS:BAL.DUE,ABOVE! aF,$ .;`•;tl� 4x ,,A NETALLOWANCEtu;•,!c.{,s ;$'tr'_ : -I"r t2tF(i f'1;R1 7fx 1"{f t'iM t;it (I PAID HER $ EWIT_ H , CASH. BEFORE DEL. - $ . .. 3: 1 . I J4, V 1 . .. �.,� ;.i-' :'I f')••, 6:tiL�aQ t1A^ilh ROOF EXTERIOR WALLS_. FLOOR ' '' '`�"'�'� •. .•+. WARNING nless a charge is ilncluded in%this reement for DESIGNATED DEPOSIT Public Lia ' Ity or Property Damage. Insurances `Paym for such Covera is not provided by this agreement'' /� �'� (INC. IN DN. PMT) >2.fLESS BUYERS DOWN PAYMENT "° • the dealer is �also!licensed. as a real estate!broker a the -sale { 3. UNPAID BAL ON CASH SALES PRICE $ sofa manufactur'ed+home'or}mobilehome being'insta/1ed;Fon a1 a. FINANCE CHARGE $ l fo&ndation�system" pursuant?' to? Section -418551 may.'be 5. ANNUAL PERCENTAGE RATE 1wauded'Iinkthe;xpi r`chase tido curnerif -fo'r the, underlying "real; 6. TOTAL PAYMENT AMOUNT (3+4) $ property,-'provided'"that P10L.110,1of` HSC'SEC" �• UNPAID BALANCE DUE PRIOR TO DEL $ 1,1.8035.3 are=met.�� , Ia , i+., �,, ; j, It ` 8: TOTAL DEFERRED'PAY ENT PRICE (2+6) $ t I W'2'1-1 PAYABLE AS FOLLOWS: /V1 "THE;DiALER CERTIFIES THAT, THE. • / -S, 7, SC 0.r ,_ ' INSTALLATION CONTRACTOR IS: Al C NAME" li W i- f .:Ir:.. til },r,,..: ,.I s1Uf. . ^.b. LIC' #,,,,,. , : w p ;d �i.-ii�t Z BUSINESS'ADDRESS' �' " "�'`"'''t "` `'"� ~'k" ' "•'+>' '( °j!c• In the event the manufactured home Cann be deli ered 'and/or' inspection completed within the agreed delivery time due to nonperformance by the buyer, bu er agrees to one of the following at the option of seller, either (1) to pay $ charges per day until a manufactured home installation acceptance or certificate of CITY t�„` CA; `ZIP, 'r�'i-> `", 1 t 5 C S ` , ,t i 1 A Contractor is•'requiied by Iaw t(: be licensed and `regulated by the': >erContractams Stare License;ooard; P.W6yh 260 Sacra–.:s„to, C", 6527. ! occupancy is obtaine addition to all other consideration owing or (2) pay the sum of $ in lieu of total consideration. (A)!:DO NOT, SIGN •,THE'- PURCHASE -AGREEMENT' BEFORE -YOU READ:,,IT .OR;,IF,,.IT,,CONTAINSI, ANY BLANK SPACES TO BE 'FILLED IN. (B) YOU 'ARE ENTITLED TO `A COMPLETELY"FILLED-IN COPY OF THAT ,AGREEMENT.,, AND, IF PURCHASING A MANUFACTURED/MOBILE HOME COVERED BY A WARRANTY, A COPY OF THE WARRANTY. Complaints concerning the purchase -shall be referred::to the dealer and, if the -complaint is not, resolved, -may be referred to the Department of Housing and Community Development, Division of Codes and Standards, Occupational Licensing, Post Office Box 31,t Sacramento, California 95812-0031 '(telephone (800)•952-5275)..Aifailure to disclose pursuant',to this section shall not be the basis for recission of: a conditional sale contract - .•„ F r � •, : The Manufactured- Home that I am purchasing,will.be,used;as a•residence. I further certify,that I•understand,that tif,.subject.Manufactured,. Home is used for any„purpose other than a residence, I may be liable, to the State Board of Equalization, for the tax measured, by ,the, amount excluded pur ant tTtcert' ate: y ' i "'' ''' ` •' ' •""' •'"• " - ••' `:, l rz Q 7�- PURCHASER"fes DATE RECE OF A FILLED-IN COPY 0 THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY PURCHASER The Purchase Order is subject to credit approval and is not binding unless signed by an authorized representative of seller. Purchaser certifies that he is of legal age, and agrees to sign a Security Agreement according to the terms herein. In the event payoff figures on a trade-in toward the purchase of a Manufactured or Mobile Home are more than quoted by the Purchaser, the Purchaser hereby agrees to pay this excess on demand. ALL TERMS AND CONDi,rIONS SET FORTH ON THE REVERSE OF THIS AGREEME T AR IN RP RATED HEREIN AND ARE ' ® FULLY APPLICABLE AS THOSE SET FORTH ON THE FRONT SIDE OF THIS AGREEME �j, SELLER: PURCHASER - SELLER: PURCHASER: D TE: 20 n— AUTHORIZED REPRESENTATIVE OF DEALE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION _ 7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-1184 ASSESSOR PARCEL NUMBER 033-034-013 ZONING BUILDING PERMIT OWNER Scruby, Sybil TELEPHONE 534-9607 SO. FT. OCC. BUILDING VALUATION 960 R 51 840.00 - OWNER'SMAILING ADDRESS 102 Morning Star Ave Oroville CA 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER - Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 51 840.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 423.50/2 $ 211.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 293 Colina Wa Oroville Energy Plan Checking Fee $ $ PERMIT FEE $ 2 5 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 1 9 -no Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation QX Other ❑ Describe Work: MHI New MH perm fnd ex Site. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 'LEFling "OOVMain Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. VC, , 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:' ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service I 46.00 NEW CONST. DWELLING OCCUP. SO V;X NG U OR ADDNS. ( a ACC. BLDS. 3.5¢FT; LN,pµp�lpT MULTI..R., 97,50 a sINGLE RAourLET cIR. EX. OCCu OUTLET OR FIXTURES BAL 20 @ I. 0 XED OR Ex. Occup. ODUTr E S(REID.) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE1: $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 fo wA�cowit ose provisions. D /y — X Date !� Signatu of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction' structures over 3 stories in height. Mobile Home Installation Fee 00 _111M. Energy Inspection Fee $ occ CONST. TYPE TOTAL EE $A89. 5 HAZ. -- D. FEF IMP D D I PAVIPD H ISSUE This ermit is herebIssued under the applicable provisions Code and/or Resolutions to do work which fees have been paid. ^ �+ 7 / 0 Zof t ?yW9t PERMIT EXPIRES ON 7///Pkt I I ow'.) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK414SPECTOR GOLDENROD -APPLICANT 7wr1 . . . ,r- `4 J i ,COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-`2140 ti PERMIT APPLICATION DATA SHEET �} OWNER: ��/ . L Ec (o .r, ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: Itemsrequired in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �1..Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2-. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ Engineered truss details and layouts in duplicate. No faxes! gy compliance desi g documentation in duplicate. ufactured homes: ata sheets installation instructions, O§Marriage line information, (Cyd loor Plan, (D Tie dow r o dation plans, all in dup I etal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ti Date Received By ❑ 8. Flood Elevation Certificate, wetstarnpe and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form.......................................................................... ... ❑ 13. Other 4r4. maining items needed to issue the permit. (May require additional pllan review upon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet... ................. 15. Statement of Intent for Non -heated and A/C Buildings ............................... // .16 Sanitation and plot plan approval from the Environmental Health Department in 0(0yi :t 17 City of Chico Plumbing permit...:...................�..�..................... .... . lifomia Department of Forestry plan approval i paid. Sent by: 19. Planning approval for (A) Use: D K_(B)Parking: (C) Parcel Check: S— 16 b2 O 20/.Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for iveway from the Public Works Dept. (construction approval prior to occupancy). 22 re -Inspection for a J(ZT_ required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ....................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization............................:....................................... 0, 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... istin vio do s and/or expired permits... .............................................. "Ithpe n d M.H. Title/Statement of Facts Letter from Legal Owner, heck to H.C.D. $r: , * ... . When issued Telephoneer and hold for pickup. I have been info Applicant: 1. Index permit appli 2. Additional items n Contractor, designer; Contractor, designer, Plans reviewed by: _ Structural reviewed t Note transfer by: _ �yoyth `ab�o 'e ite ��nd,,req/ 7Vw` for was ldvised of the Date: ents for obtaining a building permit. Date: �� 1 /0- :�, v d Plan Check Letter by ❑ phone, ❑ mail, Wcounter, by Date: 37,/6 by ❑ phone, ❑ mail, ❑ counter by Date: Plans approved by: / Date:� tr -� Structural approved by: Date: Date: Yellow: Building Division E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance scrLb J !( n -g- 363-31-13 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public . Private Well Clearance for a AVwelling. Other Hold final for: Final clearance O.K. for: NOTE: / #5 VaA 4 1,6. Environmental 4alth Specialist D ate 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 OF FEES DUE • iC �AIIJ0 1.7 PRO S -RD BUILDING USP±K&f ° le, BUILDING PERMIT FEES Balance Due ....................... $ ` 06 Additional Fees Due ................. $ Additional Fees Due ..........:...... $ . Revised Plan Checking Fee ... $ HOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... it $360.00 = $ Units Commercial (sq. ft'.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process APPLICANT DATE U Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) .. y S-^-. 1 ..#-. .,,r�„.J...: `+�..�.,�t^'f 'r•Y.i+f••x--'a w.....,,r�."�'nx•^.� :#i;?yW`.:,+ r . ,::l m,,.�,;yy ..,:,n , yr sew.-----•� . f. �, � •�:., BUTTE.COUNTY SCHOOL'S/IJMPACT FEE CERTIFICATION FORM 3 -(One_form per Building) n 1 t. School District .f/'J •f \, t.. 1; Building Department No. 7. A.P. Number 3 3 (� 3 y �j Jurisdiction, ,.�. Clfji County Property Owner S`� 17/ % J G t u !rt u Property Location/Address , , ;L9 3 r... I ,. Subdivision Lot No. ................................................................................................................... Residential Development Sq. Footage No of Living Mob Ie Home Addition/ 'Supplemental to Units Installation Conversion Permit # *(No foundation inspection): ................................................................................................................... Commercial/Industrial Sq. Footage New Addition Department (Group R) (Including Exterior Roofed Areas) & Z7 -0z - Date �7! Irioor runs reVleweo oy 5cnool ulstrict Personnel District Identification No. nn School District certifies that 5 (Applic t) (SLreet Address) / v} (Phone Number) /51 t (City) has complied with the requirements of Resolution No. representing 7G square feet. School District Representative Paid by Check r7 /; % Remaft!-I, � (State) Q /-6J- - (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), , this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (budding department), Pink (school district) feeform.xls (10/98)dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / ZONING BUILDING PERMIT OWNER TE Ho E SO. FT. OCC. BUILDING VALUATION OWNERS MAID KESS U CONTRACTOR'S NAME I TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ U 3. BUILDING ADDRES % 0/ �i'I Energy Plan Checking Fee $ $ PERMIT FEE $ " LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.001 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.001 TYPE OF WORK r New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ f� ' Describe Work: Gas piping system 1 - 5 outlets 15.00 Buildin sewer - 15.001 Mobile Home S G W 920.001 t PERMIT FEE $ ELECTRICAL PERMIT Filing Feel 20.00 P Main Service ioonoao<ss I 23.001 ��•�1�� �� /J��"� /� S \/ t°PERAIT FEE PAlb �_ ��. oC Sn RA --- SHERIFF O — ° AMOVNT RECEMb w NUAMM �j �/j . I �7 ��_7� (�L ,/ TO tE rvr =HTO CO#WM e "l Main Service 200A TO I000A 46.00 SO.I NEW CONST. ( DWELLINGOCCUP. 3.5C OR ADDNS. 8 ACC. BIDS.FT. NEW CONST. MULTI.OUTLET NON-RESID. I 7.501 POWER APPARATUS I i ----- 3 SINGLE OUTLET CIR. _ EX. OCCU OUTLET OR FIXTURES 20 Q I. W BAL Cw .50 , EX. OCCU n%ED APPLNS. OR OITLETS RESID. EA 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TO L FEE $ NAZ. D. FEES I O D CDF CEL HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PLAN REVISION Please complete the following information in order to process your submittal. If this form is not complete, correct and legible. it may cause a delay in processing. Owner's Name: Received By: Date: 1 A.P. #: 'j — U,�, Y - Permit Time: e- D ContactPhoneNumber: Tom► .�2 W Purpose of submittal: ❑ Permit Application Data Item ❑ Engineering Revision by Building Inspector or Correction Notice - Inspector's Name: ❑ Requested By Plan's Examiner - Examiner's Name: ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised dralearly show When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: Cl Call and hold for pickup at the Cl Chico Office ❑ Oroville Office ❑ Deliver with next inspection. Revised Plan Check Fee: ❑ $46.00 Receipt #: ❑ Additional Fees Not Required Additional fees may be due based upon complexity and time involved to process this submittal. Additional Fees: Receipt 1: O`VNER-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 O NO O 2. I HAVE E3 HAVE NOT C3 signed an application for a building permit for the proposed work. 3. I have contracted %yith tl a following person (firm) to provide the proposed constnwdon: NAME: 0 Cy M ADDRESS: /0 t 2 ! ! O��t!/.✓��s f�� �l%rz'cTTY: PHONE: u.3° --r-3 q- 6d r%CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, supervise, and provide the major work: NANIE: but I have hired the following person to coordinate, ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCI.aL SECURITY NUMBER: DATE:h NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of tete California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Intemal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I4Macir y, �� C. Vi ira, C.B.O. , Building Inspection NOTE: This Owner -Builder Information is required by Secdon 19830 of the Californla Health acrd Safety Code. OVER R'EOUFST FO I Location - 0 Comment: ON Permit No.� S4) //k 4)1; Al C--tj 69r Ownersq` l C F- Contractor: Ck'-) .- --e .✓ BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. �RE- INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Piping lest Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Verify Utilities Woodstove Sewer Piping Well Circuit Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Final Final Final Corrections Ready for ec Final Inspec. on: 07 Date: Call Ll Phone: Y PRE -INSPECTION REPORT OWNER S i I DATE: LOCATION: C�- 3 CO 'A.1a* IJO Q( --V t/ i % -� A.P. #• • i� 53- 63N -e)1-5 CONTRACTOR:_ Ow ZONING: l¢ PRE. INSPETION FOR: N e r..J M I P_ X i S f ��v a t >< --F DATE TO INSPECTOR: - 17 - o 2 PERMIT HLSTORY:( )NONE (�4 AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commer+ciallUsage: ResidendaL/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Electric currently On Off Condition of Eleenic Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems ACTION RECOMMENDED: ISSUE: Inspector.-�-1—/ HOLD FOR DateV1211o.2— Sketch buildings on reverse and indicate location on p"ropert3 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. ,.Rev. 12/96) APPLICATION AND PERMIT ' 1 ASSESSOR PARCEL NUMBER / ZONING BUILDINGPERMIT OWNER Tom? �_ q/n SO. FT. OCC. BUILDING VALUATION OWNER'S MuuNgD REss ^�.I CONTRACTOR'S NAME CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS.— LOT DDRESS. LOT NO. I SUBDIVISIONS NAME PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex O Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: M 4.1_.. *PERMIT FEE PAlb SRI SHERIFF OTHER AAkb JNT RECEM0 �REcEzr , NVAVM 8_ L53 y 7 " TO to Km 21VIro cowma ° Fireplace PERMIT FEE i Total Valuation Is Fling Fee! 20.CO Main Service Filing Fee $ 20.00 Permit Fee $ _ Plan Checking Fee $ �' Energy Plan Checking Fee $ PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.001 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00i Gas piping system 1- 5 outlets 15.00 Building sewer 15.001 Mobile Home I S I GTW`T 920.001 Ex. Occup. PERMIT FEE i ELECTRICAL PERMIT Fling Fee! 20.CO Main Service 000Y OR LESS 200' OR LESS 23.001 Main Service ( 200A TO I. -A T— 46.00 i NEW CONST. ( OR ADONS. DWELLING OCCUP. 6 Acc. BLD S. S- 0 ----- NEW CONST. NON-RESID. MULTI -OUTLET RAANCH CIRCIIITC @7.501 Ex. Occup. OUTLET OR FIXTURES I 20 p 1.00 1 BAL @ .SO . Ex. Occup. flXED APPLNS. OR OUTLETS RESID. EA 1 _ 5.001 Temporary Service 23.00 Mobile Home Facilities _ 20.00 Misc. Wiring 1 1 23.001 PERMIT FEE $ MECHANICAL PERMIT 1 Fling Fee 20.0_0_ Heatina I 6.50 Ventilati PERMIT FEE 1 $ Mobile Home Installation Fee $ 60 Energy Inspection Fee $ occ coNST. nPE TO AL FEE $ HA2. I D. FEES IW I IJ.OJDO I CDF I WCEL JV� I HD I 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. e By Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date (Ex�sr L cEc. J'7 YV r� IqPly 033-0-V-0 3 i C ` J�j - V�� , A�jl 2. '504 WELL s c �1 PLANNING DIVISION - use, L 3 PLAN APPROVAL 33-034- ~, GR Y STHAY r .� 7 CODE VIOLATION _ 293 Co a Way, Oroville Permit#14 84E ele MH 033-034-013 ,' _ ( ) junk, garbage, inoperable vehicles, 49 33-034-13 y r open and unsecured building Permit#2845-851, til, MH) (30 day) 4/6/01 ELEC son �- GAS oT 0.43 - 03J/ - o 1 3 s�`x SUPPORT STRUCTURE REO '�� V COMPACTION TEST REQ b T�7or f �Z0�4e�1¢•fy /N eA7 f%Permit 2 -85MHI Isstr 033-034-013 02-1184 ` SCRUBY SYBIL`' 293 COLINA WY., OROVILLE MHI • -r J. a .:I ` I r �w� o V� 19 Cs a �p c The attached Fine Sab rT f9QUA'9til®P1t3 must be OOf9ip r�����' .� as spwfied and approved ��FR ,e the attached b' C.D.F. APPROVED 13L •,1 nounty t ,Identlal Cons 1(;tinn 112Env* 'rro; rnenY Heatih I :Ure,.,._._ments Ile6 —Pag" Lire 10) SAY'/A 6.74._ 1.4 62 .. BUTTEWUM SYSMA DING DE RNEW oµ'L" $�_Pkp ED- V PIS a 33 -O-0/3 A� ,�,..f 9C�4W, ...�...s..-+.......�-o..�.rt.tw+�f—www n�.+-rt..wl1►T41w�+'7rw�"�wrw�....rw�.+ mss. E3"-4 1/Z' -+ --I 11-2 a18'-1 25'-1 5,4:•-1 30-5 MG, -1 t0-'.+3-'-7 3 1+9' t- ---5'-0'�--{%-5'-]'��10 1+�-..._.._�JI•_5•.-_._..-_..._.-•- S" -D' .--4'-0 i.r8'---- �- II I� rkjl B -I B' - W-5 34 -S;,' 11 II I r61DY�� . . .. . . . .. . ................ . I y n } ytzf,k" J n � saRwr von si3P3N1 PQSr Alr"wr om I _ MASTER HDU. MER 126.5 1 , LICHT ; 10-2 AW 5., 1 I. "m BITCABFt t IDN, 3 J u: s RRER 76.0 � LIGHT 6..1 [ ANT �.0 N -N( is FRER : 37.5 L3.9, J.G q _ — KNT 1.5 i - 33' 9 3 Sa'r� trc CPr UIECCR R' C1R5S 2e• -F 7,�' +-I 29"-9 9116- 3e'-3 7,,V SUMMI POST L[Y1NC ROU 11 16'-5 army( 1 RRER 197-1 i F) WA112.2' LICNT 15.8 i� rERr 7.3 Ii•y ,: LENT 9.0 11' I,1J vExr +.5 G' X �F T m APPROVED Burse County 74'-2 3,+ 2T• -9--i a rvsr . fIP TG c4T � LFnEye if F11pr f II AR► II i?+RI 4_i�IRe _ 3--{ 3,••---1 15-4 25'-+ 31-1 314' Df MINDGK I CPT wl-Noo" �J II �I --•I II 31•-4 3sa--�; 1!] 7,36- -- - —17'-0 7,9 ?- —10•-2 7,W-----dINII+'-..-...._Ip•-2 7,16' -- �•e- 71'-E6 7; 11i' �-{ ?4'-? 7/I£' --•T p - ---- 40'0, __.._ _-.--_._.a6_p 23'-2 7,16 - I ap -0' -i I t I I I I I I I 1 1 1 1 1 1 1 1 1 1 i I; I I I I' I I f I f i 1 1 1 1 1. f I I i I 1 1 I -o If ars '71 a2 73 2. ?S 7i 27 70 .'130 ;1 V 33 ,Z, ?S v 3B J3 •n ,l s3 .r ,s .c <` ra ,9 sD wx IIR I. 0 . RfIU44 f ]71(C1ti(Q WI R IfFER Pr(T:S WL 51 1 T��91 [k ; - - _ -- 90.4 5C. Fl. FipS1E li. MMU WiLS 3 1.4' THD 119), 4 lr8' THICt WT1 4{73IKS: SCE 107FOU PFUNJ S!I11CLE9 RCHi STTiNFR(1: TFS x M) - C E 1 R[J Dr,101W }S6.(S 3 13%16' TRIM 111P1, 5 11715- TKK,. IDPT1 NION KKI1l.E: If 9iUT FR M. ED �R�MfiD. SEE P-1 1; !p i' t I Ri (PT Rr OPIECtiI Q(IiIJ�: StI WHIM SCKW 9f.CT fR04.M —_ 1, #141fS 5LR1C5 P4aefivaraLimited I ��_ i�d CHAMPION BIOME R � LOERS Co . D1TDO E: -_ riY furl iS 840 P1L11 M, P.D. BOY, 429, LINI%1iY, CR 71147 A'Iu-9R FLOOR Pi RN'' 34-3 T,S -•I iDili> WA 2.1 LIT?TT : g '. Kar t.5 r' if F11pr f II AR► II i?+RI 4_i�IRe _ 3--{ 3,••---1 15-4 25'-+ 31-1 314' Df MINDGK I CPT wl-Noo" �J II �I --•I II 31•-4 3sa--�; 1!] 7,36- -- - —17'-0 7,9 ?- —10•-2 7,W-----dINII+'-..-...._Ip•-2 7,16' -- �•e- 71'-E6 7; 11i' �-{ ?4'-? 7/I£' --•T p - ---- 40'0, __.._ _-.--_._.a6_p 23'-2 7,16 - I ap -0' -i I t I I I I I I I 1 1 1 1 1 1 1 1 1 1 i I; I I I I' I I f I f i 1 1 1 1 1. f I I i I 1 1 I -o If ars '71 a2 73 2. ?S 7i 27 70 .'130 ;1 V 33 ,Z, ?S v 3B J3 •n ,l s3 .r ,s .c <` ra ,9 sD wx IIR I. 0 . RfIU44 f ]71(C1ti(Q WI R IfFER Pr(T:S WL 51 1 T��91 [k ; - - _ -- 90.4 5C. Fl. FipS1E li. MMU WiLS 3 1.4' THD 119), 4 lr8' THICt WT1 4{73IKS: SCE 107FOU PFUNJ S!I11CLE9 RCHi STTiNFR(1: TFS x M) - C E 1 R[J Dr,101W }S6.(S 3 13%16' TRIM 111P1, 5 11715- TKK,. IDPT1 NION KKI1l.E: If 9iUT FR M. ED �R�MfiD. SEE P-1 1; !p i' t I Ri (PT Rr OPIECtiI Q(IiIJ�: StI WHIM SCKW 9f.CT fR04.M —_ 1, #141fS 5LR1C5 P4aefivaraLimited I ��_ i�d CHAMPION BIOME R � LOERS Co . D1TDO E: -_ riY furl iS 840 P1L11 M, P.D. BOY, 429, LINI%1iY, CR 71147 A'Iu-9R FLOOR Pi RN'' k. "i "Si : 4. A I 1 f i ' d " m T I f �}._ ILI I Lr �a• Ih Cil co I W "Si : 4. 1, I rj I• r., I ra - rJ. I � , tp "Jia ra a YI ri ]• Iin r lu 1 1 I ! I f hhi I t,'4 �1D 1ib' j"" �20 hl� ....J�.. 1I � ' -,.�,9 i12' 2$ 114' > 29 114' I� I1'-8' P. 9ICE I `691rJG 7.: ,-. 1 7.n A /SEW . Fog6 ?.t3G Fin? ` -00 sHamTnR =IU1JC)H 'NOT ANVH) :AR lUe; /' ivlobilehome Manufacturer: �l l o�wt i ��✓, Manufacture Year: 9 If other than single wide, furnish Se&p Model Number: — Yo Width:A(ft.) Length:.,D ~(ftf) jagalong or Ex- ando Size (ft.) x (ft.) On all mobilehomes manufactured after October `7, 1973, furnish manufacturer's installation manual,and structural setup,sheets.;�- FOOTINGS: Wood pressure treated or foundation grade[ Other: SUPPORTS:, Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line I Line 2 Line 2 ...................................................................... Main Beams ............................................................................................... Line 2 me 2 Line 1 Line 3 i Line 2 ............................................................................................... Main Beams ............................................................................................... Tag or Triple t` .........r.... . ..!.....-:..... Lined Piers: Size minimum: r i x Spacing maximum: ` From ends -maximum. ` Line 2 Piers: Size minimum: [12,1 x [ 301. Spacing maximum: 41p ` From ends-maximum"I 2 O ` Line 3 Roof Loads: Size minimum Location (frog x5mm ). Line 5 Roof Loads: Size minimum: Location (from front): stay 1995 ....... ---Line 5 ....... ine 4 ine1�..�i31 f Line 2 Line 1 Line 1 Openings Size minimum: [/2 ] x [xq ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ J x [ ]. Spacing maximum: ` From ends -maximum: ` jZ-A f r1zz4 zyxzy 2Ht2'� 0 5'Y f " 12! 1 y" �y' 8.4 1. Owner's Name: 2. Assessor's Parcel Number: 3 :� - C)3 s 3. Installer's Name: C , ,us 4. Is the site currently under permit? Yes[ ✓] No[ ] Permit No 'r'Y) (�Zy 9,� 3 L\ 5. Is the site an existing site? Yes[Vf/No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? i6 0 Amperes. 7. What is the mobilehome site circuit breaker rating? Z Amperes. 8. What is the electrical rating of the mobilehome site? S7 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ✓]'If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e.(!v 1, garage etc.)? Yes[ J No[ ] If yes, please identify the load and size: a) The mobile home site: Z-6 SMP Load-o,e Amperes - b) The main se ce: Load- Amperes- `Z S O.,,12 11. Type of gas service at mobilehome site: Natural[ ] Propane None[q__� 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas'or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION i May 1995 8.5 CDF FIRE SAFE REQUIREMENTS 33-03L�-(3 6�1_ - t d04 ��RL'C Lf S'V'e1L_' AP# PERMIT # NAM Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards �fj 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive // of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. q1 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3--. AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [� 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates rCA 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. -l' 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [� 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. ] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to•30 Feet: - Class A or B roof - Enclosed eaves [ If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials -y2 - 02 -- Date Signature Page 3 of 3 r CS) IN ui CD m m m n m 2"x 2'x -5/16' STEEL ANGLE DETAIL "A" CHASSIS FRAME 1/4' GRIPPER PLATE (2) REQUIRED 1/4' GRIPPER BASE 1/2-13UNC-A307 x 4' BOLT WITH NUTS (4) REQUIRED }1 1/2" SCH 40 PIPE RISER WITH 01/2' ADJUSTER HOLES AND 3/8' THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO - it /Z' ADJUSTER HOBS ABESCO ABS PAD 1503 STEEL FRAME SEE DETAIL "A" 3i&- CA-. pL;jcz mLT. %- S W SHEP. COUNTER BORED FLUSH WITH SOT -TOM AT 8' O.C. (8) REQUIRED 1/4' STAND BASE ASESCO ABS PAD #503 /TOO BOTTOM OF PAD Po o1/2'x 3" C.R. LOCK PIN WITH 01/8' BRIDGE PIN 37' 18 1/2' COACM 'r• FRAME 2' CHANNEL 1/4"x1-1/4'"' TEK STS (2) REQUIRED 1/4" GRIPPER PLATE 1/4* GRIPPER J BASE 1/2' A307 BOLT (2) REQUIRED 3/8'x 6'x 6' ir STEEL PLATE 1/2- A307 BOLT IC—BEA M (2) REQUIRED ATTACHMENT �1000--1 p o 10.00 I o 09/16 HOLE (TYP) STAND BASE TOP VIEW 17315 _; \ .. ten• .� TUF-t PERMANENT FOUNDATION! SYSTEM ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKM ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-52.07 COACH "J" FRAME 1/4".i-1/4' TEK STS (4) REQUIRED J-9FAfJ ATTACHMENT 1/4" GRIPPER BASE 1/2' A307 BOLT (4) REWIRED WAYNE T. POLYAPQ, "if7 L_I G7NO'- 3d'2119 SHEET 1 01 3 AP? R 0 V -E D P t + $ + g• 1/2' DIA. HOLE (B) PLACES �+ --- -30 i STEEL FRAME T OP VIEW STATE APPROVAL z D WU o c— J 10 ^�3 ,S V•' W�" 4_ O `o m}. U p ! E O < � � - og� WAYNE T. POLYAPQ, "if7 L_I G7NO'- 3d'2119 SHEET 1 01 3 AP? R 0 V -E D P t N (!D w L9 Q a O 0 U) W Q r - CD N Ili m M C) n CS) GENERAL NOTES GUS GUARD TUF-1 T. DESIGN LOADS: LIVE LOAD - 30 L.S. FLOOR LIVE .LOAD - 40 PSF WIND LOAD - SO MPH EXPOSURE "C" SEISMIC ZONE '4" *SNOW LOAD 100 PST (SEE NOTE #15) 2- THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTEO ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL' BE LOCATED AND StZEO FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS'. k IN AREAS WHERE DIFFERENTIAL SETTLEMENT (B.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4', OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. S. CARRY Al FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1.000'PSF TOTAL LOAD SDIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED M FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO A1SC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICA111M. ELECTRODES -370 PLATES=ASM A36 BOLTS -SAE GR 5=ASTM A449 -_ASTM A3725. 7, THE GUS GUARD ASSEMBLIES SHOWN DN T141S PACE SHALL 8E LISTED AND IABEI 0 BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS ALLQWABI.F LOADS : HORIZONTAL VERTICAL GUS GUARD TUF-i 22001 6000# Gln GUARD MCP PAD 2200# ww# GUS GUARO E-2 TIE PAD 2200/ 6000# 8- DURING PREIWINARY INSPECTION, THE ESTIMATOR SHALL ENSURE TNr�T>--5 --~ •.; MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-I .WtlIS AS SHOWN ON THIS PAGE OF TYPICAL � reum"T19l4 -PLAINS:.. { 10. THE GUS GUARD TIIf-1 SYSTEMS ARE SAFE FOR INSTALLATION -BI FLOOD i PWN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT Of THREE FEET. 16. FOUNDATION BLOCKS l6"z 16'x12' POURED IN PLACE AT GROUND LEVEL NAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES �- E= 2' MIN. / 8' MAX- E= 2' MIN. / I,1' MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) -- E� S _S_ u u u .❑ ❑ u 4BYY O RIDGE SUPPORT AS REOUIREDA MANUFACTURER a (TYPICAL) 0 ❑ ❑ ❑ EJ 0}F ED o ❑ ❑ Q 8' NOM. O Z 1 PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION " ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) 1 t. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-.1 UNITS UNDER EACH UNIT IS 104 THE SAME A5 SHOWN REQUIRED PER EACH UNIT. 12. SIWGLE-WME UNITS REQUIRE AODITIONAI RESTRANT. • (SEE SHEET /3) 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROIECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE. PAD IS NOT REOUIREO. ANCHOR STAND TO CONCRETE SLAB WITH FOUR (4) 1/2'a 3 1/2" EXPANSION ANCHORS' 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO TDO PSF WHEN INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. TUF-1 PERMANENT FOUNDATION SYSTEM AHESCO-GUS GUARD COMPANY 5951 FLORW - FFRKIAIS ROAD SACRAMENTO. CA 95923 . PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL Z Q Z 0 O Z 1 < ) O > L' 0�3 O r �? V x � .3 c WAYNdE T. POLVADO, PE -LISTING NO. F94249 SHEL-1 2 os 3 s B T'T a iA' mw. I B" !-C-, - 1/2"x 3 T/2" 1/2% S' LONG (4) REQUIRED 9 EXPANSION ANCHOR ANCHOR BOLT W {4) REQUIRED (4) REQUIRED BOLT 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM Q AT 8' 0. C. (8) REQUIRED � 1 ,c1 -U 1- ti iF-f1 1 l 1 CONCRETE PAD INSTALLATION. , 1 1 1 CHASSIS FRAME t1 1/2' SCH 40 PIPE RISER WITH 41/2" ADJUSTER HOLES AND 3/8' THICK TOP PLATE 02- SCH 40 PIPE STAND WITH TWO 41/2' ADJUSTER HOLES ABESCD ABS PAD 0503 STEEL FRAME--\ r m N fr1 CD m POURED IN PLACE'160602 6x12 CONCRETE �1 FOUNDATION INSTALLATION 1 LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION } 36' MAX MUL71-wmz ti a swcfi wlDm umm TO BOTTOM OF PAD 01/2"x 3" C.R. LOCK PIN WITR NUYlBER OF UW -1 REQUIRED NUMM OF TUF-1 REQUIRED BRIDGE PIN AM 5WQX WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE PIN I � TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL r 1 37' r I N 18 I/2" m N LENGTH OF HOME' 1 1/4' GRIPPER PLATE - W1017H OFR 26 144 (2) REDUIRED O L) 1/4" GRIPPER BASE In 10 10 10 Q1/2-13UNC-A307 x 4'— 12 12 BOLT WITH NUTS 66'-1' N ' (4) REQUIRED t1 1/2' SCH 40 PIPE RISER WITH 41/2" ADJUSTER HOLES AND 3/8' THICK TOP PLATE 02- SCH 40 PIPE STAND WITH TWO 41/2' ADJUSTER HOLES ABESCD ABS PAD 0503 STEEL FRAME--\ r m N fr1 CD m POURED IN PLACE'160602 6x12 CONCRETE �1 FOUNDATION INSTALLATION 1 LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION } 36' MAX MUL71-wmz ti a swcfi wlDm umm TO BOTTOM OF PAD 01/2"x 3" C.R. LOCK PIN WITR NUYlBER OF UW -1 REQUIRED NUMM OF TUF-1 REQUIRED BRIDGE PIN AM 5WQX WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE PIN I � TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL r 1 37' r I N 18 I/2" m N LENGTH OF HOME' 1 1,1117 1 W1017H OFR 26 144 YE UP TO 44 a1 B 1 a12 10 10 10 1.-1- b 12 12 12 18 66'-1' N ' 20 20 24 OF MOPE 10 WWTH OF HOY 1 4 1 UP TO 44' 5 S. 6 6 M -Y lo." a a 8 a 6s'-1' r 10 10 10 10 TATE APPROVAL . Fbbn» tW7D � of Cz] •q E� p .. r. 5 IJ q n TUF-1 PERMANENT z FOUNDATION SYSTEM o 31 ABESCO-GUS GUARD COWANY 1 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 o1 3 0 - e ��A1 \2� u•�ty�'J'�T', '?',�.1. }'l 1� �� � ���. ���.yy �jrr. y`�' ) 1 ' r Ht .,y.t r' ltif'l'z. �� R� - Z .i i na it •'� ��:}i4Y_y�' 1� ��.-y�.`.:�'/.�\•/�Rd � .1. ..� ^� t/4yi �7.1� o �14 f t�ifE. �' A�. �i�"'f, ��A1 \2� u•�ty�'J'�T', '?',�.1. }'l 1� �� � ���. ���.yy �jrr. y`�' ) 1 ' Ht .,y.t r' ltif'l'z. �� R� - Z .i i na it •'� ��:}i4Y_y�' 1� ��.-y�.`.:�'/.�\•/�Rd 7J •mss r� .1. ..� ^� t/4yi �7.1� �� ��YF__�� ^^►►- C TM 1171-) Q�Q P,µ ENT Ckl _ OATF, Department of Public Works' 0 o C o u n t y o f B u t t e O O J. Michael Crump, Director LAND DEVELOPMENT DIVISION O O / 7 County.Center Drive CSU N'(y Warner C. Phillips, Assistant Director Oroville, CA 95965 /C woF'(530) 538-7266 (FAX) 538-7171 March 6, 2002 Sybil Scruby 102 Morningstar Avenue Oroville, CA 95965 Re: Application=for Cer-tifcate-of Merger UP 033-034-013 (Lots 4, 5 & 6) Dear Ms. Scruby: On March 6, 2002, the Department of Public Works made the finding that the Certificate of Merger on the above referenced property is exempt from environmental review, and approved the project subject to the following note(s) to be added, by the engineer, to the Certificate of Merger: 1. All New structures must meet the fire safe regulations of Public Resource Code 4290 and all Butte County Codes in effect at time of building permit. As noted in the attached letter dated February 14, 2002, from the Environmental Health . Department, development of this merged parcel may require relocation of the existing sewage disposal system prior to issuance of building permits.. The Certificate of Merger cannot be recorded until this note has been added. After the recording and processing of your Certificate of Merger by the Butte County Recorder's office, we will return your certificate to you. This action will be final if an appeal is not filed with the Clerk of the Board of Supervisors within ten (10) days of the date of this letter. You or any interested person must do so in writing, with the appeal fee of $50.00, to the Clerk of the Board of Supervisors, 25 County Center Drive, Oroville, California 95965, prior to 4:00 p.m., March 18, 2002. Sybil Scruby, Merger AP 033-034-013 (Lots 4, 5 & 6) March 6, 2002 If there are no appeals, we will submit the Certificate of Merger to the Butte County Recorder's office, for recording. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell Manager, Land Development Division SE/kp Attachment cc: Environmental Health Department ✓building Division Michael Mooney Michael Evans DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH U 18-B County Center Drive 1:1 411 Main Street ® 7 County Center Drive Orcville, CA 95965 P.O. Box 5364 Oroville, CA 95965 February 14, 2002 TEL: (530) 538-7282 Chico, CA 95927 TEL: (530) 538-7281 FAX: (530) 538-2165 TEL: (530) 891-2727 FAX: (530) 538-7785 Sybil Scruby FAX: (530) 895-6512 102 Moringstar Ave. Oroville, CA 95965 Dear Ms. Scruby: Re: Certificate of Merger application for Scruby, Colina Rd. Western Pacific Edition, APN 033-034-013 We are reviewing this application for conformance with our County codes and State Health and Safety codes. Since this proposal will only remove the old underlying property lines between the three old underlying lots, to make one parcel we have no immediate concerns with this specific proposal. However, since, as stated in your application, you intend to further develop the parcel you should again be made aware of the fact that your existing septic system appears to not be placed on your parcel. On November 20, 2001 I and another inspector from our office inspected the uncovered septic tank on your parcel as part of a well application. Mr. Tom Thompson, septic tank contractor, had uncovered this tank. Our inspection and Mr. Thompson's observations both confirmed that the septic tank is not oriented on your property as indicated on the plat attached to your Merger application. It also appeared that the leach lines were not oriented as indicated on the attached plat. In fact it appeared that the leach lines were outside your property lines completely since the septic tank appeared to be at the western edge of the property and the tank's outlet pipe ran straight west beneath your westerly fence, into a public road easement. Please be aware, as was verbally conveyed to you on November 20, 2001, obtaining a sanitation clearance for the necessary building permit for your new home with your leach lines in a public easement, will be problematic If you have further questions please contact me at the above address. oV.--F , DouI, Supervisor Environmental Health Cc: Land Division Michael Mooney. RECEIVED FEB 1 4 2002 - COUNTY OF BUTTE LAND DEVELOPMENT DI 6afer-Daparti:antytot i dm®randum TO: Hack McInturf FROM: J.F. Glander SUBJECT: OWID Water Service Connections DATE: July 8, 1986 I have reviewed the three referrals which you gave to me and a brief resume on each is shown below. At 'the present time.we do not have any established procedure with the water districts or the Health Department which requires the building permit appli- cant to obtain a water clearance prior to building permit issuance. The Health Department, when clearing permits for sewage disposal, determines whether individual wells -are required and that, they can be expected to produce a potable water supply or if community water services are available - so we know they can get water (see Health Department application). (1) Weinzinger - A.P. 033-064-4 Must be an older house - our only permit records show an electric service change in 1979. (2) Sthay - A.P. #33-034-12 In 1985 we issued permits for a mobilehome, but to date we have not made final inspection and approval. (3) Soderberg - A.P. #68-223-15 In 1985 we issued permits for a new residence. The 'permit was renewed in 1986, but to date we have not made final inspection and approval. In summary, we do not require a water clearance from the appropriate. agency at permit issuance, but we do know water is available. We also do not follow through with the water agency directly but only see that 'water is connected. The responsibility on fees, agreements,. and supply is the Health Department on individual wells or the entity supplying _the community water. Should you have any questions concerning this matter, please contact this office. JFG:ahb Attachment cc: OWID Health Department Glander 'Chief Building Inspecto Summary of Illegal Service Connections Bradbury - Sthay This alledged cross -connection is occuring near Colina Way -in what is commonly referred to as,the "Western Pacific Addition". Recently a mobile home was established'on AP 33-03-4-013 in the name of Sthay. It is alleged by a neighbor that water service to the mobile home was developed by tapping into the -service line of Mr. Donald Bradbury, O.W.I.D. ACCT. 70-065.0, ap 33-03-4-012. I checked with the Butte Co. Health Dept. and Building Dept. for permits. The proper permits were obtained by Sthay but water service had not been addressed on the permit i.e. left blank. I visited the site and asked the resident if they had water service. and was told that they had O.W.,I.D service. I left without comment and checked District records and could find no service for Sthay..'-- It further appears that Sthay is purchasing the property from' Bradbury because both names appear'on the ownership role. Sthay may actually believe that they have'a legitimate service with the District. SEE MAP j h, 4 i RECORDED.IWOFFIC1AL RECCRDi, Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OF6ilTYI:COUp.y.:�aLffORlilq," FOR RESIDENTIAL DEVELOPMENT AT ME REQUEST 0' Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. $5-35807 +98 NQy -8 .W 8,2+ e The property described herein is adjacent to land or included EtF4ANQRP4,.B_ within an area zoned for agricultural g purposes, and residents of this �t�jj�RD�R. F€E property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not .limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited . to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, And residents within said zones and on' adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 31 t Y> al 0 ck s ck d Cord I r►c� TO t7A 4p S f tlC n r_) aCJ , h v3J -to o X a v; ll t- , 3 w t� t o o, C' /�,. � aJ?, r c: k wa5 ��lcd i� - ham,; df�Ie� O� {-ham, re,eorde& of C3 i-} e, S fAtr 0f C'a�, u,� n a., /� /9oS I i? Yi']a �i3oA vy,. PED W; Date: November 8, 1985 PROPERTY OWNERS: r r L' r- c- I OF Stateof 6A,(, {v,rn,,q)On this the 8th day of November 19 gq before SS. me, the undersigned Notary Public, personally appeared County of _13u 1j e ) Gregory P. Sthay and Diann E Sthay OFFICIAL SEAL 1 GAYLENE B. RUSTN NTARY PUBUC-CALIFORNIA CONY OF BUTTE N, Comm. Expires March 22,1989 /X/ Personally known to me:: / [--Proved to me -on the basis... of satisfactory evidence. ` to be the person(s) whose names) are subscribed to the within instrument.. and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and officialsbif.'.� Present A.P. No. f 17, 1449,84E attach6d PERMIT NO. 2845-85P E(MH) t PERMIT EXPIRES GREGORY STHAY - OWNER CONTR. owner K,. .. •" c{ ASSESSOR PARCEL 33-034-13 j LOCATION 293 Colina Way, Oroville t■may{.,} - , Y` OFFIC�COPyF` rl Temp Poi ,fAddfess Callecl r•cJ '• Date 71• ; - Temp. Ele'�ELrECTRIC"�..r:ww�� ,Meter By `b f6 ' Cal lee','i$ Temp. Gas Service Called PG&E JOB FINALED (Date) Signature COUNTY OFIBUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE WNER I PFRN 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 C/4f. �!! /-��� -' Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. /W 0: ASSESSOR PARCEL NUMBER I -' b� �f '� ! ZONING J( /�'�], T i f ! F BUILDING PERMIT OWNER11 �, TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS ' , CONTRACTOR'S NAME / TELEPHONE C_ONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Mj,4i-- UNKNOWN Total Valuation Is ' Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ / ARCHITECT OR ENGINEER r:"A' LICENSE NO. Plan Checking Fee $ i Penalty $ % ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �� (] PLUMBING PERMIT Filing Fee 10.00 g v Each Trap 2.00 Solar Water Heater 20.00 a/Lr/I/u�ft Water piping 5.00 r \ LOT NO. SUBDIVISION NAME _1 �P✓,G� PARCEL MAP Each qas water heater or vent 5.00 ' Gas piping system 1 - 5 outlets 5.00 � USE OF STRUCTURE SF [-]Duplex F]Mobi lehome w Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK �f1 New ❑ Addition ❑ Remodel ❑ Utilities 'L/_I Installa`tion ❑ Other Q Describe work:-�+�"r='-��x?'� �1 _ 1 ' f, ,� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 �• 1J Main service EA. ADD'L 100 AMP 2.50 J NEW CONST. ( DWELLING OCCUP.& OR ADDNS. ACG. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I licensed under provisions of Chapt. 9, Div. 3 of the BusinessEx andd Professions Code and my license is in full force and effffect.t. License No. Classification 1 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS W NON-RESID. (SINGLE OUTLET CIR. . Occup(OUTLETS OR FIXTURES SAL@300 FIXED APP LNS, OR EX. OCCUp- OUTLETS (RESID,) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 fS,21 Misc. Wiring 15.00 Permit Fee $, ,;J Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County -of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Q I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling e Hood 3.00 Ventilation J Permit Fee $ / Contractor ! 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X A +� •� +�1+� Date 5- ///+^ L /+ `u - '` " Signature of Applicant — Owner Q Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiess in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ +%Sa OCCUP. GROUP I TYPE OF CONST. PA'R�� PD �Ho/` 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which A DIRECTOR OF PUBLIC r "� BY \��*��%�-� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Dact�e Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .----_-'149~84E` Gre ._ 'S��a - ' 'v 293 Colina Way, Oro R V = OK 0 = Not OK 7 ,.+ MVniLtnVMtb = Not Ready MIJGtLLANtVUJ Date MOBI OME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Vzo3i<hequirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors e ,L ation—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails er• ocation—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing ctricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gaovation—Test—Wrap:/ /"L"ft./ /"Nat. or/ L'ft./ /"LPG 6. Carports; Windows—Doors tility Clearance 7. Elec.. 71, Card -BI ate_ — ,3- Card -BI Date Card -BI Date Card -BI Date Card -BI TSZYat 27 - rd -BI Date Card -BI Date Card -BI Date Date MOBIL,EHOME INSTALL TION (Plans) OK except N's riing Requirements—Setbacks—Easements Date POOLS (Plans) OK except q's 1. Setbacks—Easements Footings; Si e—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Ga H Test Dem —Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining �4 cit MH st— rossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI Drain; MH Test— all—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GF] ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed and Sewer Connected—C/0-to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater sand Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit its; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-IDate Card -BI Date Card -BI Date Card -BI Date Card B -I Dat Card -BI Date Card -BI Date Card -BI Date A 1 S = OK q Not, OK, = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr,; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A[, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive E] Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82, Ventilation throughout House Glass Protection Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) ' 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thn_g.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE �r T 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. M 14 7r Inspector_ Date ;? �'S -- MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO.— Address or location of mobilehome Owner's name �^ e Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. %y Year of manufacture ' >y l (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. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. �6 ASS OR PARCE NUM R ZO I r l/rl BUILDING PERMIT owN i" TELEPHONE SQ. FT. OCC. BUILDING VALUATI N OW R'S ILI P AD RE V r` Lt CO TRA TOR'S NAME - 'TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ l�g� LENDER'S MAILING ADDRESS Permit Fee $ ARCH ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ /I PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 IJ 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00 ea TYPE OF WORK New ❑ Addition ❑ Rodel ❑ Uti lilies x Installation[—]Other ❑ gm Describe work: A 8 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • Main service e00V 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 P-7. 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.d , OR ADONS. ACC. BLDGS. /20sgft NNEW ON•RESID R. BRANCH CIRCTITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20@50C 300. FIXED ARLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 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. shal I 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 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. I also agree to save, indemnify and keep harmless the County of Butte against-cup. all liabilities, judgments, costs, and expense which may in any way accrue against s d County in conse ce a gr ting of this permit. /� X Date ! S Signature of Appli ant — Owner ❑ or ctAgent'❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 IstoQries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ CON ST.TYPC FLOTORCEL PD HD I9Su E This permit is hereby issued under sions of the Butte Count Code and/or work indicated above for which DIRE OR OF BLIC BY � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date J -� FReceipt No. / NIes TE-D.P.W., 7CLL0 W-A38C390R, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 '. . A MOBILEHOME INSTALLATION SHEET owner's name: 2. Installer's name: : ? �_ $. Is the site currently under permit? Yes / No % (If yes, furnish permit number ) OR Is the site an existing site? Yes / No (If yes-, furnish two (2) plot plans.)- 4o lans.)-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 'q/ No ( If no, clarify ) O 5.. What is the mobilehome electrical rating? ----------------------- ^�' O'z r'��' Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? --- Amps 8. Is there any other electric load -to be :served by the mobilehome siteservice? ---------------- ----------------------------------- Yes= No 7-7/. (If yes; identify the load and size: 6FioWto— (Load) (Amps)'. 9. What is the mobilehome site gas pipe size? --------- ------------ (•); 10. What is the type of gas service? =---------------------------- Natural 7 PG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? -----------------=------------ (BTU) (This information not required if pipe length less than 6 ft. on natu al gas.. or less than 50 ft. on, LPG. ) :T)u-r 4 t^11,S,.c,T C". ,MQJ l/ a-0 A8 6 BUTTE COUNTY BUILDING DEPARTMENT APPROVED �� MOBILEHOME SUPPORT DATA It If ott ir`than single wide, Mobilehome Mfr. T/ 27� �C�r� s furnish Setup Model No. Year Width (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. (ft-.Xin.) Center support locations* (f t.)(in.) II (ft.)(in.) (ft.)(in.) U (ft.) (in.) Single /\ A (in.) (in.) Center support footing sizes (in.) (in.) (in.) L3C 1 (in.) (in.) (in.) (in.) (in.)l(in.) V i �_Mf'� U wV0�1 -A *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Footings (check one) % 1'. Wood either pressure treated or foundation grade. 2. Other: (specify) Supporta.(check one) 1: Concrete block. .2: Other, (specify) Tagalong or Expando,' show support details. ,i x-301 Typical Support (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) i b �• -- Max. Overhang (ft.)(in.) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965• OWNER -BUILDER VERIFICATION Phone: 916-534-4541 Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. e , 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 wor . 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•Segurity Number — Date — Date 10 - / ^ 9S NOTE: This Owner -Builder Verification is sent to you.as required by Sections 19831 and, 19832 of the California Health and Safety Code. This verification must be completed and returned'to our office before we are per- mitted.to issue the permit. / COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS - BUILDING DIVISION / / 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/634-4541 PERMIT APPLICATION DATA SHEET. V I(,,I Permit No. ?? OWNER �cS- IL A. P. No. Proposed Building Use V/r/A(.y- Permit3Fee Based Upon: Complete Contract Price DPW Valuation Ot'xplain) Building Inspector Date At 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. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . 6. State Energy Forms No. .7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . 11. Planning approval .for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor -'s License:lnformation (no., name style, classif.) 14. Owner-Builder'Verification (Given to owner, Mail'to ownerE]) 1.5. Improvements may be.required. .• - .. Mobi lehome Installation Data. . . . ,Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue.the permit, process as follows: Mail to owner. Mail to contractor. Telephone SAN - !i �q and hold for pickup at office. Deliver w. /inspector. Other Applicant Date 1-1 Copy of plans sent Health Dept., Fire Dept. Other Date During the plan checking process; the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: ' Copy—DPW COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLF„ CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER (l_: Ke Q r�4 k a V A. P. No. Proposed Building Use v — C A /V I Permit Fee Based Upon: Complete Contract Price DPW Valuation Y Other (Explain) /n j Building Inspector .�aaAA O.II Date /119�/ 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. . . . . . . . . . . _ . Plot plans in duplicate./tr,iiicate. . . . . . . . . . . r 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorization.. . . . . . . Sanitation approval from nr0j] x1162 Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . .•, 17.> Pre -Inspection for RequiredPre-Inspec. request to . Building Inspect r (Ute)Recorded copy of Agricultural Acknowledgment Statement. /;7e Al AO&� 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. X Telephone and hold for pickup at KLD office. Deliver w/inspector. Other Applicant V.Date 15"� Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the fol lowing data must be submitted prior to permit issuance. (For required items not checked above tA I mq 0j. ication, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail ther Plans checked by Plans aDDroved b, Other: Copy—DPW By Date To : Building Department From: ,environmental Health Subject: Sanitation Clearance 3 O�me r Location Pl@n Approved for: Sewage disposal Hold final for: Final clearance O.K. for: Clearance for _ bedro. mobiles me. Other NO t�, "-,anitarian AP# water supply water supply water supply Date t�'I,i' , 4 �t7,2 U it u t V' ,vj A {. a b A.4o1.: r+'.i.\i G'� 1•i3 S,l ��'E'i / /� 1-4 f!o s se pc a &tfq..L. SRI fcal • � l,►y �`Z„i `� .:: "� .�. i31' �_ �� !1 _^.7 ilk i�ra�i :+.+l'�/ !'=01 f� t .� 1.�y,. T ...+.«..,......-........ -.... .. .. w•-•-...w..�..... .. �..,w._.�w.�. .w... - -_ .•,,,....- .., . ...w .�•...»...�.ww.w,-...w..r.-.,^.-r.. .w.u..«..,.w.r,w.��++�-r.. c.,.....�.� .n.�++••....�.. � � � It C , • � _ . � . .y.................�.,.««..a.........�.,o........�...�.,...•..,._..._..,.,......._... _...... +.�........ _.... _ .. w_ �.. _. � ..� _ _ ... c i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT/NO. / 7 County Center Drive - Oroville, Cahfornia95965 - Telephone 916/534-4541 v APPLICATION AND PERMIT (O� ASSESSOR PARCEL NUt+1,B R //�[J ZON N BUILDING PERMIT WN �v t T L PH SQ. FT. OCC. BUILDING VALUATION WN M LI A DRESS �^ o O Y [CON-1-RARRELING ONT A R•5 NAME TELEPHONE ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI CT OR ENGINEER LICENSE NO. Plan Checking Fee 0 / Q Energy Plan Checking Fee E$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (ore i �,` Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New [-I Addition ❑ Remodel Utilitie ❑ Installati nyl Other Describe work: III Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV OR LESS10.00 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 and Professions Code and my license is in full force and effect. 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 NR ADDNST ( OWEACCLLING- OCCUP..\ '/z2sgft / NEWi.CONS R. BRANCH MULTI-OUTLET LETITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2000' eAL0350 FIXED APPLNS.License EX. QCCUp. OUTLETS (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 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. 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 id County in co seq e o the granting of this permit. /a X Date ( Signature of Applic nr - Owner Controctor El ❑ 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 $ D occOP. CONST.TYPE I FLOOD PARCCL I PD ND 1 1 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-ASSCSSaR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 -County Center Drive, Oroville, CA 95965 Phone: 916-534-4541. 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 forconstruction of the proposed property improvement (yes or no) 2. I (have/have not) -2 signed an application for a building permit for the proposed wo 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�'C Social, Security umber Date O - ex_- es 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. rFiw ;r•./r Ii!{! _ _ _ffJY _ *4� _ L A N D O F NATURAL W E A L T H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 RONALD D. McELROY Deputy Director October 24, 1985 'Greg Sthay _ RE: Permits and Inspections 293 Colina Way AP #33-034-13 Oroville, CA 95965 Dear Mr. Sthay: On October 1, 1985, you -made permit applications for a mobilehome installed on your property.located at 293 Colina Way, Oroville and at thatq�t me.3you were advised that the following items were required'pri,or to issuing the mobilehome utility permit: s 1) Plot plans in triplicate. 2) Oroville Health Department approval. 3) A recorded copy of an Agricultural Acknowledgement Sttatement. Since permits and inspections.are required by both\�tate and County laws and since the mobilehome was installed without permits Ind inspections, please submit the above required item's within ten days of the.date of this letter and make arrangements for inspections when the permit -.`.is issued. ' Also, the mobilehome installation permit requires: 1) Mobilehome Data Sheet in duplicate.` Should you have any questions concerning this matter, please contact this office.. I L Yours very .truly,, _ William Cheff Director of Public Works Original signed by Glander -� J.F. Glander JFG:am Chief Building Inspector cc: Building Inspector - Oroville etch: Agricultural Statement of Acknowledgement Mobilehome Installation Sheet (2) t ter^.... File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information of ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran sp. Land Dev. Drng. /S.I. Sub. & Pc 1. Maps — Permits Ea tt coup LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS . : 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 -Telephone: (916) 534-4541, ' WILLIAM (Dill) CHEF6 { __�,Jirector September 30, 1985• Greg May -T c/o Don Bradbury; RE: Building'Permit 285 Colina Way A:P. # 33-034-13 Oroville, CA 95965 Dear Mr.. Sthay I With reference to the above-subject, we have been advised by _one of our building inspectors that you have not'obtained the required permits and inspections from this office for the work you are doing as follows: ' 1 Installed a,mobile:home on;your property located off Lakefprest Avenue, Oroville A Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of-the date of this letter,-submit two (2) complete sets of plans) apply for the required perkits,.and pay the appropriate fees. J All work must stop until you obtain these permits and are authorized by our field , inspector to proceed. This field authorization cannot be made until the existing work s inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. ' Yours ;very truly; t �Will_iem Cheff „Director df Public Works, Original signe-d `vy z J, F. Glancie, JFG:aj Cc : Building Inspector - Oroville Assessor . I J.F. Glander Chief Building Inspector . :. File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information t/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran s p. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. BEAU TY DEPARTMENT OF PUBLIC WQRKS . 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (ill) CHEF6 Director September 23, 1985 D Brad ry V1 RE: Building Permit 285 lna Way -- -- - — a.P.^-` 33=034-12 --- . Oro 1 CA 95965 i Dear Mr. Bradbury: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits .and inspections from this office for the work you are doing as follows: ! Installed a mobilehome on your property located off Colina Way, 0roville. i Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees. All"work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, William`Cheff Director of Public Works Y2U Vie. J.F. Glander �— JFG:aj Chief Building Inspector cc:, Building Inspector - Oroville Assessor Ufa � ril Don Bradbury 20 Colina Way Oroville' CA 95965. 'eatte LAND OF NATURAL WEALTH -AiND BEAU DEPARTMENT OF PUBLIC-WQRKS. 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Tel;ph'one: (916) 534-4541 TY WILLIAM (Pill) CHEFF i,Director Septiniber 23,- 1985 RE: Building Permit ,A.P. # 33-034-12 Dear Mr. Bradbury: With reference to the above subject, we have been advised by one of our building inspectors that you have not'obtained the required permits".and inspections froin this office for the work you are doing 'as follows: Installed a mobilehome on your property located off'Colina Way, oroville. I 1 r Since permits and inspections are required by both State and County laws, please contact this office within ten (10.) days of the datd:-ofth1s.letter, submit two I. (2) complete sets 'of plaihs`,'apply for the'.required,-*.perm3.ts,,and pay. -the -.-,.appropriate fees. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. i Your cooperation.in resolving this matter would certainly be appreciated. 'Should I you have any questions concerning this matter, please contact this -office. —Yours very truly, .. Director of Public Works JFG: aj cc:1 Building Inspector w Oroville Assessor Original signed by iJ. F. Chander J.F. Glander Chief Building Inspector File No. �? BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information l/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pc 1. Maps Permits Addr. I Co plaint -Date _/a� l$S_ �Ot(►er-Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Sfkay Owner: /10 dc -L, VQd [ q r V Address: Tenant: Building Location: Type of Inspection requested: ZONING A. P. Date of Inspe ion Inspector 1. Housing / / 2. Financing / / 3. Change of^Occupancy to 4. Work W/O Permit / / 5. Otherspecify)1 ✓ t4 & CJa t^J.1S , 0q ?S F lees wo6d Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower:, 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: F' 8. Room and space requirements: 9. Bedroom window or door.for second exit:. 10. Infestation of insects, vermin, or rodents.: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces,: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: U D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: _ 4. Comments: E. ' Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: • r z F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: _ 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem. or violation (give complete description) : /�// . /-�. /nr 2. What action taken (give complete description): 4Dlp�a 4d liu..G Aeej kC,,- 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. / /.D. Other: AP # m OWNER ire Sf PERMIT MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. ,ervice �ize Other Load Type Pipe Size Length YES NO YES NO - ,NS=F.(! y<� t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT ASSESSOR PARCEL NUMBER .� ZO " BUILDING PERMIT OWNER TEL�P O E! SQ. FT. OCC. BUILDING VALUA N OWNER'S MAILI G AD RE 5 �. �5�L3V V �l/tKJ`CC CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Flling Fee $ 10.40 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 3 C /� ^ j �/ or{//.�`I'�,�L—(/ /(l�1/f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 d Water piping 5.00 LOT NO.SUBDIVISION AME p j e At PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1- 5 outlets 5.00 USE OF STRUCTURE SF [:1Duplex ❑ Mobi lehome [i'/� Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 eL�t TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities I stallation ❑ Other Describe work: - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 O,j� Main service EA. ADD'L 100 AMP 2.50 2„ O NEW CONST.(DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. / t 2/20sq ft CONTRACTORS LICENSE LAW 1 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -CUTLET 2,50 ea NON -RES,., CIRC ITS. NEW CONSTR. POWER APPARATUS &' NON-RESID, ( SINGLE OUTLET CIR. ) 20050c . Occup(o XTs DR FIXTURES BA ExBALO30 IED.00 Ex. Occup. OUTLETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / , 0 Misc. Wiring 15.00 Permit Fee $ j ,©d 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 1 00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in .consequence f the granting of this per it. %� Date /� L Signature of Ap lic nt — Wer ontractor ❑ AgentEl An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , �5,10Butte OcCUP. GROUP TYPE OF CONST. VPARCE PD KISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOR OF P By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS Date r '� /�j3�`� Receipt No. GS WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT L M OEM ME Won NOTE:—All Materials & Workmanship Shop Be in 44 -Ig'. Aeeordae,ce with Recognized Good Practices and of a, quality prescribed for the S ecified use in. the Uniform Building, .Plumbing & Me=nical- Codes and the National Electrical Code. This set of plans -and s , c; kept on the • pec�frc.7tions A�tUST be make an lob at all times Gua . ,. y changes or al# is u��f.ry�,fill to , I y written ratinns o:t s `�® wow permission er ission fjom the D o"'e eyi flout fy of Butte. epa+tment of Public • M1 600.SQ; FT, MINIMUM Utility l b EOR MOBILES 4 connections shal ft.,Of the mobiiehome, either hin directly behind or within the re , half of the roads ide ar de (left) of the A setback of.5 ft. etback mobi(ehome. propertY lines an d a of 50ft, from the road centerline shall'be clear of structures or equipment except for a -2 ft. eave Overhg _ J O'cA 5' ®/... 6`. VVI-� ' BUTTE COUNTY ' -BUILDING DEPARTMENT APPROVED. April 9, 2001 Gil Smith Pacific Gas and Electric 350 Salem St. Chico, Ca. 95926 B E A U T Y DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: HAZARDOUS ELECTRICAL CONDITIONS 293 Colina �Oroville, Ca. AP# 033-034-013 Dear Mr. Smith This department received a complaint alleging health and safety hazards at the above referenced living unit. On April 4, 2001 an inspection was conducted by this department. The owner (Bank of New York Trustee) and tenants are not currently occupying the structure. The structure at this site has numerous electrical hazards including but not limited to open. conductors and conductor splices, unprotected conductors, and a lack of proper grounding and bonding. The structures have been posted for nonhabitation. As the Chief Building Inspector for Butte County, I am requesting that the electrical and gas to the structure referenced above be disconnected until appropriate actions are taken to resolve the hazards. Further, I request that the electrical and gas service not be reconnected until an authorization from this Department is granted to do so. This letter shall also serve as notice to the property owner and tenants that the electrical and gas service is to be disconnected. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira at the number above. Sincerely Scott Rutherford Chief Building Inspector