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035-222-047
MOBILEHOME AND CABIN 2/29/96 W /0 PERMITS t., 35-222-7- GLENDORA BURKHALTER 4770 Virginia Ave., Oroville BURKHAILTER contr: A-1 Masonry, Oroville ( Glendora Permit 771-67B ##181-76B (EQ Damage -remove •---- *181-7613 644-67E 1-2 = 55 replace. of flue for fire- = z f ,- place/SF)T � 3 %� 4770 Virginia Ave A.,P,# (new single family) e' Oroville ��-•�. 03-1758 COIVrR• James M -" 035-222,99TQ4�7 Lad ' BURT, TINA d' Const., Oroville (*cone .1 /o �/ -6 7 �, .. ti1'P(O IAO - replace app 3sonory-EQ Dama_1et/remove ` MHU f ~flue or lre 1 P ace %' /Lei � i'S/ 7� � �� � ``2r!'r; • . ELECTRIC GAS LINE COMPACTION TEST REQ_ ' �• y''t SUPPORT STRUCT REQ 035-2224)0-,-097 04-0193. c PETERS, TINA 4766 VIRGINIA AVE, ORO�� OPEN DECK/MH �NALED _K ❑ t., 35-222-7- GLENDORA BURKHALTER 4770 Virginia Ave., Oroville BURKHAILTER contr: A-1 Masonry, Oroville ( Glendora Permit 771-67B ##181-76B (EQ Damage -remove •---- *181-7613 644-67E 1-2 = 55 replace. of flue for fire- = z f ,- place/SF)T � 3 %� 4770 Virginia Ave A.,P,# (new single family) e' Oroville ��-•�. 03-1758 COIVrR• James M -" 035-222,99TQ4�7 Lad ' BURT, TINA d' Const., Oroville (*cone .1 /o �/ -6 7 �, .. ti1'P(O IAO - replace app 3sonory-EQ Dama_1et/remove ` MHU f ~flue or lre 1 P ace %' /Lei � i'S/ 7� � �� � ``2r!'r; • . ELECTRIC GAS LINE COMPACTION TEST REQ_ ' �• y''t SUPPORT STRUCT REQ 035-2224)0-,-097 04-0193. c PETERS, TINA 4766 VIRGINIA AVE, ORO�� OPEN DECK/MH �NALED _K a k) t r VRECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 IttI YLL, �1 95926-1308 1 Recorded I REC FEE 10,00 OtfIcial Records i CUNFORM 1.00 County Of I euiE 1 LANDRLE 3. GRUBBS 1 Recorder I ROSEMARY DICKSON i Assistant I mark 03:24PM 07 -Sep -2004 1 Page i of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ON Y NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 1i 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. TINA M. BURT AND JEFFREY M. KIRKENDALL REAL PROPERTY OWNER/LESSOR P.O. BOX 138 975 EAST AVE. MAILING ADDRESS CHICO BUTTE CA 95926-1308 CITY COUNTY STATE ZIP 4766 VIRGINIA AVE. CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT 538-7541 BUILD�PDPUMIT TELEPH OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP TINA MARIE PETERS DEALER NAME (if not a dealer sale, write "NONE") UNIT OWNER (if also property owner, write "SAME") DEALER LICENSE NO. P.O. BOX 138 975 EAST AVE. MAILING ADDRESS CHICO BUTTE CA 95926-1308 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-1758 530 538-7541 BUILD�PDPUMIT TELEPH NU ER 1 .G SIGNATURUP LOCAL AG Y OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SKYLINE 1977 BUDDY MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 504747940 56'X12' 037328 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED O/G ASSESSOR'S PARCEL NUMBER AP # 035-222-007 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. 07/22/03 10:32 BIDWELL TITLE 530 343 94?0 N0.897 P003 ORDER NO. BU -183549 DMP DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:, LOTS 76 AND 77, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF PAXTON SUBDIVISION IN THE SOUTHWEST QUARTER OF SECTION 20, T. 19 N., R. 4 E., M. D. B. & M., BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 4, 1923, IN BOOK 8 OF MAPS, AT PAGE (S) 50. AP#: 035-222-007-000 <. ` + r NOTES i i RESIDENTIAL PERMIT NO. -,,035-222-(0 7 _ - 04-0193 PETERS, TINA i 4766 VIRGINIA AVE, OROVI' LE OPEN DECK/MH 3.11.04 Job card perm,'t. Ln W oA Gr h ¢ at2r st GloSet• 0 ! I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE"REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature r ,i } 6.1. _' K i RESIDENTIAL PERMIT NO. -,,035-222-(0 7 _ - 04-0193 PETERS, TINA i 4766 VIRGINIA AVE, OROVI' LE OPEN DECK/MH 3.11.04 Job card perm,'t. Ln W oA Gr h ¢ at2r st GloSet• 0 ! I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE"REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 - Date PLUMBING (Permit) OK except #'s 87. 17. Water Htr.; Vent -Access -Combustion Air Baffle 88. 18. Water Pipe; Test & Anchor -Nail Protection 89. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 90. Glass Protection 20. Shower Pan; Test, First Floor -Tub Access Corrections from Previous Inspections 21. Test Tub & Shower, Second Floor -Tub Access 93. 22. Gas Pipe; Sixe & Anchors 94. 23. Fire Sprinkler; Test 95. Address Posted 57. Siding -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Card B-1 Date Card B-1 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 84. 47. Hangers -Post Caps -Anchors -Connectors 85. 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 86. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 87. 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 88. 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 89. 52. Garage Fire Protection Framing -RC Channel 90. Glass Protection 53. Property Line Firewall & Openings Corrections from Previous Inspections 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 93. 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 94. 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 95. Address Posted 57. Siding -Nailing Veneer Fire Sprinkler 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Card B-1 Date Card B-1 59. Glazing Area -Glass Protection -Skylights -Plastic Card B-1 Date Card B-1 60. Shear Walls; Nailing -Bolts Card B-1 Date Card B-1 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK . Applicable Not Rea ,MOBILE HOMES,,j •,a, �`i Date MOBILE HOME UTILITIES.(Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch •: a^ - 3. Sewer; Location -Test -Fall -C/0 -Concrete, - 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity;_Location -Clearances-Gmd-/�' /Amp -Concrete 6.' Gas; Location -Test -Wrap;-/ /".L 'ft. ` = / - P. Nat. or / , /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility.Clearance, 9. Exits ` 10. License Decals , Date Card B-1 Date Card B-1 Date -Card B-1 Date Card B-1 Date MOBILE•HOWE INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements-Setbacks-Easementsj' Date 2. Footings-, Size -Spacing= Marriage Line . Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity;.MH Test-Crossovers:Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector t 6. Water; MH Test -Regulator -Connector _7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert.. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date -Card B-1 Date PERMANENT END SYSTEM (ONLY);' 1. Zoning Requirerrients-Setbacks-Easements 2. -Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test "6.,Water; MH Test 7. Water and Sewer Connected `- 8. _ Gas and Electricity Tagged ' 9. Exits ` 10. License Decals , 11:, Verify #'s with Office 12. Braced Wall Panels Date Card 13-1 Date" Card B-1 Date -Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 - . •MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements=Setbacks-Easements '. ! 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ' 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing' 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1. Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel-Connections-Thicknessa ' Dead Men -Lining .J 4. Elec.; Receptacles and 'Lighting, Distance-GFI 5. Elect; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures;. Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to. Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche .12. Enclosure; Fencing -Alarms - �.r e Date Card B-1 Date..-. Card B-1 e Date Card B-1 Date Card B-1 • R COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. . 04.0►93 41121'96)A 2/96) APPLICATION ND PERMIT ASSESSOR PARCEL NUMBER 035-222-047 ZONING BUILDING PERMIT OWNER - PETERS TINA 865-0500 TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 7031 HWY 32 ORLAND CA 95963 70 0 490.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $490 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4766 VIRGINIA AVE OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 70' SF FREE STANDING DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W I @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service o.A OR mss 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawf6r 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. ❑ 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.) Erol 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. l X Date Sign tqvof Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.By Main Service 200A TO 1000A 46.00 NEW CONST. OWEwff OCCUP. SO OR ADONS. ( y . S.3.5¢FT: pip" N.p.1D. MULTI.OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 00 Ex. Occup. OUTLET OR FDTTURES BAL x';50 Ex. Occup. oLInt-Drs As D °ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE i: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ MAZ. p, FEES IM FLOO CDF _ F PggC�r' Rq 1 V pp HD I0 This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been 1 Date PERMIT EXPIRES ON Da provisions to do work paid. ,o� l^ Receipt No. �56. — WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �Q. �r <. _ ..t`w.a.. - :�'•n- .. �.f'_�w..�' z:. � .r:�� %Y u'.� . tiv .... ,-r...�. ,,,wr.�,.n�'y;�G � "y, .n t --:i :-a tai. t�1� S ,.y, r..t r .r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �a 7 County Center Drive, Orovillea one CA 95965 Ph(/530\538-7541 Fax //530 538-2140 PERM T :M l) l"PPLICATION DATA SHEET OWNER: `� E ASSESSOR PARCEL NUMBER Proposed Building Use: NI D I ►-t GrG. Counter Technician: ` Date: It ms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Enginee"red-plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. j` ❑ 6. Energy compliance design and supporting documentation in duplicate. ��. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. t ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10.x,Uod'Elevatio_n Certificate, wet -stamped and signed,,in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑- 14. Hazardous Material Form P` 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .... a.......................... 1 ❑ 22. City of Chico Plumbing permit................................... ...................................... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: Q'nB)Parking: (C) Parcel,Check:- ❑ 25.' Contact Land Development about _ Improvements,'-_ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑/ 30. Worker's Compensation Carrier and Policy Number ........................................... Lti7 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.............................................:...:............`."` ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance.....................................:......................... ❑ 35. Existing violations and/or expired permits......................::.................................. ,a ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone X105 O SOa and hold for pickup. I have been informed of thee above items and requirements for obtaining a building permit. �j`7Gr`•�2 (�/.�Z�iC Applicant: Date: 1. Index permitrakf iication for the above items numbered: 71 Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the ab ve ata by phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: VAIV , Date: Plans approved by: �� Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer bj : Date: Yellow: Building Division O.B.-1 OWNER -]BUILDER VERIEICATIiON Attention Property Owner: An "owner-buildee" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit willbe issued until this verification is received. 1. I personally plan to provide the �aajor labor and materials for construction of the proposed property improvement : YES NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work - 3. . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY. PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: , ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (lured) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: T £rF t r vt. �e -e k SOCIAL SECURITY N MEBER: DATE:_ / - Z G - Zd a y NOTE. This Owner -Builder Ver (cation is required by Section 19831 and 19832 of the California health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER ]IMDER INFORMATION Dear Property Owner. I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection; you should be aware that as "owner -builder" you are the responsible party 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 yoursel fi 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 tirades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials,*,' aterials•:~ and other costs) is $3W& more for the• entire project,` and such persons are not licensed as contractors or subcontractors, then you maybe an employer. 0 If you are an employer, you must iegister,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 ldisabili insurance " ty ' ce costs, and unemployment compensation contributions. ♦ There maybe 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 Bre Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. . A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the prop erty. is providing his or her own labor, and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your .. community or at 1020 N Street, Sacramento, CA.' 95814. Please complete the "Owner Builder Verification" on the reverse°side of this form so that we can confirm that you ' are aware of these matters. The building permit will not be issued until the verification is returned.` rely, Mr el C''Vi ira, C.B.O. Man ger, Building Inspection NOTE. This Owner-BuUderinformad n is required by Section 19830 of the California Health and Safetyo. j Cde, OVER .' Building Permit Number: Q 193 Owner Name: OJW6 Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with,the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and 'rs facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: mg Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: {_ All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. z G) 330 rn 61 TYE 16 PLYWOOD CC UT T 49 lirz .'FRMU& ELI rZ L '7'7'gl2" t=j ze STAIR STRIH6EIZ. -Wo.c..mNx. • Ptyi VIEW17 70HUIVERIL rclo" NOT 5110W .1FOR UR91TY. 4'-Iv'DF*2-". xV DECKIM6 lha) 3yjf s 0 . BOLT .5pacect -504ha+ a- Y/a' • GIRDERS Ti & PCIM180p CC EXT. ioctz� 4-h re, (.,j MOBILE 11bME OR PE zz 4 MrL. FRHU N CLIP (ER. VE 9'Mlt�l `may 4'10' 11051-- GrUARPRAIL '01DF (2) DECKIkkIG 6,val. GIRDER IRrAT—ri, *A DOLTS RFDW00Dr111ATr PRECAST 4"1"1" POSIT Oc IEK AAF04TENA420HAL 10-30-03 Is' 4 YPLO T AL Rf51DEA1r1W IbOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 14 owl "ta. rooTIN6 7 County Center Drive — oroville. caurornis 95965 'Telephone: RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 001=N Y of Document Recorded 07 -Sep -2004 2004-0054431 Has not been compared vith 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. TINA M. BURT AND JEFFREY M. KIRKENDALL REAL PROPERTY OWNER/LESSOR P.O. BOX 138 975 EAST AVE. MAILING ADDRESS CHICO BUTTE CA 95926-1308 CITY COUNTY STATE ZIP 4766 VIRGINIA AVE. CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT 538-7541 BUILDING P TELEPH OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP TINA MARIE PETERS NONE UNIT OWNER (if also property owner, write "SAME") NONE P.O. BOX 138 975 EAST AVE. 4 MAILING ADDRESS CHICO BUTTE CA 95926-1308 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-1758 530 538-7541 BUILDING P TELEPH JER .G SIGNATLIRF PF LOCAL AGOFFICIAL DATE f NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO SKYLINE 1977 BUDDY MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 504747940 56'X12' 037328 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 035-222-007 SEE ATTACHED M i 1 Sif n F(1RM AIWA) RF.V. R/91 07/22/03 10:32 BIDWELL TITLE 4 530 343 9470 NO.697 P003 ORDER NO. BU -183549 DMP DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA. COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: LOTS 76 AND 77, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF PAXTON SUBDIVISION IN THE SOUTHWEST QUARTER OF SECTION 20, T. 19 N., R. 4 E., M. D- B. & M., BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF TH9 RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 4, 1923, IN BOOK 6 OF MAPS, AT PAGE (S) 50. AP#: 035-222-007-000 19 BUILDING PERMIT NUMBER: 03-175.8 Address or location of unit: 4766 VIRGINIA AVE., OROVILLE CA 95965 Legal Description of Real Property: AP # 035-222-007 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: TINA MARIE PETERS - Owner's address: P.O. BOX 138975 EAST AVE. CHICO 95926-1308 INSIGNIA OR HUD NUMBER: 037328 SERIAL NUMBER OR V.I.N.: 504747940 MANUFACTURER'S NAME: SKYLINE YEAR: 1 77 OFFICIAL APPROVING IN TALLATIO , DATE: % PHONE: (530) 538-7541 H.C.D. 513C r DEPARTMENT USE ONLY. STATE OF CALIFORNIA ILT EXT BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT USE ONLY TRANS CODE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT NEW DECAL ! RECEIPT DATE DIVISION OF CODES AND STANDARDS r?'? REGISTERED REGISTRATION AND TITLING PROGRAM Lad First STICKER ! ' OWNER(S) _ APPLICATION FOR DUPLICATE M^� slTus cc CERTIFICATE OF TITLE OLD DECAL a Mann at W.—hufacturw� MFG ID ! Trade NN'a'n4e modcl if.. Or a Data of Manufacture Cant Dealer Lkww ! Data at Transfer to Dealer tido ILT Examaption Dab Fiat Sold Nwv MFG � I T� DECAL/LICENSE ! �lS"tate- 1. G MANUFACTURER SERIAL NUMBER(S)LENGTH (Inches)(Ince) WIDTH WEIGHT DATE FIRST—SOLD OF UNIT city ZIP LEGAL OWNER F(Pounds) (N diffmard then above) (pint true name) g� ` /-2. ILT EXT .r.uu caa1 PWGI: Lri j•r.7 CODE vR SALE PRII DEPA 7fT USE OMLY ONLY RECEIPT NUMBER S) RECEIPT DATE LSS) CLERK'S INITIASALE DAI REGISTERED Lad First Morale OWNER(S) [Print True Name(B)] _^ / 2 MAILING ADDRESS LOCATION ADDRESS Strad Ty �lS"tate- 1. G Street OF UNIT city ZIP LEGAL OWNER (pint true name) MAILING ADDRESS Street City Stn. Zip APPLICATION FOR TRANSFER BY NEW OWNERS I/We request that the new Certificate of Title and Registration Card to be issued as follows REGISTERED Lad Fleet Middle OWNER(S) [Print true name(s)] 2 t H applicable, eI Aw ale d the following, ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND MAILING ❑ COMPRO ADDRESS FUTURE MAU IN SCom" ,_ _ ` �� �� 5 L A ( e- Cf� State a! Mt ADDRESS CI cityBim, ZIP LOCATION ADD OF UNIT Ind Chy O v `�� �I r VVV Stab zip LEGAL OWNER (pine hw name) P ��p L� SAOI` AS J `. - - N • blecheek one d the i MAILING ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ ADDRESS Street city COMPRO stag av FIRST JUNIOF! LIENHOLDER (print bw name) —1 COMPRO H aPPIkable, oMA one of the following: MAILING 1:3TENCOM OR 1:1JTRS ❑ TENCOM AND ADDRESS Strad CIA' Stab Zip ADD JR/LH❑ NOTE: SECTION I,'CERTIFICATiou OF MISSING TITLE' ON THE REVERSE SIDE MUST BE COMPLETED. TO COMPLETE A TRANSFER OF MCD 480.1. Side 1 (REV IZM3) _Qj MIS FORM, L)tXARTNIENT USE ONLY STATE OF CALIFORNIA NT USE ONLY TRANS CODE BUSINESS, TRANSPORIATION AND HOUSING AGENCY DEPARTMENT OF ROUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM APPLICATION FOR DUPLICATE [07LDDFCAL,#, STTUScc REGISTRATION CARD MANUFACTURER TRADE NAME MANUFACTURER MODEL NAME OR # ILT EXEMPTION DATE FIRST SOLD NEW LR -4-=7 DECALUCENS&I MANUFACTURER SERIAL NUMBER (S) HUD LABEL OR HCD INSIGNIA ■ 1 LK1rV IAWO LtUZ t LA& L rrb 1 ORIGCOST CODE USE ONLY 1 ii.T R3rr TVT nar Owner(s) (Print true names) 1. ` V-*-r-- 'b p Z 3. Current Mailing Address Stmt r, �Z �p city ,Vp�—U M Future Mailing Address (if different than above) Street City Cormty Situs (location) Address of unit Street Ciry County Legal Owner (Licnholder) (Print true name) Mailing Address Street City First Junior Lienholder (Priat True Name) Mailing Address Stmt Ciry Second Junior Lienholder (Print True Name) Mailing Address Street City Mobilehome Paris Pads Name Operator Name I/We ecrt4 under penalty of Pcr3uty under the laws of the State of California that the fore ing is true m 0 Lost O Staten, O Mutilated O Illeg;bk or Not Received Executed as Sigmatare of Applicant A � ity) vLTtddle ILT jV/ MRF PEN 1 no ow ■© MIME 0 registration card has been: I TOTAL 1202862/20/0' STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DMSION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM POWER OF ATTORNEY Decal (License) Number(s) Trade Name To the I (print full name), I (print full name), of Housing and Community Serial Number(s) and to whom it may concern: -VA (fast) trst e I (print full name), t first e the undersigned do hereby duly appoint the following named person, to act as my attorney in fact, only to sign papers and documents that may be necessary in order to secure California registration of or to transfer my interest in the above described unit. I further agree to guarantee and save harmless the State of California and the Director of Housing and Community Development form all responsi ility I h might accrue form the issuance of California registration or transfer of such unit. NOTE An atto in fact t e an affidavit or certificate of the truth of facts unknown to him. Signed Date Signed Date Signed Date HCD 475.4 (REV. 5/91) Uecal (License) Number(s) M `r 9 STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT e DIVISION OF CODES AND STANDARDS` REGISTRATION AND TITLING PROGRAM BILL OF SALE Trade Name Serial Number(s) For the sum of dollars $ ( ) and/or other valuable consideration in t}te amount of , the receipt of which is hereby acknowledged, I/we did sell, transfer and deliver to uyer on the day of , 19 , my/our right title and interest in and to the above described unit. We certify under penalty of perjury that: (1) I/we are the lawful owner(s) of the unit, and (2) I/we have the right to sell it, and (3) lAve guarantee and will defend the title to the unit against the claims and demands of any and all persons arising prior to this date and (4) the unit is free of all liens and encumbrances, except for the lienholder shown below*, whose lien presently exists and has not been paid. �1 Signature of Seller Signature of Seller Date Place of Execution (Address) City State/Zip Licnholder HCD 475.1 (REV. 9/91) NOTE: The space below is NOT for liens created by the buyer in this transaction. Address City/State/Zip 07/22/03 10:32 BIDWELL TITLE 4 530 343 9470 RECORDING REQUESTED BY MID VALLEY TITLE AND ESCROW CO. AND WHEN RECORDED MAIL TO; Tina M. Bur Jeffrey M. Kirkendall 5867 COHASSET RD. .CHICO, CA 95973 I NO.897 P002 �Q10 1---0�fd�S95 Recorded Official Records CoBun. tyE f CANDACE J. GRUBBS Recorder ROSEA3ARY DICKSON Atsistant 02:30PN 22-,1an-2001 Above This Lina for Recorder's Use Only REC FEE 10.00 TAY 57.20 Rrisl f-2 Paqe 1 o A.P.N,:035-222-007 Order No.: CMIC Escrow No,:183S49DMP e GR&W DEED THE UNDERSIGNED GRANTOR($) DECLARED THAT DOCUMENTARY TRANSPER TAX 3: COUNTY5� 7.20 [ X J ca wed on full value of pro conveyed, or t[ l computed on full valur tess ue of liens or encutnbrances remaining at time of sale, X j unincorporated area; [) City of_, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged. Option One Mortgage Corporation, A California Corporation hereby GRANT(S) to Tina M. Burt, an Unmarried Woman and Jefftey M. Kirkendall, an ilnmarried Man as Joint Tenants The fallowing described property in the unincorporated area. County of Butte State of California: See legal dere l qt hereto and madea part hereofOption One sp., a Calitozaia corporatioo Wort ASsistant Secretary Document Date; January 12. 2001 STATE OF G COUNTY OF )SS Nanette P. 1°u bkc. personally appeared" Ir" "J 45-7 v personally known to n)e (or proved to me on the beats of sadsOwnry evidence w be the persons) whose aatne(s) islare sabecribehl tote wrimEn instrument and acknowledged to me that he/shdthey executed the same in hlsfherllheir authoriud eapacity(ws) and that by histhedtheir sipnahure(s) on the instrument the person(s) or the entity npan behalf ofwhich the persmQ aced. executed the insavment. WITNESS my and and otTicw =l. '107 VNANUM P. WARDSWORTH SiSnanue 'Nanette P Wordswortal MCOM�' f "- coullly Mail T,.r Ronternanta m: SAME AS ABOV9 nr Addrees Noted Below LEGAL DESCRIPTION A.P. # 4>35*— zZZ-4sP7 All that certain real property situated in the County of Butte, State of California, described as follows: ' T NOTES RESIDENTIAL 035-222-007- �02-1758 PERMIT NO. VI..Per&ie5, _T-lAf.4_..,. RGINIA, OROVILLE I f THE HCD FORM 433A FOR THIS MH CANNOT BE i RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED INTO THE BUILDING DIVISION: (1) LICENSE, PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). • (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. fi SPECIAL CONDITIONS I v CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �. w � I t OFFICE COPY s' Address GAS Meter By ate ELECTI . Meter By Date% - s' - r 1. I JOB FINALED Signature r J=OK 0 = Not OK - = Not Applicable . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19: D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing I I RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector - 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instid./Drive ❑ Yes O No/Walks 0 Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec.-Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J -='OK 0 = Not OK . = NotReadyabl+ , + MOBILE`HOMES. . Date MOBILE HOME UTILITIES (Plans) OK except #'s T. Z�Requirements-Setbacks-Easements ! 1. Zoning Requirements -Setbacks -Easements . 2. Soils; Special MH Support Sketch ectricity; MH Test -Crossovers -Breakers -Clearances 3. Sewer; Location -Test -Fall -C/O -Concrete j 4. Water; Location -Test -Easement Needed (Sketch) 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Electricity; Location-Clearances-Grnd-/,/Amp-Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /' Nat. or / 11 L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Y Card B-1 Date . Card B-1 Date Card B Date Card B-1 Date MOB HOME INSTALLATION (Plans) OK except ft DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s T. Z�Requirements-Setbacks-Easements ! 1. •. Fo2ji _Size -Spacing -Marriage Line as�,bA1%st-Demand-Valve7Connector , - Footings; Soils -Size- Depth =Spacing -Connectors -Steel ectricity; MH Test -Crossovers -Breakers -Clearances 3. 5. Drain; MH Test -Fall -Flex Connector j 6. Water; MH Test -Regulator -Connector - Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas aAd-Electricity.Tagged 9L;;�D2-Type-Installation Cert. Carports; Windows -Doors 1 . is;lnsp.-Sketch 7. 11. Cert. of Occupancy 8. Frmg.; Sills-Anchors-Studs-Rftrs=Trusses i Date Card B-1 Date,* : Card B-1 Date Card B-1 Date , :•.:+. 'r Card 6.1_ Date PERMANENT END SYSTEM (ONLY),. •. 11. 1. Zoning Requirements -Setbacks -Easements'" 2. Footings; Size -Spacing -Marriage Line Braced Wall Panels 3. Blocking + .• 4. Gas; MH Test -Demand -Valve m! . Date 5. Electricity; MH Test - Card B-1 Date Card B-1 6.. Water; MH Test . 7. Water and Sewer Connected Date 8. Gas and Electricity Tagged t • 9. Exits y Setbacks -Easements 10. License Decals, 2. 11 ;Verify ft with Office � 3. Date Card B-1 - . Date Card B-1 Date Card B-1 Date '. Card B-1 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards -Ins. to Main Conduit { 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms 1 Date Card B-1 Date Card B-1 1 Date Card B-1 Date Card B-1 I - ,neq,Q�iyU5f737.8 r� 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 j 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs=Trusses i 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except ft t 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards -Ins. to Main Conduit { 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms 1 Date Card B-1 Date Card B-1 1 Date Card B-1 Date Card B-1 I - ,neq,Q�iyU5f737.8 r� fiT:: •x , . .,.r„-.�•,��7 �..rr-f .:i .'rtiT'?w+�%."�.s..��;n:�+� :r-+.. s,: r -,— r.-�'.`� 9`�»-a-J�(a.�..�0+'�►�..i"s%eiY . r },. BUILDING DIVISION t 'kms DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE I 1 1�5 6- 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 contact this office immediately. p c (Lo .K ✓tVl&-Y, U✓n2;2-V �CS�" GIC:S� • 3�;..at f 60 '< �E �(. �I- r Ski i ✓ F � � Cif -h n u 0 (e-- NEV 10/92 r � ., r•*�r:<.�ri.-..A�'.r�.k.�t-4:� k«,+--�-�'-`,-�,,".-t•.«st*.:h�.�Zn�..,i.=,s+R*..-� .:ems. , 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 O' Lf OWNER 4 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 contact this office immediately. r 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 !Y OWNER s 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, contact this office immediately. -J I- iA N P':': Date Inspector REV 10/92 r e,1.7 , COUNTY OF BUTTE BUILDINGrDIVISION DEPARTMENT OF DEVELOPMENT SERVICES - 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE R PERMIT NO. . ty 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 contact this office immediately. f;' D e - Inspector — REV 10/92 • 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 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 contact this office immediately. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P Ry�I NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-222-007 ZONING 'P— BUILDING PERMIT OWNER S.OWNERS TEDDIHONE SQ. FT. OCC. BUILDING VALUATION 749 R 40,446.00 -INA �� MAIUNG ADDRESS _.�,,.��PER PO BOX 1387975 EAST AVENUE CHICO 95926-1308 CONTRACTOR'S NAME �7N OWLV L'1\ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 40 446.00 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.0 Permit Fee p $ 178 • 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 4766 VIRGINIA AVE ORC ILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 221.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U6lides ❑ Installation EX Other ❑ Describe Work: REM ACE EX 9FL ;444 ON PERN li= Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20..00 RLES 600VMain Service A OR LESS 23.00 2_1 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law foe following reason: Er 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. ❑ 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 l 46.00so NEW CONST. DWE711NG OCCUP. WE U OMR ADONS. ( a ACC. BLDS. SO 3.5QFT; T „Vµgalp ' MULTI.O CIRCUITS OG 7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES so 0 1.00 BAL @ .50 FIXLINISI Ex. Occup. ouT EiAPP AR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation o ne hundred dollars ($100) or less.) o, 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, arlethat 'rf I should become subject to the workers' compens rovisio s of section 3700 of the Labor Code, I shall rthwith comply 'th those ovi i s. Date C7 It Applicant - ❑ Owner ❑ Contractor ❑ Agent PSHApermit is required f r e avations ov O" deep and d olition or construction ctures ov s r' s' h Receipt No. 11 1 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNST. Tr 1 TOTAL FEE $ 329.00 HAZ. D. EES IMP Floo cDF PARCEL PD HD su This permit is hereby issued under of the Butte County Code and/or indic for whi h fees have y PERMIT EXPIRES ON 10/ the applicable provisions Resolutions to do work been paid. Date IO� D e WHITE-D.D.S.-B.D. CAN ARV -ASSESSOR I K -INS C O N A (CANT f �III�'�NiIIIIIIIIiiIlI�III91iIII AND WHEN RECORDED MAIL TO: 10 BUTTE COUNTY BUILDING DIVISION Recorded I REC FEE 7.00 7 COUNTY CENTER DRIVE Official Records 1 COPIES 2.00 OROVILLE, CA 95965 County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant. I Lisa 10:03AN 29 -Oct -2003 I Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort 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 purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIHBD AS FOLLOWS: LOTS 76 AND 77, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF PAXTON SUBDIVISION IN THE SOUTHWEST QUARTER OF SECTION 20, T. 19 N., R. 4 E., M. D. B. & M., BUTTE COUNTY, CALIFORNIA", WHICH MAP' WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 4, 1923, IN BOOK 8 OF MAPS, AT PAGES) 50. APO: --j03S-222-007-000 Date PROPERTY OWNERS: 0 Q . � .at-1-•'ta'Zc Y � lr7JLpa�tL� State of California ) County, of -�6LA:4-4c- ) On 10 12E l - o3 before me, u)- n(- Wok k Q- personally appeared kLkVVJ-1 __personally . known to me (or proved to me on the basis otsatisfactory 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 signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument: WITNESS my hand and official seal. Signature • `��( ¢ *L J1 Seal: A.P. #'D a)5 - 2- -22 -00'1- OC-,, `1 . MCQ IRK COMM.01433346 NOTARY PUBUC-CAL ORNIA COUNTY OF BUTTE Comm. Expires Au 2, 2007 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SEV CES -BUILDING D VISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMB - ��� [�' -007 &,lProposed Building Use: V- M Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked O marked NA in order to apply. ) 1.. Plot plans, 3 or 4 sets, signed�y 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. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal 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 en ineer. 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. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................ Plot plan and business license approval from the City of Biggs .................... T--F..-,.C:...4..«a C -.-...- ---:A - :-I L___I J_-__ Date Received By Remai of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet .................................... 1 . Statement of Intent for Non -heated and A/C Buildings 4� g ............. Cjj❑v "16. Sanitation and plot plan approval from the Environmental Health Department in W. OT City of Chico Plumbing permit......................................................................... k8. California Department of Forestry plan approval ❑ paid. Sent by: D 19. Planning approval for (A) Use: (f>K (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits .......................................... ......... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, heck to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have leen informed oft e abou<ite4s and requirements for obtaining a building permit A 1. Index permit application for the above items numbered: _ 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Plan Check Letter ❑ piTne, ❑,.mail, ❑ counter, by Date: _ ❑ ph ne, , ❑.i mail, ❑ counter, b Date: _ Plans approved by: P&I Date: _Structural approved by: Date: Yellow Building Division rr!. 7 •C� School District A.P. Number r' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM -IjI // (�- One form per Building) �A /' �% Building Department No. 00 / Jurisdiction: City E=fcounity Property Owner / Z 14- ff X i/ / /�/ Property Location/Address v (i ���a/ V Subdivision Lot No. .................................................................................................................. Residential Development . No'of Living Mobile Home Addition/ *Supplemental to Units Installation Conversion Permit # '(No foundation inspection) .................................................................................................................. C • and mer�)cial/Industrial W/ C Department Representative Plans reviewed by School District Personnel) District Identification No. ki 4 1, a g ; L ie Qte_ o,- School District certifies that D155 ,r Sq. Footage �-7 (Group R) Sq. Footage (Including Exterior �L " Ro fed Areas) M / V F Date (Applicant) S (Street Address) j v (Phone Number) �r-nJ - - S - (City) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 6% —O.L , 1 O by payment of $ to o. Z, b 15 c -o representing 14 �( square feet. t AB 2926 $ FULL MITIGATION $ �cv�„t SSL. 1 0 " ;La —a 3 School District Representa ve Date Paid by Check # Remarks: 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 660201a), 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 (building department), Pink (school district) feeform.xls 110/98)dmm i � r DATE: October 17, 2003 TO: Tina Peters 5867 Cohasset Road Chico, CA 95973 FROM: Evelyn Mortell; Accounts Payable Oroville Elementary School District 2795 Yard Street Oroville, CA 95966 RE: Returned Check BUTTE COUNTY OCT 2.7 1003 DEVELOPMENT ` SERVICES 530-532-3000 ext 3006 530-532-3030 fax emortell@ocesd.org Your -check number 7403 dated September 9, 2003 in the amount of $1,438.08 for payment of School Impact Fees for parcel 035-222-007 was returned with the notation "account closed". We were charged a $25 returned check fee. Please provide a replacement check in the amount of $1,463.08 payable to Oroville Elementary School District within the next seven days. Thank you. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET _ -7 K �,, ���2 G ' Z OWNER ASSESSOR PARCEL NUMBER (Proposed Building Use: ` Counter Technician: Date: Items required ituo der to apply for a permit. All boxes MUST be checked OR marked NA in orde to pply. V1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. ❑ 2. Complete plans; 3 "or 4 sets, signed by the }ireparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes!= ❑ 5. Energy compliance deli and supporting documentation in duplicate. ,,, )) 16. Manufactured homekMplicate. ata sheets and installation instruction , arriage line informatio�loor Plan, �ib)`1"ie down or foundation plans, all l P � ❑ 77M`e_falbui mgs: A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... O 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form..................................................................' ............ _ ❑ 13. Other kaining items needed to issue the permit. (May require additional plan review upon receipt of the folio ems.) �► 5 �� �� o Fees as shown on the attached Schedule of Fees Due Sheet..'=. ... ......l ..... 15. Statement of Intent for Non -heated and A/C Buildings..................................y.... . ' 16. Sanitation and plot plan approval from the Environmental Health Department in W _.y ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent- by: ...................... ❑ 19. Planning approval for (A) Use: D K (B)Parking: (C) Parcel Check: 01 _1 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner)" .................... I 2 Letter of Signature authorization................................................................... Recorded copy of Agricu�ura7-eknowledgment Statement .................... ❑ 28. Manufactured home utility clearance......................................................... ;31 Exsting violation nd/or expired permits..........• ............................ rant Deed, M.H. Title/Statement of Facts, !!!!e�"tter from Legal wner heck to H.C.D. $. Other: When issued Telephone an for plc I have been informed of the above-item&a nc ,requirements for obtaining a building permit. Applicant: 1. Index permit application for thl above items number Plan Check Letter 2. Additional items re Contractor, design ,own as advised cf the above da ph n , ❑ mai , ❑ counter, by V' ,$ Date: 9—_1,2 • 63 Contractor, designe , ner, was advised of the ve data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: .0/ Date: d J Plans approved by: n.C, Date: 7,/z.0 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yell n - Rnildino nivicinn ` • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO. 5 (Rev.12/96) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER I ZONING BUILDING PERMIT OWNER'�_ t� TELEPHONE�CD SQ. 09Q. UIL DATION OWN NCI ADDRES 1" �,LO .J �RZ� "t t 3 8 `I 75 �>45`c P -,,3--e- G C -A CONTRACTOR'S NAME TELEPHONE , CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER r,j / [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ � ARCHITECT OR ENGINEER LICENSE NO. Filing Fee '$ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checkin Fee ' . $ BUILDINGADDRESS Energy Plan Checking Fee $ LOT NO 71,r I SUBDNSIONS NAME 'tel UUSEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome lit Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ InstallationsOther Describe Work: r �0) 9�7 l.) SRS ow-; p44cmr- SEEM Tt &.;i A e d +6 L.+ WAXY% X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50° deep and demolition or construction of structures over 3 stories in h fight. Receipt No. 0 WHITE-D.D.S.-B.D. CANARY• SS S OR PINK -INSPECTOR GOLDENROD -APPLICANT 00 �e PERMIT FEE PERMIT FEE $ PLUMBING PERMIT Fling Fee Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 00 �e Ex. OcCLI . OUTLET OR FDnURES PERMIT FEE FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. EA ELECTRICAL PERMIT Fling Fee 20.00 Main Service VOR 23.00 ZJ — Misc. Wirinq 200A OR LESS Main Service 200A TO 1000A 46.00 NEW CONST. / OWELLDdG OCCUP. 3.5¢SO OR ADDNS. \ 8 ACC. BIDS. N CONS ununcem a MULTI.OUTLEi1 07.50 Ex. OcCLI . OUTLET OR FDnURES IaAL a ,50 FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. EA 5.00 Service 23.00 —Temporary Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE MECHANICAL PERMIT I Fling Feel 20.00 6.50 Ventilation Mobile Home Installation Fee I $ Energy Inspection Fee 1 $ occ CONST. TYPE TOT L FEE $ HAZ_A'D.,fSESX ItiRfl FLOOD I CDF pQR HD 6SUE 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 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER"�E•T-c-2S ASSESSOR PARCEL NUMBER d3J• 3"" • 007 Proposed Building Use: F92f_--S J' AI•f DIOG Counter Technician: k ) e'' Date: t �j 4. 104- s 0¢s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order io apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Site plan and business license approval from the City of Biggs. ❑ 12. Letter of intent for non-residential buildings. ❑ 13. Detached Accessory Building Form filled out by the owner. ; ❑ 14. Hazardous Material Form. 10�P` 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers ❑ 18. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 19. Soils Report and/or Engineered Foundation required. ❑ 20. Erosion Control Plan Required. ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 22. City of Chico Plumbing permit. ❑ 23. California Department of Forestry plan approval ❑ paid. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _Drainage. ❑ 26. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 28. Pre -Inspection for required. ❑ 29. Contractor's license information. (Number, Name Style, Classification). ❑ 30. Worker's Compensation Carrier and Policy Number. V31. Owner -Builder Verification ( _ Given to owner, _ Mailed to owner). ❑ 32. Letter of Signature authorization. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ❑ 34. Manufactured home utility clearance. ❑ 35. Existing violations and/or expired permits. ❑ 36. Deed Restriction. ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 99 OSDa and hold for pickup. I have been informed of the above items anj requirements for obtaining a building permit. Applicant: Date: �z ` Z GO EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Original -Applicant 9 A. P. #aL-),7 OWNER PERMIT # 0 3-1 MH UTIL. CLEARANCE DATE INSPECTOR ELECTRIC GAS SUPPORT' COMPACTION SERVICE OTHER PIPE STRUCTURE TEST REQ. SIZE LOAD TYPE SIZE LENGTH YES NO YES NO PERMIT NO.: 60-03 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: Applicant: Applicant Address: Applicant Phone No.: Property Locations(s) A. P. No.(s): Fees due: July 17, 2003 Danny Peters & Tina Burt Peters PMB 138 975 East Ave Chico CA 95926-1308 865-0500 4766 Virginia Ave Oroville CA 95966 Paxton Sub Lots 76 & 77•(Home to be on lot 77) 035-222-007 No fees due. Replacing old home with new mobile .on permanent foundation. Application for service approved: LALIKE-GROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: By: Lake Oroville Area Public Utility District release to close permit: Date: By: Date: SPECIAL FEATURES BookCoses I I Built - h7 Beds I I Venetian Blinds COMPUTATION Appraiser 8 Date 241 C�' Wit Unit Unit Unit Coll Cs, ' U.i Unit Unit Unit Unit Area Cost Cost Co sf Cos, cost 'Cost Cost Cost Cost Cos" Cost Cost Cost 9 3 v TOTAL re� NORMAL % GOOD R.C.L.N.D. AH 530—A /C. urfu -4, PA RGEL -4 ADDRESS V 11L 7— SHEiT-,,, OF 4 SHAPE DESCRIPTION OF BUILDING --SHEETS CONS rRUC TION STRUCTURAL EXTERIOR ROOF'' LIGHTING ir0 Light Frame I it,-,- a,, AIR CONDITION _W7,1111, DON AND FINISH DEtA-jr- S&4b - Siondard Co FLOORS ROOMS FLOOR FINISH INTERIOR TRIM FINISH ARCHITECTURE standard 5h Ming Conduit Forced 1 2 moterlol Grode W01/3 Ceilings Above -standard Concre&-Afock X. h1amia' — All Stories JPeCA71 848. r8 G. Shed Fixtures ppoll Unit USE TYPE I BrAM ' * Cut v p Few Cheap Ent. liall . Shingles Dormers 4v . Medium f/oorUnit Living .sin q le FOUNDATION Adobe — Double Concrete Floor-lo/sl; 517alre5 a. r a Gutters Many many eC471 Zone Unif Dining.. Duplex Reh7farrad /J) - Apartment Brick d: 21 X _�ir_ick PLUMBING Bed Flat — Wood Sub Floor _S�10ne Shake Poor Good Bed Cow/ — pl;9rs WINDOWSFixtures OX/Barnet Mote/ Casement rile. Trim ISoterHepterM-8.741. Insuloled Ceifin 5..Slee/ Ja .Corgposilion A(Ilomolj' Fireplace Xilchen 017it.r jL14h1j Neovy .-Pleovy Insulaled W, /Is Compo. Shin Gas Elect. CONSTRUCTION RECORD Permit EFFEG. APPR. NORMAL% GOOD RATING (E, G, A, F, P) Bd. L.71h. Ft Splash; Amount . Dole YEAR YEAR Age C:,d�A,, --c.jCon- Wo,�,7c, FINISH BATH DETAIL No. For form.FIX , er Fl. No. TURE�SHOWERLife Floors Wo//s Nc. La?ubj T Grooe — pe ISt p T. .- DI finish SPECIAL FEATURES BookCoses I I Built - h7 Beds I I Venetian Blinds COMPUTATION Appraiser 8 Date 241 C�' Wit Unit Unit Unit Coll Cs, ' U.i Unit Unit Unit Unit Area Cost Cost Co sf Cos, cost 'Cost Cost Cost Cost Cos" Cost Cost Cost 9 3 v TOTAL re� NORMAL % GOOD R.C.L.N.D. AH 530—A /C. Structure ound. Cons: Ext. Roof Floor Int. I I tt ... : I / / / t•:•nR l (//' 71. /V oma,.' 1 " I - r r'/i�'( i COMPUTATIONS i cl I � I : _ i . 1 ...'. i. Remarks: .n. .. • 7 L ''• r' i .•1 c 1 1l-�+' T.. . � , . �� � 7 .� • • A : • , �. � ��.. �� �.f� . Lir l - e i../ r161 .: f •n � s .M1 ,,:.._ I kr ..� ��.tv. ht _ . 1 ;F I a► - i �,� �',�+(' + /,:s1 t' - ��1� / C'�a`t,/.� t..� i -f ;, , ♦'l..-C.v..r Vj F F - . Building Permit Number: 03 J 1 7 SK Owner Name: pelfellr'5 sr Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. ' All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code f (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood - elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. f 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for everysquare foot of enclosed area. `= 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 SOwneBuilding Permit Number: 03 " 79- Owner r Name:1'iJi�,s Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of , �3 feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 1. Owner's Name: 2, Assessor's Parcel Number:'' OF b 3� L27 3. Installer's Name: v 4V R� �-_.m - -T-1 , t� � � a� r ��� -S L iS`i11J U• �eqG 4• Is the site currently under permit? 5 I yes. � No[�'�—Pernut No. Is the site an existing site? Yes[ 4/ No[ ] (If es rical rating of the m Y-rrushtwo plot plans). 6• What is the elect St obilehome? 7. What is the mob - Arnperes. ie site circuit breaker rating? g• What is the electrical rating of the mobilehome siAmperes. te. 9. Is the main s _ ervice remote from the mobilehome - Amperes. the rating? site? yes[ ] No Amperes. d] If it is, what is 10. Is there any other electric load to be erved b . (i.e.a) The mobile home site: yes, well, garage etc.)? Yes[ ] No[ If Y the mobilehome site electric service please identify the load and Load- size- Load- b) ize: b) The main service: Amperes- Load - Type of gas service at mobilehome site: Natural[ �IPropane[ ) None[ tank: gas Pipe at the ] . � mobilehome site inches. .from .the meter- or 13. What is the gas pipe length from the meter or tank to the mobilehome? 20(ft 14. What is the mobilehome *(Tbis information is not re uired if theand? - less than 50 feet on propane) Pipelength is less than 6 feet on naturalQ gas or May 1995 ��� ------- Mob Manufacturer: Model Number: ft. Ornish Setup or Ex ando Size x�—( If other than single wide, ��: ft) Tagalong P 1973, furnish manufacturer's Width- �`Z (ft) Length: ( n all mobilehomes manufactured sheetsafter . 7, O Other: installation manual and structural setup rade ] FOOTINGS: wood pressure treated or foundation g X F• Other. SUppORTS: Concrete block c cs Specifications Wall Mobilehornes: Provide Tie Down p izes and Location M� LTI_E Bier Footings S;ne I SINGLE WIDE Eine 2 Line 1 .............. Line 2 e 2 lv(a.. Beams Line 3 _......... Line 2 Line 2 Line 1.................................... ............ ................. . .......... ........................in Beams Line 2 Line i ............ Tag o riple 30� /') 'q iJ6 Line 1 Piers: x Size minimum: < Spacing ma-'Gmum: From ends -maximum: Line 2 Piers: [,► 0 Size minimum: Spacing maximum: m From ends-maximum:Et? Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (�� _PrRil �� May 1995 5 4 1 Line 1 Openings ] x ] Size minimum: Each side of openings with width over: hru /VC Line 4 Piers:j ] x ( ] Size minimum: < Spacing maximum: < From ends -maximum: BUTTE COUNTY. DISTRICT ATTORNEY'S OFFICE REQUEST FOR COMPLAINT' Felony ( ) Misdemeanor ( ) Infraction � Date Police Agency BUTTE COUNTY CODE ENFORCEMENT Case b SUSPECT NAME (Last, First, Middle) SUSPECT'S RESIDENCE ADDRESS o.3 -;;V -4Z7 ARREST DATE / TIME .1140- t (CA) dD FT� N 4 �ecaNi� Age 2 #j1& -?6 1o:sl SEX RACE HOT WGT EYES HAIR I DATE OF BIRTH CII N0. I FBI NO. S.S. N0. I D.L. NO. -b CHARGES REQUESTED: ❑ Request Arrest Warrant Issue (Declaration for Arrest Warrant must be attached) ❑ Request Notice to Appear be sent ❑ Current rap sheet (must be attached) ADDAT!_MriFMT nATTi ii —C'.I Victim Name(s): i ❑ In Custody (Parole Hold/ $ Ball) ❑ Balled ($ )/ O.R. to Appear (Date) at (Court) ❑ Recommend Increased ball to $ (Declaration for Increased ball must be attached) tat) (D"o; ti,e 1 l a)0_Te_ Responsible Officer: (Print) i,-2 1 (Phone) (Sign * * * * * * * * * * * .k.-1WTRICT ATTORNEY USE * * ACTION TAKEN: Date ( ) Complaint authorized. ( ) Complaint authorized but follow-up information required. See. below. ( ) Request for complaint held pending receipt of follow-up Information. See -below. ( ) Request for felony complaint denied, referred as misdemeanor. See below. Request for complaint denied. See below. IA Citation Issued,By Code Enforcement Officer �t/3 A 35-222-7 ' }. �'�, a ' =;`t x,'� rl;• GLENDORA BURKHALTER '4770 Virginia Ave., Oroville y' •r contr: A-1 Masonry, Oroville Permit .IF #181-76B (EQ Damage -remove riot * _,Rs replace of flue for fire- place/SF).` r'I S«1 •J , `�x ZJJ..`i',<'+.r�..t �1�� t x�ri4r 9k arT�,.^It � arN�.' f Jr' 3. :? ty..^ ..J.�.� �� r �'- i Litt'tiI L l • 44 iy w.. H•t >� t w., �r� � '� r. 3"es:•. ��, � - r is �t+•:. { r•, -:f ` s -t vp � �{ rr a ���.i.}� �i^•„•tom t` �` � ..yii �` �r.,m �p , `k� � ,I _._.a;2 - r; . ` «' rt F sJ x • w(� tLL�lIr`;,taw t' i 1 ` = W TL M `V. '♦t �� y L, ` 3 :- � k f' • � � ♦1 • � 1 .. `. rill' �' : + s`• t eiTi � iv ✓ i t k � �a 2�F W 1.1�., �j f. r'^`^Il'%i r 1, r, 1F{ -r • r«i ` alk iar r.4� JW +` fs r t,; y I� i i"' • , 'r ; �i'. t ;'ti} � •? y i -l� r•�ti"•^•r��� '�',`,} n rr��-�� ;, r! sjL. �1 �� f��r ':!� . .• .. � +��r� ! `.+�• J d,,•'S� qtr � fi;.i {a � �, - , BiT.KHALTER Glendora 771-67B *181-768 644-67E 12 -67p 3 4770 Virginia AvenueA•.P•# (new single fly) ' Oroville CONTR: ,Tames M. Ladd Const. Oroville (*contr sA-1�= replace app. Masonry -EQ Damage/remove & 15 3' OVflue fire lace ,S1F kj 1, - ?� '4 i''Lh i, r ,)yy/ c'°f}} `i r �� r r ♦ .i 17t,�,t om { ✓�tKt!r`bi t{? <KJ'rSt{1 Y tarrM1 +:�4 rrff LoWi ♦ ' ' � 1ti cLJ 4++ r � �t� ��rtJ �. �''�,�.p'j� � •. 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I. , r t i �`'+,' e, + f ; � f i Y 1{ +,'s rYa }���,, f�i� r 4'r�` s� �` n^"��-i, �+z• !: '' ar ' ++ 't.r �� y • . • j b I l p q�gj.r��, '1 'i y1�� a F Y S't�f + 'VY, 1.ti W �f« � � + i } • � r' � �� >`, i,� v� •i tJ;..,,�iW� Y-"'� s.'�+ka t*�tiN�dlyt-� �(`i "'tel cY -i • t�j• ` , ee`d`(fvY` ,,L ": r 1 ► r•. +.•1 ' y i i � r e t' r, ! A Tt�1•i'' `� � i" " , d � ` r •, ' .. + ,. t 0 r '� .� `�«•t .tr r��'" {i �3y„ � : j:..,� �n Y �.Y �y*� �`FfrStii�v ±i.,'d 'lt. .e. J r r r ' �. h Jt^�f•d>°r''g r��rLil t15J4xh r - "V i ,!y ✓ a r � T ' F +� i•r 'i rr At J'' r f.,. � ` t•� r•` ,x �� t J• :y .. .., f .. �r<�i: r*�; i�t,'a •�• •�i»��.i_.R�+ EL��e ,�,�, � iii;{� r3': �.�i (,j -`rT_ .t`). ) ; - ... IF 4 PROOF OF SERVICE DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538.2140 June 4, 1996 0 Dennis L. & Charlotte H..Vandervort 2351 A. Washington Avenue Oroville, CA 95966 RE: Code Violations A.P.#035-22-2-007 4770 Virginia Avenue,'Oroville Dear Mr. and Mrs. Vandervort: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated April 16, 1996 notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for installation of a travel trailer and mobilehome in violation of the Mobilehome Parks Act of Title 25, California Code of Reg_ula_ti-o-as_, adopted by Section- .2.8A-1 of the Butte County Code as follows: (a) 1018 -Permits Required for any Plumbing or Electric (b) 1048 -Inspections Required for any Plumbing or Electric (c) 1324 -Permits Required for Mobilehome Installation (d) 1326 -Inspections Required for Mobilehome Installation The above violations shall be corrected or abated by removal of the mobile - home and travel trailer from the property or applying for a use pemit from the Butte County Planning Department. If the use permit is granted, permits will be required from this office to do the work. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Letter to Dennis L. & Charlotte H. Vandervort RE: Code Violations A.P. #035-22-2-007 Page 2 June 4, 1996 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns,. a.description of the violation,. the date hof your conviction and .-the action necessary to correct or abate the violation(s). Should_ you have any questions concerning this matter, please contact Scott .Rutherford or .Michael Vieira in this office at the address or telephone .number listed above. Sincetely, 14 MCV:dms Micael C Vieira, C.B.O. Man ger, uilding Inspection PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing (A.P. #035-22-2-007) Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 SECOND NOTICE VIOLATION LETTER by enclosing a true copy in a sealed envelope and depositing said envelope in the United States . mail with postage prepaid on 4TH. OF JUNE,1996 and addressed as follows: DENNIS L. AND CHARLOTTE H. VANDERVORT 2351 A. WASHINGTON AVENUE OROVILLE, CA 95966 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 6/4/96 at OROVILLE , California. Donna Sperling Office Assistant III Dennis L. & Charlotte H. Vandervort 2351 A Washington Avenue Oroville, CA 95966 RE: Code Violations 4770 Virginia Avenue, Oroville Dear Mr. and Mrs. Vandervort: ,gaffe Co BUILDING. DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 April 16, 1996 A.P. #035-22-2-007 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a travel trailer and mobilehome. Since the additional living units are not permitted in the RN zone, the travel trailer and mobilehome must be removed from the property or the occupancy and use must cease and desist and the travel trailer and mobile be placed in dead storage. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised -that Butte County has an active Code Enforcement Program which provides an effective -means of enforcemlerc'c' if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, MCV:dms Mic e1 C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor iy ye VIOLATION CHECK LIST A.P. # s —Zz —G'G' Address_ �/ `yU (/�'�li��- �`►� Cid Owner Mm,&w ✓l,<<� c,�-� Owner's Address PC, i3ox S" 3 'i 2 , U) 41 5 6 Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code'Section Priority No. Specific Plot Plan with C/V Noted _yes no Penalties Required 1st. Notice Sent ate C07 nts and/or Determination 2nd. Notice Sent --TD—ate)—r , VO 6,V To r T rl / .N I 1lPSS T T 10 1,4/ / c i U d wf r i Disposition For Citation Citation (Date)- (Date) Department Recommendation to Court f Court Action I Notice of Violation Recorded (Date) For urgent. u Date �° ( Time WT I Ie. You Were Out M Of Phone 5 302 ^ J oZ 7? AREA CODE NUMBER EXTENSION• Telephoned QPlea'seCall Came To See You ❑ Will Calgm Returned Your Call ❑ Wants To See You ❑ Message ' �f770 l/ Signed 9711 ru ADAMS BUSINESS FORMS • = BUTTE COUNTY DEVELOPMENT SERVICES Om- LauvT Date: ;� &(l� �- C Slay. AP#,��-�- Owner: f)e V1 V-1 r )e L/•c: z Zoning: Address: d) X' ''' _General Plan: q,57 Supervis Tial District # ComplaintlViolation Location: 'f �l l �' :, i �, S t TYPE: NBuilding [ ]Health [ -]Planning Complaint Taken By: (,�- �`)r•�t"�"�.i Y COMPLAINT: �C n . r i o ? :lot k30.4^ �nq e j c- ]- �Ioh C C in /��� t 1 C dt F'", - - r c + r- c s , to c to 0 c7j Caution:-[ ]Yes 'r, ]No Permit History on File: [ ]None As follows: r P,�a Approx. Size of Bldg./M.H. + _ Approx. Age of Bldg./M.H. 7F 6 [ ]Occupied Has Electricity: [ ]Yes [ ']No 4 Has Gas: [ ]None [ ]Propane [ ]Natural [ ]Vacant Has Sanitation: [ ]Yes [ ]No,, Obvious Sewage Problems'? [ ]Yes [ ]No Under Construction: [ ]Yes [ ]No Built by/for: [ ]Present Owner [ ]Previous Owner Hazards:[ ]No [ ]Yes,(explain) Person Contacted: Describe Action Taken: INSPECTOR MUST ATTACH A -COPY OF THE CORRECTION NOTICE! ACTION RECOMMENDED 9 Inspector: Date: [ ]Information Only, File [ ]Hold.fior Days v; [ ]Complaint Unfounded [ ]Other [ ]Resolved per Inspector's Report k9end Letter for Compliance t Vt. I v oil i m PERMIT NO. 181-76B • P E M _ 11-1 UTIL. IPERMIT NO. • i� PERMIT EXPIRES %4115 17;/ OWNER _ Glendora Burkhalter t 6ONTR. A-1. Masonry, Oroville- LOCATION (A.P. 35-222-7 ) r; x :4770: Virginia Ave.., Oroville y1• 7 i I ` 4 �o •S ,r I r /ePole Temp. Po Call d PG&E ; Temp Elec. Serv. alled PG&E Te p. Gas Serv. / Called PG&E JOB FINALED Z 3 _ 7 C, (Date) . C (Signature)( L COUNTY OF BUTTE — DEPART?AENT.6F PUBLIC WORKS E BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Forms Parapets Main Bldg. Restroom Finish Footings Windows Stemwall Siding Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Garage Vents Stemwall ' Slab Prov. for physically handicapped Carport Footings Conformance of ex'. structure Slab Final Patio FIREPLACE Footings Footing Masonry Walls Throat — Y Reinf. Steel Final l `'7 Bond Beam FIRE SPRINKLEF Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS ,l r z 3 -7G �/,0'11 '7' fou -i Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. - Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Fixtures Grd. Fault Prot. Service Temp. Pole Underground Permanent Final ELECTRICAL For Urgent p Date Time J Wile You M Were Out Of Phone k-,T"—Cal -* /a4 77 AREA CODE NUMBER EXTENSION Telephoned Please Call Came To See You ❑ Will Call Again Returned Your Call Wants To See You ❑ Message Signed 971 f rj ADAMS BUSINESS FORMS BUTTE COUNTY - r. AGRICULTURAL BUFFER UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being divided or subdivided. Applicant must complete the following and return with the required site plan to: Development ServiceVartment, 7 County Center Drive, Oroville, CA (530) 538-7601 Na hires Phone: Assessor's Parcel Number: ® < 2?'a 7 Reason you believe you qualify for the unusual circumstances exception: plicant's s' nature Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement, (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ........................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) y Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: N,r, L-Lnr&� Sa--� b a�lc L 57�,t-L Agricultural Department Signature: Date: . YMC 4/20/03 I COUNTY OF BUTTE — �EkATMENT OF PUBLIC WORKS 7 County Center Drive — -Oroville, California 95965 Telephone: 534;4541 APPLICATION AND PERMIT Owner Mai I i ng Address Telephone No. Contractor Mailing Address an/( =4—q 9. lz,&- • r, `/J,� 61 f Telephone No. Building Address A. P. No. 3s-- :9— — 07 Zoning & Planning Fees I V_e+Safi"aU4.)4 Fire Dept. Fire Zone Use Permit EQA I Parking I Declaration p p Parcel Plans Parcel Ma 60' R/W I Improvements Bldg. PIarrs-RB''z3 I Parcel Approval I Plans Approval NEW ❑ ADDITIONEI_ UTILITIES ❑ OTHER rJ Single Family, Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No J Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wo kmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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- tioned property for inspection purposes. Date Signature of P mitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING' FT.7 DEC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps„ switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat puma Mobil Home Facili.ties Temp. Power Pole Misc. wiring X 1','-�A FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating . Cooling Ventilation Hood 2.00 Permit Fee $ 1� TOTAL PERMIT FEE I$ 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 DIRECTOR OF U LIC WORKS By Date RECTOR uilding permit expires Date _ l'�/J %% Date Telephone (lest name) (first nine) Address Directions IMS OF COI:CE N: a• S � i `�/`-------------=]NISPECiIO=-�_=---.----- - -Rate74, -===-___'____ (/ ., NAZURE OF DAMAZE d•1� i1�110 c� �i�� _; '0/ Danger:c _ l l` Action: /�G �O SLC v D` G!%to v Q" d�e1'a'J1 ve _e/ v7� Inspector PLANNING DIVISION—SUILDIN6 PLAN APPROVAL U: p 'Parking'--� Landscaping:---.--. 1A 61 rz. pkm'k \'�bv 3' L V- % r/IS Sfz Int l�bVA -C- i ELECTRICAL, MECHANICAL, ,SND PLUMBING CONSTRUCTION ( NOT PLAN CHECK 1j ) SHALLCOkjPLY WITH CURRENT EDITION' OF NEC, UMC AND UPC. 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Z O O U 03 158 BUTTE COUN I 'l RUIL®ING ®EPAP MF A P P R 0 V l�Z)VA -e- I PLANNING DIVISION - BUILDING PLAN APPkR7VA LA' N Use: 2 K Date: Parking:- Landscaping: E7 N I JF7 See, the attak-ohed Rel Pages o ELECTRICAL, MECHANI-CAL, AND PLumelNG CONSTRUCTION ( NOT PLAN CHECKED ) SHALL COMPLY WITH CURRENT EDITION OF 'NEC,* UMC AND UPC. , i Li-rTE COUNr-t 3 - %r 0- qLALDINU LJr-. K A �dl 4 P R 01, IL Off - 2-2,7-- LA$ -7 U59 SI �. 3� Lv- r,--v (5 voil, l�Z)VA -e- I PLANNING DIVISION - BUILDING PLAN APPkR7VA LA' N Use: 2 K Date: Parking:- Landscaping: E7 N I JF7 See, the attak-ohed Rel Pages o ELECTRICAL, MECHANI-CAL, AND PLumelNG CONSTRUCTION ( NOT PLAN CHECKED ) SHALL COMPLY WITH CURRENT EDITION OF 'NEC,* UMC AND UPC. , i Li-rTE COUNr-t 3 - %r 0- qLALDINU LJr-. K A �dl 4 P R 01, IL Off - 2-2,7-- LA$ -7 U59 4k . .. ... . ...... r4f, - N rlj 91 1V-;3 oI a- VAQ�l ..... ....... .. .......... IN G '3Z cu3vvq r Col —z cli 01:3� ),YA,vt tits �, - zl IVA N coy;