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041-250-076
0 �J' C 41-25-76 Richard & Dorothy Larson W/S Louise Ln.,app.1000'N.of Red Tape Rd., Cherokee Area T Permit #35Y -81B P,E,M(`ew single' family) � a� Bot-19ccb otl 1�50�07�0 10 Louise Ln. orovl* ( wa) Laron fqrn►ly Tru►SA Eltc+ri cal - -ftrnp waver f6r Lo} Dtv csoo Amp) Li, Ila I Dalnd March.?-? , 1993 S1AIL (If CAU; OHNIA hp, COUVIy!9' ! hidru• nw� for u,.L.l:.l.po+' n!:•2,:y I'ubin �� .I LN ,u.l !;In!u, pulsonmlr JIg1L•dq.\I lemwmll( 4rwwn tom. (w phl-1 'e btu (41Ihv Pd•:r. M ti,oal[ILVY 'IQ r,dh ecAlumonl mal .o:I rv.eS .:.pnl 10 00•�✓•.d ::oi•.h�41MY Y.11fh.t.. my h,aol dr.l dL...,l! ..d RICHARD K. LARSON J DOROTHY E ARSON � QIJ(!r No 93 -12 4 6 3 LOM Nu. l.a'In No 93-012463 Rec Fee 8.00 I Check 4. DO WHILN IILCOIIJI_D MAIL 11. RecorUed I Official Records ! Richard K Larson, TT6 County of I Dorothy E. Larson,TTE Butte 1 69 Louise Lane Candace J. Grubrs 1 Croville, Ca. 95965 I Recorder I 12r08pm 30 -Mer -93 1 PUBL XX 2 MAIL TAY. STATCMWS 10' DOCUMENTARY TMN11•L'11 TAX 1 -0,; Ccgwted m the Gnid,Imi l a alud d Iny.IIr,,IGa,up•a, oil SAME r/10U.lod m m em uiwml u rwe uu Owu n el.„.d.,...•. lalunny W !.m a Wu. Thin undcl:a fined Gian!ai rInchin; .. SylmYne,f (AKW.d u Apnnl dulwmmlp lu . Fm N.:m U'iANI DEED AaNY. 091 -25-0•-07r,-0 ! JR A VALU/MILE CONSIDL It1710N. !I:rmpl rl wttich is hereby ac6n0w;B0,g0d, Richard K. Larson and Ilnrothv R. Larsoa. husbano rad wife. as Joint teimants. h:m1gCJVJJTff;nn RICHARD K. LARSON and DOROTHY E. LARSON as TRUSTEES of the LARSON FAMILY 'CRUST. UNINCORPORATED AREA OF THE BUTTE :.Ilr • I l .n..... .. PLEASE SEE ATTACHED Dalnd March.?-? , 1993 S1AIL (If CAU; OHNIA hp, COUVIy!9' ! hidru• nw� for u,.L.l:.l.po+' n!:•2,:y I'ubin �� .I LN ,u.l !;In!u, pulsonmlr JIg1L•dq.\I lemwmll( 4rwwn tom. (w phl-1 'e btu (41Ihv Pd•:r. M ti,oal[ILVY 'IQ r,dh ecAlumonl mal .o:I rv.eS .:.pnl 10 00•�✓•.d ::oi•.h�41MY Y.11fh.t.. my h,aol dr.l dL...,l! ..d RICHARD K. LARSON J DOROTHY E ARSON t PARCEL PhRR�EL 6 , AR EL 33=12463 Parcel I, as shown on that certain Parcel Map being a portion of 'hn Gf )e,,i;UI! 4, Township 21) North, Range 4 East, M.D.R.& M., filed in the office of the Rccorder, County of Butte, State of California, on December 27, 1979 in Buck 75 of Parcel Maps, at Page 44. EXCEPTING THEREFROM an'undivH:-d Ila .11 gas and other hydrocarbcrs and minerals, by Jeannette Wilson, also known as Jamtet Wilsci, under Deed recorded August 13, 1943 in Rook 290 of Official Records, at Page 41, Records o; Butte County, California. RESERVINU THEREFROM 60 fa,t nonexclusive ea.,:ment for ingress and egress and for public utilities ns Fhown on the Parcel [vlap referred to above; said easement for the benefii of all appurtenant landowners. A 60 foot not, uxelusive public easement for ingress and egress and for public utilities as shown on the Parcel Map ref:rred to above. A right of way for road and public utilities purposes, including overhead and underground wires and underground pipes as shown on the Parcel Map referred to above. APN 041-25-0-076-0 FORNIA ALL-PURPOSE ACKNOWLEDGMENT cRaeettbere,ecc�ett�c�ttcc�cc�cc Na 519] OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER Though StallAe does not laqule he Nan, to till ,n the data below. doing so may glove iiWiable, to genions relying on Oe dxunenl. :NDIVIDUAL CORPORATE nFF!CER(S) TITLEiSI-- [DPARTNER(S) [3 LIMI1ED C] GENERAL Cj ATTORNEY-IN-FACT [] TRUSTEE(S) [] GUARDIAWCONSERVATOK OTHER: SIGNER IS REPRESENTING: StateOf_(gL-&•ala _ NAME OF nER501Fla,OF' EI1T1Tv}IFs1 County of by #t. �myy orJL?_3 SL_ before me, f T Poihl. , OAl E NAME. TIRE IV OFFICER - E G .'JANE DOE. NOTARY 'UBt IC' r• personanyappearea-4jor T -j{—• "eit, KL�r�•�..�.•�or+ OPTIONAL SECTION NAA!E; IOF51W111151 / TITLE OR TYPE OF DOC`JMENT__- Qpersonally known to ^;o - on • 2 proved to me on the basis of satisfactory evidonce Z to be the person(s) whose name(s) iJQare NUMBER OF PAGES - DATE OF DOCUMENTL;� y subscribed to the within instrument and ac- knowledged to me that ife/s;,%Ahey executed !, SIGNERISIOTHER THAN N.AMEOABOVE Phin the same in 00/hXVtheir authorized 1 ,IL T. •r't U-0-kil A capacity(ies), and that by rltsihpl/their • :•.,'; ,,y�,•,, ,:� .:,: ,.,: ,:.,•�;,,..; signatures) or, the instrument the person(s), ,�:.: ; ,,,�/ !;;, ;; ,.::,r.,•� or the entity upon behalf of which the At,� :' ::. f • acted, executed the instrument. �. �.,. person(s) W Na 519] OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER Though StallAe does not laqule he Nan, to till ,n the data below. doing so may glove iiWiable, to genions relying on Oe dxunenl. :NDIVIDUAL CORPORATE nFF!CER(S) TITLEiSI-- [DPARTNER(S) [3 LIMI1ED C] GENERAL Cj ATTORNEY-IN-FACT [] TRUSTEE(S) [] GUARDIAWCONSERVATOK OTHER: SIGNER IS REPRESENTING: 19?? NATIONAL NOTAHY 413 ;fA WN • 8236 Remmel Ave . P 3 Bo. 7184 1 CA.og; PAA LA 91309•,' P WITNESS hand and official seal. NAME OF nER501Fla,OF' EI1T1Tv}IFs1 �myy SIGNAIUNE OF NOTARY OPTIONAL SECTION THIS CERTIFICATE MUST BE ATTACHED TO / TITLE OR TYPE OF DOC`JMENT__- THE DOCUMENT DESCRIBED AT RICHT Z NUMBER OF PAGES - DATE OF DOCUMENTL;� Though Ra �-aln reQhos[Do A?re Is not rpoulred by law, 4 Ceuta prevent lmudu!onl,a:!tac,menl of this Ton. SIGNERISIOTHER THAN N.AMEOABOVE Phin 19?? NATIONAL NOTAHY 413 ;fA WN • 8236 Remmel Ave . P 3 Bo. 7184 1 CA.og; PAA LA 91309•,' P ' CMH APUFACTURING WEST, INC. — ton Page 1 of 1 Sold To: 381131 Invoice No..: 29249 Remit To: CMH MFG, INC. GOLDEN PACIFIC HOMES INC P.O.BOX 791071 DBA: FACTORY DIRECT HOMES Invoice Date: 06/09/2009 BALTIMRB, .MD 21279-1071 629 NW RINGWOOD Year Built..: 2008 REDMOND,'OR 97756 Approx.Sq.Ft: 1,493 Sls Rep:KEITH A SMITE P/0 Number.:.: Retail Cust: STOCK Serial No...: STA029249.ORAB . Approval No: 217610 KELLY Model....:..: 92KSP27563AH08 K-102 Financed By: Ship To....:: 381131 FACTORY DIRECT HOMES 21ST MORTGAGE COMPANY HUD: ORE507572 ORE507573 620 MARKET ST, 2ND FLOOR Wgt: 19,600 19,600 KNOXVILLE, TN 37902' -HUD: u t: ._. nrinn I noarrintion 10tv I Price /i -D Y) V � � � %�D -- D •l SCJ ". .. CERTIFICATE OF ORIGIN MANUFACTURED HOME CMF MANUFACTURING WEST, INC. " IDENTIFICATION NUMBER STA0292490R - AB DATE OF TRADE NAME MODEL YEAR TITLE TRANSFER A ST.N 92KSP27563AH08 2008 6/09/200 i(Ic WIDTH LENGTH LENGTH WEIGHT INVOICE 320" 60 56 39200 29249 - AB (INCLUDING (EXCLUDING HITCH) *The overall width is as stated above which includes fixed eaves if installed. The undersigned certifies that: The home is the property of the manufacturer; this is the first transfer; and ownership (subject to payment being received) is properly transferred to the following: DEALER: F GOLDEN PACIFIC HOMES INC DBA: FACTORY DIRECT HOMES 629 NW KINGWOOD REDMOND, OR 97756 .. MANUFACTURER: F - CMH MANUFACTURING WEST, INC. Staytori . 1200 WILCO ROAD No. 1870 I__. STAYTON, OR 97383 BY: PRESIDENT MFG 105tl RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: I SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. !! 1 C hO1 a x. t' Q vsoil i La h. iii;trAi REAL PROPERTY OWNERILESSO 39 16AELING ADDRESS MAULING ADDRESS c��DV�� 134(Ae— CITY COLS $TA It. ZIP CITY COUNTY STATE ZIP ------ Loz4 i S� L h I;, D- 05(Q � INSTALLATION MAULING ADDRESS, IF DffnRENT BUILDING PER.WT NO. Y TELEPHONENUMBER �Jl)0v�1��¢ Lr 1?,l4- qs�/ CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DATE SA M 9-� GOLDEN PACIFIC HOMES OF CHICO UNIT OWNER (ralso property owmr, write'SA.ME') DEALER NAME (irnot a dealer sal; write'NONE') a `l 1-o4rr " k.', 1118851 MIAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP �, UNIT DESCRIPTION �a 64Lrx.' Mf.1NUFACTURER'S NAME DATE OF M� 1NL'FACTURE MODEL NAMFJNUMIBER s7 -A & zg a.'tq ©R A % 8 -� x"5z ` CMZ F- 55-67-7'S 7a /7::� - - - - NUMBER(S) X WIDTH --7 NUMIBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER Y -at�D •-` O HCD FORM 433(A) REV. 8191 WHITE- CounryRecordet CANARY . HCD PLNX - Applicant GOLDENROD -Building Dept. PERMIT NO. 3571-81B,P,E�l PERMIT EXPIRES fie/� k OWNER Richard & Dorothy Larson '® owner CONTR. ASSESSOR PARCEL 41-2576 LOCATION W/S Louise Ln.,app.1000'N.of Red Tape Rd., Cherokee Aim • 9 f' `r S, k Temp. Power Pole Called PG&E Temp. Elec. Service !© Called PG&E Temp. Gas Service Called PG&E JO INALED (Date) / Signature �- -:/! , 47i V = OK O = Not OK = NotApplica6le MOBILEHOMES * = Not Ready ^ MISCELLANEOUS, Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS,.ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) • 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas;Location—Test—Wr4p:/ /"L"ft./ /"Nat.or/ /'•L"ft./ /"LPG 6. Carports; Windows—Doors,• 7. Utility Clearance _ 7. Elec. .� Card -BI Date Card -BI Date Card -BI Date Card -BI Date Cerd-BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except b's 1, Setbacks—Easements 1 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers-Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7.. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to.Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval. 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK O = Not OK - = Not Applioable*I RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERF Plans OK exce t#'s Date FRAMING (Continued) 1 gailIng requirements -Setbacks E ents 48. Property Line Firewall & Openings 2. Main; Soils-Steel-Elec rnd.- / Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. /_F:F1', Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5.44KIFmwalls, Main; Steel-Blockouts-Wrapped-Slab 'Si ing-Nailing-Veneer _ 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Sla 53k—Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access iers-Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. .: F -Fi gs- - way C. -Se er Te 55. Shear Walls; Nailing -Bolts as Pipe; Size -Anchors 1 er Pipe; Test -Anchors -Regula , -Serv' a Tes 11. Electric; Underground 12. PJ ums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI t Date Card -BI ate / Card -BI Date Card -BI Date Date FI A lans) OK except N's Card -BI Date Zg11M rV Card -BI Date Date PLUMBING (Permit) OK except q's E Steps -Door & Sidelight Protection -Landings Sm Detector 1 '. Water Ht.; Vent -Access -Combustion Air 5 urnace; Vents -Clearance -Comb. Air -Connector - I arage; Above Floor -Ducts -Meth. Protection 1 ter Pipe; Test & Anchors -Nail Protection 1 D.W.V.; Test-Fttngs & Anchors -Nail Protection jilk-B om Exiting Test, First Floor -Tub Access _G . & Bath Fixtures & Tub Access 1S"Test-TS7b B�Shower, 2nd Floor -Tub Access Trim & Subpanel; Breaker Sizes -Labels 1 as Pipe; Size & Anchors Stairs & Rails -- G3.._FJr�►ee�or Stove; Clearances -Hearth 64—flec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65 tt„Dikt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66jPfflec. b77-GTr5-g Outlets & Receptacles at Kit. Counter FITe Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except N's 6 . uc In arage-Damper 69. jP?-Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 2 fixture &Transformer Clearance -Ins. Protection 2Elec. Receptacles Spacing -Lights & Switches at Doors 70 ., Elec. & Mech. Equip. Listed for Location 2 ize Boxes & No. of Conductors -Stapled 7 eC6jiTacles in Garage; (G.F.I.)-Romex Protec. 2K Romex Installed Close to Edge of Studs & C.J. 72. su tion -Looked in Attic ❑Yes 2 uip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73 uard Rails & Deck Construction -Post Caps 2 2 Appliance Circuits in Kitchen & Conductor Size 74. ents & Crawl Hole D ralnage & Wood -Earth Clearance Looked under Floor LARSes 2t3--S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al age Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, insulated Neutral ❑Yes ❑No 75. Following instld.: Dri e ❑ Yes No; Walks ❑ Yes No; Planters ❑Yes No 2 rvice-Riser Conductors & Ground -Main Disconnect 7&r n- Inish 2 Equip. Clearances; Panels-Motors-Mech. Equip. 7 onnect-Clrnces-Brkr. & Cond. Size -115V Outlet 90--CTM-6Closet Light -Shower Light 78, bove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 ate II; Disconnect, Electrical, Plumbing 80e-1E-xjprior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date e ' tion throughout House Card B -I Date Card -BI Date 8 Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 8 _ Cpwections from Previous Inspections 8 85. gia st-Meters Tagged; Gas -Electric Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation ondensaDrain & Overflow; Size & Grade _ _33.1 urnacete-Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI 4 tate rd -BI Date Card -BI _Date Card -BI Date Card -BI 1ZDate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date F MING(Plans) OK except q's Comments at Final: 36,, Sills; Proper Material & Anchors �_ ails; Studs -Nailing, Spacing & Bracing -Plates -Sound �eanng 3 Walls over Girders & Floor Nailing 39 Draft Stop in Walls (rat proof) Stops; Furred Ceilings -Stairs -Chases -Tub _49!!Fire 4—OP—Header & Beam -Size & Bearing _ /,�_yangers-Post Caps -Anchors -Connectors 43 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat 4V Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE, DEPARTMENT OF PUBLIC WORKS 19G Memorial Way, Chico — Phone: 891-275.1 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE AK&A L A/UaL) 3SPII j BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. G3oEj _ Fo LG ocej /e,4CI-- 4-.C, 0/4- M 8 f,-- 0 -Hf t16cz /4 14, ACO se -.44,-- �.'o tl; 20, .2 Z,. 13 ;?a ��: ,suBr,� � Ggs pAt4 L .t -:140 C Lc si�'t' L t &/47-0 in iW -✓B: '.+1a �� . � �t0�t,�. , °� �iPf'!/ie�rLg as�iTla- � 7 111 INW. A, X1111111111 W -AR 11,11 i RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE s THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS (location) BU ILD ING PERMIT NO. 35-71 - J/ •8.�? t -i eA P . NO.—d11 3 � � THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED..PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: r Slab Edge X//,4- Single Glazed Fdn. Walls Special (Insulated) 1W r& «TE o Floors CERT. & LABELED WDS. Walls-// & SLIDING DRS. /NSA /- 07 e d Ceiling/Roof�'( -/ 9 WEATHERSTRIPPED DRS. A11,4 Ducts ��if BACK DAMPERED FANS ES Circulating Pipes INTERMITTENT IGNITION DEVICES N /9 APPROVED HEATER 3CERT. APPLIANCES APPROVED WTR. HTR. yiP PSA, • 3 I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicato: Signature of Insulation Applicato G __, Ge ur/Owner Name �i •t'D �� /f�Sv.c� S' e int) Ge r/Owner Date / Z rs Ti(`PnRP THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING, FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPART1ulENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / -�— " APPLICATION AND PERMIT ASSESSOR PARC NUMBE2 �— �-76 ZONIN BUILDING PERMIT WNER, OWNER, Q�^`p%Gl4A �go„�( TELEP O Ef/ SQ.FT. OCC. BUILDING VALUATION 00 OWNER'S MAIADbiTESS' /Q/- / OX 6/4 401oVIL&E11,114 1 O,5�06 CONTRACTOR'S NAME eV4 TELEPHONE OP w < 00 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 13,0,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ �Od Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 4 00 Bu Lp G ADDRESS PLUMBING PERMIT Filing Fee 10.00 ,PF P -C-1) 7APE RL)” 1/ Each Trap 2.00 D(� Repair drainage or vent piping 5.00 Q%Lr� 14 a t e r piping ,QO LOT N SUBDIVISION NAME PARC L MAP 'li� Each qas water heater or vent 5,00 Q� Gas piping system 1 - 5 outlets "r-7, 0 0 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 1a Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ RemodelE""' Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ - 06 Contractor ELECTRICAL PERMIT Fi'IingFee 10.00 Main service 100 AMP OROOV OR LESS5.00 ,00 Main service EA. ADD'L 100 AMP_2�sq NEW CONST. ( DWELLING OC OR ADDNS. ACC. BLDGS. 2(C ±t� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR T -OUTLE 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. / 50 @ 250 Ex . Occup(OUTLETS OR FIXTURES BAL.@1 FIXED APP LHS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ :7- r/0 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 0-65 5710-0 Cooling Hood 3.00 0 Ventilation Permit Fee Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree a e, indemnify eep harmless the County of Butte against all liabili ' d nts, co d expenses which may in any way accrue against un ,. con qu ce of the granting of this permi X. � Date a2/ Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP, GROUP I TYPE OF CONST, PRCE PD 11D ISSUE 1/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PU / BY /I r PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS Date - 9— Receipt No. 6 � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC.' ONfY) OWNER A. 'GENERAL v /�: Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN ,1!' Complete parcel size and dimensions. ,V. Setback*, sideyards, easements, etc. Other buildings or structures. -rn Grading, fills, drainage. ` Bldg. A. P. Permit # /1�1 # Z C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. i3. Required windows for second exit (Sec. 1404). �r: Allowable glazing for energy requirements (2e% max. per.State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). ,7' 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. ,9: Locations wa er heater eating & cooling equipment, other electrical or gas equipment,and pluming fixtures. ,PW., Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). ,K. Fireplace location. ,,13. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. ,2! Floor construction details complete enough to construct building. ,3q-- Elevations and wall construction details complete enough to construct building. fad Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. .J6,V- Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR ,J< CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). �7! Rafter ties or bearing ridge beam. :8: Grrage—deems-or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation walls and posts, etc. _ Two (2) exits on three-story dwellings (Sec. 3302). required including supporting.• L 4' State of California Orovilr� ' r451111 sF-A C) W1 X� T'A WOOD pplA NA)*j.Y`PU8L1C . CAL -100 'COUNT Y -RUTTE INDIVIDUAL ACKNOWLEDGMENT Butte ----------- IS.S. ---- ------------------------ On this ----- Mh ----------------- day of ...... ------------- 19.-§!.. before me, eXqteSL_jMN__28, 1983 cm - -- ---- ............. ... ---------------- T..--.A.---W.00-d.-., a Notary Public in and for said ......... Dqttq ---------- County, c= C= personally appeared ...... Richard K. Larson.�w ---------------------------- --------------------------------------------------- -------------------------------------------------------------------------------------- proved to me on the oath of ....... ------------------ mmmm ---- MM --------- ----------------- ---------------------------------------------------------------------------- --------------------------- to be the person. is --- -------- subscribed to the within whose name -------- ----------------- instrument, and acknowledged that -------- he --- .... executed the same. WITNESS my hand and oi icial seal. 1� 0 CA ---- - -- Oil— - ------- ------------------------------------------------------------------------------------------- W�b Notary Public in and f ------- County and State r -- ------ . ........................... My commission exp I� 1 'NT 184 7.72 ires. ----- Z-1 .............. 19 ...... ND Of: DOCUW Return to DPW q , y AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. SI -31716 nFFIC,AL w" ClkRDS BUTTE ti001;TY" s RO5 ECa%:i: 0 Sy �E.f 30 4 o9 Phi 19P I The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of CLARK A. NEI -SO hi1 this property may be subject to inconveniences or discomfort arising CLERK -RECORDER fLL,��:���;' from the use of agricultural chemicals, including, but not limited to herbicides, FEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: S o `� /¢�'!P� s ff -T `� /i°Tfi ��✓ O o � ,C v v� s G" .C��� S o u T�>< � /-41 �"� o .v J Date 00 y T�9G' 1✓ J State of SS. County of ) OFFICIAL SEAL ANNE E. MORRIS NOTARY PUBLIC •CALIFORNIA =op«` �y Com B T UTCOUNTY Expires July 12, 1985 C fr `� ♦'r C , �Fx. Present 'k.' . NO. 41-25 - -7 P ERTY OW RS: llr, a✓�r On this the .,, dayi, o;ff3r, .•..p , 19�, before me, the undersignedrNotary'} ublic, personally appeared 00 known to me to be the person(s) whose name(s) �� � subscribed tj the within instrument and acknowledged IV that executed the same for the purposes 0 therein contained. 03 IN WITNESS WHEREOF, I hereunt t my nd a off'cial seal. A rn No ry Public/ ts6t � Baa sH�aM anrne ro �a�o 1AAn1 Amned