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HomeMy WebLinkAbout040-140-058n • (�.�..99 40-1 James D. Rice' o Oro Durham W/S Esquon Rd. ,app.500 S. Hwy, lot 24, Durham Permit #4289-77P,E(uti1-igMH) ELEC . 7 ' AO®�4vH� -- --GAS 72 SUPPO T TRUCTURE REQ. y� COMPACTION TEST REQ. 'PA Contr: Shast r: i e`r Sa esu Chic Permit #3819-77MHI Issued -- ---- - 40-14-58 Permit #6 I.-47B,P,E,M%(nnew s ingl'e--' family) 040-140-058,1 PERMIT#9E, 1491 RICE, James q_g55Esquon Rd . , Durham MH Util/Ag Worker 1 ELECTRIC k d p GAS LINE Le(; A ' x 38' COMPACTION TEST REQ O SUPPORT STRUCT REQ 6 '040-140-058 PERMIT>am--� 961492 RICE, James 9353 Esquon-,ion-. , Dur MirI-I/Ag Worker I r'I I 1 040-140-058 04-0783 COMCAST CABLE o VARIOUS DURHAM LOCATIONS Cont: WESTCOAST COMM PLACE CATV POWER SUPPLY _ 1 1/7 73 e DURHAM POWER SUPPLY LOCATIONS U01 - AP 040-214-005 9 9 sdspeed St. DU01-PO4 APN: 040-230-013 9315 Goodspeed St. DU02-POI APN: 040-260-030 1957 Durham Dayton Hwy. DU02-PO2 APN: 040-550-012 Opposite 9357 Stanford Ln. DU02-PO4 APN: 040-140-058 9351 Esquon Rd. DU03-PO 1 APN: 040-080-033 10086 Lott Rd. DU03-PO2 APN: 040-390-015 263 Oroville-Chico Hwy DU03-P03 APN: 040-110-044 9715 Esquon Rd. a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- NO. NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER X SEE ATTACHED ZONING BUILDING PERMIT OWNER COMCAST TIONS TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS NTO CA 95838 CONTRACTOR'S NAME WESTCOAST CATIONS VCI TELEPHONE 343-2473 CONTRACTORS MAILING ADDRESS CA 95928 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS 7 DURHAM TIONS SEE ATTACHED- Permit Fee $ Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: PLACE CATV P01,M SUPPLIES Gas piping systern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '*zoA .A OR LESS 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 f rce and effect.1'��p License Class - �iDLic. No. (�a OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( & AGC. BUDS. so 3.5¢FT. WOµH6IIDD." MULTI.OUTL IT 97.50 PLE OWER APPARATUS 6 SINGOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL (9 1.00 Ex. Occup. ..FED Ao .DeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 1 4-00 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. ❑ 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' p ation� i-n1sujance carrier and policy number ar Carrier_ coX pGt , e CA S(,L►/n_y(,^ p Policy Number _IMk)r 10OSS((I no (The above sections need not be completed if the permit is for work of a valuatiori 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 should become subject to the worker ' compensation px9visions of section 3700 of the Labor Code, I shall fo it c ply w• o provisions. X Date — �� ' �� Signature o li nt - ❑ °Owner `Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ . TYPE TAL FEE $ 00 1po IMP FLOOD CDF PARCEL PD I HD NO ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date a Daf Receipt No. WHITE-D.D.S.-B.D. ANAR -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. ' Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /+�1 ZONING BUILDING PERMIT OWNER I ` TELEPHONE SO. FT. OCC. BUILDING VALUATION _,43I OWNERS MAIUNG ADDRESS q3sz e( 1 r_ CONTRACTOR'S NAME T� r CDM LIA L NA+t O UCi TELEPHONE 3o Z-z4,'j CONTRACTORS MAULING ADDRESS A-0 ST". QLAILCO CW CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. $20.00 —FlingFee Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ ING REssA K �7 E� ��C� f V ` �T1(:) AL , J C Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ R//��em��odeel�l ❑��ppUt/ilitties ` L Installation `� Other ❑ / rr Describe Work: l,!- C EC CA -Ty a � (, PPA_{ G J Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600,, OR LESS Main SEINICe zaoA OR LESS �T 23.00 ,(3 PERMIT FEE PAID $ SRA $ SHERIFF $ OTHER $ $ $ AMOUNT RECEIVED $ RECEIPT NUMBER TO BE PUT INTO COMPUTER Main Service 200A TO 1000A [=R-I.T* 46.00 NEW CONST. DWELLING OCCUP. 3.SQ SO. OR ADDNS. ( I ACC, S.FT. CONSFOUTLET. 7.50 POWER APPARATUS I SINOLE OLm.ET CIR. OUTLET OR FOnURES 20 Q 1.00 EX. OCCLI BAL p .50 Ex. Occup. DLAT .D& 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ jq4,001 MECHANICAL PERMIT Fling reW 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ mc CONST. TAPE TOTAL FEE $ HAZ. D.FEEs IMP FLOOD COF 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. By Date PERMIT EXPIRES ON Date Butte County DeparimentofDevelopmentServices ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile Att: Steve Archung Comcast Communications 4350 Pell Drive Sacramento, CA 95838 RE: Fees due for Electrical Permits located in the Durham area for CATV Dear Mr. Archung: Our office has received a request for seven (7) electrical service permits for CATV located in the Durham area of Butte County. Before this permit can be issued or any inspections made a check made out to Butte County for the amount of $184.00 must be received. After this department has received the payment, the permit can be issued, work can proceed, and inspections can be requested. If you have any questions, please contact Alice Mefford or Scott Rutherford of this office, at (530)538- 7541 Monday through Friday 8 am to 4 pm. Thank you. Sincerely, i Alice Mefford Supervisor, Staff Support Services for Michael C. Vieira Manager, Building Inspection \ ®® AW .. AWAW-AWAW® . AEr® AMr-AW \�® ® -� VCI Telcom, Inc. A. Subsidiary of Quanta-Services, Inc. July 29, 2003 Butte County ' Department of Public Works .7 Court Center Drive Oroville, CA 95965 Re: -Authorized Signer To Whom.It May .Concern: Please accept this letter as a request. to designate project manager, Bill Green of VCI TELCOM, INC. d/b/a Delaware VCI Telcom, Inc. as an authorized signer for all permits and forms pertaining to VCI's business in all areas of Butte County. Should you need further information or clarification,' please feel free to contact my office at (90.9) 949-1350 extension 117. Thank you, IVi a President 1921 W. 11th Street, Upland, CA 91786 (909) 946-0905 • Fax. (909) 946-0924 California State License 765716 D; a►h NLNLNJDD/YY1 . 07/29/03 FJOHN THIS CERTI CATS IS ISSL� AS A MATTER OF NFORMATION IlORTHAM &SON, L.L.P. ONLY AND �S NO RIGHTS UPON THE CERTIFICATE HOLDER. TENS CE RTN ICATE DOES NOT AMEND, EXTEND OR 1388 ALTER THE COVERAGE AFFORD® BY THE POLICIES BELOW. HOUSTON, TEXAS 77251-1388 COMPANIES AFFORIHNG COVERAGE CONVANY 071556 -00090 -2004A -0W92 SNN/ECB 1/1 A OLD RMMIC IV=WIM CDWANY 1111511" CORVANY VCI TELCON, INC. B ASSOC. ELECTRIC t CAS INS. SERVICES UNITED 1921 WEST 11TH. STREET COLNPAPn tNP m, CA 917M C COMPAW D THIS S TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A0OVE FOR THE POLICY PERIOD INDICATED, NOTWIHSTANDNG ANY REQUIRE LENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE SSI OR MAY PE3TTANk THE INSURANCE AFFORDED BY THE POUCIES DESL1ROW IRBSF.N S SUBJECT TO ALL THE TTRINS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LAIRS SHOWN MAY HAVE BEET! REDUCED BY PAD CLAMS. CO TYPE OF tltilLIANO! POLICY NULNNRAI O� FOUCT� IIaGTS A GENERAL LMillm NKV%734 03/01/200 08/01/2085 GENERLLAGGREIMTE 0 1 750 OWD PRODILCIS-COMPIOPAGO s 1 750 000' X commocALN ssmALWiGLLTY SELF-INSURED RETENTIM CLAIM MADE ril OCCUR f250,000 PERSONAL a ADV KPAY • 750 000' EACH OCCURRENCE a 750 000* oWFMrs a coNTRAcTows PRDT FTE DAMAGE ter orr Sd t 750 0000 •E1(CE39 OF SELF- I1SUM MM EKP ow to t EXCW LAED RETENTION A AOTOMONEuou.v ANY Aura IiITB18597 03/01/2003 03/01/2006 COMIIINED soN�E user 1 000 000 BO mo • X ALL OWNED AUTOS SCHEDULED AUTOS BO , X HOW AUTOS X NONWVNEDAUTOS PRO146ITY DAMAGE • GARAGE UAMM AVTO ONLY - EA ACCIDENT • OTHER THAN AUTO ONLY ANY AUTO EACH ACCIDENT • AROGREGATE t EXCESS UARLITY CLAINS MADE RETRO DATE 08/01/2002 EA04 OCCURRENCE • 5,000.0m AawmATE $ 5.000.000 B UM aa"FOPm X�iNA03 OUM/2003 08/01/2001 I • 1BiA FORM x DTHBR TMMN Il6 A woRfm CDMFa¢AImam NHe108554 00 03/01/2003 08/01/2005 X I STATUTORY LIMITS =`?��Y" w_ NINE : EACH ACCIDENT !#„ 1 o00 000 UAaanY TIEPROPF9ETOR/ x Nm DIfiEASE-POLICY LAW • 1,000,000 OMA IiE -EACH EMPLOYff t 1000 000 ORS ARE: FXCL OTHER ORACRiTION OF OFEnR IT EMIL SEE ATTACHED SHORED ANY OF TLE ADM DESCIIIIIIED POUDM N CANCELLED IIEFOGE THE RE7W�T1p11 DATE TIEMW TIE ISZiLLNo CON/ANY waL Bw"voL TO MNL BUTTE COLMTY _ DAYS UIIa17m NDNCE TO THE Cl$Irmm NDIDEI NAM® To TIE NST. DEPT. OF PUKIC HORIcs Rn FARM TO MALL MCK NOTICE SHALL SW9W No OaUVAyIGN On LL*MM 7 COURT CENTER DR. OF ANY LLD WON COMPANY, rts37 DR lxtOVILIE, CA 9-- - - %Tiff /WMENTATIM. ot. VVO V .. & JO xs .p. A77ACHl"T TO CERTIFICATE OF INSURANCE NO. 071555-00090-2004A-000492 SHN/ECB 1/1 CERTIFICATE HOLDER: INSURED., BUTTE COUNTY VCI TELCON, INC. GENERAL LIABILITY POLICY INCLUDES CERTIFICATE HOLDER AS AN ADDITIONAL INSURED WHEN REQUIRED BY WRITTEN CONTRACT BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF MANED INSURED'S WORK FOR ADDITIONAL INSURED. AUTO LIABILITY POLICY INCLUDES CERTIFICATE HOLDER AS AN ADDITIONAL INSURED WHEN REQUIRED BY WRITTEN CONTRACT. FIELD FIELD M -R:03 gg• 250 140, 137' DURHAM-DAYTO7HWY / FIELD FIELD " n '- r.� e E tt0 N LOCATION: 1637 9377-� D U 0 2- P 0 4 APN : 040-140-058 -000 9351 ESQUON RD a 9327 9351— b z 0 D O V) w RII I BUBUTTE COUNTY ILDING APPROVED DIVISION 9293` PROJECT: SCALE., NONE PROPOSED CATV- - DATE: Comcast communications 5-15-03 RF1010l41 OFFlCE: 4350 Pk11 OR. 5'ACRwflfp. G 95838 POLE MOUNTED POWER SUPPLY APPROVE0EIY: REVISION: DU02-PO4 1 0 I RESIDENTIAL 040-140-058 PERMIT#96-1491 RICE, James g,3$squon Rd., Durham MH Util/Ag Worker OFFICE COPY Address 5363 &oLc!t, ( 1 GAS Meter By "' Date ELECTRIC Meter By Date ,—, OFFICE COPY Address !q'? -U 64>VcyY 0 P I GAS Meter BY—�U Date '(7' ELECTRIC Meter By a j JOB FINALED (Date)— Signature V=OK O = Not OK `=NottReadYble, MOBILE HOMES Date MOBIL_EJ4dME UTILITIES (Plans) OK except #'s nuirements - Setbacks - Easements oils' pecial MH Support Sketch O. -Sewer; Location -Test Fall -C/O -Concrete r, Location -Test -Easement Needed (Sketch) T -Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / PL'ft. / /Nat. or�/ L-ftALPG 7. Well Clearance & Dinnect i Clearance Date — Z Card B-1 Date Card B-1 Date Card B-1 Date Card 13-1 Date MOBILfhIOME INSTALLATION Plans OK except #'s oning Requirements- Setbacks Easements 2. Foo' s; Size -Spacing -Marriage Line . as; MH Test -Demand Valve -Connector Vic' • MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector er; MH Test -Regulator -Connector ater Sewer Connected -C/O to Grade -HD Approval j.s,aed Electricity Tagged ie -Type-Installation Cert. fo-Exits, l5X,.4Ketch q0 1 ert of Occupancy A Dat ,4&_l.6 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 �QU MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-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 -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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/6 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except N s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Brockouts-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 -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------- -------------------- --- ----------------------------------- 17. --------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ----------------------------------------------------- 19. Shower Pan: Test. First Floor -Tub Access ------ 20. -Test -Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------ ---------------- ---- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except u's 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------- ------ - ------ -- ------ ------------------- ---------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------- .._ -----. -------------- 25. Romex Installed Close to Edge of Studs & C.J. -- --- --------------------------------------------- ...... 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ---------------------------------------------------------------- - ------ - 27. 2 Appliance Circuts in Kitchen & Conductor S1ze,GFI ----------------------------------- - -----... _ .. --- .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At - -- --------- 29. ------ 29. Range Circ r I ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------ --------------------------------------------- ------ - _----- .. 30. Service -Riser Conductors & Ground -Main Disconnect - --------------------------------------------- ........ - .... _.._... .1 ...... .. 31. Equip Clearances Panels-Motors-Mech. Equip. ------------ - - - - - - ... ........ ....... .. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector --------------- ............... ... ------... -----.... ... ... ....... ....... .. Date Card B-1 Date Card B-1 ---............... _.................. .....------------ ... ... ... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support -------------- ----.. --- I—— ---- -. _. - - -......---....-.......... ... .... 35. Vent Fan: Exhaust above insulation ------ ------ ------ ... .......I ....... ... ... ....... 36. Condensate Drain & Overflow. Size & Grade --------- - --.. .. .... ... _ .. 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - --------- ....... ....... ... .--....... ... 38 Attic Access & Platform if Furnance in Attic ------------- --- --- -- - - Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39 S Is. Proper Material & Anchors _. ... ... - _.. ... ... .. 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound .. ................. ....... 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops. Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties -Purl in -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-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailin Bolts ------------- 59.- Insulation -Walls -Ceilings ------------ 60. Infiltration -Walls -Windows -------------------- -- ------------------ ------------------------------ Date Card B-1 Date- Card B-1 - - - -- ----- --- ---- ---------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings -------------------- - -- 62. Smoke Detector - ---- ------ I - ---------------------------- 63. ------------ --------------63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------------------------------------------- 64. Bedroom Exiting ---------------------------------- 65. ..---- -- ----------65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------ --------------------------- 67. Stairs & Rails - - - - ---- ------------------------------- 68 ------------------------------68 Fireplace or Stove: Clearances -Hearth . --- ------------------------------- ----- 69 Elec. Outlets at Wood Panel: Int. & Ext. ..... - -------------------------------------- 70. Kit.Flxl. & Appliance: Grnd.-Air Gap -Cooking Clearance ...... _...----------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ....... ... ............................. ------ ---- 73. A.C. Duct in Garage -Damper ...... ....._.--.------------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection .....------------------------------------- ---- 75. Plb.. Elec. & Mech. Equip. uiListed for Location ...... . - --------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --- ------------------------ ------------------------------ 7; Insulation-Fom-Looked in Attic ❑ Yes .... --------------------------------------- 78. Guard Rails & Deck Construction -Post Caps -------------------------------------------------- -- 79. Fdn. Ven4s & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes .. ... ... ... ....... - g -------------------------- -- 80. Follow n instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No . . ... -- -- .. ------ -- ---------------------------- 81. Stucco: Brown -Finish .....-- . ...... ------------------------------ --------- 82 A C Unit: Disconnect. Electrical. Plumbing . ... ... ... ...---------------------------------- -- ----- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings .--------- ------------------------------------------ 64 Water Well: Disconnect. Electrical. Plumbing . --.----------------------- --------------- 85 Exterior Elec Trim. G.F.I. Receptacle -Underground . . . ..... .. - - - --- - -- -- - ---- ------ 86 Ventilation Throughout House . .....-. ..-- --------------------------------- - ---------------------------------- 87 Glass Protection . ....... ----------- -------------------- 88. Corrections from Previous Inspections . --- .-- ----------- ------ ------------------- 89 Gas Test -Meters Tagged: Gas -Electric . . . . .... . ... . .- - - ------------------------------------- 90 Water & Sewer Connected-CrO to Grade -HD Approval .. . _ .----._.._._..------------------------------- 91 Energy Compliance ante Cert ficate-Other Certificates ---------------------------------------- ----------- ----------------------------------- Date Card B-1 Date Card B-1 ---------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments. at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN IVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 8-754�26PERMIT NO. APPLICATION AND PERMIT ` �41�l ASSESSOR PARCEL NUMBER 040-140-058 ZONING A-10 goe BUILDING PERMIT OWNER JAMES D. RICE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS TUNG ADDRESS 9351 ES UON RD., DURHAM CA 95938 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ X)?RM4 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 2 JJG PERMITFEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome MX Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities R Installation ❑ Other ❑ Describe Work: T (a GJORXE?, Mobile Home IR18 W1 @20.00 60.00 PERMITFEE $ 80.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( 200AORLLEESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting withdicensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( a ACC. ) SO. 3.52 FT. CNSS. LTI-OUTLETLE U NEW CONST. / MUT NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUSa SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 0 .50 Ex. Occup. I OUTLETS E APPLN D.0EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �Q f X /\ //✓ Date _� L�_-- Signature of Applicant - O Owner bJContractor VJ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ I D. FEES — IMP FLOOD _ CDF PARCEL PD H ISSU 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. I 0 9 BY to PERMITEXPIRESON (fie) ReceiptNo. 201836/66.00//`oZ � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSFfECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTM M F DEVELOPMENT SERVICE - B t DING DIVISION 7 COUNTY CENTER DRIVE - OR{OVILLe,WbMlFORNIA95965 - TELEPHO (916) 538-7541' PERMIT APPLICATION DATASHEET -fes I � OWNER `f'`v"� � 4 C --k'" A. P. No, d `70 lqo orf - Proposed Building Use At l�� �� Building Inspector Date — 2 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 preparerof 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—EEngineered truss details and layout in duplicate (required prior to plan check). ... . Mobil Of $ a and manufacturer's installation instructions, 2 sets. ......... . -Fees of $ � � ......................... .. - . .......... 11. Impact fees as shown on attached schedule . :.:........................ . 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood))California Engineer . ............... . Sanitation -and plot plan approv�/7`�<<% Health Department . ............ - -yr, i5l uwjs 5. 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). .. ... . 20. Pre -inspection for required. . to Build g Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance:. ......................... . 91 Owner -Builder Verification (Given to owner Mail to owner _). .......... .......... Recorded copy of Agricultural Acknowledgement Statement . .................. 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 . ......................................... . 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 lis .................................................... �L--W33. 7-IG-`iG G 34. UU When issue the�permit,_process as follows: Mail to owner. Mail to contractor. Telephone ?S _ FSr3 Z and hold for pickup at C (-� I C o office. Deliver with inspector. Other Parcel Creation Acreage Applicant `V 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 ; The following data must be submitted prior to peirphit i nce: ( rcle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by G t 6 0.arr5 Date - I!, - Plans approved byr /3 13 0,15 Date . I Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works n� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. U E ONLY Plot Plan Attached Poor Phm Attached Scotto B.D. / &ALA �b Owner Loca6dn AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroo m bile ome. Other Hold final for: Final clearance O.K. for: NOTE: 4virojnmental Health Specialist Date 8/92 �c TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. U E ONLY Plot Plan Attached Poor Phm Attached Scotto B.D. / &ALA �b Owner Loca6dn AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroo m bile ome. Other Hold final for: Final clearance O.K. for: NOTE: 4virojnmental Health Specialist Date 8/92 �c It C WE JAMES D. RICE AND CAROLYN. R. RICE AUTHORIZE. DONALD WILEY TO BE, OUR SIGNING AGENT TO OBTAIN PERMITS FOR 9351 ESQUON ROAD DURHAM, CALIFORNIA . PLOT PLAN #040-140-058 JULY 1,1996 Da � � 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: YESKI NO[ I 2. I HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the proposed work 3. I have contracted with .the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: ADDRESS: Com' PHONE: CONTRACTOR'S LICENSE NO. S. 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:_ Z NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner. An application for' a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you pian to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project. and such persons are not licensed as contractors or subcontractors. then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation in_arrancr, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees. without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors _ is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 9581 . Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is rcturned. Sincerer Michael C. Vieira C.B.O. Manager. Building Inspection NOTE: This Owner -Builder Informatian is required by Section 19830 of the California Health and Safety Code. O VE R SHALL OF N MECHANICAL, AND PLUMBING III, WITH -CURRENT AND UPC. This set of plans..and speciftoations MOT be -kept on thepat all times and tt Is unlawfulto 'Ps War �ignp o same without ly, ;�; VF 'a P= wrlttw�l or psionpomt4q ant Of PA Works,'(: I tjY,,of]Sutte. j licn: All hit i9l,tlrWs &Workmanship S3wX Accordande *,it 4 '�ecogAized Good Pr ac Act of a Quality 1presiciribed fOr the jSpectfted us ldlng, Plumbing & IM act In the Unif6�m:. Wes and tl�d N4tjons l: glectrical Code. ALL STRUCTURES AND EQUIPMENT: INCLOD! OVERHANGS SHALL St CLEAR OF ALL "SE 'r ! ! ASET BACK OF 10 F7. F.ROM, Ti ,t S6 jl� 01 0 FT. FROM THE REAR PROPERTY LINES';A FT FROM THE, ROAD CENTERLINE SiiALI I I i UN ;0MM OF STRUCTURES AND EOUIPMENTkNT aFOR:A 2 FT. EAVE 0 1 --;ed =�C: _X j Be i and .11 t 314 : so ,'so a, o� , �C�P H, ti 17 q0 - OS8 3� "I, , " �. i ., -') tip A3 OM1. NO. 3067-00" ELEVATION CERTIFICATE E'Oft 99e FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTE"ON: Use cf tli!s does not provide a we",, of the flood Insurance purchase requirement, This form is used only to provide olevatlon;vft-,mat on r*cesstuy to ensure eompllance with aolceble community floodplain management ordinances, to d6termine the pnk+sr Insurance premium rete, and/or to nupwrt ra request for a tetter of Map Amendmerit or Revision (LOMA or LOMR), Instructions for completing this form onn be found an the following "a. SECT ION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE oUl(DIMQ 04V ERS VAIrE PoIIoy NUMBRA J CICS �f 21CC� STAEEr A;i0Rt3e (trvAi :4rV Apt., Ur -A Sul* arWor 64g. Nurtt>e) OR P.O. ROUTE AND ROK NUMBER OpMPAKY NA1C NQM0RA _ 9:5 S / OTNE? uviol:k'Pi NJN ('.got !V�j 90xh Nw-Owfi, tic.)--- / d6 - /,5(- 0.58 OITY STATE bP 000E PoRg4m _ _ ___.- _��.. 9S 938 SECTIONS FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the !c!WmiV tram the proper FiRM (See Instructions): 1, 0oMWV-.!T1' NUMO!A.Q, PANEL NVMBEA 3, WFM 4. DAW OP RAM IMM 6. FtR1r ZONE 8. 1 I 81186 FUM MIVAT" 0600/7 Oz zS 3 $'�-p 29 89 (��S6,00 7. lndi :, a the elevation datum system. used on the FIRM for Baoe Flood Elevations (BFE): DZNOVQ '29 00ther (describe on back) 8. For 7,ones A or V,r►;>6rR no�S�FEE Is provided on the FIRM, and tho community has established a BFE for this building site, indicate the oommuniye BFE: I l if lQ,LIOJ feet NGVD (or other FiRM datum -tee Section b, Item 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Cortfsicate Instructions, Indicate tfledla tarn number -from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level Gbit' ZS 2(a). FIRM Zones Al -,W, AE, AH, and A (with OFE), The top of the reference level floor from the selected diagram Is at an elevation of I I 1115, 71A feet NGVD (or other FIRM datum» -see Section S. item 7). (b). FIRM Zones Vi -V30, VE, and V (with 9FE:). The bottom of the lowest hoditontal structure! member of the reterenoe level from the 8010016d dtebram, Is at an elevation of ;_1. ;,._1 U ,U l"t NGVD (or other FIRM datum-seo Section 13, Item 7). (o). FIRM Zone A (without SFE). The floor used as the ref&rortce Isvol from the selected diagram Is L:. -.J.0 feet above D or below ❑ (check one) the hlghest grade adjacent to the bulkfing. (d). FIRM Zone AO. The floor used as the Weramooe level from the selected diagram is !_ U , J feet above ❑ or below ❑ (check one) the hlgnest orade adjaoem to the bulldin0. I1 no flood depth number 18 available, Is the building's loweet floor (reference level) elevated in accordance with the community's floodplain management ordinance? [j Yes 0 No ❑ Unknown 3. Indeate the elevation datum system used In determining the above reference leve, elevations:019OV0'29 ❑ Other (describe under Comments on page 2). (NOTE; II the elevation datum u9od In measuring the e/evalions Is diNo(ent thsn that VW on the FIRM ;seg Seotton a iter» 71, then oonverT the &{ovations to the datum system used on the PIf f and show die oonmmion equation under Comments on Page 2,) ON' 4. EElevation reterenoe rnw-k used appears on 11M. ❑ Ye,Xt , (See instructions on Page 4) no refer0n00 loyal elevation Is ba&W t+ctual construction ❑ ConBtructlon drawings (OPE: US& of conMiction drawings Is 'd if the bullckw dons not yet have the rolerence /oval Moor in place, In whkah C,W tha CerN 4W# w/M Only be valid for the bullding duNng the course of construction. A post•constwolon Elevation Cerdflcate will be /wqulrod or&* dr3tt8trlrt,`fitirr ib wmph►te.) S. The elevation of the lowest grade immediately adjaoent to the budding Is: t 1 j/IS4.At"- NGVD (or otner FIRM datum see section q, tiern 7). SECTION b COMMUNITY INFORMATION _ t. If the oommunity officlai responsible for verifying building elevations specifies that the reference level Indicated in Section C, Item t Is not fhelowest floor' as defined In the community's foodplain managaft*m ordinance, the etevaton of the bulking's lowest .poor" as defined by the ordnance in: :_I I I-L-j,L} feet NOVO (or other FIRM datum -see Secilon 2, Date of ft start of oonstrucllon or substantial Improvement ._._ _- , Aum COUNr FEMA Fwm 81.31, MAY 93 REMACES ALL PREVIOUS EDMOMB CERT 5 ��r A P P R 0 � ED April 30, 1996 SECTION E CERTIFICATION This certification Is to be signed by a land surveyor, engineer, or architect who Is authorized by state ,or lizpoal law to certify elevation Informailon when the A;evation Information for Zones At—A30, AE, AH, A (with 8FE),V1—V30,VE, and V (with BFE) Is required. Community officials who are authorized by local law or ordinance to provide floodplain manage,m•snt irrfurmetion, may also sign the ce.ttficailon. In the caeo of tones A.0 and A (without a FEMA of community issued SPE), a building official, a property owner, or an owner's; :Fray also sign the oenik-alion, ReferohtYJ le,,h; oi.49:an;a 8. 7 and 8 • D;&Gngulshing Fgatuioswif the certlfior le unable to cartify to rreai way/non•breakaway wall, ertaosure stm looatfzn of serv':^.inp equipment, urea use, wall openings, or unfinished area Feaiure;u), then list the Feature(s) not included In"callidicetkw^ i;rtder Comments below. The dlogram numW, 8e00on C, Item 1, must still be ente(ed. I coldly Mt V)s intormatkn. In 14clions 8 and C vn this cerUllcate represents my bolt o ifs to inteyrel the data avallaWe, i Understand rhat any W9,9 sratament may Im punishable by Hne or lmprlsonment under 18 U. S. Coatis, Section fool. -. OERT�FtERS tUM£ !.!CENSE NUMBER (a Affix SW WEST _ S U R V of Jr rete COMPANY E GL/✓'' AodSaE4 � � STArlt zip SIONAtURt o e PHONE 5 33 -SG Coples should bo nude of this Carttticato for 1) community official, 2) Insuranw rfpent/company, and 3) building owner. COMMENTS: CoA ,vim oA! AA ti' n v — 6o letl�4 M tjwV 12,o.4�D, C /Sit.ED�..�.�.,ti�l�li._._1rcl�UGrIE�T LLE✓ATid�c/ �' �i�V/slF� ,� Rc- %57.00' A V' 20\Eu 5 0-2/647/ "// r?")- A \C1! vi k \` 1jk ZON88 neft F OF Ck6%* .titin e ►1,000 AAMC P47 CLIEVATnN A&CAtA elf AD444NT -•2?M L �fti% ON r�c0. vr,�sr_. , OA ca...OLLA .,. The diagrams &peva 16ust�ate the points at which the elevations should be !measured in A zones and V Zones. Elevations for all A Zones should be measured at the top of the referanoe level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Pogo 2 CGRY 6 April 30, 1996 AP `#y('— c�5v OWNER AIMk., 1G 1 Gf5, PERMTT 4 476 fI r M UTIL.CLEARANCE TE y��04(0 INSPECTOR ELECTRIC GAS` Support Compaction Struc. Test -Reg. Service Size Other Load Type Pipe Size Length YES NO YESI, NO COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES :) 1469 Humboldt Road, Ch o, CA - (916) 891-2751 r" 7 Count Center Drive, Oroville, CA - (916) 538-7541 Y „ . 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ,,.. r.* c6-C4�Z G% OWNER PERMIT NO. E�. 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, Iease contact this office immediately. Date e -16 _9 & Inspector REV 10192 6. r ! Date e -16 _9 & Inspector REV 10192 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: JN ^� j R l�(� Name: Owners: C K 5 DCIV/v (e 0 Address: _ «f , r tI r - Mobilehome ����� f/(/(jU0 t Year of Manufacturer Manufacture: ^^ Serial number CA F LJ ' 7 A/ U 1 g 2 J nsignia or P /A or V.I.N. 2 �( " 7ZK HUD number: Official approving installation: } i Date: If the mobilehome is moved or relocated, the mobilehome Installation acceptance shall become invalid.. This form shall not be used when the'mobilehome is installed on a foundation system.. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor +L. ..5 h..i 0 COUNTY OF BUTTE- DEPARTMENT OF ;QEVEL;7PMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541_PERMIT N APPLICATION AND PERMIT `�01 'SY3PfP9.RJN- ZONING A-10 BUILDINGPERMIT OWNER JAMES D. RICE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 9351 ES UON RD—DURHAM CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAIUNG 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 PERMITFEE $ 43.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 9k Other ❑ Describe Work:, Mobile Home I S I GI W 1 920.00 L± I PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( zooA oR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. BIDS. ) SD. 3.5¢ FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) BAL Q I:w Ex. Occup. (OFIXED ETS(RESD.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Il Contractor 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 MECHANICAL PERMIT Filing Fee 30.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ��J �i Date _?6 --- Signature of Applicant - 0170wner ❑Contractor IdAgent 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 Is 100-00 Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 143.00 HA D, FEESIMP r FLOOD i CDF PARCEL ✓1,7 HD ISS This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have /!%7Ef'.�i�� e" PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date _ (Date) rReceipt No. 201836 60.00 (.00 P• HTED.D.S.-B.D. CANARY -ASSESSOR PINK -INS CTOR GOLDENROD -APPLICANT �,t? �}:r»''t*vyrr'wv.+..-�'.."�..'.irV:�L:��iL'Lt..i•.....y1'l..-�r.�+4�,,w:rre--�.i"'r.,.r^r.....c�i*�J,'`"+.. .-.�..f,•..i�,-.� .-r-....iH-. _...iry r'}.r-*',.•�,,, f. -• i„"*.+-._ .. ::;�'.� - �CO�JNTYOF BUTTE - DEPARTMENT OF D.E'1Z! ' OPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER � x> A. P. No. "Proposed Building Use /7/j /�-� Building Inspector Date 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). .... Mobilehom a aufacturer's installation instructions, 2 sets. ......... Fees of $ lyUU............................. > 1. Impact fees as shown on attachedd schedule . ........................... . California Department of Forestry plan approval/fees. .. .................. . J ,•' 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). ..... sT 20. Pre -inspection for required. .. o s�ild 9 �sp�or (Date 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 . ...................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 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 violations/expired permits . ...................................... T. When pu issue the2;mit,,,il to ocess as follows: Maner. Mail to contractor. Telephone �7 S ids _ and hold for pickup at office. Deliver with inspector. Other - Parcel Creation Acreage Applicant' Date ? 2 96 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 prio t r 't is ce: Circle new item not checked above). 1. Index permit for above items No, 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by Date Plans approved by X133 a,j's Date _l2 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER e,5 12 .! Gc" A.P. # D 4(6 -1 �/O -OSI— PROPOSED BUILDING USE DATE REC. # �[ 1. SCHOOL DISTRICT FEES_VWr Z-l� (paid at District Office) SHERIFF FEES (paid at Building Division) Residential.. Tx ? (p _ $ b unit amt. DATE REC 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) —4e9. OTHER L V At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT. -Ov�/1`%`( C/(/v,P,c�f DATE sZ 2 r Commercial (sq.ft.). x =$ 3. URBAN AREA FEES . (paid at Building Division) ' Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$ sq. ft. amt. _4�24. RECREATION DISTRICT FEES 1'L �-- (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) —4e9. OTHER L V At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT. -Ov�/1`%`( C/(/v,P,c�f DATE sZ 2 r Mobilehome Manufacturer: -FIeeji..>oo j — Manufacture Year: If other than single wide, furnish SetupModel Number: Width: 1 (ft.) Length: 5-6' (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, ,1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade Other: SUPPORTS: Concrete block Other: Provide Tie Down Specifications for all Mobilehomes: a f -s C a Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 _ Line 1 Line 2 Line 2 ................................................................................................ Main Beams Line2................................................................................................ ine 2 Line 1 Line 3 -� Line 2' ................................................................................................ r Main Beams .-� ................................................................................................ Line 2 Line 1 ................................................. ine S Tag or Triple ine 4 !ine 1 i Line 1 Piers: Size minimum: Spacing maximum: [ From ends -maximum: Line 2 Piers: Size minimum: x Spacing maximum: [ y ] x From ends -maximum: [ ] x Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): , Line 1 Openings Size minimum: [ 1 z ] x Each side of openings with width over: [ y J x [ p J. k Line 4 Piers: Size minimum: [ ] x [ ] Spacing maximum: [ ] x [ ] From ends -maximum: [ ] x [ ] 9v.ivvr - OVER FILE COPY M.H.I.-Z 1. Owner's Name:,, /✓� '� 2. Assessor's Parcel Number: ®A/O -- / Ll a – a S$ 3. Installer's Name: J C-% evi c S h . /� t C-0 4. Is the site currently under permit? Yes[ ] No[ ] 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? d 7 Amperes. 7. What is the electric service rating of the mobilehome site? A00 Amperes. 8. What is the mobilehome site circuit breaker rating? /D o Amperes. 9. What is the main service breaker rating at this location? /00—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: (Load) (Amperes) 11. Type of gas service at mobilehome site: Natural[ ] Propane(] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: yinches. 13. What is the gas pipe length from the meter or tank to the mobilehome?��(ft.). . 14. What is the mbbilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION ♦ U !N OVER sk J A Tr IN A vnsvio®� j! t:€jfjj HEAM MODEL 2562K 2 BEDROOMS, 1 BATH APPROX. 746 SO. FT. Bette County Environmental Health Da E -71AUSX—j2, - �-- �� Sig nature .l U ? 1996 Chi O, C MOmia on OPT. BOX WALK -IN -BAY Wesiffii4eldTM BY FLEET WOOD® WF/17/OCT93 F1EEM/ • • D® STANDARD 30 gallon electric water heater Removable hitch P.O.S. vent system Shutters on hitch end 20 Ib. shingle roof Front overhang 1/2" wood siding Patio outlet Porch lights on all exterior doors R-14, 11, 7 insulation 4/12 roof pitch Painted brocade ceiling Vinyl sheetrock interior walls Tr HN 1A I 4y Cathedral ceilings throughout Standard carpet in living room and all bedrooms with pad White interior doors 15 cu. ft. double door frost -free refrigerator Power vented range hood with light 30" free standing gas range Drawers with side rollers in kitchen Mirrors with clips in baths Slab doors with brass pulls (new shine oak) Single lever kitchen faucet "U" channel light in bath 60" tub/shower in master bath Our Customer Commitment: We will provide defect -free products and services. 54" tub/shower in guest bath Shut off valves on toilets Mini blinds with valance treatment . Outswing solid doors — front and rear: White lined overhead cabinets — no back panel OPTIONS Dishwasher/disposal Ceiling fans Upgrade carpets and pad Skylights (shingle roof only) OTHER OPTIONS AND FEATURES MAY BE AVAILABLE. BE SURE TO ASK YOUR RETAILER. _ TM es �e BY FLEETWOOD® Westfield Homes are built by: FLEETWOOD HOMES OF CALIFORNIA; INC. a subsidiary of Fleetwood Enterprises, Inc. ' 18 North County Road 101, P.O. Box 1368 Woodland, California 95776 (916) 662-3223 WF/17/AUG93 MAI Note that square footage is measured from exterior wall to exterior wall, and is an approximate 91A figure. Length indicated in floor plans is floor length only. Renderings and diagrams are meant to be representative and, inkeeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal. Ask your retailer for specifics.(Add *100 four feet to arrive at transportable length.) M PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. Our Customer Commitment: We will provide defect -free products and services. 54" tub/shower in guest bath Shut off valves on toilets Mini blinds with valance treatment . Outswing solid doors — front and rear: White lined overhead cabinets — no back panel OPTIONS Dishwasher/disposal Ceiling fans Upgrade carpets and pad Skylights (shingle roof only) OTHER OPTIONS AND FEATURES MAY BE AVAILABLE. BE SURE TO ASK YOUR RETAILER. _ TM es �e BY FLEETWOOD® Westfield Homes are built by: FLEETWOOD HOMES OF CALIFORNIA; INC. a subsidiary of Fleetwood Enterprises, Inc. ' 18 North County Road 101, P.O. Box 1368 Woodland, California 95776 (916) 662-3223 WF/17/AUG93 040-lye—D58 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District -m., kM,, AWD Td; L Building Department No. A.P. Number ,, (� cep 1 YD -�� Jurisdiction: 0 City County Property Owner R t L k-7 Property Location/Address 4D CJ- it - Subdivison Lot No. . Residential Development No. of Living MHI Addition Units Commercial/Industrial 0 New Addition ui Iding,DepaKbilf Repr ntative a, (Floor Plans'reviewed by School District Personnel) f District Identification No. J) UP_ WJ-7)I ON r( --i t,> s(�voNJ (Street- Address) Sq. Footage (Group R) Sq. Footage (Including Exterior Roofed Areas) Date 7113 w, ie y School District certifies that -.b• e/6C (Applicant) RLD 0 - f832 CA (Phone Number) 95938' (City) (State) (Zip Code) has complied with the requirements of Resolution No. c% � _ 3 by payment of $ �- 4 r.presenting square feet. As 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: 4 , 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.wk, (, 1/94)dmm i^^R� X11 Y}rrwr2 �4�^+:✓�y y ngri�r.x'dCJd':m+i�:isrryvvk'`'=v.E;,} hc':if-.•r� a .,;-f}r. �y �^ ytrco��^ft+ry::���� �,.i�^ t�.if: 7 .' BUTTE COUNTY PARK FACILITY FEE -PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number_(s): b 46 6 Ste' Property Owner (s): AIH CS Project Location/Address: Subdivison Name: Assessable Square Footage: '1 Type of Residential Development (check one): New Development ❑ Afteration/Addition obile Home (s) Comments: K Building Division Representative ,( U Non -Residential to Residential ft "Durham Recreation and Park District (DRPD) certifies that Applicant.Name Street Address . Applicant Phone Number 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 DRPD Representative ' Date PAID BY CHECK No.: Remarks: BANK No.: 0- 35n� PAID BY CASH: RECEIPT No.: /7'���' DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION s And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 9.6-0337691�,Rec Fee 9.00_ 11 COP 2.50 Recorded I Check 11.50 Official Records I County of I Butte I Candace J. Grubbs I Recorder I 10:07am 11 -Sep -96 I PUBL. XX 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT. Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including.. but not limited to herbicides. pesticides, and fertilizers:. and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise. and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the Count} of Butte. State of California. described as follows: 5a e 0, � kactie,(4 Date: - �6 PROPERTY OWNERS: State of California ) County of ) On %,- - S' before me, ix�4V -D ,-1 Py-) • F4 u, ER, personally appeared_%`hl 2c �cJ /&Z r personalh known to me (or proved to me on the basis of satisfactory eviden ) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacitv(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted. executed the instrument. ainmrartauuueeuouutueun+uuuretreruuunuouinuurt� WITNESS my hand and official seal. ° Fa Signature v A.P.# 01 O rCIAL SEAL MW__ 10 6978 �► WENDY All. AUER > NOTARY PUBLIC - CALIFORNIACOUNTY OF BUTTS My COMMISSIOR ■xpiroe FOpreury 13. 1908= t) ll) l l)11111l11111Illlllllllllll 11 11 ltl 11 IIII I I III II IUUIUIUIp1Uer AMD N'IIF:\ RECORDED MAIL TO lir• d Mrs. James D. Rice Sord clrn Acker Routs 1 q Ads . BOX 82 Ea uoes Road City Durham, CA 95938 State L J Z111 X" 48274 BANK of AM ERICA TITLE ORDER NO. ESCROW NO. M UVA"hC1Il 1L4 ii P(U MYART LOUISE P..U0'E4 0 COUNTY RECOhct EF .1. SPACE ABOVE TIIIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX 133_00 )0( Computed on full value of property conveyed Or computed on full value less lions and encum- brances remaining at time of sale swftwo at oec4rui a Apse d"On"n" 4a. Fos" S. Harold Svenaon EU( p.4ag Joint •Tenancy Grant peed FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged. I�...Iianold..Sreaaoa. aad..Gszaldina.. Stat?tuoA...buabrad.Aud-wits........... _..... _.......................................... _.... _........................................................................................................................................................................ .._...... . do..........hereby CRAM..... ' ..to.. ...... .lamaa.v...]L AO..aasl..Carol,Bra.L..1ticaa.husband.sad-wifa...._..........._._.._............................... _....... ..__...... ........................................................ AS )OINTTE\ACTS. all that real property situated In the...................................•.:.......o ..y o .Alutte......................................................................... State of California, described as follows: A portion of Allotment Number 24, according to *the Subdirisional Plan of Durham State Land Settlement fled in the office of the Recorder of the County of. Butte, State of California. Septamber 17. 1918, in Book 8 of Maps, at pages 16, 27 and 18, and more particularly described as follow t - Parcel One, as shoves -in that certain Parcel Map recce -dad in the office of the Recorder of the County of Butte, State of California, on gertember 26, 1974, in Book SO of Parcel Maps, at page 64. SUBJECT TOt 1. All General and Spacial taws for the not yet due or payable. 2. Covenants, conditions, restrictions, ess-mate of record, if any. fiscal year 1978-79, now a lion, but reservations, rights, rights of way and DATFD:......... 6.t.p.00.0s•• 20,, ............. 19.7.8.....�rclisve a �-11 L Geraldine8wetuoi­'_­­­`­­,......................... ...... ...... ....................................... _................. ............. ............ .. STATE OF CALIFORNIA } SS .... ......... Cneanty Of ................ Autta.. ................. Un ................ Saptembar..28....... , 19.. 7.8.., before nee, the undersigned. a Notary Public In and few sold ............................. (innety semi State, personally appeared .........................A...Emold..Swosoa.Jad..Caraldind.AwansoA.................. ................................. ..................................................................................................................................... __................................... hums, to nx to be the Iwr%ona..whose naine.A ............ Sze ......subs • bel to the within Instrument meal acknowledged to enc I a ...t he.y... exmittetd the %nine. ;1 11'1'1'\ ;S. euuif� LSEAL ..... ,f! ........................................ I........ : A DIAr�CNARD f NQt4ar o 8LIC . CALIFORNIA Notary I ►ehllr. In aril for saki......Delta.................<irueety anti titrate. •:::eery My Commission expires ............ ............... Sepzt..2S.................. 19...79... StAll My (ar♦ soh„ Sp 1V71 STATE.. �--- inU 763 e5441 /•4� M OF DOCUME fI an 1T F-+ N utte Count D C T BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Building Division Fax Cover Sheet Date 6-//s Time 9 To C ,n v; r Individual P., ed et Phone Fax g gS —.. G S`% a- From Phone �� �gv Fax S 3 8 — , l t� /# of pages being sent (including this cover sheet) a.y _3-96 11:50A P.05 ENViA01%1M %1t 1' TH AGRICULTURAL AFFIDAVIT MAY 9.1996 � `co � CaC�toct��a cr EMPLOYEE C California Employee �► br, I cJ >� J , 1 e = Phone '3z/,3 - g..ca Employee's Address (Present) Name of Property Owner JJ vr) e S 1 -C P Property Owner's Address_/_ t1 V;; C;�.,,r Owner's Assessor's Parcel Number j2) �q_Q. -J a 05 S Parcel Size f Ac. ~� =` , do declare, subject to the penalty of perjury, that I am the employee of G,,,,� addressresent (p ) S 1: Vis. _ J� �. 1�-�. rr� 5Sl3band that I will be employee under Section 24-305.0200 e .� . for at least thirty-two (32) hours per ( ) - ) week for at least sixteen (16) weeks per year on AP# ��-j , signed :t Dated. ? i6 .- _ xxxx,r*x**,t*#t,t#,t,txxf:t***,t*,►*x*,R,►*xxxxx*•rf,t*,►t•r*tax,rxwx,r#**x�x,►x**x+r***i*x**,�,�,�xx,r,txx*x Environmental Health Approval: Permit Description and Number Date By {SEAT\►JG/0�l2 Gof11�JT1GN/avrj- N� 01J 1 1VI ru Planning Approval: OWNS EY V A)6s5 01� -r�� � l Date _ 'Z � S— {,, Zone - I d Dwelling on AP# b 4a' - 14,0 - By 4,o -By _1 Crop/Commodity Produced /-23-96 11:50A' P.04 • ENRON1AM, AL LTH AGRICULTURAL AFFIDAVIT JUN 4 1996 EMPLOYER ico, Califomla Employer Phone gal-- W 31, Employer's Address Name of Property Owner dto _ Property Owner's Address Owner's Assessor's Parcel Number 6) y I W O - io_ Parcel Size �_�:-:,.4. =�, ` • �� , do declare, subject to the penalty of perjury, that I am the employer of b R address (present) j'I (0 did ,T ��� �,, '('/� y 5-�. and that I will be employer under Section 24-305.020 .e _ for at least thirty-two (32) hours per (a) to ( Week for at least sixteen (16) weeks per year on AP# 0q. 0 - /y 0 - 6)S_�� Signed:',. _ CJ.,-�-��-' Dated: �►,►• ,r*tr�c:*�►��*,r*war*�►:,►**�+t,r+t,e*sr*��e,t,►w**::��e�ow,r**�t*��,►***�,�,�,�**,r*,��r*t*+►+r,r*�*,►,axrrx�����,t* Environmental Health Approval: Permit Description and Number(; DateAfted Planning Approval: Date - S, Zone h-tb Dwelling on AP# p" - l q0 _ oSk By Crop/Commodity Produced ►-,., rC g y-2.3-96 11:49A AGRICULTURAL_ AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-305.020 Agriculture Employer/ Employee (Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160) P.03 An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived from any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, care includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, field packing "and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment, This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. Employer tax r cords may be requested as proof of employment status. Signed:y Dated: Planning Division J U L 0 8 1996 Oroville, California i PERMIT NO. 6321-77B,P,E,M PERMIT EXPIRES OWNER James Rice ,." CONTR. owner LOCATION (A.P. 40-14-58 W/S Esquon Rd.,app.500'S.of Oro Durham Hwy, lot 24, Durham ce ' h' y t 'i k r Temp. Pow,, r Pole CalleIPG&E Temp. ec. Serv. Oalled PG&E /Tep. Gas Serv. alled PG&E c� FINALED 7 / (Date) 00, (Signature I s CERTIFICATIONS As required by the State regulations, -both the builder and the insulation applicator must sign a card certifying that the proper ','R" values,for all insulation locations have been installed. An example, of a certification card', which is furnished by the builder or insulation applicatoi is'shown in Fig. 13. THIS IS TO CERTIFY THAT IRSWT104 HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS. CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Lot Number Tract No. ,;,...EXTERIOR WALLS Manufacturei� Thickness/Type R Value CEILINGS Batts: Manufacturer Thickness R Value' . ....... Blown. Manufacturer Thickness— No. Bags wt./gag Sq. Ft. Covered R Value FLOORS Manufacturer wry Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS, Manufacturer Thlikness/Type R Value GENERAL CONTRACTOR P A LICENSE HUMBER (—!�j A—TIN gx, BY TITLE - — /Y DATE INSULATION CONTRACTDl LICENSE NUMBER BY TITLE Cn,_MZ,._ DATE U Fig. 13 8-14 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING (Cont'd) Firewall Restroom Finish I Indo.- 7 % — 7 —7 Roof Sheathing Roofina ",> _ i d, 7-t% Fdn. Vents /%. laarage Vents------— for Icao ex. Soil Piping 1st Floor 2nd Floor 3rd Floor PLUMBING f 10 out - Water PI in BUILDING Setback 'X—J --7 Forms j J •-) Main Bldg. Fater H—tr-'N Footings J Stemwal I Slab / 3 Piers —7 Garage ELECT Footings Throat Stemwa 11 Rou h --Z - Slab Final BUILDING (Cont'd) Firewall Restroom Finish I Indo.- 7 % — 7 —7 Roof Sheathing Roofina ",> _ i d, 7-t% Fdn. Vents /%. laarage Vents------— for Icao ex. Soil Piping 1st Floor 2nd Floor 3rd Floor PLUMBING f 10 out - Water PI in -- ,- 1-1 ---/ Sewer Slab v ' Fixtures Fater H—tr-'N Patio Heaters ---- Appilances l —IF - Gas Ploina & Test Footin s structure as Slab v ' In)i SanitationN Patio FIREPLACE fMAAb -- Footings Footing —/— ELECT isonry Walls Throat —9,2 Rou h --Z - Relnf. Steel Final L Fixtures Bond Beam FIRE SPRINKLERS Motors c aming % Test Water Htr. " Ecco Final -$ub anels Mesh MECHANICAL Grd. Fault Prot. Scratch a tin —� %9 Service Brown ooiin �7 y Temp. Pole Finish Ducts -i — 27--7 f" 4 5W I Underaround JIOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INSTALLATIONSupport DATE -Water Piping Drainage Gas Piping OR •ECTIONS ♦A - i / t � r (NOTE: An entry must be made on this form each time you visit the job site.) DLV.11 RT1. .7 KEALTH St -wage and/or iia`er and/or Addaition CIearar.ce(s) r.Iaz= are approved for: !zoid up final for: Final Clearance ok for.: wis ffsgjt0,4A,5t' NO - lig-ALn ,, 4ut•,i, //0-/y`5e LOCATIO.i n�= Sewaoo Disposal Water S��pply Water Supply kater Supp? y x Clcar�—!7ce is for a bedroom (home or r:obile hor--). Otber will be w.eo a - i M - COUNTY �gF PUTTEt — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone:r534-4541 , APPLICATION AND PERMIT BUILDING Owner —f£ /Jc SQ. FT. OCC. BUILDING VALUATION l Mailing Address 7� zd X vOD Q O Tele hone N y Q Fireplace J 2 !7 lV Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building %ddress p 4 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 d // O— !/iPl�G Each Trap 1.50 / �� Repair drainage or vent piping 1.50 Water piping 1.50 L / / / GO —' /1 G�t� S (��cp E�� C Each gas water heater or vent 1.50 A. P. Z g ng Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 - es S I Ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel P 60' R/W Im r p ovemennts- Lawn sprinkler system 2.00 Bldg. Plans Recd Parce Approval Plan proval Permit Fee $ 2Z,00 La7i NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 (� Main service 100 AMP OR0V OR L SLESS 5.00 Main service EA. AOD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP1.00 NEW CONST. DWEL-ING OR ADONS. ( ACCLBLD L 3 ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: � Ex. Occup(OUTLETS OR FIXTURES)@ZSC BAL@1 Ex. Occu FIXED APPLNS. OR P.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Of I am exempt from the Contractors License Laws of the State of California. Permit Fee 4,10$ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this WWII permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 00 Heating O o Cooling O — Ventilation Hood 2.00 r D Permit Fee QW17e, I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby h ' �$ TOTAL PER IT FEE au t orize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XLeipt Date �y 'gnature of Perm go. or Agen No. % Z✓ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRE R OF UBLIC WORKS BY Date Building permit expires Date%c'� �L�� 7 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit # _ OWNER 1�,��.�1��-� �� _ A. P. # A. GENERAL Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions: Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLO R PLAN Complete to scale plan with dimensions. Xa.-.- Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec.•1404). Allowable glazing for energy requirements (20% max. per State law).•• Human impact glass (Sec. 5406).- Required 406).Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment! Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. .0. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit -door (Sec. 3303d). / / Fireplace location.. �18. Smoke detectors (Sec. 1413). 0 D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. 1.2,;.'Oe- F=oor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E.. MISCELLANEOUS ITEMS TO LOOK OUT FOR (x,11. CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). 5, Exterior plaster --weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. to). Living area -over garage - complete 1 -hour separation required including supporting 0walls and posts, etc. 11. Two (2) exits on three-story dwellings q(Sec. 3302). u C � -D/. J�i/,Gtf.-S i'�/G�' f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit num, ber 3412-7J for the following location: . I/_ c� _!q n - -- / , __/ i m r, Owner— Owner's wner Owner's Address7,%-Pe / gOC=i3- Mobilehome Mfg. Model Year Insignia No. Serial No. 0—g - It is hereby certified for occupancy at the above described location and may be occupied. Director of-uQlic Works Date Z—_/ / 2/ By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 V CERTIFICATE OF OCCUPANCY of,iThis mobilehome has been installed in accordance with the the California Administrative Code, Title 25, Chapter 5, n,�mber 3'9/`f —77 for the following location: W -; X -5 -Z- iSou �, oS ' C 2c i_ crrriL -•fn, f /—, requirements under permit Owner. �rszera .�• /r L�" p Owner's Address,.' -P d`� L 35.2 Mobilehome Mfg. Model Yearz Insignia No. Serial No. ("fz z, 6 �� It is hereby certified for occupancy at the above described location and may be occupied. q Director�of/Public Works Date � � �/ By A4/.-, — THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 11 lb.r -�9 77 PERMIT NO. 4289-77P,E PERMIT EXPIRES OWNER James D. Rice r CONTR. owner LOCATION (A.P. 40-14-58 W/S Esquon Rd.,app.500'S.of Oro Durham Hwy, 1 lot.24, Durham f i i , ;4 b r ` Temp. Power Pole Called PG&E tElec. Serv. ' Called PG&E Gas Serv. Called PG&E JOB FINALED (Date) � (Signal re) i A . J ' , ) P•i01M,1ai0�•tE INSI' LATIM4 INSPECTION CHECK LIST 1. Is the. mobilehome 1oc.�!tcd 1ai.1-h required separation from lot lines and buildings and generally conform to plot plan? Ycc3 /No— ?. Dees the mob 1lehome have'requircid clearances above ground? (Sec.5085) Yes �No 3. Are footin--,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yes P-' No 5. If mo than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No y. Water A. Is f�N_01 e ;le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes B.Test•- Does water piping withstand working pressure or 50 lbs, air test? Yes el No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesZNo B. Does it have minimum ," per foot slope and is it properly supported? Yes,,No C. Are any leaks detected in drainage system after run ing 3 -gallons of water through each fixture including washing machine standpipe? Yes v7No— D. If coach is not State of California approved, does station have required trap and vent? Yes Io 8. Gas Pipi g and Gas Vents - A' Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobi __home gas line inlet without reductions other than the mobilehome connector. Yes r No B. Test OK as per following procedure? Yes11401. Open all appliance connector valves._`� 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed?* YesZ— 1W*s � 4F- 9. 9. Electrical A. Is service large'enokrg1t to provide adequar_e amperage to mobilehome (must equal rating of mob i_lehorle (aitli a. ::;inu:um of_JLOO amp) and other facilities on lot, i.e., water pumps, Zarat,e, cabana, c.t�.? Yes / No 1;. Is ther.-� proper clearances around panels? Yes I', No C. Is power supply cord or feeder assembly properly fused? Yes--VNO D. Is continuity test satisfactory as per the following procedure? Yes p" 1. .De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lo .. -id of a test instrument to the mobilehome grounding conductor and ,_._ , ,. •, ,....._ pp,y ,. apply the Gtu.�?i .�.ca� i.G taCii iii0ui.Lciwllie Sii t CGnuuCtG'i, 1111 iiulYr� YIeuLYSi, 5. All non. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shall. be connected to the site service equipment. A further continuity te.:;t shall then be made between the ,grounding electrode and the chassis of the moi)ilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. ( T;; job card si ned by health Departmeat for water and sanitation? 1. l.. If everything okay, sign off card and t.a,; services. MOBILEi'TOt•'L_t)ATA Manufacturer and/car Namestyle —7;-"' Length Width�� qct Vehicle Serial No. State Identification No.ee ". rl�t s_ t Tonal Inform r i on or C orninei s : Mesh COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD MECHANICAL BUILDING BUILDING (Cont'd) PLUMBING S back Fir all So Piping Fo s Para is 1 Floor MaNp Bldg. Restrok Finish 2nd loor F tins Windows 3rd Flkpor Ste wall Sidina To out Slab Roof Sheathlqg Water Pipi Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physicall handicapoed Conformance of ex. structure V Appliances Gas Pining & Test Temp. Gas Slab X Final Sanitation Patio F EP CE Final Footin s Footing LECTRI L Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Bea kIRF SPRINKLE Motors Framing Test Water Htr Stucco Final Subpan s Mesh MECHANICAL Grd. FAult Prot. Scr h Heati Sery e B n Cool g mo. Pole 1sh Du s nder round or Lath f V ntilation Permanent Closer final Final MOBILEHOME UTILITIES -- Elec_ Service -- Elec. Pedestal Water Piping Sewer Gas Piping _ 7 MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support y Elec. Continuity Water Piping / ��� Drainage �� -,7, _ Gas Piping go, f ff' DATE REMARKS OR CORRECTIONS 1 Q C -LA �- , (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 / APPLICATION AND -PERMIT ) L� CIUMUlIfU ICJJICJellLa LlVCJ UI 1110 t-UMIIY UI CUlle IU UMUI UpUn Ine above-mentioned property for inspection purposes. X Date 7> �,9 �- % Signature of'Permitee oor, Agent Receipt No. / 0J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 PU LIC WORKS / BY !��-� �IrLd Date -` Building permit expires Date BUILDING OwnerA-2, e SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address VV Telephone No. Fireplace Contractor 1, Total Valuation Mai I i ng Address ;% 06 Permit Fee Plan Checking Fee &/or Penalty � le Tel hone No. ,4 P 2—Z4t4 6— Building Address '" S "OfPERMIT Permit Fee PLUMBING No. @ FEE FILING FEE $3.00 �QQ Each Trap 1.50 G Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. i°` `" Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Se"tWA on FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 BI Plans Recd Parcel Ap val Plans roval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .0— ` �g Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b a210 Receps„ switches & fix outlets 20P 5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the' State of California Business & Professions Code under the name style of: o % AJj!��f '/. �T/ e �'. Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap.cooler, gar. disp.orD.W, 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.C Classification "' Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above6� information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERM IT FEE $ CIUMUlIfU ICJJICJellLa LlVCJ UI 1110 t-UMIIY UI CUlle IU UMUI UpUn Ine above-mentioned property for inspection purposes. X Date 7> �,9 �- % Signature of'Permitee oor, Agent Receipt No. / 0J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 PU LIC WORKS / BY !��-� �IrLd Date -` Building permit expires Date EA COUNTY OF B`fJTTE�"x- DEPARTMENT 0,, PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,411 /1�-�?N7�7 All D`y Receipt No., �/// White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING 4F q Owner f SQ. FT. OCC. BUILDING VALUATION Mailing Address el ph�e�l �� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address �.S.S l/O �O' v PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �Q F "1(�% 4, Each Trap 1.50 Zo er t e ton f f Repair drainage or vent piping 1.50 Water piping y,50- Each gas water heater or vent 1.50 A. P. No. a — / — J7 /4' Zon t Gas piping system 1 - 5 outlets 4-&W Q Q O Each additional outlet .30 17,05Z S on Fire Dept. Fire Zone Use Permit Building sewer EQA Parking Parcel Plans Declaration` Pasr el a 60' R/W Im rovements p Lawn sprinkler system 2.00 /4, Plans Recd �TPar Approval Pla Approval Permit Fee $ X 00 $ YY NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 D Main service "IV OR LESS 5.00 Q p 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service 100 A s MP OOR LESS 25.00 100 A Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 2044 NEW OR ADDNST ( ACCLBLDGLING O.CCUP. & S ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RE5ID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &1 NON•RESI D. (SINGLE OUTLET CIR. I CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y / Z"0Z"O& Zoo Ex. Occup(OUTLETS OR FIXTURES) BAL@�1 Ex. Occu FIXED APP LNS. OR p•(0UTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 (, License No. Classification Misc. Wiring P.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $MECHANICAL $ ,Z WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. N29". certify that in the performance of the work for which this rmit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. No• @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Q, . E: Date Signature Permitee or Agent `Q TOTAL PER IT FEE $�� 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 rUBLIC WORKS D`y Receipt No., �/// White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBII.EHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No 7-5 (If yes, furnish two (2) plot plans.) g 4. Will the mobii�ehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? YesZKNo ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ' Cf 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural // LPG 11. What is the gas pipe length f�om`'fTkter or tank to the mobilehome? %,�? r (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft., on LPG.) MOBILEHOME'SUPPORT DATA Mobilehome Mfr. Cl/9 S-etup Model No. , .�t� Year Width 1-- (ft.) Length Gam_ (ft*.) Expando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October'7', 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). 4 Center Center Su port Support Footing izes� Locations in. tin.(i n.) A X ._ J (ft) (in) in. �. - — in _-) in. (( ft.T (in ) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) IX 1. Wood either ,• +, pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) 4f 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify x JTypical Support Footing Size kin.) -(Tin. ) - Max. Pier Spacing (ft.TC:1ri:) Overhang BUTTE COUNM BUILDING M"PA RTM5W APPROVED vf. 16TE.—All Materials & accordance with Recogi f a quality prescribed i )niform Building, Plumbin he National Electrical C r This set of plans and s kept on the fob at all tim make any changes or alter $; written permission from tI lic works, Couty of But,, L� L :C I N � N ; Morkmanship Shall Be in .ed Goo Practices and the Spepified use in the & Mechanical Codes and le. i ecificati ns MUST bt s and it s unlawful tc itions on same without e Department of Pub - iT�tt LfZ ff – 7 71 ukll utility connections s :vacated within 4 ft. outside I '„bird section of the mobil the left (road) side of th me. yll be e rear home mobile Inv S 7 XPi? P.M. 6-0- 6 y j -e 7—:0 / The *IT. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. f it% NI Elie rercOi4ef6r&fha installatigrjof Ahe'- mobilehome. } ya Septic system and locations to be as per Butte County Hiealth Dept. Re- quirements. ASD C -c..5' C 0`+ � �CE9u �'���• 0`/4061 Lee )dloM-L, Po.s A)j7 i^' Ai w�,. �,�d,LA�-t �ppnovi►L e `s s FuTu.a ldo.H� BUTTE COUNTY UILDING DEPARTMgN APPROVED t t-----4 J— i slid .�.s�.iz.. --�-- 4 �`-----�_.>•-,.___..-�...___�..-___;.__ �.__ I I 4 FEI Lb f ku El h T v Az lit, F147CSaD P5 LUA1104 N ---.,j-..,._.2.__....._,i_._.-j._4- NOTES: ARROW(S) 7- &ijAf- A M. DONT FORGET YOUR NORTH' 4— 4 -Tr 93 (0 3 ij 4-- jZTA + LC]o N SU PS --J pop- sup -90 F 4PAED 4L) M PAW r to PIDSEO TG-LZA DLJ 5Ef, am 511F pe. J .._..�_... } _._. ' r-�--•-•--•--r--j "! i iT-1; j_.^.—; �-----•'�-- -�'^ - ; I f Jj-- 4 com.-cast communications /I ft ov KADE! Joi REMPL %TM- 4= -ML M. SAaMENM. CA r5M T T PRO&M COMCAST UPGRADE -T- LOACTM Q01UN 9-5 q 14 Q A/ P -D SYSTIM- Iq RIHAM NODE NUMBIM POWER SUPPLY. lf!B U I LDI N;G Q 0 1 mvwvm Ew-- EAW-. SCALE DRANNG NO. RIEV 0 AN: Ti F i! 2-,, AP ()\A= OF �� � � ,I i �! a U7 �" 7 J, �; i s 4 i -� h i � i �� i _ � � . V l .� �, � �, l�� i ' �� �, ��' u � r F'��z r Fri t � iY "'y � � ,, 3;� � F i V 1 �l , �r � � r� i � j.r d r tl, . �Y.'1.i, =:'