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038-180-006
W t 0 { +� t T ;-,• ;T, tea. , •F`� ��;,f�X �.]. - 1 a r AP 38-18-6 E. C arles McLaughlin s/s eL betwee rnel Rd. & the h (MH ALSO MH UTILITIES W/0 038-180-006 PERMIT#94-1991 MCLAUGHLIN, CHARLES & ANITAI� 2233 WHITE AVE., DURHAM, DEMOLISH/SF 038-180-006 PERMIT#94=1992 MCLAUGHLIN, CHARLES & ANIT 2233 WHITE AVE., DPRHAM MOBILEHOME UTILITIES / ELECTRIC�= Nov GAS LINE 4k; COMPACTION TEST RE /'" SUPPORT STRUCT REQ _038-180-006 PERMIT#94-2882 MCLAUGHLIN, CHARLES & ANIT9 2233 WHITE AV$., DURHAM MOBILEHOME INSTALLATION X. 1 RESIDENTIAL 8-180-006' PERMIT#94-1992 MCLAUGHLIN, CHARLES & ANITA J J SWrii-T�- 2 WE . , DURHAM MOBILEHOME UTILITIES ku-o Y -71 LIzv 7381 { t t � . I�-«���rss�Douw � I l I f IY4 . - Apt OFFICE COPY ; Address 2273 (,U(aF A, G AS Meter By ` ELECTRIC Date ✓2 `�' Meter By Date J t' f JOB FINALEO (Da ) i Signature . V=OK O = Not OK Not Reeadyable MOBILE HOMES Date/Initials MOBILE'HOME UTILITIES (Plans) OK except #'s k1fon1pig Requirements -Setbacks -Easements oils; Special MH Support Sketch A ewer; Location -Teat -Fall -C/O Concrete A_Wa_t-r*1 Location -Teat -Easement Needed (Sketch) ectricity; Location-Clearences-Grnd-/ /Amp -Concrete �GrGas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /"L'•ft./ /"LPG 7. Well Clearance & Disconnect ity Clearance i Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Teat -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy ' MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-ft.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK , - = Not Applicable RESIDENTIAL (.$angle & Duplex) = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Puri ln=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protectlon-Skylights-Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Inf filtration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above floor -Mach. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drain e & Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; PIbg-Appliance-Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comnwnts at Final: COUNTY OF BUTTE —DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541E IT NO. APPLICATION,, -ANG) PERMIT 91/ � � ASSESSOR PARCEL NUMBER 038=180-006 ZONING A20 t BUILDING PERMIT OWNER CHARLES & ANITA MC LAUGHLIIj TELEp ONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8616 DUR3NEL DR DURHAM CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2233 WHITE AVE PERMIT FEE $ DURHAM PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF El Duplex ❑ Mobilehome PX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities LX Installation,❑ Other O Describe Work: 2 BEDROOM PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 _ NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW( I deplare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I' I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) El 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 'ElI am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 201.00 55 \ Ex. Occup.UT ED (RESID OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00r! d'<Q ` Misc. Wiring 23.00 ``' '� WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. �) I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co sequence Date f the.gr nt- g of this permit. — % "' ! / X P1 MC 11iIgnature o Applicant - ❑ Ow r El Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. • Mobile Home Installation Fee $ Energy Inspection Fee $ __. OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEESIMP Floof y pY0 CDF PARCEL H ISSu This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which lees have been DIRECTOR,6F PU C WORKS By� PERMIT EXPIRES ON — I et provisions to do work paid. Date /Q Receipt No.--I-� WHITE-D.D.S.-B.D. CANARY -A SE SOR PINK -INSPECTOR GOLDENROD -APPLICANT "'"�S''""t5`+i Laky ra :...� •� COUNTYOF BUTTE_- DEPART ME NTOF I 7 COUNTY CENTER DRIVE fOROVILLE, PERMITAPPLIE EPV6RNIA9591I PMENT SERVICES - BUILDING DIVISION }A -TELEPHONE (916) 538-7541 , I', .DATA N H E ET O � S At time of permit application, I was advised the following data must be submitted prior W pit processing and/or issuance: L . DATE RECEIVED BY �All items hav been submitted. . \2)J Plot plans, /4 ets, signed by preparer of plans � ........................ 2 ti T Complete plans, 3/4 sets, signed by preparer of plans. . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer. .. ............. . 1 . Sanitation and plot plan approval t � Health Department . ............ ' City of Chico plumbing permit . ........................................ AA is Plot plan and business license approval fom City of Biggs/Gridley. ............ 1 Planning approval for (A) Use: ✓ (B) Parking: Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway/permit (construction approval required prior to occupancy). ..' i'— Prey nspedion requ� 20. Pre -inspection for 1. required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. .......................... . Owner -Builder Verification (Given to owner , Mail to owner ........... . 4"4Recorded copy of Agricultural Acknowledgement Statement . ...............: Y. Letter of signature authorization . ............. :.......... ................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... 27. Letter of intent on building use . .......................................... . 28. Mobilehome utility clearance . ................. I ....................... . 29. Documentation of legal access . ............... .......................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed '• and (B) Parcel meets zoning area and frontage requirements. ............. 31. Existing violations/expired permits . ........................................ 32. Plan check list. 33. - 34. i-.4 %Isr CLQ ",O IM PEI al - When��yyou issue the permit, ro ess as follows: i���Telephone$ and hold for .Other Parcel Creation Acreage 000, Mail owner. Mail to contractor:kupa_ office. Deliver with inspe obi r Applicant Date 7 ^/)- ^ 17!7` Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: it issuance jCirTle new item not checked above). Contractor, designer, owner, was advised of above required data by-41044phone _mail Counter by Date I Contractor, designer, owner, was advised of above required data by _ phone _ mail Co ter by _ Date `_ l ' Plans checked by Date Plans approved by Date/ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USE ONLY Plot ri:,,, n,,ad «i �- TO. Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for :22 bedroon mobile ome. Other Hold final for: Final clearance O.K. for: NOTE: A�C2/ vironmental Health Specialist 8/92 Date .COUNTY OF BUTTE Department of Development Services Building -Division Oroville: 7 County Center Dr., Orovilld CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or -w) 2. I (havelhave not) J e- signed an application for a building permit for the proposed work. 3 I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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 (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: � ^ C Property Owner 1 V 1 Social Security Number � � -- Date '1 ^1 a 21 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. This set of plans and specifications MAST 1 e L kept on the job at all times and it is unlawful tr make any changes or alterations on same with out written permission from the Department o; Public Works, County of BUffe. 4- Q- ..-. - s K-1 O 3 Materials QQ C,o `fie Accordance with` Workmanship Shap 0v�e e�of a. uciitece�cana>ed Goad Prc; ;ems d tt` 9 y prescri:,en for tr'Pe $ r t 40010(�"� Uniform Building Piumb;n �eci,ied use m the ��-L%•��e l�t ®�Vatio��al Becfrical Code Mechapical Codes and J"� zoo -- v �* 0,Pv'Sj r41J L �, -C, J� Ca- �$ � omp (P�� PS D PC A C, 4vic CU R� CHIC . c ® USC. NT J p., i� w -N 1A Pt --4 DEPT. COPY ®� 'Alkv q4-1YRZ ALL STRIJ&URES AND EQUIPMENT lNCLuDIP�:� OVERHANGS SHALL BE GLEAM; OF ALL EASEMEM. A SET SACK OF Z.5 FT. FROM THE SIDE AND Z -s . FT. FROMI =aHE- REAR PIROPERTY LINES AND -:C—e FT. FROM THM ROAD CENTERLINE SHALL BE OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. SAVE OVERHANG. AfAr BUTTE COMM BUILDING DEPARTMENT 4PPRVED Oil/ "elf,poi5e _ cL � o a �v S DEPT. COPY ®� 'Alkv q4-1YRZ ALL STRIJ&URES AND EQUIPMENT lNCLuDIP�:� OVERHANGS SHALL BE GLEAM; OF ALL EASEMEM. A SET SACK OF Z.5 FT. FROM THE SIDE AND Z -s . FT. FROMI =aHE- REAR PIROPERTY LINES AND -:C—e FT. FROM THM ROAD CENTERLINE SHALL BE OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. SAVE OVERHANG. AfAr BUTTE COMM BUILDING DEPARTMENT 4PPRVED Oil/ "elf,poi5e lerkiu tu: " `AGItICUI, mar. TATE* +'tvr QF AC ,'O F'n('FMFNT Building Division .r _ FOR RESMENTUL "VELOPMENT Section 26-8.1 of the Butte County Code tequim this .,acknowledgement -be mcorded prior to issuance of a buadL-4 - permit. The property described herein is adjacent to Iaad or included 7 — T 178' R e c Fee 9.00 within an area zoned for agricultural purposes, and residents I Cash 9.00 of this property may be subject to inconveniences or Recorded I discomfort arising from the use -of agricultural chemicals Official Records I including, but not limited to herbicides,: per, and County of I fertilizers; and . from the pursuit ofButte I �ricultuuai operations i including, but not limited to cultivation; plowing, spraying. Candace J. Grubbs pruning, andharvesting which oa�.sionally generate Recorder I dust,smOloe, noise, and odor. Butene County has established 9 : S i am 4 -Oct - 94 I PU BL XX 2 agricultural zones which have as a priority use for.productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate is the Cof my of Butte, State of California, described as follows:. A PART OF LOT 350 AS SHOWN ON THAT CERTAIN MAP ENTITLED, MAP OF HANLON TRACT, SUBDIVISION N0. 2iile.WHECH ap WAS RECORDED IN THE Ctb'FICE OF M RECORDER OF THE COUNTY OF BUTTE" STATE OF CALIFORNIA., ON FEBRUARY 5, 1915 IN BOOK 8 OF MAPS, AT PAGE 1, MORE PARTIQ?JLARLY DESCRIBED AS FOLLOWS FROM A POINT.IN THE CENTERLINE OF WHITE ROAD WHERE IT INTERSECTS WITH THE WESTERLY LINE OF STATE HIGHWAY 99-E SOUTH 890 081 WEST, AND DISTANT 1727 FEET, WHICH IS THE POINT Or BEGINNING: THENCE CONTINUING SOUTH 890 09, WEST, 168 FEET; THENCE SOUTH 00 51' EAST, 172.5 FEET; THENCE NORTH 890 09' EAST, 168 FEET: THENCE NORTH 00 -511 WEST.•172.5 FEET TO THE PLACE OF BEGINNING. G.M Date: - - 9V PROPERTY OWNERS: At A m i fa ,C. • v State of California County of Butte On Aug. 1, 1994beforeme, D. Koenig, Notary Public persona1ly appeal E. Charles -McLaughlin --------------- Yawta (or proved to me on the basis of satisfadory evidence) to be the person(4 whose name($• is/xv subscribed to the within instrument and acknowledged to me that he/$WtY*Y executed the same In his/hef/t,Wauthorized capacity(i , and that by hW]1&/WeW signatureWon the Instrument, the person(or theentity u n behalf of which the person acted, executed the instrument; �^ " " WTINM my hand -a offidal seal. ti 0. KOENIG Comm. 9 967802 NOTARY PUBLIC CALIFORNIA Butte County Signal `! P,4o-5IFOReMY Comm. Expires Jun. 21, 1996Seal: r A.P. a D5 g_ I gIO - CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT - State of California County of Butte SS. On August 4, 1994 before me, D. Koenig, Notary Public DATE NAME. TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC" personally appeared Anita L. McLaughlin---------------- NAME(S) OF SIGNER(S) O personally known to me - OR -N proved to me on the basis of satisfactory evidence to be the person($] whose name($) is/. subscribed to the within instrument and acknowledged to me that f}e/she/they executed the same in Wher/tbe f authorized capacity(1pe;; and that by Wher/tW signature(s) on instrument the person(s), or pl OF � D, KQENIG T the entity upon behalf of which the person(p) acted, Tr: Comm. u 961802 executed the instrument. mo NOTARY PUBLIC CALIFORNIA Q. Bute County D C'�LiFOPNJ My Cp^m. Expires Jun. 21, 1996 -+ WITNE,SS-my hand and official seal. - tL �7'_ ��451 (This area for olTicial notarial seal) SIGNATURE OF THE NOTARY OPTIONAL SECTION THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW: Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the document. X(NIAgricultural Statement of Acknowledgement INDIVIDUAL for Residential Development ❑CORPORATE OFFICER(S) Title or Type of Document TITLE(S) D PARTNERS) I] LIMITED ❑ GENERAL One DATTORNEY-IN-FACT OTRUSTEE(S) 0 GUARDIAN/CONSERVATOR ❑OTHER: SIGNER IS REPRESENTING: NAME OF PERSON)SI OR ENTITYIIES) Number of Pages August 1, 1994 Date of Document E. Charles McLaughlin Signer(s) Other Than Named Above STATE OF CALIFORNIA - BUSINESS. TRANSPORTATION AND HOUSING AGENCY PETE WILSON, Govemor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS 1800 THIRD STREET, Suite 260 P.O. Box 1407 SACRAMENTO, CA 95812-1407 (916) 445-9471 FAX (916) 3274712 " TDD 800-735-2929. February 28, 1995 William Thomas Hackney Minute Man Anchors, Inc. 305 West King Street East Flat Rock, North Carolina 28726 RE: Minute Man Anchors Inc, Engineered Tiedown System (Model No. M.M.A.-E.T.D) (SPA No. E.T.S.-119). Dear,Mr.Hackney, This letter is notification that the engineered tiedown system Model No. M.M.A.-E.T.D: has been approved by the Department under Standard Plan Approval No. E . T. S . a.119,.... This engineered tiedown system was approved on February 23 ,1995 and expires two years from that date.. This letter serves as evidence of this Department's approval and should accompany all applications for permits. ,- Please feel free to contact me at (916) 445-9471 if. you have any questions. Sincerely, Chris L.Anderson Mobilehome Parks Program Manager cc: Mike Rosenburg couIVTv 13lALDIPlG RTAJEAIT', 't MINUTE MAN ANCHORS, INC. ENGINEERED :TIE DOWNS ENGINEER APPROVAL STATE APPROVAL APPROVED SUUEa To cow"Oom Nance ode" wo1 - °Opow a" embdm �r req .n1. soft km aw , cw—w czo c Na 17918 Sew* of COWMAN *J CM CODES AND STANDARDS OF CAO��� Br w.••M.i �aro� SPA NO.__TS. THIS 71EDOWN SY57EM MEETS THE REQUIREMENTS OF SEC 1336.3. SUBSECTION (a) an This Plan Approval Expires of PXRc CoNMENoKEERB Y MINUTE MAN ANCHO=INPQ-,- Its 11s� 9N-�IQm Modal&BSD fs1 Ilk � R wx Design &- General Notes DESIGN LOADS: WAND ............................. 15 PSF SOIL BEARING .................. 1000 PSF TIE DOWN STRAPS ............. 3150j WORKING LOAD SEISMIC ZONE .................. 4 71E DOM STRAPS TO BE MIN. 1 1/4' MADE x 0.035 THICKNESS ZINK PLATED ! MEET FEDERAL SPEC OO -S -781H FOR TYPE 1. CLASS B. GRADE 1. STRAPPING EAR7K.AUCERS.................. 2982] TO 4750# MIN.) CROSS DRIVES .................. 1727# CMAICATED) CONCRETE SLAB ANCHORS.... 1390/ (CALCULATED) GENERAL NOTES: 1. THE CHARTS SHOWN HEREON ARE FOR THE RLOUIRED NUMBER OF 71E DOWNS ON THE SDR OF THE MANUFACTURED HOME. 2. TIE DOWNS ARE REQUIRED AT EACH CHASSIS BEAM. EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON. 3. COMONA71ONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED. 4. IN THE EVENT AN EA1R7H AUGER CANNOT BE INSTALLED DUE TO AN OBSTRUCTION. USE OF CROSS DRIVE ANCHORS IS PERMITTED. PROVIDED 2 CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT BE INSTALLED. 5. FOR ALL 71E DOWN INSTALLATIONS, THE MFG'D. HOME CHASSIS MEMBOtS ARE SHOWN AS T BEAMS FOR ILLUSTRATION PURPOSES ONLY. CHASSIS BEAMS CAN ALSO BE C SHAPED OR RFC SHAPED. 6. END TIE DOWNS CAN BE LOCATED WAN 18' OF EITHER SIDE OF CHASSIS BEAM A)NS AS SHOWN. CHASSIS BEAM _j 7. THE SIZES. TYPES. LENGTHS. ETC. OF MATERIALS SHOWN HEREON ARE MIN. LARGER, LONGER. NEAVIFR MATERIALS SUPPLIED BY MINUTE MAN ANCHORS MAY BE USED AT THE SAME SPACING Nk LOCATIONS SNOWK NS ALL PARTS ARE STAMPED MMA --117N THE APPROPRIATE PART NI MWL 3 , t MMASD2 p p p MMA -71 STABILIZER STEEL STRAP 0 0PLA � W/ TIE PIER MMA -18 BOLT ON TOP ' CONCRETE SLAB ANCHOR 4430 DH 3/4 MM 32 STEEL MMA -39 30' AUGER ANCHOR STRAP W/ BUCKEL MMA SPLIT CROSS DRIVE ANCHOR BOLT NUT W/ 23/32' DIA.x33- RODS Minute Man Tie - Downs Installation Instructions FIRST CHECK FOR UNDERGROUND UTILJTY LOCATIONS: - EARTH AUGERS I. ANSTALL AUGERS INTO SOIL WITH CONSTANT DOWNWARD PRESSURE TO MINIMISE SOIL DISTURBANCE. LEAVING APPROX. tY OF SHAFT EXPOSED. 2. INSTALL STABILIZER PLATE - DRIVE FLUSH W/ GROUND SURFACE 3. COMPLETE TURNING AUGER INTO GROUND UN11L AUGER HEAD IS FLUSH W/ GROUND SURFACE & TOP OF STABILIZER PLATE. CROSS DRIVES 1. CROSS DRIVES ARE USED WHERE HARD OR ROCKY SOIL OCCURS. F THE GROUND SURFACE IS OTHER THAN .ROCK OR MINIMUM 2' ASPHALT, ENCASE THE CROSS DRIVES W/ CONCRETE AS SHOWN IN DETAIL 'B'. CONCRETE BLAB ANCHORS 1. CONCRETE SLAB TO MIN. 3 11r THICK AND IN GOOD CONDITION. 2 MINIMUM SLAB AREA REQUIRED FOR EACH ANCHOR IS 28 SQ. FT. 3... - DRILL PROPER SZE HOLE IN SLAB MINIMUM 1Y FROM ANY EDGE ALL APPLICATIONS 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPOT NUT. CUT OFF EXCESS STRAP & TIGHTEN UNTIL SNUG. ti FM hKAM SHOW, SEE C ! RMCHASSISRR DID TIE DOW ""00'M DOLT -OI' TOPENDTIE 60MSIDE TIE'DOW T ! NUT, 40' WUT BOLT ! NUT STABIUZ R PLATE AUGER '1 -1 Earth Auger Tie Down FOR " TE DOW I OOMP&I pN sss=' as° �• DRILL 9/16- HOLE AT NO HEIGHT OF BEAM, INSTALL DRILL 9/16- HOLE AT MID HEIGHT OF BEAM. INSTALL 1/2- A307 BOLT PER OMT -40N TOP _yeas=�sssss y y - is'��� II 1C a SDE TIE DOMN END TIE DOMIN 3PUT DOLT ! IRNT 4O,_w w. Concrete Tie Down w DRILL 9/16- HOLE AT NO HEIGHT OF BEAM, INSTALL DRILL 9/16- HOLE AT MID HEIGHT OF BEAM. INSTALL 1/2- A307 BOLT 1/r A307 BOLT 0 II 1C a ,C I STEEL STRAP SMM STRAP SEE 1-BEMI CHASSIS FOR SEE I -BEAU CHASSIS FOR TE DOW ANCHOR TIE DOMM ANCHOR C BEAM CHASSIS RFC BEAM CHASSIS C - Beam Chassis `-• " RFC Beam Chassis w C ! RFC CNA SU FM DID TIE 0001 COMMECTIM PIER BOLT—ON TOP END TIE DOM SIDE TIE DOWN IMILMW OW BOLT • trot WANwwNam R� SAO :JK � 1 rte- � • `��:`•,+'� ':� •:. .� •°' _ :}'Yd !" fir'• r �..' ( .v DETAIL •B• Cross Drive Tie Down SIDE TIE DOWN — SEE CHART.. END TIE DOWNS EWAL Eu K . vats SINGLE WOE ;11 low 41 Z. -TV 1i270 111 i.—T �y a t 1 • '7 •� �.�1 E E END TIE DOWNS END TIE DOWNS END TIE DOWNS EQUAL EMALEu un�cnl v�aiEs TRPLE WOE EARTH AUGERS MAX. LENGTH OF 36' 5-V 7t MFWD. HOME MIN. NO. OF SIDE 2 3 4 71E DOWNS CROBS DRIVE ANCHORS - MAX. LENGTH MFG'D. HOME 3r 42' sr 1 62 -173' - MIN. NO. OF SIDE 3 4 3 e 7 TIE DOWNS OONCRETE BLAB ANCHORS MAX. LENGTH OF Wn. HOME 3e 4r"67 MIN. NO. OF SIDE 4 S TIE DOUG n t �,...,sa,.ffir:'!c�''': .,yy .x.:'wx't. j�;i;;("'it.-{`+'.'i�:y ;' ,`.J. r5.fiei'°, ;�... ,�M +r :.:Lt:. .3 .w: — :Y. �fCr:•.�, 3•".�;; ':1 {: .. ..:si. #, .r..t' MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: � ` ..— � � /- PERMIT NO.�� Owners: n Address: &6/c// o 9V/,? .,v4L. tl C 1 V (1kb0;'V1 Mobilehome Year of Manufacturer Manufacture: Serial number moi" (`�/ 2 /Gl / Insignia or or V.I.N. HUD number: Official approving installatio : � Date: 7 If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor ;s. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95865 - Telephone (916) 538-754M..IT N APPLIDATI"ON�� ND PERMIT, - Iqq - Ogg, , AssEboQ,P,�wc�kt{yMBEb6 .-3}jO} lj �O}�VJ ��JJ��JJ ZONING BUILDING PERMIT OWNER CHARLES & ANITA MCLAUGHLIN. TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8616 DURNEL DR. DURHA:4 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS AVE.,2213 WHITE PERMIT FEE $ 4=3., OU PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 r TYPE OF WORK New ❑ Addition O Remodel ElUtilities ❑ Installation Other D Describe Work: 2 BEDROWS PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service S00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) 3.50 FT.go, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) Cl I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIS. Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. @ ).50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 1 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor 1. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to'comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence o the gr g of this permit. X r Date to ' (d — 4i Signature of Applicant OwUr D Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEES 143.00 HAZ. l D. F�6B IMP FLOOD cDF PARCEL�71 H ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo for which fees have been paid. (, B 00. Date � PERMIT_ EXPIRES ON �/ 3 arel Receipt No. -7 C� WHITE-O.D.S.-B.1). CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..t.`: a a fes[ ��±j�! •+a..--; e--...:,,.,,..._. COUNTYOF BUTTE - DEPARTMENT OF _E O MENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OR E; CALWORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICAT!Pkf'�DATA SHEET OWNER 1!/4 Proposed Building Use Inspector A. P. No. � m DZ- �} D D / � At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................... . 2. Plot plans, 3/4 sets,,,signed by preparer of plans . .......... .............. :*-*-*-*- 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. `Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check)..... . C 9. Mobilehome data and manufacturer's installation instructions, 2 sets. . 10. Fees of $ . ........ _ •.............................. . 11. Impact fees as shown on attached schedule . .................. ............. 2 12. California Department of Forestry plan approval/fees................... ...... 13. Flood elevation letter (100 year flood) by California Engineer . ..:.............. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: .<, 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pr�!��e;:IloA regdesf-- 20. Pre -inspection for required. .. to Building Inspector (Datel 21. Contractor's license' information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. ' 25. Letter of signature authorization . ........................................ P: Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 26 7., Letter of intent on building use . ......................................... 28.' Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed -and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing viola ions/expired permits ...............................:•.:..,..... Plan check list. ___ ................. . ...... -r ie Do 420<, o P- &Sc -PW &,-? �Aglo 2 To When you issue the permit, process as'follows: Mail to owner. Mail to contractor. TelephoneA0 f--ZgO6 and hold for pickup at �%Cno office. Deliver with inspector. Other Parcel Creation Acreage Applicant Y v l�I, Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By t The following data must;be submitted prior to a mit 4ss aKce: (Circle new item not checked above). 1. Index permit for above items No. 3 2. Additional items required: .f Contractor, designe ,own as advised of above required data by phone _mail C unter by _ ate �� %f Contractor, designer, owner, was advised of above required data by _ phone _ mail ounter by _ Date Plans checked by Date Plans approved by Date AIX Sets of plans on hold in 1 File cabinet AP folder Copy - Department of,Public Works COUNTY OF BUrrE — DEPARTMENT 'OF DEVELOPMENT SERVICES — BQB.DINIG DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE.(916) 538-7541 ,'//I C-J-,cL-& A. P. #/)3)Q /A- PROPOSED BUILDING USE DATE L:LL 14 REC. # 1. SCHOOL DISTRICT FEES )Uk— r� �Ce. L - -(paid at District Office) ......................... 2.' SHERIFF FEES . (paid at Building Department) Residential..... x =$ unit amt. Commercial (sgft). x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building' Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. p. RECREATION DISTRICT FEES (paid at District Office) .L�..r...` . Y.l.. ....... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) ... i........... 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. O'T'HER 8. OTHER DA_ %1-7�� At time of permit application, I was advised the above fees are required to be paid prior'to issuance of the permit. APPLICANT DATE u U COUNTY OF BUTTE Department --of D;evelonment Services Buildinp, Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) kG ve, 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. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: - Property Owner Social Security Number Date g`y NOTE: This Owner -Builder Verification is sent to you as required,by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. MOBILEHOME SUPPORT DATA r If .other_- than single wide, ,Qp S Mobilehome Mfr. �/� 1i'/v furnish Setup Model No. Year -/ Width %'1 (ft.) Box Length.(P(o (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1Z1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 0. Concrete block. F-1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE l Line 1 Piers: Line 1 Openings: Size -Min. ----------- 5 „ Size-Min.------------------ Spacing-Max - --------------- Spacing -Max- --------- , Each 'Side of Openings From Ends -Max.------- With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------ / „x „ Size-Min------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- ,_ „ Spacing -Max---------------- From Ends -Max.------- From Ends-hax -------------- Line 3 Roof Loads, Size -Min. ------------ Location (From Front) r Size -Min .------------ k Spacing -Max---------- From Ends -Max .------ Line S Roof Loads: —� Size -Min .------------ „x „x 1.1,� „ 11xlocation (From Front)I _ _ , _ (Under Bear Size -Min .------------------ Spacing -Max---------------- From Ends -Maxx-------------- - � OWMINIK---d M. BUTTE COUNTY DEPARTMENT OF PUBLIC 14ORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME, INSTALLATION SHEET 1. Owner's Name: ►J RV_*9__V AIJ -ML _)"6067L 2 . Installer's Name: `1 I #, L %i'i)b7htZd /U 17�] 3. Is the site currently under permit? Yes No F1 (If yes, furnish permit number 67� ��� Z ) OR Is the site an existing site? . Yes No [ij (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ly No F-1 (If no, clarify w ft 5. What is the mobilehome electrical rating? --------------- % 0o Amps. 6. What is the mobilehome site service rating? ------------- 7. What is the mobilehome site circuit breaker rating? ----- Amps Amps 8. Is there any other electric load to be served by the n �� mobilehome site service? -------------------------------- Yes L�; No I (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- - 41 A)- (in.) 10. What is the type of gas service? ------------------- Natural r I LPG X 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- F'r. (ft.) . * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less thaw 6 ft. on natural gas or less than 550 ft. on LPG.) W.9r�'c Hist '.._°�t7Fit�"+'."'Yt^�'iroiW�'WQg'?�?'�..w�^+'•vJ iSRL:v,�llRi-"•'+v't+'.FUS !m!' Ft7"'�X�{�"; �,�g� N, yih. l'•yit4 ,. k BUTTE COUNTY SCHOOLS: IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District 41,1 r� d A4 IA i �(p � Building bepartment No. A.P. Number 0�393 =�AQ_006 Jurisdiction ❑ City ' J 'County Property Owner Property Locatic Subdivison i Lot No. Residential Development . ❑ No. of Living MHI Units Commercial/Industrial ❑ y New t ❑ Sq. Footage Addition (Group R) ❑ Sq. Footage Addition s 1, (Floor Plans reviewed by School District Personnel) District Identification No %dlo 7 (Including Exterior Roofed Areas) /(0`/,Je Date 33 k)WITE Ave (Street Address) (Phone Number) 'Dure f- n� 4, CA 9s938 (City) has complied with the requirements of Resolutiont' No. o "(State) 9Ll-3 (Zip Code) by payment of $ representing9� 7 square feet. ❑ Check here if fee received represents "Full Mitigation". School District Representative # Date Paid by Check # ' Remarks,e&— yvd_c 9 -AI � Bank Number Paid by Cash 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.wkl (4/84) �»j`"`tfe^'.►VK"diY'r"'aj�}`'�,j�`+��V't�•�;•'"ii��+ha�'►yi+�,�?�..-�'�7"+�'"�y�;;i,,;-t�''*�7rijl.:Pr���w�+"�"�y..n^gi'�'''.'�'`' BUTTE COUNTY PARK FACILITY PEg-PAYMENT CERTIFICATION FORM ; DURHAM RECREATION -AND PARK DISTRICT Assessor Parcel Number (s): &2 Property Owner (s): Project Location/Add Subdivison Name: Assessable Square Footage: Type of Residential Development (check one): New Development ❑ Alteration/Addition Mobile Home (s) ❑ Non -Residential to Residential Comments: a. LD -/RL9_V r ` wilding Divisio Representative Date r Durham Recreation and Park District (DRPD) certifies that , L Applicant Name Applicant Phone Number } -Street Address City State Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for square feet at $ 1.04 per square foot for a total payment I of $ RPD Repr entative PAID BY CHECK No.: BANK No.: PAID BY CASH: RECEIPT No.: /a- /9- 9((, Date Remarks:o 6�z AJ � .�QC,c� a �i UU DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION "L COUNTY OF BUTTE BUILDING DIVISIOti. „- DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico "CA'. (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 53.8-7541 s 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE :- 474 OWNER — PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date / / Inspector REV 10/92 COUNTY OF'BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE cLdvr�/� i ci 9y-za5z OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work V ed. If you have any questions pertaining to this matter, or need additional explanation,tact this office immediately.�r2 _t (-V) P(ZD yr Ofi S�iA�o/L�- �y S� �� Q 6 y �s,�dLGaK� CctC&%1 FzfL C��S s �vvifJflL 7 46FSco ,4cf4oa (JR2 5101L (M Paou i or{ 9Z0x J h1e -4i Ar— 15'1"11c' Date i O —q Inspector" REV 10192 t 038-180-006 PERMIT#94-1991 MCLAUGHLIN, CHARLES & ANITA ;2233 WHITE AVE., DURHAM t DEMOLISH/SF v i s i t t � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916)538-7541 PENT NO. APPLICATION AND PERMIT ASS "P 4l3 -1/tO ZONING -ffA-20 UILDING PERMIT OTE ' S & ANITA MCLAUGHLIN TELEPHONE SQ. FT. OCC. BUILDING VALUATION 8th/ OWg;rM ILIV0ABa. IJR. , DURHAM y�y DJ�Ifl�E,.�•S� DURHAM CONRf1A(FT0,f1I NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2233 WHITE AVE., DURHA)`i PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF M Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities O Installation O Other:©Contractor Describe Work: DEW PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS I 23.00 200A OR LESS Main Service ( 200A TO 1000A I 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. I 3.50 FTS0,. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) i O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS I & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES I B20 @ 1.00 L.Professions Ex. Occup' ( FIXED APPS. OR OUTLETS WiRESID.I EA. 5.00 I Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. )D I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said —County in consequence of the �graantt{n of this permit. 1 C4,"�/7,�1 Qjk�_ Date r>� y � i gnature of Applicant'- ❑ Owners O Contractor `❑ Agent Si / An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 41.W HAZ. 1 0. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fee - s have been paid. ID�IRECTOR OF P BLIC WORKS By ZCf Date 7/12/94 IL PERMIT EXPIRES ON IDete) ll // Receipt NO. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 038-180-006 r S-PERMIT#94=2882. r,r,. MCLAUGHLIN, CHARLE& ANITA 2233 WHITE AVE., DURHAM,, `- MOkLEHOME INSTALLATION .- OFFICE COPY Address GAS Meter By Date ELECTRI n Meter i OFFICE COPY Address GAS Meter By Date ELECTRI n Meter COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 ERMIT No. APPLICATION AND PERMIT 4/ "� ASSE11JiS�! SOV--I/t16 20NING BUILDING PERMIT OWNER . CHARLES & ANITA MCLAUGHLIN TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' 8616 DURNEL DR., DURHAM CON TRACTO R'S NAME , 01TNER TELEPHONE CONTRACTOR'S MAILM7G ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2233 WHITE A M PERMIT FEE $ 40.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex Cl Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities Installation O Other O Describework: 2 BEDROOM i PERMIT FEE $ Contractor f ELECTRICAL PERMIT Filing Fee 20.00 Main Service( OR LESS ( 200A OR LESS ) 23.00 1 7 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 3 ACC. OLDS. ) , 3.5C SFTQ. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division .3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 11 I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered •for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑-This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 1 8 SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occu FIXED APPWS. OR Occup. ( OUTLETS A=.)EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring J 23.00 PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidHA2 County in consequence o the �nngthis permit. X �A V \� ='Date 1 V Signature of Applicant - O Own r O Contractor Of Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100 00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143 X00 D. F IMP FLOODCDF PARCEL H ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo a for which fees have been paid. B Date / PERMIT EXPIRES ON fQ Datel -� �`� —7 EReceo. r (/.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Toloohono: (916) 534-4541 H. W. McDONALD Deputy Director March 28, 1980 B. Charles MtLau lin RE: Building Permit Rt. 1, Box 690 A.P. #38.18=6 - Durham, CA. • 95938 ' Dear Mr. McLaughlin: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: On your property located at the south side of White Avenue between Duruel Road and the Midway is Durham, you have installed a mobileehome and mobilehome utilities .without permits, inspections, and approvals from this office. Since permits and inspections are required by both State and County laws, please contact this off'latwithin ten (10) days of the date of this letter, submit XVD)R three (3) complete sets of1plans, apply for the required permits, and pay the appropriate , fees. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. d Yours very truly, r� �n Clay Castleberry 1 W`J rector of Public Works J.F. Glander JFG:dd l Chief Building Inspector cc: Building Inspector " ChieoC,_.__._. Address: Tenant: Building Location: Type of Inspection requested- ,k , BUTTE COURtTY DEPARTMENT OF PUBLIC WORKS `SPECIAL' INS.IECTIOLI RFPBRT A.P. # Date of Inspection Inspector 1. dousing 2. Financing 3" Change of Occupancy to 4. Other (specify) ,��s1� ,���0Al Preseut use: cf bui.ld'.ng: A. Sanitation (I1011s1.n2) 1. (:tater closet: 2. Lavatory:-___ 3. Bathtub or shower' - 4. Kitchen sink: 5. Hot and cold Wlt(,-r to fixtures: •6. Heating fatuities: ._ . 7. Natural light and ventilation: 8. Room aiid space requirements: 9. Bedroom window or door, for second exit:.) 10. Infestation o;: insects, vermin?, or. _ rodents: 11. Connection to sewage disposal.: `— 12. CornecG.i.on to ;nater supply: � 13. Rubbish and garbage facilities: r 14. Count ents: I B. Structural 1. P1.ers and footings: 2. Floor constnicti.on:_ 3. Wall construction: __� 4. Ceiling and roof construction: 5. F,rF.places: 6. Cemnents: C. Electrical i. Servicc. and ,-ound: 2. Rece7ta les: - 3 Fusin 4. ClTt':*1 i:C S D. PljTbing 4, 1. F 7fi:`,-fres co::tnec'.1:nd and vented: 3. Cats 4. Cormenr..s: __C E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: S. Underfloor and attic ventilation: 6. Comments: F. • Commercial_ Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: S. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description) :����7�r�� 2. What action, taken (give complete descript-ion) 3. "LLAL 6VLLVLI LCL'.(JSLLIIE'illleQ: 77A. information only - file. / / B. Hold for teal (10) days, then write letter. XC. Write letter. /% D. Other: /0 i� ,�. ee � i�� c9� G fig' � "V�� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION. AND PERMIT PERMIT NO. ASSESSOR PARC N�E _ •� ZONING BUILDING PERMIT owNFt TELEPHONe SQ. FT. OCC. BUILDING VALUATION OW ER'S MAIUNG RESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS-e-� �L-- PERMIT FEE $ , PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.SUBOIVISION'SNAME PARCEL MAP Water piping 15,00 Each gas water heater or vent • 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O Installation Other O Describe Work: PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service'VOR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I 6 ACC. BLOS. ) SO 3.50 FT, CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. - License No. Classification O 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) OI, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 P I_00 Ex. FIXED APPLNS. OR Occup. O I . ) UTLETS MEMO) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee$ Energy Inspection Fee $ ocC coNsr. TYPE TOTAL FEE $ HA2. 1 0. FEES I IMP I FLOOD I COF PARCEL PD HO I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON (Date) Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICAN T All that real property situate in the Cowity of Butte, State of California, described as follows:. A PART OF LOT 35, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF HANLON TRACT, SUBDIVISION N0. 2uft- WHUCH IdAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,.STATE OF CALIFORNIA- ON FEBRUARY 5, 1915 IN BOOK 8 OF MAPS, AT PAGE 1, MORE PARTICULARLY DESCRIBED AS FOLLOWS; FROM A POINT IN THE CENTERLINE OF WHITE ROAD WHERE IT INTERSECTS WITH THE WESTERLY LINE OF STATE HIGHWAY 99_E SOUTH 890 08' WEST, AND DISTANT 1727 FEET, YIHICH IS THE POINT OF BEGINNING; THENCE CONTINUING SOUTH 890 09' WEST, 168 FEET; THENCE SOUTH 00 511 EAST, 172.5 FEET; THENCE NORTH 890 09' EAST, 168 FEET: THENCE NORTH 00 51' WEST, 172.5 FEET TO THE PLACE OF BEGINNING. A. hi GA Date: - - 9V PROPERTY OWNERS: State of California County of Butte On Aug. 1, 1994beforeme, D. Koenig, Notary Public personally appeared E. Charles McLaughlin --------------- Parssr4sHy :taxnu (or proved to me on the basis of satisfactory evidence) to be the person(f) whose name($ is/prLf subscribed to the within instrument and acknowledged to me that he/$/t�Ky executed the same in his/hef/for -authorized capacit7goer, and that by his1Jk610 e1F signature(#Von the instrument, the person �'or the entity upon behalf of which the person ins acted, executed the trument. t r OF ti WITNESS my Offi al seal.�f .�JPEk D. KOENIG Comm. 9 967802 NOTARY PUBLIC CALIFORNIA d Butte County Signat Seal C�CiFogN MY Comm. Expires Jun. 21, 1996 -A ems+-�..e r A.P. k 14 7 Re" ivy•• �AGIUCULTURAL S°TMUM Mr OF ACKNO PLED Building Division _ FOR RE4Sl DENTIAL -EMFNT / DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acimowledgement be mnmdW prior to issuance of a building -- -- -- - - 94-0414781' The property described herein is adjacent to land or included R e c Fee 9.00 within an area zoned for agricultural purposes, and residents I Cash 9.00 of this Property may be subject to inconveniences or discomfort arising from the use -of agricultural chemicals, Recorded I Official Records I including, but not limited to herbicides, pesticides, and County of I fertilizers; and from the pursuit of agricultural operations Butte I including, but not limited to cultivation, plowing, spraying, Candace J. Grubbs I pruning.'and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established Recorder I 9 51 am 4 -Oct -94 I PURL XX 2 agricultural zones which have as a priority use for.productive agricultural Purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the Cowity of Butte, State of California, described as follows:. A PART OF LOT 35, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF HANLON TRACT, SUBDIVISION N0. 2uft- WHUCH IdAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,.STATE OF CALIFORNIA- ON FEBRUARY 5, 1915 IN BOOK 8 OF MAPS, AT PAGE 1, MORE PARTICULARLY DESCRIBED AS FOLLOWS; FROM A POINT IN THE CENTERLINE OF WHITE ROAD WHERE IT INTERSECTS WITH THE WESTERLY LINE OF STATE HIGHWAY 99_E SOUTH 890 08' WEST, AND DISTANT 1727 FEET, YIHICH IS THE POINT OF BEGINNING; THENCE CONTINUING SOUTH 890 09' WEST, 168 FEET; THENCE SOUTH 00 511 EAST, 172.5 FEET; THENCE NORTH 890 09' EAST, 168 FEET: THENCE NORTH 00 51' WEST, 172.5 FEET TO THE PLACE OF BEGINNING. A. hi GA Date: - - 9V PROPERTY OWNERS: State of California County of Butte On Aug. 1, 1994beforeme, D. Koenig, Notary Public personally appeared E. Charles McLaughlin --------------- Parssr4sHy :taxnu (or proved to me on the basis of satisfactory evidence) to be the person(f) whose name($ is/prLf subscribed to the within instrument and acknowledged to me that he/$/t�Ky executed the same in his/hef/for -authorized capacit7goer, and that by his1Jk610 e1F signature(#Von the instrument, the person �'or the entity upon behalf of which the person ins acted, executed the trument. t r OF ti WITNESS my Offi al seal.�f .�JPEk D. KOENIG Comm. 9 967802 NOTARY PUBLIC CALIFORNIA d Butte County Signat Seal C�CiFogN MY Comm. Expires Jun. 21, 1996 -A ems+-�..e r A.P. k ,'ALIFQRNIA ALL-PURPOSE ACKNOWLEDGEMENT - State of California County of Butte SS. 94-41478. On August 4, 1994 ,before me, D. Koenig, Notary Public DATE NAME, TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC" personally appeared Anita L. McLaughlin---------------- NAME(S) OF SIGNER(S) ❑ personally known to me - OR JQ proved to me on the basis of satisfactory evidence to be the persono whose name($) isjj�Ksubscribed to the within instrument and acknowledged to me that V/she/toe9 executed the same in I /her/tb,eifauthorized capacity(lgdJ; and that by "`OF 1 /her/to6fsignature(�s) on instrument the person(,�'j, or " D. KOENIG - il the entity upon behalf of which the person(R) acted, � P4 ,f.UPEK '•. J Comm. 4 967802 executed the instrument. m® NOTARY PUBLIC CALIFORNIA Butte County 11 �i Y C.1l IF°Pc1a My Comm. Expires Jun. 21, 1996 WITNE my han Landfficial seal. (This area for official notarial seal) SIGNATURE OF THE NOT OPTIONAL SECTION THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW: Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the document. Agricultural Statement of Acknowledgement X&INDIVIDUAL for Residdntial Development ❑CORPORATE OFFICER(S) Title or Type of Document TITLE(S) ❑PARTNER(S) . ❑LIMITED ❑GENERAL ❑ATTORNEY-IN-FACT ❑TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑OTHER: SIGNER IS REPRESENTING:. NAME OF PERSON(S) OR ENTITY(IES) One Number of Pages August 1, 1994 Date of Document E. Charles McLaughlin Signer(s) Other Than Named Above V rte, (ACV. OI.Y1) END OF DOCUMENT lglPl `/D A',1��12� Y.5 bio l2�s 6ee�1 C ja �s tion: Owner• R it No ,ROW Contractor or Tenant: AE BLDG. PLUMBING EATRIC H.I. LCI Form Rough Rough Corrections Job Status Frame Top Out Temp. Service Final Permit Renewal Stucco Gas Piping Service Verify Utilities Fireplace Temp. Gas Underground OTW35l; / Special Insp. Bond Beam Sewer Piping 'I�j�/�(//\/ Housing Water Piping y Corrections Corrections Corrections READY Final Final Final FOR INSP.ONi�49 a.m. p.m. Date. '—ime: dZte. P<�;- 5 4we&�� COUNTY OF BUTTE "• DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector Date Owner: Address: Tenant: --esp—MM BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL - INSPECTION REPORT z.,me_ A.P. # Building Location: A I Ir" 0:, /0 Date of Inspect Inspector. Type of Inspection requested: /7 L Housing Z 7 .--'F inanc ing 11 3. Change of Occupancy to 4'.. -'Other (specify) 'Present use. of building: A. -Sanitation (Housing) .1. Water closet:. Lavatory: -,-:,3. Bathtub or shower: 4.: Kitchen sink:' 5. Hot and cold water to fixtures: Heating, facilities: 7. Natural light and. ventilation: 8.*- Room and space requirements: Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. 'Connection:. -to sewage disposal:- 12. Connection to wate:e-.supply: .13. Rubbish and garbage facilities: 14. .Comments: B. Structural 1. Piers and footings: 2.- ;Floor construction: 10' Wall construction: .4. onstruction:.4. Ceiling and'robf construction: 5. Fireplaces:'' 6. -Comments: C. Electrical. l.. Service and ground: 2. Receptac' es: 3. Fusing: 4. Cam, ents: D. Plumbing 1. Mitures connected and vented: 2. Gas water heater: 3. Gas heating vents: Comments% M. ` - X4:/ E. Other 1. Maintenance and repair: 2. Fire hazards:. 3. Safety hazards: 4' 06atl!er protection: 5: Underfloor and attic ventilation: 6.' Comments:' F. Commercial Buildings 1. Roof covering:_ 2.— Disrarce to property lines: 3. Physically handicapped: 4. Rest-ooril floors and walls: 5. Exits: 6."- Improvements: 7. Zoning:' 8. Commerit::::— G. Field Proble,a-- or Violatiors 1. Problem or vlolation (give complete description): What action taken (give complete descriptLli): .3. What actinn recomm'ended: 77 A. Informiation only B. Hold for ten (10.) days, then wri-e letter. C. write letter. D. Other': !3-/T-- C--, -RESIDENTIAL 9Yr94/ IN rw 7;'19 o C) e'F�\ i 1 ,-C) 2 tx&� \\11Vy'' 11 JOB FINALED (Date) T �� Signature V= OK O = Not OK - = Not Applicable Not Ready MOBILE HOMES = Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /% "ft. / /"Net. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftra: Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Pane lboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' 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-Wrepped 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation _Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Wells-Ceilinas 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Otoville; Califorbia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSf�O�PA�C�!„[JUMU 6 J ZONING A-20 UILDING PERMIT ""ARLES &UUANITA MCLAUGHLIN TELEPHONE SO, FT, OCC. BUILDING VALUATION OWg;1CLIb1dk1ffE1L DR., DURHAM EST— Wu C0146 gri NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2233 WHITE AVE., DURHAM PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF M Duplex ❑ Mobilehome ❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ElInstallation ❑ Other 10 Describe Work: DEMO PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 8001 OR LESS ) 23.00 2ODA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. so. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET /� .NON-RESID. ( BRANCH CIRCUITS l: ) 7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPLNS. OR OUTLETS 5.00 ( . ) (RESID.) EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. J' I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said unty in consequence of a gran of this permit. &u V,� < Date gnature of Applicant - ❑ Owne ❑Contractor ❑ Agent FArnOSHA permit is required f rexcavations over 5"0" deep and demolition orindicated nstruction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 41.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PID HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which f ave been paid. !RECTOR 0 P BLIC WORKS BY XUAV Date 7/12/94 Ur V PERMrrEXPIRESON 7/12/95 IDete) Receipt NO. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Demolition Permits J Asbestos Not--'ficaton Statement Date A P # f�- Ikd -OaCP Pursuant to section 19827.5 of the California ;Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits'as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may,require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant i sR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition pro 'ect. Signature of Appli t 2/19/91 MAIL TO ASBESTOS, DEMOLITION/RENOVATION NOTIFICATION ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca. 94103 DATE: ' PROJECT JOB # (Please see reverse side) Agonies 8';SQ Notified: ❑ T�- l ❑ ornia Air PAmouroos Board ❑ cal cSML O Baildiog DO-0a=t=Qnt INSTRUCTIONS ON REVERSE _< a • Please check nnp: Renovation Demolition requiring 10 day notice Demolition requiring 20 day notice Revision of Original (Form on reverse side) IDE—PLEASE READ BEFORE VSING TxT-q EPA USE ONLY DateRec Pstmrk School Del/ND ADQUTE? Code#: Doc#: rnum 1. OPERATOR: (Contractor) 3. FACILITY NAME: ADDRESS STREET ADDRESS CITY _ STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS AGE SIZE CITY STAT_ ZIP PHONE( ) PRIOR USE 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: S. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 152: 9• NAME & LOCATION OF DISPOSAL SITE: ANY -FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS???' FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F TNBTAIICTTONS FOR IISF OF ASPERTOR nF2AnT T'f'Tc)il/P NC)V T:EOI; 6TIF h ORS 7d11LL\ lel 1 1 P I( D I I C) i RENOVATION: means altering in any way, ane,or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLEBEFORE PROJECT DEMOLITION: means the wrecking or taking out -of load -supporting structural members of a facility tocether with any related handling' operations 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation, or building. Renovations on single family residences and apartment buildings with 4 units or fewer are exempt from notification to EPA. - PROJECT JOB #: Your OWN IN-H01SF I D for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9.have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. (see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVp.L FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME PROJECT JOB I ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4 5 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. CHANGES FOR THIS REVISION: 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4. -NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site PROJECT ( ) CANCELLATION Oroville: Chico: Attention Property Owner: COUNTY OF BUTTE Department of Development Services Building MAsion 7 County Center Dr., Oroville CA 95965 1469 Humboldt Rd., Chico.CA 95928. OWNER -BUILDER VERIFICATION Ph: 916-538-7541 Ph: 916-891-2751 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. . 2. I (have/have not) �G ve, 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 (hired) the following persons to provide the work indicated: Name Address Phone . Type of Work Signed: Property Owner Social Security Number _ Date t.- _Tv y NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. AP #_ OWNER M 044 U441,1--! ; C6Me 63 PERMIT NSI UT IL . CLEARANCE DA INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. ervice ize Other Load Type Pipe - Size Length YES NO YES1 NO ZvdA� toa TO 2 L-P� S -G�--