Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
039-290-016
Ilk Nuew Y } U m Lu 2 039-290-016 -0137 THOMPSON, BILL 4361 DAYTON WEST RD., CO CONTR: CHICO ELECTRIC 9 UPGRADE ELECTRIC 039-290.016 00-2955' Q� — THOMPSON, WM & MARIE 4361 DAYTON WEST' RD. ICOM CONI -R: EXECUTI VE MES NEW MI -I ON PER D 039-290-016 -0137 THOMPSON, BELL 4361 DAYTON WEST RD., C� CONTR: CHICO ELECTRIC UPGRADE ELECTRIC 039-290-016 00-2955' Q- THOMPSON, WM & MARIE 4361 DAYTON WEST RD. ICV CONTR:EXECUTIVCI MES NEW MH ON PER D i Jo - '311 311 NOTES 7-4Ayz29 Ga�LJ� 10 a q.2 .1 l7/ol 1 PERMIT NO.. RESIDENTIAL 039-290-016 00-2955 THOMPSON, WM & MARIE 4361 DAYTON. WEST RD., CMCO CONTR: EXECUTIVE HOMES NE W MH ON PERM FND THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S' l 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY 1 � t jq ��j � rV s✓ ��5 Address 1 GAS f�.� Dv�%l� Date o (i Meter By !!�� ELECTRIC%?� Date Meter By ( r JOB FINALED (Da - 0 Signature .i = OK l 0 = Not C46 - p - = Not Applicable M9$1E HOMES • = Not Ready .r Date MOBILE HOME UTILITIES (Plans) OK except ff's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE E INSTALLATION (Plans) OK except #'s 52n Requirements -Setbacks -Easements F Ings; Size -Spacing -Marriage Line Ga • MHTest-Demand-Valve:Connector tricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector ?!Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie_Downs-Type-Installation Cert. iPlxits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date' Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors I 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except It's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghig. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval c 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable =Not Ready ELECTRICAL (Permit) OK except #'s RESIDENTIAL (F Date 24. Underfloor (Plans) OK except #'s 25. 1. Zoning -Setbacks -Easements -Flood -Slope Romex Installed Close to Edge of Studs & C.J. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 28. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 31. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Equip. Clearances Panels-Motors-Mech. Equip. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 34. 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 8. Piers -Fireplace Ftg.-Steel Attic Access & Platform if Furnace in Attic 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Card B-1 Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors Date Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 Date Draft Stop in Walls (rat proof) Card B-1 Date Card B-1 Date Headers & Beams -Size & Bearing MECHANICAL (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 35. A.C. Ducts Insulation & Support 51. 36. Vent Fan, Exhaust above insulation 52. Property Line Firewall & Openings 37. Condensate Drain & Overflow, Size & Grade Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic Date 59. Card B-1 Date Card B-1 Date Brace Interior/Exterior Wall Panels Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) : � w Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive ] Yes ] NoMalks ] Yes ] No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE - OWNER ,f 7 7 PERMIT NO. - A routine inspection indicates that the following violations of butte county Ordinances exist at the i above address and should be corrected. Please notice this office when correction of work is 'y completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. s Date • REV 10/92 G Inspector 4LI ss P I = s ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephony -X530),538-7541 PER NO. (Rev. 12/66) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-290-016 A-40 ZONING BUILDING PERMIT OWNER THOI4PSON WA9 & VI=TNT26508 SQ. FT. OCC. BUILDING VALUATION 1492 R 80,568.00 . OWNERS "UNG ADDRESS 4379 DAYTON WEST �.CHIM CA o CONTRACTOR'S NAME ] C3 rJLVE HOMES TELEPHONE 891-6992 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 80,568.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 277.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 93 on BUILDING ADDRESS 4361 DAYTON WEST RD., GaGO Energy Plan Checking Fee $ $ PERMIT FEE $ 320- 0 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.001 9_nn Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: INSTiALL NEW MH ON PERM FM TO REPLACE HOME THAT BURNED Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE 350.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20pq OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 11143 Lic. No. (p go 57, 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. S° OR ADDNS. 8 ACC. S.3.5¢,, rwµa°SID. T.MULTI.OUTLET @7.50 OWER APPARATUS 8 PSINGLE OUTLET CIR. 20 O 1.00 Ex. Occup. OUTLET OR FDRURES BAS o .so FIXED Ex. Occup. oinrs Alp.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = 43.00 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. KI 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' compo kation insurance carries and policy numb r are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number AAJ 09/ /1-Z C. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f�rthwith c mply. ith those provisions. /a _ l X �ti Date — d -d _ Signature of"Applicant - ❑ Owner JILContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 413.00 HA2. p. FEES IMP X FLOOD X CDF "�' PARCEL X PD D SU 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. Bye' t'di quJ Date / PERMIT EXPIRES ON Data ReceiptNo. 309287 /4� �_nn WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT REV t BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT /811080II►A11C6 NUM]e11 ZON"o BUILDING PERMIT °rtrNcll TVAP"o"t SO. FT. OCC. BUILDING VALUATION owNas MAjl bars Cl��S79 T /Pd 6?1711 O OONrRACT0 NAAr _ 1-70el J�7 > "CSS o0Mt1ACTa11 MO OD S /w/L-a c S c0Non )CTONLINDER Fireplace LENDan ►Ma110 AWAns Total Valuatlon = AAcwmcr0QENOINEER ucame NO. Filina Fee 5 20.00 Permit Fee i 7 D ARCH"cT OR 04ONMI WJUNO ADDWSA Plan Checking Fee S ` suanaoADonesa t/o/ � 7VLCJesT deoEnergy Plan Checking Fee = i CO C( S9 PERMIT FEE _ Z TNo. IMNS10NIMUC PArICEL wP PLUMBING PERMIT Fling Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF O Duplex O Mobilehome A Other Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater u vent 15.00 TYPE OF WORK New ij Addition O Remodel O Utilities O Installation E3 lOther O Describe Work: //l d ST_4C _ /y %%1� I �'N PFgn1A ),F Ad A) `"f4 PL-Iq"� �- ��l-C�'I►� —rW)q r Gas piping system 1 - 5 outlets 15.00 )j ' Buildingsewer 15.00 I�Obile Home S G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service e�oo�v own mss 23.00 t *PERMIT FEE PAID $ SRA $ SHERIFF $ OTHER $ or d AMOUNT RECEIVED *RECEIPT NUMBER � 0 C � * TO BE PUT INTO COMPUTER n Service 2*" To IOWA 46.00 coral. own il+° ffuP. 3 5¢so. DONS. • ACC. FIDS. Fr. tESID. ;AWNff rum I. CIRCIAITS @7.50 POWER APPAMTIA i swagoun.ET CIA rEx. OCCU . m-rm OR ncruREs eAl 0 I SO 1) APPL14 0" Occu . of , .,..1 EEA. 5.00 Temporary Service 1 23.00 Mobile Home Facilities 1 20.00 Misc. Wiring, 23.00 PERMIT FEE]-$ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE t Mobile Home Installation Fee i Energy Inspection Fee i occ CONST. TTPE TO F $ 3 m -e Po "° �" This permit Is hereby lamed under the applicable provisions of the Butte County Code and/or Resolution$ to do work Indicated above for which fees have been pad. By Date PERMIT EXPIRES ON r. �If i'�i"`''![�+c`i•–OTtr"3�1r'�`IP:7 .A .�+i. � I}t;�-,�y..F �rj�"s=s4 :fil,�jr6` i• _ y r•'='� rn COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: --l—Fj l�Y� ,1� �j D VV ASSESSOR PARCEL NUMBER:/� � � '�Q Proposed Buildink 0S& .J Building Inspecto�r-1 V 'Date: kz — 1 3 — O O 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 items have been submitted.------------------------------------------------------------------------------------- -lot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ngmeered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ . En`gineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑8.�:Iazardous Material Form. -------------------------------------------------------- — ------------------------------- Manufactured Home data and installation instructions includin Tie Down Specifications ------------------- W1129. ees of $----------------------------------------------------- ----------- -impact fees fees as shown on the attached schedule. ----cG_�l A alifornia Department of Forestry plan approval/fees.---------- ----------------------------------------------- ❑3. Flood elevation certificate. ---------------------------------------------------------------------------------------- 4. Sanitation and plot plan approval G. ( [_ ealth Department. ------------------------------------------- 015. . City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- 4 ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ . Encroachment Permit for veway (consXuction approval prior to occup cy).---------------------------- 0. Pre -inspection for required. Request Inspector on % — D Q (Date) 112 1. Contractor's license ' ormation. (Number, N e Style, Classification). ---- -------------------------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. anufactured Home utility clearance. -----ko, ------------------------------------------------------------ Existing v' ed/o,r a ed permits. Fj---------------------------- .433 ATitle, H.C.D $ �� _______________ . .Other. Q40J�,• - r� o-1 //►'� /------- CWydyou issue the a//rmr p cess follows Mail too er, ❑Mai to contractor. Telephone (-q and hold for pickup at office ❑ Deliver with inspector. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep ent, ❑ Air Copy of plans sent ❑ Health Department, 0,Fire Depaften , ❑ Othen. , � Zef-O',0'� Date: Date: By: Date: By: /A—/�-60 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, CrBuilding Division counter,by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, w s advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: —.D,—.D,Z Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. `Note transfer by: Date: VAInAv rnnv - rlPno t—f ,f Tlo.,ol ...,e. ♦ Co...: D..:1 A:.. T]_.S _:__ .11.11.4E Y 1L0b>;E--. Plot Plan Attag 5hoer Ptah Sant to B.D. O: Building Department FROM: Environmental Health ov' ag r- ro SUBJECT: Sanitation Clearance ysOA/ 7- Owner Location AP# Plan Approved for: Sewage Disposal rl Water Supply: Public Private Well Clearance for dwelling. Other final for: rance O.K. for: NOTE: ��WUMP 9/96 BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM m DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s): Property Owner (s): ,•� �`�/% Project Location/Address: Subdivison Name: Assessable Square Footage:; 1 Type of Residential Development (check one): New Development Alteration/AdditionMobile Home (s) Non -Residential to Residential Comments:..r A 4. L6u'ilding Division Representative Date s�. Durham Recreation and Park District (DRPD) certifies that til w- Naz e) -Thnv\nin5nri 3Ll3 -`050'J67- Applicant 1 Applicant Name Applicant Phone Number 5_1q D CU Street Addres W.e Sf C',Iit,i c0 c15oizg City State Zip Code has -complied with thb`r quir6rr46nts of theButte County�B"card'of*Supervisors Resolution No. 93 - 114 by payment for, square feet at $ 1.04 per square foot for a total payment Of $ 5u�,44�� -) DRPD Representative PAID BY CHECK No.: . BANK No.: PAID BY CASH: RECEIPT No.: 12,q /0) Date Remarks: NO fee due 1es5 -thcc. , 1500 S4r . f+ i n c rP�Se DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION „� _. �..� �. ,...._,.�.,,�-.,_..�.i..'p'{”",r-'�i''^�.--�",M,,,1,..�t�.s.-:.:i`i."1"•'1.+17t''"�"�^� i .".�^T""`n�...�.--....�..,�.�.r .�,.�..�,. ��t..,�'_. �w-w... Vie. .-.....s p- 1 "'!111►' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM r / (One form per Building) School District 'no IQ— �--(64w Building Department No. A.P. Numbe,039 D Z / Jurisdiction: City ►County Property Owner W A Jk2l ) F Property LocatiorMddress q3&1 Z)AZ—r01% lam(/ 6-s / Cj41 C () Subdivision Residential Development No of Living Units Commercial/Industrial ovn- � Mobile Home Installation Lot No. .................................'.............................................................................. �. Sq. Footage q ? a Addition/ 'Supplemental to (Group R) Conversion Permit # F✓„ . € *(No .foundation inspection); �l y :.................................................................................................... Sq. Footage (Including Exterior Roofed Areas) Date Irioor rians reviewea oy ocnooi uistnci rersonneq District Identification No. tl(J lel f9"� ►'1 �%lV l �/ � 1� School District certifies that /il f� R /fir T901 -n 0% /1 (Applicant) Y3&! (Street Address) 00 (City) has complied �with the requirements of Resolution No. representing % 49A ' . square feet. I School District Representative — ; Paid, by' Check # N/A Remarks: /fov-s (Phone Number) cA .95-9.28 (State)/ ' / (Zip Code) 9to _ 41 by payment of $ AB 2926 $ FULL MITIGATION $ Date ro.fdryec,h /�f9a s's4 y 8' ss >Lf tnizw- , 5-i e Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), 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 (10/98)dmm R 0'F A PRE -INSPECTION REPORT OWNER: -LV --M / //0 M P Ge CONTRACTOR:_ PRE-INSPETION DATE TO INSPECTOR �` -0 DATE:/C A.P. ZONING:_' n � PERMIT HISTORY:( ) NONE (�AS FOLLOWS: ,64!W 0 c BUILDING IIVSPECT'O�R'S�REPORT ��JU�� j � Building Description: rf � �7 Commercial/Usage: l ResidendaV# of Units: Currently Occupied .j AbandonedNacant Electric: Yes No Electric currently On Off Condition of ElectricA til St/ Gas: Natural Propane ?done !/ Currently On,._ — yOff Obvious Problems: A; Sanitation: S Plumbing Working_ A/ C Well Working_ /►/ D Potable Water /''4� �Je /� Obvious SewageProblems_ il/ V 2 ACTION RECOMMENDED: f Inspector: U Date 12 ) Z Sketch buildings on reverse and indicate location on property. J� , LINHART PETERSEN POWERS ASSOCIATES Important Message (I Time: Date: ct O/ For:���.� From:— Telephone: rom: Telephone: ❑ Telephoned ❑ Please call ❑ Wants to see you ❑ Will call again ❑ Returned your call ❑ URGENT ❑ Was here to see you Message: Taken by: Post -it' 7679-4 @3M 1993 L IE a INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIV SION, OROVILLE FROM: ENVIR. HEALTH, CHICO RELEASE ENV. HEALTH HOLD ON BUILDING FINAL. FOR: OWNER NAME: SEPTIC: WELL: AP#: ® ADDRESS/LOCATION: Comments: GUmemos/releasehold just the FrX from: p F .��UT Nn..: FROM: row4k i°hv ��g��a°gaiP, .1jp4% p FOX (530) 8914753 1-0: (.'OMIIAI\,IY: FAX: TOTAL PAGES ]JACLUDI.-NG (:(IVI. 71Z PAGE: 14 (7e) 6� Ag eel', . . ........ ... . ...... o 3�rv0' �rrsa��cl�t� I�1t4 �- �Wo? 0A/ r ! ?'7 P.9 IA avSd ' 114 J!�' aS pa-1OSNNS au 101 1. Owner's Name: 2. Assessor's Parcel Number: 0.35 /6 3. Installer's Name: �.i��G/ec T/V6 24"e -S 4. Is the site currently under permit? Yes[ ] No[✓f Permit No. 5. Is the site an existing site? Yes [✓] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?Ao Amperes. 7. What is the mobilehome site circuit breaker rating? oAO Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] NoN ] If it is, what is the rating? Amperes. 10. Is there any other electric,�load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- %A Amperes- 3� b) The main service: Load- Amperes-' 11. Type of gas service at mobilehome site: Natural[ ] PropaneN] None[ ] 12. Size of aspipe at the mobilehome . site from the meter or tank: inches. J 13. What is the gas pipe length from the meter or tank to the mobilehome? 3S (ft.). 14. What is the mobilehome gas demand? w aq B.T.U. *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION VJTM C(M,T A May 1995 8.5 C M.H L- 2 Mobilehome Manufacturer: I�: N*IIC e-r•-JIQ-oib Manufacture Year: `1..001 If other than jingle wide, furnish Setup Model Number: LIS b313 Width:'Vo S (ft.) Length: Sb' (ft.) Tagalong or Expando Size -9, (ft.) x -ems (ft.) On all mobilehomes m4nufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood ,pressure treated or foundation grade['>c] Other: SUPPORTS: Concre'te,block[X] Other:_ &V", G w -A ID F ov r1 t!3. All Provide Tie Down Specifications for all Mobilehomes: 5g E IAITIA C-10 er1 Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 4 Line 1 Line 2 Line 2 ................................................................................................. Ae Main Beams Line2 ........... :......................................................................... ........... RI -Line 2 Line t Line 3 Line 2 ............:.................................................................................. Main Beams ...............................................................Line 2 Line I ............:.....................................ine S Tag or Triple ine 4 rine I Line 1 Piers: Size minimum: x Z4 . Spacing maximum: ' $, ` p` From ends -maximum: 1. ` ` Line 2 Piers: • Size minimum: [1'x-1 x CLI]. `1 ]. Spacing maximum: O ` From ends -maximum: Line 1 Openings Size minimum: x ). Each side of openings with width over: F` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends-maximum- Line. nds-maximum Line. 3 Roof Loads:; Z Size minimum Z --?o Z9�3o zy�3o 3bx3� 3bk3 Location (from front):10'Q' VD $^ 3` ,a �I y S1. Line 5 Roof Loads: Size minimum: Location (from front): May 1995 "UI DING XPARTMEW A P P R o v r OF. -OF.,- O i4 ' I , Er -N — _ . �H .VCRMNG R(?nu � 4- 4 4=4'x. F -J. . Lam' . 5 rL' OFT G __-- O Q OPT o , 1 : d a;sx �f I ! m !'. 7 r71 ? II Mqw. I ° J i7AG DF [M CGYIR/ 2s / � fl i Pl1NC ROOM 242.7 X. j Y .3 4 DOORS \ O tt°4 00M DINING ROOM . 4� 3fi' va F ti8ti SQ. FT IL OMRM4'-8"s- -4" t o' -a" — I taa� t� cmn ' f IFR -M O mmeIMA L-y uj C m r 6.k.. m CID Ir o _ o Ao -' r' ' p 2x6 rnCPL. 3 iM m M 0 0 0 0 m .1 m D— 5 .21 n. -'jULR_.4 1 -4.7 1FE a A_ ^�: ���^L� �4X4i= }- ' a .. iJ �LuvF2zs.=iicn_ W _ 0 .TT/a/n ='•�- CD3D 3/7 6_7-7.0 C" rQ V_REDEZ0.3 .2C i 1 32 x C N / V _Ment,'30 _" _-j.=' C" Na cn 141 This '�hoar pion may be Dwtt as on e,racL minor 3c e .> -rte- .u�.iult,V:i:J• /_!]f!t'L� enue•... ..- _ - _-a -_ - -' - -' - -- - '- - — ' CMAX.r,T t sa' ?nKCaps 0-39s 1 ,id ' WZT 41 QQ i, 3 j �T 5 —4" '32 95Q0?2 Bits'—t7 4 1M�L 9200 1 3 t5'—a' g 7ZG0 �e 9 112'-1"' 7 B =ems i 7awta 'a• ae = ' 5 .21 n. -'jULR_.4 1 -4.7 1FE a A_ ^�: ���^L� �4X4i= }- ' X .. iJ �LuvF2zs.=iicn_ X _ .o4 ©it+�...,' .®E cx .TT/a/n ='•�- CD3D 3/7 6_7-7.0 x52 V_REDEZ0.3 .2C i 1 32 x C BLANK — BLANK I- 73-4 5E ©-�_-:- _Ment,'30 _" _-j.=' [ r,c •sad- .N-� ANNvERSAi -�-- CD w c� Q :VI F' W 3/8' PLATE zw Win. C ( 1 I - a a O In .. F'za•ba17s O a 6 ( Tyy Qi 4 TW. OF: •• C�PEP BASE GRIPPER PLATE f SOF Vl_W -MGP - P4 J t�tic c—yc = 'u h�wor �.arw®$notc�� I (TVcp9f o' i{ 1-1/2'SCE. 40 PIPE tS' GRADE 3 PIN OR ^ I —1�H 3 OR MORE ��• roc Wnx rIACKII i j ADJUS=- HOT=S _ NUT OR Poi { f f � m.1 2' SCH 40 PIPE ff •. Wl2 ADJJs=- HOLES J SIDE VIEW - MGP - PAD 2' SCH 40 PIPE i WELDED TO 1/4' / BASE PLATS • 3116'X2' 83:AC_ ,V � T X 2' X 3/1 b• BAB WI MN Y16' AN(Tli FIRO X 3f4'MaZr WEZt. �- 22. Lo / TYP OF 4 r 1 1 f L �• m f7lZSU61vt� m CD m Ln N in CD MP QLl 2i, r Malar. END \ EW -MGP -PAD 4IGP UNOSR[AYMENT GRADE P YWO. P b 5 CGA PRESSURE TRFATED fkP&Xft DESIGN LISTED AND i BY: BSK ASSOCIATES WAYN= T, POL-VADO, PE - LI�i1NG NO. F942d9 M W X 6' ANC R BOLTS TYP Or '• I 1:l'tig{�Q �\ Pourz� tK i»91e Ale\� CCNCI�FTE PIER (Az. -�—%/ EF.A srAXD,l_V=rCCMZ3E`71DR01110 -PACIFIC CaRsuame EmsiwEEIS APPROYE,p MD Mai 1vwvm*l" �In"&•4= SA d:aawrwn ., CJL2MU Fez: 974 -SM -M D SUXIE M coRRs=ncm )fo= TUF-1 PERMANENT AffL=muLrQKMLAWs "$"J°M° FOUNDATION SYST19*1 De}amm dl(w��e.7 C,mmdg Owe4pmot • MtSp OP CMES AM ST M ABESM - GUS GUARD COMPANY 'P.0 -BOX 126 ms„o 40-10� CATEM VALLEY, CA. 9-I" �N9.7Eit�Q6, FAX 2'Q9�97S'6�+t9' DicBnatP�d)'�pm _LS��L ti f I BAOaIlZ, W! A. C_ IotCl� 2oF . 'I@ice AS -4 T SE h M'C 0KC.ET PAD TM' ),.b *.. MORTAP !A- MAX T}3 CIDM�.SS, ; = 0.6 CONCR=z Sci WMEi C O)s) RETE PAD A' RED OR EQUAL r : 2' FROM C ORN::7t CD TOTAL 4 N lf� 4:Ctk 2i! m CO f m - - - CA COi�'�s IE SE2 W17HMCiP PAD Q co m N N u� m r WIDE TIN= cry 24 Zfl 28 4I-' TO 44' a 8 8 4'-1"- 66 12 MER66 15 12 12 f6 161 16 1S81taiF 1IVP-e UMTS LENGTH IMRDTH 10 1 12 14 16 TO 4t' B B f 8 fi 66'1 a a l e e gvER 66 10 10 10 19 'SINGL_WDEUNITS RECUIRE GUS GUARD EZ TE PADS M1tL "..i^' JS &tre 7w -fp -4,-s ar— to be 2-& aJ Y rr= drj'er � ciar a= flm ga 4 5 WSTALi E, z 7i E DOWN SYST"tM =XAKD Su SBCMI X.M APPROVED SO8®CTTO CDFJ-E=XM NOS.>'D e+e�,ataoe� roratma� -.. A!}LtCtett 2iAQL LMtt M"p Tc dcdf m, Dgwm mtat6oudxt and c ..... a C7P=' MAM 4-.e"> �7 .. wk)my an AW- TUF-1 YERN[�iNFNT F0UNDATION SYSMM ABi SCO - GUS GUARD COMPANY P.0max in CAMMYS VALLEY. CA_ 95306 BAR l8eft�bK�4 SHEET 3 OF 3 10 r - CS) 11. Lr) m m I. L3_ CD 14. g m m m m N U7 N' LC) M GENERAL NOTES GUS GUARD TTJF31 DESIGN LOADS, UVE LOAD - 3M.B. _ FLOCR LIVE LOAD -4U PSQ WIND LOAD- 80 A.O'H EVOGUiE'C' SELSWC ZONE c --SNOW LOAD IODPSF TTBS FOLrtMAT1CN SYS EM IS DESIGNE7 TO BE CONEMUCTED ON A FAIRLY LEVEL SITE - WZTH NO E7OsnNc SOa. P&om &s CHASSIS BEAM SUPPORT SHAT { BE LOCATED AND SIZED FOR TIM LOADS AS SHOWN IN THE MOBILE HOPE 04-STA1LlT10" INSTRUCIION. 1K AREAS W}E'RE DvF.-F_m4 lAIMTiL- MENT CD -S. 1 CAN O=LgL ►dAMkAiTTIRID ROME MiALL SER: AEJU57.�J' WIEN DS EXCEEDS lA CK WHEN IT WRL SE AD IER.SSF-Y A)Tw'TMANUFACTURED HomE wri CARR) ALL FOOTINGS DOWI: TO FVtM. UNDLSTURBED SOIL FOOTINGS ARE DPSLGigD FOR miPSFTOTAL LOAD SOI.PRESSUREA)10KiAI3 BEC'OWATIBLEWITH LOCAL SOI. Co mITLONS. CONYACTEDSAND A4AYBE USEDTDFD-LOCAL VO(DSUtePADS. S-MUMIJRAL=I r FABRJCA7`: A=ORD NG TO ASIC S—. _C3FTCATJONS. WELD ACCORDING70 A5&S SPrft-_lCA--lONS: rECiRDOES-370P-A=S-ASTM A36 BOLTS-. SAE OR S -ASTR A449 - ASTM A372=. TW_ GUS GUARD ASSENULMS RELOW. SHALL BEL�:D AND LABi HY SSX AND ASSOCIATES FOR Tl-_ FDLLOWU100 LOADS: ALLOWABLE LOADS NOFMCW;',-AL VEKTICAL GUS GUARD T07-1 =J� 6DOOf CJS GUARD MGP PAD 22W 600PY CJS GUARD E2 TE PAD 22006 SODOM DURING MEL D4NARY DiSFECT)ON-ME-.-cS TDA A_IJ R -WALL cKSUREMIA TM08ZLE E06M CHASSIS BEADdS AJE OF SIA DARD SEC LOX CaS INGCOACiES MA:' BE R_--=Fr=TORESIST SESSKCFORCES BYINSTAII3TIG GUS GUARD -_w i UNITS AS SHOWN ON THIS PACE OFTYPICAL FOUNDAT)ON PLANS. THE GUS GUARD TTTrl SYSTEMS ARE SAFE FOR INSTALLATION M FLOOD PL.ALN AREAS WJEILE DEPTH OF FLOCOM DOES NOT EXCM D ME HUGHT' OF TEIBE:EE= MULTIPLE UMT INSTALLATION IS ACCEPTABLE PROVED THE NUNMER OF TUrl UNETS UNDER EACH UNTT IS TIESAAE AS SROWN REQUIRED PER EACH UNIT. ' SENGL: -WIDE UMTS R_)QUME ADDMONAL RESTRAII CI_ ' (S2E Eli s7 P3) ALL I+E'TAL co O'ONENTS AND ATTACJJNE TI'S ItE)a SHAM, BE PROTECTIVE ODAMM. FOR DdGP PADS USE 1 14 EXTERIOR PLYWOOD WITH WOLMA IZED TREATMENTTO 0.40 MAX PCF RETDZMOFI WITH DRYING AFTER TREJA7b4ENT. 1:. LI(HT1EhVY-WEIGHT PLAS73CAM STEEL PADS MAYBE LJ53:D IN PLACEOF . -► WCL)AA)12= PADS u 16. E _Z TIE DOWN USED ON S]NG'LE-WIDE ROUND STAKES 139 X Wl MAY BE USED IN PLACE BEAaXAM SAFETY M= OF TBE 1'X US' FLAT BAR WHEN SOI.IS EXIREMIELT HARD OR IN ROCYL 13O1 FS MAY BE BE ROATED 90 npl=T!_5 AS RECCA�D PAT~DFM.LED WHEN NECESSARY. APPR D V ED 17. GUS GUARD TCF -1 F0UNDA7XW ==M PROVOMS ALLOWABLE SNOW LOAD TO JW PSF m-wTTo cwj==m m vIENINSTALLED WIMEX[STM S.ANDARDo REQUIILPDBY COACEIMANUFACTURER.tawJm Op, R pLACETn---dOMAONE7OONEBAM AensCssscreeLAWS umg=M is. FL ubAII s Bln=16' x 16'x 12' POS IN Fl.ACF AT GROOM) LLVEL MAYBE USED. D�mmtdBo,suta� mmy Oa ALT BCrALLERS DISCRE7:OR AS A1-TIIWATTVE TO PADS, DP CODH3 AND SL4¢ • . _ .-• VAKIZI L>te SL" - 7V' 51:T 7A$E Od3MOTT7 tem J Li !=- -ZM .SlirF NT AS n=a-0 97 - TTP. L__j' Ej 171 F� �. . �4�:C�O' f . -► i�l u j 2' � PADS IN ANYPAOLM&Y STANDARD MH FOUNDATION I'JiITS BE ROATED 90 npl=T!_5 AS RECCA�D BY ME MANOFACTUMER OtOPPSET700nERSIDS OR -1 -EE ENGNEERTYMCAL7AROUGEDOUr TO AVOQ) CLEARANCES PRos��s. • SING WIDE UNITS E=2YINlI: MAX S- 8' M1W T6 MAX DOUBLE WIDE UNrM ABESCO - GUS GUARD COMP E- 21 i )' p-(uwx 22S 5= e' 12z C.A'I8 A� , —4, C 94306 29'9966!+. X91 FAX -26-4966-664S Exl * dja�✓f1a C' bRGP Ce. PVC=am SUPPORT PAD Ty -W. . =4 PERALkNENT FOUNDATION SY8T M SHETE 2 OF 3 ' FLEETVV00,D6 Suncrest Series 131113 W Mpdel 3523U Alt. 1 3 Bedrooms • 2 Baths • 1,301 Square Feet 0 CAI � 0 o� ni •= O 1 1 V23'-6" V R 4 0 x U OPT. CORNER BAY I ME INSERTS ON ���� gyp■■■■■�■■p■�■■■■■�w�mm wSIDE �►�■■� BAR AREA i // �1■■■=■■■■w■!0■w■p■� ■ i■i■i■ui■■■ui■■�i■�u■1�■�u • :::►M:;, MASTER 13EPROOM LIVING ROOM L ENTRY. i ��Lc./�h» � �fheiE �d��'��✓ L�'ffi o0 of S'9a� (r SU/17/JUN99 0110 BEDROOM 10'4" X i1'-3" BEDROOM 10'-10" X 11'-3" -IN 5 ALT. KITCHEN OPT.RECEOSED ENTRY *Rendering shown is a typical elevation EIYV Ro"WAL RMTM DEC 12 2000 Chko, Calif.,,,. 16 z 0207. �o fie. (4E) 13"C/6TIIv G (p) Pgo a p5 E.b APPROVED i ntt Em r tal Health / 0 A i w�- ry/1�1. =-� t� Y k FrJ4 J'�fi• 13 V /l AD \ 00 (E) SiPTJC, i (p) N ors 5 I J2E/-7AIf- cn/G l3dK�tJE� a2S� (E) t,' RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 08 -Feb -2001 2001-0005380 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the _ real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAM E. & HAZEL M. THOWSON BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT Arm CERTIFICATE OF OCCUPANCY 4379 DAYTON WEST ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS CHICO BUTTE CA 95928 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 4361 DAYTON WEST ROAD 00-2955 530-538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING ERMIT N-UUaEEL TELEPHONE NUMBER CHICO BUTTE CA 959282/8/01 CITY COUNTY STATE ZIP SI AIRE OF LOCAL A NCY OFFIC DATE SAME EXECUTIVE HOME UNIT OWNER (If also property owner, write "SAME") DEALER NAME (If not a dealer sale, write "NONE') SAME 92081 MAILING ADDRESS DEALER LICENSE NUMBER SAME BUTTE CA 95954 CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD 1/17/01 4563B / 2001 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAM EINUMBER CAFL117A24229-AV12 & B 26 X 45 RAD1308958 SERIAL NUMBER (S) LENGTH X WIDTH INSIGNIAULABEL NUMBER (S) REAL PROPETY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 039-290-016 SEE ATTACHED HCD FORM 433(A) REV.8/91 A.P.I. 039-290-016 PARCEL THREE: A portion of the Rancho de Farwell, Butte County, California, being in projected Section 29, Township 21 North, Range 1 East, M. D. B. & M., particularly described as follows: From the southwest corner of Lot 2, as delineated of that certain Map entitled, "HANSEN SUBDIVISION", recorded in the office of the County Recorder of Butte County, California, February 5, 1915, and recorded in Book 8 of Maps, at page 26, said corner being in the center of the Chico-Colusa County Road, and running thence North 3766 feet to the South side of a road; thence North 89° 26' West 3374.8 feet along the South side of said road to a point; thence South 1189.2 and East 173.3 feet to the point of beginning of this description; thence East 557.0 feet to an iron pipe; South 1320.0 feet to an iron pipe, West 560.5 feet, North 0 09' East 1320.0 feet to the point of beginning. ALSO a right of way for ingress and egress over a strip of land 20 feet in width, the centerline of which is described as follows: BEGINNING at a point 10.0 feet South of the Northwest corner of the above described parcel and running thence West 183.3 feet; thence North 1199.2 feet to the South side of a road known as Snydor Road. EXCEPTING THEREFROM all oil, gas and mineral rights. BUILDING PERMIT NUMBER: 00-2955 Address or location of unit: 4361 DAYTON WEST ROAD, CHICO 95928 Legal Description of Real Property: AP# 039-290-016 SEE ATTACHED: ( X ) Mobilehome/Manufactured Home ( )'Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: IWILLIAM E. & HAZEL M. THOMPSON Owner's address: 4379 DAYTON WEST ROAD, CHICO 95928 INSIGNIA OR HUD NUMBER: RAD1308958 SERIAL NUMBER OR V.I.N.: CAFL 1 17A24229 -AV 12 & B MANUFACTURER'S NAME: FLEETWOOD YEAR: 1/17/01 OFFICIAL APPROVING INSTALLATION: :A DATE: 2/8/01 PHONE: (530) 538-7541 H.C.D. 513C NOTICE TO ASSESSOR RCD 433(8) THIS FORM MUST BE COMPLE'T'ED BY THE OWNER OF A MANUFACTURED IIOME MOBILEHOME OR COMMERCIAL COACH AND FORWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE INS'T'ALLA'T'ION OF THE UNIT ON A FOUNDA'T'ION SYSTEM PURSUA1,11.' TO SEC'1'I0I4 1E1551 HEAL'T'll AND SAFETY CODE_ ORIGINAL PURCHASE PRICE FOR: I- The Basic Unit 2. Optional Equipment d Upgrade% 3. Subtotal A. Accessories d Accestory.5Irudure% 3. Other (Specify), (.L.y d & A) b. Deli"ry d Installation 7. TOTAL SALES PRICE s &57<, -o Type or Eaterar Wall Covering: 0,e"4? 5/0(/PL (Metal, wood, etc.) 1�►x--12as % Tie-) Type or Roor Co. -ening s (Metal, Wood, Competition, etc) S fteoting Type: Forced Air ❑ Floor or Well s/hcL�.d t✓ DOES THE BASIC PRICE INCL DE: DE: The Tovrbor(s) 1:1 YES L NO Tirn A Wheels ❑ YES ��,/NO Wheellwbs d Axles ❑ YES IBJ NO LIST NUMBER OF ROOMS: Bedrooms ❑ YES Dining Room Both% ❑ YES Family Room 0chQn > Utility Room Living Room / 011er Rooms Air Conditioning: ❑ YES [3-140 Tons Evaporoiiv-e Cooler: ❑ YES ❑ YES Built-in Cooklop: El YES X0��/140 Built-in Oren: ❑ YES ,3"t-0 (J NO Built-in Did—other: Q YES Buil)-in Wel Bar: Storage Shed: �❑�/NO E NO Refrigerator: �❑,/YES E3 YES ElNO Roof Or ,fiong (Eaves): e—S NO /� inches Furniture Included: ElLT YES �❑ NO Value S Carport! El YES �NO (LENGTIf X WIDTH) X Awning: / ❑ YES B'NO X Porch: ❑ YES--���---���//////NO X Garage: [J������— YES X Storage Shed: ❑ YES b "NO u X Skirting: ❑ YES Ld NO IINEAI FEET The sales price as shown does not include any amount for any in-place location. The Assessor's Parcel Number of the installation site is 03 F— a -q, a — 0 4 (Si.g►iature) w_r n Address r �'3 v ?,g 3 - 6 .g i -t. Telephone STATE OF CALIFORNIA �,OENTO�r a ` BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVSION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS NEW UNITS PERMANENT FOUNDATION This unit is a: 0 Mobilehome = Commercial Coach Floating Home = Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) Ain we_,,SArG . YS- 6-33 I/We, the undersigned, hereby state: DEALER REPORT OF SALE # THE ABOVE DESCRIBED UNIT HAS BEEN PLACED ON AN APPROVED FOUNDATION SYSTEM IN ACCORDANCE WITH 18551 OF THE HEALTH AND SAFTY CODE Me further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true 'and correct. Executed on .Z zlgj at _ �— Da e) (City) (State) Signature(s) Now-►.� Printed name(s) /vSc L�Gti Address 3 0 V -,2 - Ci ,2 -City r c.y , State HCD 476.6 (REV 9/91) 12/12/00 09:59 BIDWELL TITLE CUSTOMER SERUICE 4 530 891 8753 NO.202 P003 naGees 1,1 co' to vovzb �" - ttits 91-047 1 Rea Fee 7.00 1 . I STF 1.00 Recorded I Cash 8.00 Man TAX grATFMENTS TO Ottieiel Records I F-lrbr. &- &S. William E. T7tot pson 7 County of Ni" 4379 Dayton West RoadButte I Chico, CA 95928 Cendeco J. Grubbs 1 Aftnee Recorder I coy a 12 t /spew 23 -Qat -91 1 XX 2 Siwe SPACE ABOVE THIS LINE FOR RECORMIS USE AP • r39-29112, 15 & 1!� Individual Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE 8 ESCROW COMPANY The undersigned grantor(s) declare(s): Documentary transfer tax is S -o- ( ) computed on full value of property conveyed, or computed on full value less value of liens and encumbr nCft remaining at time of We. ( ) Unincorporated area: ( ) , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, 14MLIAM E. ZIQWSON and HAZEL M. MiOESON, Httsbartd and Wife as Joint Tenants hereby GRANT(S) to WILLIAM E. THONMON and HAZE/. M. THOMPSON, as Cotmn>Qtity Pstperty the following described real property in the County of Butte 1W , State of California: SEE EXHIBIT 'A' ATDLM Datcd: T OCTOBER 2 2 , 1991 STATI" OF CALIFORNIA COUNTY OF BUTTE -}Ss. un OCTOBER 22, 1991 before me, the undersigned, a Notary Public in and for said State, personally appeared „jallliattn E 71=w= An HOMCI M. 3U5R@aon_ _ perumally known to me or proved to me on the basis of sat• isfactury rvidence to be the person JL whose narne8 ai"L sulpscribcd to the within instrument and acknowledged that -u= executed the same. WITNESS my hand and official seal. V".1KNAVARME/1 A � zi " : rw� '- �allrMt+wwswwwwar*....�•�••••O STEVE SEXToa S NOTARY PUBLIC-CALIFOAMA q M I�iyCennnlsabn [■v+rse�SW- ro, 1993 sl�taaft+taerasrsrrBBsseooese�s~�aa:::9 12/12/00 09:59 BIDWELL TITLE CUSTOMER SERVICE 4 530 891 8753 NO.202 P004 ,.%OW PARC$L ONb A portion of the Rancho de Parwull, being in projected Section 29, 'township 21 North, Range 1 Soot, M. D. d a M., particularly described as follows$ CaNIW01NO at the Southeast corner of the Southwest quarter of the Southeast quarter of $action 29, Townnhip 21 North, Range 1 Best, M. D. 1$. d M.; thence North 2273.5 feet to a fence line; thence North 89' 43' West a distance or 2000.2 feet to a point= thence South O' 450 west a distance of 294,7 feet to an iron pipe in a fence and being the true point of beginning for the parcel herein described; thence from said true point Of beginning North 0. 450 East a distance of 1808,2 Coat to an Iron pipe in the South line of a read; thence 1$ortlo 091 110 Hent along the South line or said road a distanee or 630.6 feat to A point; therwo South 0. 57' Want 1102.0 root and South 630.0 root to A point; thence South 88. 43' East a distance of 635.5 rest, more or leas, Lu Lhe true point ot'Yeginning. PARCEL Twos A tract of land lying within the Rancho ds Pa'rwell.; particularly described as follows: From the Southeast corner or the Southwest quarter or the Southeast «• quarter of Section 29, Townchip 21 North, Range 1 Rant M. D. 8 6 M., run North 2273.5 fest to a tense line; thence North 891 43' West 1319.9 rest along said toned line to a toned corner which is the point of beginning of the tract herein described; thence North 89 3' Hest 160.7 teat to an Iron pipe; thence North 0. 45, East 1509.0 fest to an iron pipe on the South line of a road; thence North U9 11' float 520.0 toot along cold read line to an iron pips; thanoe South O. 451 Nest 1808.2 feet to an iron pipe on a fafto line; thence South 89. 341 East 604.5 toot along lost mentioned ranee to a corner; thence North 296.5 fact, more or lona, along a fence to the point of beginning. 7FARCIA. TIU=v , A portion of the Rancho do Farwell, Butte County, California, being in Projected Section 29, Township 21 North. Range 1 aaet, M. D. B. 0 Par Ioalarly deadribad as tellewel From the Southwest corner of Lot 2, as delineated on that certain Map entitled, 8HAN3E0 3LWrVI3ION", recorded in the office of the County Reaoroer or Butte County, Calirornia, February S, 1913, and recorded In Book 8 or Maps, at page 26, said corner being in the center of the Chleo-Colusa County Road, and running theme North766 test to 06the South aide of a read; thanoa North • 26' west 3 rr4.8 toot &lona the South side or @aid read to a point; thence South 1$9.2 toot and Root 173.3 test to the point of beginning OtAhle descrl tion$ thence Best $57.0 toot to an iron pipe) 3Outh'1320.0 fear, to an iron :Ipo.,West. .5 toot, North 0. 09' 8W 1320-0146t to the Point UW ALIO a richt of way for Ingress and egre9a over a ctrip•of land 20 toot in width, the centerline of which Ss 408arlbad as follows$ V* DECINN1N0 at a point 10.0 toot South of the Northwest corner of the Abolve described parcel and running thence beet 1$3.3 rent; thence North 1199.t root to the Jouth a Or & road IMOwn 40 SAYdOr R04d. BXCEPP:NO THEREFROM all all, goo and minoral rights, ENG OF DOCUMENT _•'FILE No.291 02/07 °01 Art 11:04 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 2 :;fATF f1F CAI IF(?RNIA piuMul Rc I PAWPOR mriotJ At•It)1•IUHBI14(1 Ar;l 1-K. . �r ,• I+FPARfMFhll c+1 II01ISINRANOCUMMt1NIlYltf:Vl7In(+MI;NI 'Nn �'• DIVI"10N UP WOES AND STANDAP(1$ MANtIrACTIJRFI)MOUSING PnOGRAM ` ---.—_.._. ...,_....._..._.--_....__.-.. MANUF=ACTURER CERTIFICATE OF ORIGIN ❑ C) IECK IF THIS IS A clurn.ICAIF MCU ENTER onlr1NAl MCA NU. —_•,..• .-.. ,_ - — — MANSJf[ ) IJIiLIJ I. OfAE..( ;LMQ.L.f k UNI I. MANUF n 1R f),I IOU i1NCi �—�XXX NUMFIFR OF IRAN.!,moRTARIF,^-,1't;IION;i,___...- 2 lJRI''1)(�:INf.3LI-PAkII(.YI)WFII.INL)MUMI-I(MUI'NLINTIMANUFAC'fIIRPI')IIOUSING Lo MMI RC I. QQAQ d 1. 01700PAN(N OPotlll MANUI AG FORI:R NAME: MANUFACTURER I k:1;NSI NI IMIl1::11. FLEETWOOD HOMES OF CALIFORNIA, INC. 9534 F'AAhQ F9UR :AVE • PO Box 1308 WOODLAND CA 9.577 St1t;t;P; rE0 RETAIL PRICE, — Ci1y),....,- (Slain.) (ZIP)- MANUI AC7URER 7RADF NAME: — .-_ Mf)I)PI NAME.'AND/UR NIIMfiFR' — UnII. OF MANUFAC'fURF: ANNIVERSARY 4563D 2001 01/7.'1/2001 NAME OF DEALER OR 7IIAN I LRE.E (OWNERSHIP TRANSFERRI=I) 10) CALIF. DEALT?it NUMRFR OR SECURITY M/H SHOW/NORTH, INC. T)tnNsl C111_C DCSIGNA7ION: OATI: OF TRANSFER: DAA: EXECUTIVE HOMES 92081 01/18/2001 DEALER UR'fRANSI�F..ftf,)� N)l1KG.S:i. 3042 ESPLANADE CHICO CA 95973 INVF..N'I Orly Cnf.OIIOR NAME: TRANS AMBRICA INVEffQi3v1C U RCR BLVD SUITS 350 CHARLOTTE Slresl NC 28226 (City) Sllil9(ZIP) SECTION 1l MANU!"AC'ry1RERSF.RIAI Nlimml 1 IICD tNSIGNIAORNU11IABEL NUMAER I.F.N(1'(li YWOIII N?IGIIT M. ----._.�.... -- „_--- INCIIES)INCITE,^, POLINQS 1 CAPL117A24229-AV12 R.AD13089SO 672 160 28160 2 vCAPL117S24229-AV12 RAD1308959- 672 160 23,30 1RANSPOR'rER NAME. D rk R TRANSPORT 70AN511`011 I Ert AMMES3. -_-.. ._...-- —.... �'•"`. -- P-0_ BOX 179 DVRHAM 94601 ._...,_......_—•-----------_.... (cuy) (SIR I) CA 95938 ur.^1INnl rc1N rQR QNN oe9011fie0 nnnvr. NAMC Slrnnt C;I� I rnnlly unrlpr MIiPIIY OI pOrluty um10r INn Incas of IINI Ct.I+A 1)i (:nhMfOlA IDP/ P1P nVOvO lrr 15 m1) Inra mM Cmnal 01/17/2001. WOODLAND YOLO CA I Udln1 (city) f 1;61 dy) (Flom) CIGNAl u1rL•UI`At) l'IiOIlIICq A(,.CNT •�� ----...... Q(BYfOUTIgN: (1III01NA( (PINK) FORWAn01G'I'.m INVF.NIC)nY r;HF.011011t• UNUSS TI ICnE IS NONE. 'IIIf;N FURWmtO'rO T11C rune IAS611 (OF.A1.1trl (1R IRANNFERH) cQ11Y I (VIAUE-) FORWARD TO 11111 DFPAA I tAl-N I AV P.U. BOX 1820. SACnAMCNf D• CA nS11+2.182n. WITIIIN rlvr. (!) DAYS OF AFI rA$P l:l)RY'J (YFI.1.0W) DCI, vm to mr. TkANSI10I1PR TO ACCOMPANY MC 11Nlt"10I IS UI-SRNAIIUN MOtRr'NROR) TO rlh nETA1N170 DY 1110 MAN(11 AClofftR. NCD 483.0 . Sltlo 1 • (711)7) RECORDING REQUESTED BY: AND WHEN RECORDED MAIL JO: NAME STREET ADDRESS- CITY.- STATE DDRESS•CITY,STATE and ZIP 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. 1 ►vt Z d- fii9-ZeL REAL PROPERTY OWNER/LESSOR 9'3 -7 AAwl* /Cr_1 nMAIILING ADDRESS LI c z> CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS. IF DIFFERENT CITY COUNTY STATE ZIP UNIT OWNER (II alw property owner, write "SAME') MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION LOCM AGENCY ISSUING PERMIT and CERTIFIkATE OF OCCUPANCY MAILING ADDRESS (51toya die Au.M_ C'1' f s 96 Y- CITY COUNTY STATE ZIP BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF IOCAI AGENCY OFFICIAL DATE DEALER NAME (II nor o deoler -Ia. write "NONE'l 7:1-0R) DEALER LICENSE NO. dee wa o o L , 144J I-✓re4,-sf9ry y3-6 -,3 C3 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER SERIAL NUMBER(S) LENGTH X WIDTH� q INSIGNIA/IABEL NUMBER(S) % x/ o REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER `� -S 9 tTitENT OF yo orgy G��yG+ m� e HCD FORM 433(A) Rev. 8/91 3-25 WHITE—County Recorder CANARY-14CO PINK—Applicenl GOLDENROD—Building Dept. A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541,ig PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT —Z21, ASSESSOR PARCEL NUMEERU `3 .C#q ) _U I /J ZONING ILDING PERMIT OWNER/✓ I TELEPHONE CBCU. BUILDING VALUA OWNERS MAILING ADDRESS CONTRACT NAME TELEPH E 33 CONTRAC ORS MAILI ADDRESS l//� _ 7_3 pY�K��'�-.> CONSTRUCTION LENDER FI Ce LENDER'S MAIUNG ADDRESS Total Valua ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3 (o � D K, r Energy Plan Checking Fee $ $ PERMIT FEE _ LOT NO. SUBDIVISIONS NAME P CEL MAP PLUMBING PERMIT Filing Fee20.00 USEOFSTRUCTURE SF ,!k 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 ❑ �Othherrp❑ Describe Work: �. ��-/`-^"`„' D'♦� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoon oa mss 23.00 2 3.&6 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.P License Class � 1 p Lic. No. `"� ''13`{S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5,s �µq o1DT MBRAUCH LTI.00U CLET 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20@ 1.00 BAL @ .50 ED Ex. Occup. OFIX�S A oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 kAA— 2 -3 -Ob Z3•eu VPERMIT FEE S (� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number I t a,3C-)40qa (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ,:��with comthose provisions. X I „ _ D e 1Z� — Q Signature of Applicant - ❑ wrier ❑ Contractor Agent An OSHA permit is required fo excavations over 5'0" a and demolition or construction of structures over 3 stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ ((,3 C r. TYPE TOTAL FEE $ HAZ. D. IMP 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 indicate Bove for which fees have been paid. / D By ate PERMIT EXPIRES ON 9 yate Receipt No. 9 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r U PRE -INSPECTION :REPORT OWNER: Ea..Q- LOCATION: 443 (01 D a4te 1yA w -at Vc� CONTRACTOR: eNd co EQDci PRE-INSPETION FOR: DATE TO INSPECTOR: I'„Z5 v1160b Building Description: Commercial/Usage: Residential/# of Units:_ Currently Occupied Abandoned/Vacant Electric: HLSTORY:P�NONE DATE: I -a 14- aooa A.P. # (�39'0290 ' Ulf ZONING: M ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Yes_ No Electric currently On Off_ Condition of Electric Gas: Natural Propane None_ j� Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water �J Obvious SewageProblem Comments: i ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector• a Date dv _ Sketch buildings on reverse and indicate location on property. 039-290-'016� 00-0137 THONVSON,',BILL 4361 DAYTON WEST RD., Cl-HCO CONTR: CMCO. ELECTRIC UPGRADE ELECTRIC i — A-1 //z m M4-rvjr, u-5 We -It a-5 -7-n Cl cl 'k rO rc. 3e -e- OFFICE COPY Address GAS Meter BY� Date ELECTRIC Meter By- Date as -00 COU ItTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` •-:�`7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) 1, APPLICATION AND PERMIT " 57 ASSESSOR PARCEL NUMBER 1� I ZONING BUILDING PERMIT OWNER t � ( �1 (`• 11 N� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS CONTRACTOR'S, NAME r TELEPHONE CONTRACTORS MAKING ADDFt SS .� }��-\ E6 tc-/� A--% C' (. Li z1.. 1 CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS lo 1 1 a t Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF q' Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instaallation( ❑ Other ❑ Describe Work: ( of n a_r I/((1 { ( t1 " -)V1 Je /./hoA *o /0 i -'� �% Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE14, S ELECTRICAL PERMIT Fling Fee 20.00 I Main Service 200A OR LESS 23.00 2 3A LICENSED CONTRACTOR'S DECLARATION j 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 t n Lic. No. yS� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Cade for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR SO OR AocQ s. ( . 3.5¢FT: MUACCQe�LD LET @7.50 pNpµgESlp,CIRCUITS POWER APPARATUS a SINGLE OUTLET CIR. .00 EX. OCCU . OUTLET OR FIXTURES Ex. 20 @ I.50 APPUS. Ex. Occup.FUCED ouTLErs RESID. EOR A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 C _ I PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Lar'i"„ Policy Number I r r I ":I —,e--*nq ;L (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X —_ Date N u Ca _ Signature of Applicant - ❑ Pwner ❑ Contractor XAgent An OSHA permit is required fo excavations over 5'0"dAeoand demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ �( ; CONST. TYPE V J I TOTAL FEE $ HA2. _ D. FEES IMP V _ 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 fees have been paid. /f 1 F l_<� !• /r By 3/Date PERMIT EXPIRES ON Date ' Receipt No. a IR n �% �lfi WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 5384541 CORRECTION NOTICE R MIT 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. e u� a-4 -rte P Pow --way / / // r �o-fDt., -�-u r f, Datef�0 Inspector �i�P REV +10/2