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041-480-028
I NZY A.P. 41-48-28C-y,Z9 I F LITTLEFIELD, Frances W/S Cherokee Rd. at concrete bridge approx.-l:mile S. of Cherokee Cemetary >Permit-966Z.72(Utilities for -a mobile, home) T11 A.P. 41-48-28 FRANCES LITTLEFIELD .Bridge -�r/s-Cherokee'Rd.-'*at"Concroto a 1 mi. so. of Cherokee t I Cemetary r Permit 3144-72P _t Ovwl (gas piping only for mobile me) 041.-482.0 -f, 0 2 8 ,POL-IQUIN', REM !I"-- bONTR-3--�-OwNER-- 3.523!.CHERO.KEE��RD, CHEROKE. MH ON.,.PER'M T�N6N.,', 41-48-28 92-1234B POLIPUI ; N; Remi -,,'3523 'Clierokee Rd- Qr�vilde' - I L."OVen - de'ck/mh I I 4 00 I NZY A.P. 41-48-28C-y,Z9 I F LITTLEFIELD, Frances W/S Cherokee Rd. at concrete bridge approx.-l:mile S. of Cherokee Cemetary >Permit-966Z.72(Utilities for -a mobile, home) T11 A.P. 41-48-28 FRANCES LITTLEFIELD .Bridge -�r/s-Cherokee'Rd.-'*at"Concroto a 1 mi. so. of Cherokee t I Cemetary r Permit 3144-72P _t Ovwl (gas piping only for mobile me) 041.-482.0 -f, 0 2 8 ,POL-IQUIN', REM !I"-- bONTR-3--�-OwNER-- 3.523!.CHERO.KEE��RD, CHEROKE. MH ON.,.PER'M T�N6N.,', 41-48-28 92-1234B POLIPUI ; N; Remi -,,'3523 'Clierokee Rd- Qr�vilde' - I L."OVen - de'ck/mh I I 4 �. r--- ^, � � � , 1 { RESIDENTIAL 41-48-28 92-1234B f I I I POLIQUIN, Remi 3523 Cherokee Rd, Oroville open deck/mh 93 JOB FINALED (Dat Signature �l= OK O=Not OK Not ,NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s T --zoning Requirements -Setbacks -Easements 2'rootings;,Soils-Size-Depth-Spacing-Connectors-Steel Vis; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-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-� Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -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 ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -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 ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- -------- -------------------------- 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 ft'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. -- Ground made up w/Mech. Fastners-Bond Gas & Water - - - ------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -- ----------------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI 29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-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 ti's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ------------ ------------------------------------------------------------ 36. Condensate Drain & Overflow: Size & Grade --------------------------------------- ------------ 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet ------------ ------------------------------------------------------------------ 38. Attic Access & Platform if Furnance in Attic ------------------------------ ---- --- --- ------------------------------------- - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors - --- -- - ----------------------------------------------------- --------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --------- -------------------------------------------------------- 42. Draft Stop in Walls (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-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------------- -------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57 Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -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 ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ---------------------- ------ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------------------- 64. Bedroom Exiting 65. G F.I_& Bath Fixtures & Tub Access -Spa -------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- ----------------- 67. Stairs -&-Rai-Is _ 68 Fireplace or Stove: Clearances -Hearth --------------- - ----------------- 6J. Elec. Outlets at Wood Panel: Int. & Ext. -- ------- -- -------------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance •-- ---- --.... -.. --------------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter - --------------------- -- 72. Garage Fire Door: Swing -Landing -Closer ---------------------------------- --- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection --------------- -------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------- 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ------------------------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ----------------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters -0 -Yes ❑ No 81. Stucco: Brown -Finish ----------- ---------- --------- - 82. A.C. Unit: Disconnect. Electrical, Plumbing ----------------------------------------- -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground ------------------ ----- - 86. Ventilation Throughout House . -------------------------------------- ----------- 87. Glass Protection 88. Corrections from Previous Inspections ------ ----- -------------- -------------- 89.- Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------- 9Y - --------- - - 91. Ener Compliance Certificate -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 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE _ -12 -3 i PERMIT NO. A routine anspec ion 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.lfyouhave any questions pertaining to this matter, or need additional explanation, please contact this office immediately. v -- J Avf'H-If f ic�-A,- 'C.71..n.r — Date Z,6 y Inspector REV 10W ( COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 2 7 County.Conter Drive • Orovllle, C;4Iltorn I&.96965 - Telephone: 916.'536.7641 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 41-48-28 ZONING U BUILDING PERMIT E:� OWNER REMI POLI UIN TELEPHONE 877-3075 SO. FT. OCC. BUILDING VA ATIO N p 578 0 4,046 OWNER'S MAILING ADDRESS 6346 BASTON LANE PARADISE 95969 CONTRACTOR'S NAME 014NER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 4,046 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 60.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 30.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3.523 CHEROKEE ROAD OROVILLE Permit fee $ 105.00 PLUMBING PERMIT Filing Fee 115.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other DECK LOPEN) SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK Newer Addition Remodel❑ Utilities❑ Installation Ell Other ❑ Describe work: DECK _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS _ Main service 20CATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I 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 ;Jo. 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 CONST. DWELLING OCCUP.h 3.64sq.ft. OR ADDNS. ( ACC. SLOGS. NEW CONSTR. MULTI -OUTLET NO N•RES,C BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20 @ 764 FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs and expenses which may in any way accrue again t said County co qu n e of theCgranting of thisrpe'rmit. �y X Date y/ $ignature of Applicant — wner Ontroctor ❑ Agent ❑ An OSHA permit is required For excL_ Ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL F E 10 .00 t,Az OFEES IMP FLOG S11" AR 1717 H I S This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indi ated 0ab,4e for which fees have been paid. IROR OW PUB IC WORKS By Date.,,�r Pbp IT EX IRS Date Receipt No. 115587 105.00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT _ I �S COUNTY OF BUTTE - DEPARTME°NT•,45F4i)tjBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET `✓ Permit No. OWNER �Ll' A)(QUIII) `A. P. No. LaZ(S Proposed Building Use �12r Building Inspector 0G Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form............................................. 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School Di $-- trict fees paid .............. Sanitation approval from dr,0 l yCHealth Department *15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to ; Building Inspector _(Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When ou issue theM�,?CZ5and , process as follows: Mail to owner. Mail to contractor. Telephone hold for pickup at 4li5-Q.office. Deliver w/inspector. 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 Nior to permit issuance: (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_—jnail—counter by .date Contractor, designer, owner, was advised of above required data by_phone_mall_ou er by date Plans checked by Date Plans approved by A101 Date - Sets of plans on hold in File cabinet AP folder Copy—DPW FROM: Building Department Environmental Health SUBJECT: Sanitation Clearance AP# Own,ar Location Plan Approved for• Sewaqe Disposal ✓ Water Supply R -s Hold final for: ^anal clearance O.K. for: Clearance for bedroom mobile home. Water Supply Water Supply Other Q I,& - NOTE *** AtIA -- /Date Sanitary �/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Callfornla 95965 - Tolophonu 016 '538-7541 APPLICATION AND PERMIT ASSESSORARCEL NUMBER LJ ( — L ZONING U BUILDING PERMIT OWNER p N i vi TELEPHONE X77 W;15- SO. FT. OCC. BUILDING VALUATION -7 OWNER'S MAILING ADDRESS 64-5ton quad (s e CONTR CTOR'S NAME I^ ow `le TELEPHONE _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 15 Filing Fee $ - 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 6 C> cro. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 36Z3 Cero kc Permit fee C $ . J PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[] Other Dec rnoeV\ sPE IFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S I G I W 1 915.001 TYPE OF WORK Newt' Addition L_' RelmodelL Utilities❑ Installation[ Other E] Describe work: Io1QC 1�� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I I 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 CONST. DWELLING 0CCUP-& OR AODN5. ACC. BLDGS. 3.6Csq.ft. NEW CONSTR '•ULTt-OUTLET NON-P.ESi0 BRANCH CIRC '1T5 5.00 PO'W'ER APPARATUS .&) SINGLE OUTLET CIR. // EX. OCCUp\OUTLETS OR FIXTURES 20 76d RA ;XEJ \ Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — OwnerE:, Contractor C Agent ❑ An OSHAwork permit .s required for excavations over 5'0" deep and demolition or construct- ion of structures stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ __T ,srTYP TOTAL FEE $ A �. I HAA 1 0FEESIMPI FLOOD CDP I I PA ceL PO HD ssue This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By - — PERMIT E;:PIKES Date applicable provi- resolutions to do have been paid. WORKS Date I lover r33 Receipt No. L/ �J dys WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD-APPLICANr I rt COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention.Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) CLkA-c- signed an application.for a building permit for the proposed wor . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I'plan -to provide. portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have.contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Secur' Date NOTE: This Owner -Builder -Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code.--- - This verification must be completed and returned to our office before we are per- mitted to issue the permit. --:?�el?z � ) ' 03A0 ddV 1N3wlIVd3a SNiavna m no��un�s 'e4+n9 fo Munc0 'sjjoM a!Ignd }o 4uadjpedaQ ayl wad. uoissiwaad ue4!jm Ono -44!m awes uo suoi4eia4le jo sa6ueyo AuQ oJew o4 I%mepn si 4! pue sawg lie;e qol ay uo idol aq ,SnW suollwil oads pue sued P 40s s141 •sivawasee Ile ;o Jealo 9 venous se aq Ileys juawdlnbe I saimmis I;o uogvwl �yNdl JJ y P".Upag IouoIPN 044 �PaJ jv*jucyaepq V 6uigwnld '6uipiin8 tujown Mµ v! om P89!oe g ay+ Jot pagposaid Xq onb a ja .PYO seal;oa-Id Pooe) pazIu6006d y{!M aounPJ000y dlysewW340M .2 SjoPeIDIN BY--:31aN 1 I Ni 0 �a .-q "Ic « A♦ r�i dl�� �C';tfa�9j� nf�r ;a} i;odi;stot;1, v jl:>vuE, 0 10 3 olul.-urm, "J1M.fb''. ..��F2]�{li���(�� +..�fi� ��iiYS�..� i� 4.�t�'i eid li br:6 ?emit its t6 doi on"t Sia tcjq�, to tft5 mt—,5Ci3{l :�;'t cfoii noiceirois 1 mitt• w tuo 0 3 T TUB T1,11 -MiV'i TliA "1301 ♦ k Wig'"..'�"� VAR/ES f. x . L L � 3 �m L1 � 36- MIN. a, 3 K `f E 70 D_. r 1 1� 7a•Mp - m ?� rn -� 7Qo D rrrl N _ ..Z,1 a •I v OI 0ni ,� ••; N 3 C; (� r- 0 • 0'i ` I -I!.p Lp CCD1 o < (° a m 3 / ///HPANDRAIL00 0 Jq F4EIlal � J m 8.. iFm �Z! Z MAX. o a N i ° rn b W �°o� c., J I � X N, 4-m 4 0 0. 4rrt S" MAX. I� 7 i �r W p Q II ' N � Z L= N --+I- � 3 6 "SM IN. S TA ( R .--- -- , rn W I DT14 a ..P. 4"1 -F.r ID WAQ44 - flvv wag 00 tit QT) () F, CPU a L 96 4— lit y 4, Ilk Ij T a �rr.l I:Y1�'�f� 1 ' TANS i i� Envirt nt","taj (�ealtfl �.� Dai- _ Environmental Health j i ,�-r, APR 2 0 1992 t Sign4ure a Oroville, Calitomia ! Y 3 0 o ---- Exist'g. Siding 2 Bar---, Cut Exist'g. Siding 2"(Min.) And Install 2 Bar — See Note 6 Field Install 7/16"(4 n.) Hardboard, Alt. 3/8 (Min.) APA Rated Plywd. Sheath'g. Nail w/ 8d at 4"O.C. Edges 8d at 1261O.C. Field— COUNTY OF BUTTE BUILDING DEPT APR 3 0 1992. ALT. �4 I �1 5 f5 Floor Joist 20 81k1g,-Factory `--- Ponywail- 2 x 4's at 16" O.C. ... 2x 4 P.T. Sill IL j'.:�: YWAIA, �O�IS'r�L�G x101.1 BUTTE COUNTY BUILDING. DEPART EN' APPROVED I OT = Tflis v5-rAiL Is Ad AW50170M To TNS fouubAVOOl.AQ fob : ��MI I'oLIQUi �1, 00TT5 lo004. PACIFIC CONSULTING ENGINEERS 4020 V Camino Ave. Suite A-2 Sacramento, Calif. 95821 Phone: 916-482-7378 rE M I 0 00T %,)562 F4) Job. # y2 -345 Dote: 4'- 2f 42 A1.T. roijupArloJ Now $TIM ADDRESS CnT. STATE, and a man= DH': AND WHEN RECORDED M& M: DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE CA 95965 92-2 ! 02.4 g G-02 1 0G 1 Total Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 9 : 37am C 1 -Aa 92 , 1 F r!IEC E V:XF NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM - . 00 , 1 Recording of this document at the request of the locoi agency indicated is in accordance with California Heolth and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the uni t descr ibed 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 per- sons thereafter dealing with the real property. REMI R. POLIOUIN REAL PROPERTY OWNER/LESSOR 6346 BASTON LANE MAILING ADDRESS PARADISE, BUTTE, CA 95969 CITY COUNTY STATE ZIP 3523 CHEROKEE ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 C17Y COUNTY STATE ZIP MARK POLIQUIN UNIT OWNER (If also property owner, write "SAME") 6487 PERRY ROAD MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DEPARTME LOCM AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 91-366 1538-7541 BUILDIN I TELEPHONE NUMBER 5/11/92 SIGNATURE OF LOCM AGENCY OFFICIAL DATE VALLEY HOMES, CHICO, CA DEALER NAME (If not a dealer sale, write "NONE") DEALER LICENSE NO. GOLDEN WEST HOMES 1992 BD562F1 i MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CABD9295 A&B 56X27 RAD 623632/633 SERIAL NUMBER(S) LENGTH .X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 041-480-028 , ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE- STATE OF CAT.IFORNIA, DESCRIBED AS FOLLOWS: A PORTION OF THE SOUTHEAST 1/4 OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B.&M., LYING EASTERLY OF THE EASTERLY LINE OF THE LAND DESCRIBED IN THE DEED RECORDED JANUARY 4, 1966 IN BOOK 1407 OF OFFICIAL RECORDS, AT PAGE 418, RECORDS OF BUTTE COUNTY, CALIFORNIA, AND WESTERLY OF THE WEST LINE OF THE OROVILLE- CHEROKEE ROAD. HCD FORM 433(A) 4/86 END OF DOCUMENT ENT Or hCy �p W 0 a C, ll O t ~�N,TT OEv r� �O J� cyj f0U p� C14 ha O C) ZV Q RESIDENTIAL 041-48-0-028 91-3661 ' POLIQUIN, REMI • CONTR: OWNER 3523 CHEROKEE RD, CHEROKEE MH ON PERM FNDN c-l61(?,5 D OFFICE COPY Address GAS Meter By Dat M �C 4 Address J JOB FINALE Signature J=OK O=Not OK =Not able Ready** =Not Ready * MOBILE HOMES Date A, MOBILE HOME UTILITIES (Plans) OK except #'s as; MH Test-Demand-Valve—Connector 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except #'s V.elcilX. Special MH Support Sketch ew -cation-Test-Fall-C/O Concrete D n; MH Test -Fall -Flex Connector ater; Location -Test -Easement Needed (Sketch) 2. Soils; Compaction -Structure Stability 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test-W a : / /" L" ft. A / /-Nat. o / 'L"ft.i/d'LPG lir _ ater and Sewer Connected -C/O to Grade -HD Approval 7. Well Clearance & Disconnect MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1/ Date Card B-1 11. Ext.; Steps -Doors -Landings D tae Card B-1 Date Card B-1 Date MOBAE HOME INSTALLATION (Plans) OK except #'s i Requirements -Setbacks Easements Date Card B-1 Date Card B-1 otings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 as; MH Test-Demand-Valve—Connector Date POOLS (Plans) OK except #'s Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements D n; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability . Wat r; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness ater and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Date Card B-1 Date Card 8-1 Boxes -Enclosures -Panel boards -Ins. to Main in Conduit — Date Card B-1 Date Card B-1 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test I Ca t �c8� /p2- Date Card B-1 Date Card B-1 2-34,32— Date Card B-1 Date Card B-1 4G® T) -513 Uj 6 _C14 - az 6?2_711) V OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (. = Date UND FLOOR (Plans) OK except #'s Zoning -Setbacks -Easements -Flood -S pe tg., Main; Soils-Elec. 6ai+d Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -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 #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- --- --------------------------- 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 #'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. Fasiners-Bond Gas & Water --- ------- --- - - ---- ------ -- ----- ------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------------------------------- 28. -------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ga. Cu or At ------------ ------------------------ --------------- ------------------------------ 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No ----------- ------------------------------------------------- ___ 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip Clearances Panels-Motors-Mech. Equip. ---------- ------ ------------------------------- I ------------------ 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 ----------------------------------------------------------- ------------------ 35. Vent Fan: Exhaust above insulation ------------------------------------ - ----- ---------- 36. -------- 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-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors -------------------- ---------•------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------------- - - 41. Bearing Walls over Girders & Floor Nailing ------- - - ----- --- - --- 42. Draft Stop in Walls (rat proof) ------ - ---------- ----------------------- ---- - -------- -------- - - - -- - -- 43. - Fire -Stops: Furred Ceilings -Stairs -Chases -Tub - - --- ---- ---------- --------------------------------- ----------- 44. Headers & Beam -Size & Bearing jingle & Duplex) r Date FRAMING (Continued) e. 45. Hangers -Post Caps -Anchors -Connectors - 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer - 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic, 58. Shear Wails: -Nailing -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 #'s -------------- 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------------------- - 63. Furnace. Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection -------------- - 64. Bedroom Exiting ----------------- -- ---------- - - ----------- -- 65.-G.F.I.-& Bath Fixtures & Tub Access -Spa ---------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ------------ --------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance -- -- -- - - - - - - ------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire Door. Swing -Landing -Closer 73. A.C. Duct in -Garage -Damper _ 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75 Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------------- 7;-.-Insulation-Foam-Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps -------------------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ---- - ------------------------------------------ 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: ------------------ Planters -Yes ------ 0 No ------- --------- --- 81. Stucco Brown -Finish------ ------ ------- -- -- 82.-.A.C.-Unit: Disconnect. Electrical, Plumbing ------------------------ --- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ---------------------- -------- --- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House - - ----------------------------------------- - 87. Glass Protection -- --- --------------------------------------- 88. Corrections from Previous Inspections .. ------- ------------------------------------------------ 89. Gas Test -Meters Tagged: Gas -Electric ----- -- - Water & Sewer Connected -C/O to Grade -HD Approval -- ---------------- 91. -----------91. Energy Compliance Certificate -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: �- ter-• � .. _ . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER L PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact t is office immediately. J�A//14-q . lU 1,2 jz-Ci J I J-<� Date �/� 2— Inspector REV 11/91 4r-* COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751. s7 County Center Drive, Oroville, CA - (916) 538-7541 747~Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE I-3 4�o1 WNER P MIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. *101 -fin r' Al�O,�d ✓ 4 / . J� „r i Date Z Inspector. , REV 11/91/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER 16- PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is complete If you have any questions pertaining to this matter, or need additional explanation, Please ntact this office immediately. nn D, Al• / r 4s . / 2— e- Date 41IZ v Inspector -- REV 11/81 COUNTY OF BUTTE - DEPAR-, MENT OF PUBLIC WORKS 7 County Center Drive - Orovlll'e, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT K0. ASSESSOR PARCEL NUMBER 41 —48-98 ZONING U BUILDING PERMIT OWNER REMI POLI UIN TELEPHONE 877-30751 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6346 BASTON LANE PARADISE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $249-25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS CH R K ,( Permit fee $ -171-99 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [1 Duplex Mobilehome❑ Other M_H_/PFR] FNT) SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home 10041 @ 15.00 45.00 TYPE OF WORK New 9 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work-M.H. @ PERM FND. Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 1"70.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I 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 CONST.( DWELLING OCCUP.g�\ OR ADDNS. ACC. BLDGS. // 3.64 sq.ft. NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC I ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 46L P 11 EX. DCCUp. OUTLETS PRESID IKEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. bVirin g 15.00 15.00 Permit Fee $ 63, — 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. �Fl I shall not employ any person in any manner so as to become subject 4� 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 ith such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag i st said Count�noequence of the granting of this permit. X `Date Signature of Applic a r – caner ❑ Contractor ❑ Agent ❑ An OSHA permit is requiredlir x ecavations over 5'0" deep and demolition or construct- ion of structures over 3 st' sin height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TVP I TOTAL FEE $ 496.85 HAz I D EES IMP o� // coF PARCbt L� Po Iss This permit is hereby issued under the sions of the Butte Count ode and/or work indi d a which fees D OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date26 YZ Receipt NO. 94258 751 // -AZO w WHITE-D.P.W., YELLOW- g90 R. PINK -INSPECTOR. .OLDEN D -APPLICANT '.-. '' �'YM�i-^.A^w t`•(f'-r�+r.n"�^�W �rar.,,j�}�tif'„nv`'r`k.fi'.rY��.+iTti`..(`�"�l�l(►y�'i�'1'YA"'`rti-�..:.v,^��f �.°^�M `i `-fi:wn�,7* .M �_•,�.� ,��. .t~ f Y -L", COUNTY OF `BUTTE - DEPARTIIrrENT'QI` PUBLIC WORKS -BUILDING DIVISION OWNER -Proposed Building Use 7 COUNTY CENTER DRIVE - OROVILLE, CAL'IFORNIA7,95965 - TELEPHONE: 916/538-7541 PEgMI PLICkT10N DATA SHEET O X . r, In Permit No. A. P. No. L�1' Building Inspector M0, Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ,Ooe1. Ams have been submitted . .................................... ca triplicate, signed by preparer of plans ........ �� 3 omplete plans in duplicate/triplicat signed by preparer of plans .. �,146:7 omplete engineered planstand alcs, ith wet signature on plans .. :._ 5. Hazardous Material Form ................ r......e .......... f ........ 46 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. engineered truss details and layout in duplicate (required prior to plan check) obilehome installation data including manufacturer's installation , ZZ'gZ instructions....................................................... 0. Fees of $ 1. Chico Urban Area fees paid ............ ........................ 12. Park fes ai ^� School District fees paid .............. Z Sanitation approval from _�3uit-— •c C o Health Department % a— 3 V1 City of Chico plumbing permit. 16. Plot plan and business license approval from City of (see City for other requirements) _ 17. Planning approval for (A) Use: (B) Parking: ...... ` 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classffication) :,.. 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .. 11— Z O—Gl, 25. Letter of signature authorization .. ........ :.. . 27. �-,vT;q Naps eeg erl rtem L eti ed — r'I 9 When you issue the ermit�f process as follows: Mail to owner. Mail to contractor. _X Telephone 1%%, 3o15' and -hold for pickup at h wdf' office. Deliver w/inspef.tor. Other - � � 1 IV Applicant Date Copy of H.az-Mat form senf Health Dep): Fire Dept. Air Pollution Date Copy of plans sent Healteh Dept. Fire Dept. - Other Date By The following data must be submitted rior to4permkt issuance: (Circle new item riot ohecked above). 1. Index permit for above items N Of�lV� Gv 2. Additional items required: Contractor, designe owner as advised of above required data by phone__jnail_counter byf--:date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by pate Plans approved by Date _L Sets of tans on ho in v F� cabinet AP folder v— Zo Copy—DPW TO: Building Department FROM:. Encroachment. Permit Section RE: 'Driveway Clearance P, Mt. / /�,"q 6. U, h 3 S 2 -) (f AJ: 4/ t/, 4� owner IV location AP # Driveway permit �1� �� �% �� has been issued for the above property. jn/b sign re date TO PRO -M: ' SUBJECT: Buildina Department Environmental Health Sanitation Clearance CIA erdlc e- e- y er Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: 'Water Supply Clearance for bedroom mobil home. Other MOTE * * * Id AI& Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,Callfornda 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER ` M L Cc N TELEPHONE J e� S SO. FT. OCC.1 BUILDING VALUATION S-/2- S7 2 OWNER'S MAILING ADDRESS 3 :-/& - a s �. Y r., ►-. E Chu fvd t %,.C - CONTRACTOR'S NAME © �) V-\ -2 I(-- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee �jr� z $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 4j 9 -1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee S 2- 60 Energy Plan Checking Fee $ -- ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS S t c F Gt 33 T2t /, C Permit fee $ 7 PLUMBING PERMIT 15.00 ti Y.c �C Each Trap Solar or heat pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or ventUSE ElinF,ee OF STRUCTUU��RE Duplex❑ Mobilehome❑ Other_I r y N • ff r -w1 (te SPECIFY Gas piping system 1 - 5 outletsSF❑ Building sewer Mobile Home S tl - TYPE OF WORK New Addition❑ Remodel❑ Utilities[:] Installation❑ Other ❑ Describe work: _ Permit Fee — a ; 0 20 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 2OR LESS 18.50 [% ._ Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I 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 Ao. Classification ❑ 1, 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) ❑ 1, 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 CONST. ( DWELLING OCCUP.&) OR ACDNS. ACC. BLDGS. I/ 3.60 Sq.1t. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS /1 500 l: POWER APPARATUS &) ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 46d FIXED APPLNS. ORQAL. Ex. Occup, OUTLETS IRESID.1 EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 11 S- Misc. Wiring f 15.00 iSE' Permit Fee $ 41 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 Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant – Owner g pp ❑ Cs normo' ❑ p and ❑ over S'0" deep and demolition or construct- i n OSHA permit is required for height. ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ ,r occ CONST TYPE TOTAL FEE $ Naz I DFEES I IMP FLOOD CDF PARCEL PD ND ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P. W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF.BUTTE - Department'of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner,: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 0 I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/have not) signed an application for a building permit for the proposed work. I have contracted.with the following person (firm) to provide the proposed construction: Name - Address City Phone Contractors License No. I plan to provide.portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 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 e Signed: ` Property Owner L,A-AQ, y Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. � tuni, Lo"Ul'1J AGRICULTURAL 'S'1'A'TF,MLN'1' OF ACK NOVILEUGEML'N'1' FOR RESIUEN'.11AL ULVHLOPMIaI'1' Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of.a building permit. The property described herein is adjacent to land or included within. an area zoned 91-048368 1 Rec Fee 7.00 for agricultural purposes, and residents I .STF 1.00 of this property may be subject to incon- Recorded 1 Check 8.00 ' veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder I but not limited to cultivation, plowing, 9:.15am 20 -Nov -91 I X 2 spraying, pruning, and harvesting which occasionally 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: Date: ///'71y/ PROPERTY 014NERS: State of C.AAJ ) SS. County of �) ��®aa':asanoaaasn°®a�a©®m L. H S!. ETTraoTidly UELIC-CauFoaNiaButt-e UNEED © couniy My Commission E::piras ° May 20, 13,34 m On this the � 71Lday of L ,,, gjl 19qL, before me, the undersigned Notary Public, personally appeared Personally known to me. a Proved to me on "the basis isfactory evidence. of sat to be the person(IN)-whose name(') IS subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS 'r WIIEREOF,.I hereunto set my hand and official seal. Present A.P. No. 141-y?-ao Notary. Public C- Order No. 3-154546 SCHEDULE C The land referred to herein is described. as follows: All that,certair-'real property situate in the County of -Butte, State of California, described as follows: A portion of the Southe-ast 1/4 of Section 33, Township'21 North, Range 4 East, M.D.B. & M., and more.particularly described as follows: The Northerly 300 feet of the Southerly 1200 feet of <Secti_on 33, Township 21 Nor-th,'.Range 4 East, M.D.B. & M., lying Easterly of the Easterly line of the land,described in the Deed recorded January 4, 1:966 in Book 1907 of Official. Records, at page 418, records of Butte County, California, and Westerly of the West line of the Oroville-i"hergked Road. AP No. 041.-480-028 MOBILEHOME SUPPORT DATA ,/ If• other than single wide, , Mobilehome Mfr. C3-���,�. G�� O furnish Setup Model No. Year. q Width 2 (ft.) Box Length �� (ft.) Tagalong or Expando Size '— ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) M1. Wood -pressure treated or foundation grade.0 2. Other,(specify) SUPPORTS (check one) 1�1. Concrete block.F12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Main Beams 4 -Line v Tag or Triple -- --. — _— — inp 4 Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ y� Size-Min.------------------ Spacing-Max - -----------------Spacing-Max. --------- , Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- " Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------ %,Z „x 3 0„ Size -Min------------------- • ,x u Spacing -Mar- --------- LI ,- 6 „ Spacing -Max---------------- From Ends -Max.------- From Ends -Max .------------- Line 3 Roof Loads: S e A Size -Min.------------ ur, t „x „x n ,k ax „ nx „ nx „ nx „ Location (From Front) Line 4 Piers: Size -Min ------------- ,k Spacing -Max.--------- From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ Line 5 Piers: (Under Bearing Walls -Only) Size -Min .------------------ 'k Spacing-Max---------------- --From -----------------From Ends -Max -------------- „x „x , „ „x „ „x Location (From Front) w BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS COUNTY OF BUTTE 7 County Center Drive, Oroville, CA BUILDING DEPT PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET / f J, 1. Owner's Name: D 1 1 t1- ( IJ M V �t 2. Installer's Name: _ C—L �- Z- 3. 3. Is the site currently under permit? Yes (If yes, furnish permit number 'f Yes 1-1 Is the site an existing site? (If yes, furnish two plot plans.) No 0 _) OR No [;�� 4. Will the mobilehome be located at least 5 ft. away from septic ank and leach fields and clear of all setbacks and easements? Yes C No 17 (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? ----- / Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes a 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 2 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 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.) Hal- V�, -- ;.r a m cr A I I AT InW MANUAL- Dwg. No 13'4" 10' U" I U' 6" b'4' 1018, a BD 562F 1 e 1512 SQ. FT. 3 Bedroom with Family Room –T—'1''—. 1A •.. �_��.r� �c� _q.�q.�+���.. _.. ���.�. —. —.—. �..�rr-�nn�m.-.n^n.-.e.-+s..-s. _ Z 916 363 2636 06 GWH SRCTO IJ TABLE Z SUPPORT SCHEDULE F, 30 'PSF ROOF LOAD (16" SAVE) 03 4 i. TABLE T SUPPORT SCHEDULE 30 PSF ROOF - 16" EAVE 10'Wide 12'Wide 14'Wide Soil Support support fBrg. Spacing Location Req'd Req'd Req'd Req'd Req'd 'Capa- Pier Footing Pier Footing Pier :Req'd ootingtcity Capaoity Area Capacity Area CapacityArea Chassis 1032 149 1244 180 1420 206 4'-0" Perimeter- 1200 173 1360 196 1496 216 1000 Chassis 1548 223 1866 269 2130 308 PSF 61-011 r Perimeter 1800 260 2040 294 2244 323 Chassis 2064 298 2488 359 2840 410 y Perimeter 2400 346 2720 392 2992 431 Chassis 1032 144 1244 144 1420 144 ` 4'-0" Perimeter 1200 144 3.360 144 1496 144 1500 Chassis 1548 149 1866 180 2130 205 PSF 6'-0" 4 Perimeter 1800 173 2040 196 2244 216 Chassis 2064 198 2488 239 2840 273 8'-0" Perimeter 2400 231 2720 262 2992 288 Chassis 1032 144 1244 144 1420 144 F 4'-0" =' Perimeter 1200 144 1360 144 1496 144 s 2000 Chassis 1548 144 1866 144 2130 154 PSF 6'-0" Perimeter 18010 144 2040 147 2244 -162 s Chassis 2064 149 2488 180 2840 205 x Perimeter 2400 173 2720 196 2992 216 f { }: NOTFS: 1. Required pier capacities are shown in pounds. 2. Required footing areas are shown in square inches. 3. All requirements are minimums 4. The maximum length to width ratio for footing pads is 2.5:1. -—'=—=—'------------------— f a 916 363 2686 06 GWH 5RCT0 TABLE I SUPPORT SCHEDULE 20, PSF ROOF LOAD (NO SAVE 6 6" EAVE) rti a TABLE I SUPPORT, SCHEDULE 20 PSF ROOF - NO EAVE Soil. Support Support Bearing Spacing Location Capacity 10'Wide 12 'Wide 14 'Wide Req'd Pier Capacity 1820 Req'd Footing Area 262 Req'd Pier Capacity 2148 Req'd Footing Area 310 Req'd Pier Capacity 2424 Req'd Footing Area 349 1000 pSF 4'-0" Chassis 6'-0" Chassis 2730 393 3222 464 3636 524 8'-0" Chassis 3.640 525 4296 619 4848 698 1500 PSF 4'-011• Chassis 1820 175 2148 207 2424 233 6'-0" Chassis 2730 262 3222 310 3636 349 8'-0" Chassis 3640 395 4296 413 4848 466 2000 PSF 41�0" Chassis 1820 144 2148 155 2424 175 6'-0" Chassis 2730 197 3222 232 3636 262 8'-0" Chassis 3640 263 4296 310 4848 349 s 1. Required pier capacities are shown in pounds. 2. Required footing areas are shown in square inches. 3. All requirements Are minimums 4. The maximum length to width ratio for footing pads is 2.5:1. 5. Perimeter supports are not required for 20 psf roofs. 04 TABLE I SUPPORT SCHEDULE 20 PSF ROOF - 6" EAVE 10'Wide 121W de 14'Wide Soil Bearing Capacity Support Spacing Support Location Req'd Pier Capacity Req'd Footing Area Req'd Pier Capacity Req'd Footing Area Req'd Pier Capacity Req'd Footing Area 4'-0" Chassis 1880 271 2208 319 2484 358 1000 6'-0" Chassis 2820 406 3312 478 3726 537 PSF 8'-0" Chassis 3760 542 4416 637 4968 716 4'-0" Chassis 18,80 181 2208 213 2484 239 6'-0" Chassis 2820 271 3312 319 3726 358 1500 PSF 8'-0" Chassis 3760 361 4416 424 4968 477 4'-0" Chassis 1880 144 2208 160 2484 179 2000 V -0" Chassis 2820 203 3312 240 3726 269 PSF 8'-0" Chassis 3760 271 4416 319 4968 358 s 1. Required pier capacities are shown in pounds. 2. Required footing areas are shown in square inches. 3. All requirements Are minimums 4. The maximum length to width ratio for footing pads is 2.5:1. 5. Perimeter supports are not required for 20 psf roofs. 04 PACIFIC CONSULTING ENGINEERb 4020 EI Camlr-* AT*. Wife A-2 Sacramento, California 95821 RIDGE BEAM SUPPORT VERTICAL LOADS C ROOF L.L. 8r D.L.=�� PS.F. UY=(/3,5)(¢D )= 546*9P.L.F. Soil Bearing Pressure 1000 P.S.F. FA DATE# JOB N0. 92- f5.3 V M .671 �� %� I1.1'71 k�$31 10.67 .33! 171 M 1 N C X40>= ¢32D rs • ` ¢320/) ��5. -49 ALT �Y X.2�o C-5) s= c�0�7� f -r�- � soy �C i� � " . A r x4,1 © 7,67 -e 5.67 r+ -N"_ ^ �bp�.J+y Y-^'!7+rraM� .. fi� "°nv.nU`f'1..,.Tn'isT••tarps.�,4v�•�T'ix,1r-per,y,rr..�'.,^HwD+rn.. nnw."tKy!ctr it%!j"; �-//M?ys.;�.i...e..r Lid BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Forme or Building) 0 Q. P A. P. Number L ?_2 (J Bu ' lding Department No. School District Property Owner RF / w ,JQ Project Location/Address icity a County TQ -Jurisdiction er-6 K ct Subdivision Lot Number Revi!g ��llT�evelopment : 15 % Z 'BUILDING DEPT � a Sq. Footage t JAN 2. #• of Living I Addition (Group R) Units Commercial/Industrial: aSq. Footage New Addition (Including Exterior Roofed Areas) Building DepartZnent Representative 1t -20 -ll Date ******************************************************************* (Floor Plans reviewed by School District.Personnel) District Id No. 920-395 School District certifies that Raw (Applic nt Name) (Phone Number) (Street Address) (City) (State) (Zip Code) has complied with the requirements of'Resolution No. 11016'-90 by the payment of $ 07:38'8. 9& representing XJ�square feet. t School°District Representative 'Date PAID -BY CHECK NO.03a BANK NOdM PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) gl1w uooRas STATE. Ind ZP AM MH71 RECORDED MA T0: DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE CA 95965 92-021 024 92-021024 92-021024 j .92 `°"'2 i 7'ctal GL. Recorded 1. `Of f if= io.1. Records 1 Co,.n -_11 I _ T; a l y d C-1? 1 IMay-92. I C01`19 X I MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP UNIT DESCRIPTION DEALER LICENSE NO. GOLDEN WEST HOMES 1992 BD562F1 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMAER GW6CABD9295 A&B 56X27 RAD 623632/633 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 041-480-028 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BTITTF., STATE OF C'.AT.TFORNTA DESCRIBED AS FOLLOWS: A PORTION OF THE SOUTHEAST 1/4 OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B.&M., LYING EASTERLY OF THE EASTERLY LINE OF THE LAND DESCRIBED IN THE DEED RECORDED JANUARY 4, 1966 IN BOOK 1407 OF OFFICIAL RECORDS, AT PAGE 418, RECORDS OF BUTTE COUNTY, CALIFORNIA, AND WESTERLY OF THE WEST LINE OF THE OROVILLE— CHEROKEE ROAD. HCD FORM 433(A) 4/86 SPACE ABOVE THIS LK 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 "-California Heaittr and Safety Code Section 18551. This document is evidence that such local agency has issueda 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 conte.m to all per- sons thereafter dealing with the real property. REMI R. POLIQUIN - BUTTE COUNTY BUILDING -DEPARTMENT - REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 6346 BASTON LANE - 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS PARADISE, BUTTE, CA 95969 OROVILLE, BUTTE. CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 3523 CHEROKEE ROAD 91-366L .107 (916) 538-7541 INSTALLATION MAILING ADDRESS. IF DIFFERENT BUILDIN 1 TELEPHONE NUMBER OROVILLE, BUTTE, CA 95965 1 5/11/92 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DATE MARK POLIQUIN VALLEY HOMES, CHICO, CA UNIT OWNER (If also property owner, write "SAME") DEALER NAME (If not a dealer sale, write "NONE") 6487 PERRY ROAD MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP UNIT DESCRIPTION DEALER LICENSE NO. GOLDEN WEST HOMES 1992 BD562F1 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMAER GW6CABD9295 A&B 56X27 RAD 623632/633 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 041-480-028 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BTITTF., STATE OF C'.AT.TFORNTA DESCRIBED AS FOLLOWS: A PORTION OF THE SOUTHEAST 1/4 OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B.&M., LYING EASTERLY OF THE EASTERLY LINE OF THE LAND DESCRIBED IN THE DEED RECORDED JANUARY 4, 1966 IN BOOK 1407 OF OFFICIAL RECORDS, AT PAGE 418, RECORDS OF BUTTE COUNTY, CALIFORNIA, AND WESTERLY OF THE WEST LINE OF THE OROVILLE— CHEROKEE ROAD. HCD FORM 433(A) 4/86 0 /.Z\ \U% " " V8Y(1AK�ARMJT NO. 91-3661 Addrsu or Location of = 3523 CHEROKEE ROAD; OROVILLE v Legal � Pr escnipQhOf of A : P . #041-480-028 _ _ ALL. THAT CERTAIN REAL PROPERTY SITUATE IN THF CnTTNTY nF -RTTTTF , CTATF -OF CALIFORNIA, DESCRIBED AS FOLLOWS: A PORTION -OF -THE SOUTHEAST 1/4 OF. --SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B.&M.;-LYING EASTERLY OF THE EASTERLY LINE OF THE LAND DESCRIBED IN THE DEED RECORDED JANUARY 4, 1966 IN BOOK 1407 OF OFFICIAL RECORDS, AT PAGE 418, RECORDS OF BUTTE COUNTY, CALIFORNIA, AND WESTERLY OF THE WEST LINE OF THE OROVILLE-CHEROKEE ROAD. A y-.-Mobilehome/Manufactured Home ElCommercial Coach has been affixed to t:-_ real property described above by installation on a foundation syste:. pursuant t Health and Safety Code Section 18551. Owner's Home: REMI R. POLIQUIN Owner's address: 6346 BASTON LANE., ,PARADISE, CA 95969 INSIGNIA OR HUD NUMBER: RAD 623632/633 SERIAL NUMBER' OR V.I.N. GW6CABD9295A&B MANUZA T HOMES YEAR OF MANUFACTURE: 5/11/92 91 .538 e (Ph-) "ca s n x (7ieo) whoo—o••.. Ce M r -+...mow 00, w. --oma. R6. t..lE Y HOMES, • AL. rvIITTVLSTAD"r- 17001 E -310e .8rokor/Mobile Homer pealer : SPR1NGF111LCI 1Vi/1NpR Bus. (916) 891-4981. 2()50 Springfield Dr, Regis. (916) 595.8()(18 Chien, CIA 959,8 .. FAX (91 6) R91-1784 .r(/�- �d� � Cc- t,v _ � U Ae fid. go— - r• lid / �'L1�,.L /Q!'"' cJ�,.i3ei�'l�/}� U�"L C✓���r,/� � %�(�� MID -VALLEY TITLE CHICO TEL No.1-916-893-3428 May 12,9216:55 No.030 P.02 STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Z66t 9 Z DIVISION OF CODES AND STANDARDS �onend� ld3a REGISTRATION AND TITLING SECTION sNHo3,! l 20,kwnoo STATEMENT OF FACTS This unit is a:.�L Mobilehome _ Commercial Coach Floating Home Truck Camper Decal .(License)- No.(s) Trade Name Serial No.(s) GWb0--Q l e, the undersigned,—hereby state that the unit descry above: is placed on a permanent foundation In accordance with Section 18551 of the Health -and Safety -Code= Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, from issuance of a California certificate of title covering the same. IMe certify under penalty of perjury that the foregoing is true and correct. Executed on (date) at (DATE) Signature of each affiant (CITY) Printed name of each affiant (STATE) i4� Address city �G!/t a(�1 State C.4 HCb 476.6 (Rev 11/86) tuns • 't •. RECORCINO REOUESTED BY Rec Fee MWELL TITLE 6 ESCROW CO. 1 I-FLH 1.00 +'- oROEna 3-154546f DOC . I i AND WHEN RECORDED MAIL TO Official Records I N4_ Remi R. PoliquAn 35.50 sI,„1 6346 Basston Lane Acts, Paradise, Ca. 95969 Butte 1 C" aL 6me J MAIL TAX STATEMENTS TO - SAMB¢AS`ABOjE'; x z= sveel .. _...__ City a Sm. J 1 teye SPACE ABOVE THIS LINE FOR RECORDER'S - Individual Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY Avt 41-48-28 1 91-039190 1 Rec Fee 7.00 1 STF 1.00 Recorded I DOC 27.50 ' Official Records I Check 35.50 County of I On" 52LDi>?• 12LA_ " (A,1ag1 before Butte 1 me, the undersigned, a Notary Public in and for said State, sndnce J. Grubbs I personally known to me or proved to me on the basis of sat- Isfactory evidence to be the person whose name Recorder subscribed to the within instru that executed the same. cial seal. WITNESS my hand and offi ��`+�"�+�`^^ • ' "'� — 8t00am 24 -Sep -91 I CD 2 The undersigned grantor(s) declare(s): Documentary transfer tax is $ 27.50 ( X ) computed on full value of property conveyed, or ( ) computed on full valueless value of liens and encumbrances remaining at time of sale. ( X ) Unincorporated area: ( ) City of and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JUDITH ANN GARDNER, as her separate property hereby GRANT(S) to Remi R. Poliquin and Yvette R. Poliquin, husband and wife the following described real property in the Unincorporated area County of Butte , State of California: Schedule C Attached I;. r 3fi �`- G"--�-� Dated: September 17. 1991 w✓ r ` STATE OF CAt1F9RINA OP.. "N " COUNTY OF •DC+Ulsl.0j'5 ' }SS. On" 52LDi>?• 12LA_ " (A,1ag1 before me, the undersigned, a Notary Public in and for said State, personally appeared -h'Ai &A A& G&UL N- personally known to me or proved to me on the basis of sat- Isfactory evidence to be the person whose name i� K o S4;fof y v subscribed to the within instru that executed the same. cial seal. WITNESS my hand and offi ��`+�"�+�`^^ • ' "'� — 1,; : • r erlCs.i MARCEL! 0 'sOr A MONUARON •-� .... � . � J _.�.,Pi�`►•.1tlw•'.- � .'0.4'1.tr'r..rv,-•.,,;.,..:.+ .:.�,,." rr • � tom- m� '�' �s�,���;��«�° s 61 COUNJ-Y-Otiq BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 / Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT - BUILDING Owner J ' SO. FT. OCC. BUILDING VALUATION Mailing Address 3 47'" Fireplace Contractor I--,` f Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty _ Permit Fee $ $ Building Address �� 1 PLUMBING No.1 @ FEE PERMIT FILING FEE J$2.00 Z "� Each Trap 1.50 Repair drainage or vent piping 1.50 t� Water piping 1.50 r/^d Each gas water heater or vent 1.50 A. P. No. �,/ •yam Z Zoning, Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer�-- PlansLawn Fees t-,- W. C" R/W Encroachment sprinkler system 2.00 NEW ❑ ADDITION,❑ OTHER ❑ Permit Fee $ftJ ���•��'��*� �7- ���,i'''-�/��L� f ELECTRICAL No. @ FEEL PERMIT FILING FEE c-- $3.00 -7 -- Main service incl. 1 meter 3 Additional meters, each 1.00 USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets b 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump / /�= Misc. wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit 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 PI is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. • � MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 $tate Fee for Str ng Motion Instrumentation ♦4rogram $0.07/$1000 Evaluation $ TOTAL PERMIT FEE.�- i CIU urUnce reNresentauves or the t,ouniy or butte to enter upon the above-mentioned property for inspection purposes. X (2, m,/�4 x.7711 I J-P.f`l1 Date / 172 - Signature of Permitee or Agent r Receipt No. 9�v J`^cf -• �J`� ! r1 / �-{ ,� White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 PUBLIC WORKS ByDate G_ 7_ 7? Building Permit Expires Date Fri COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — OroviIle, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT uLi Ur4e reP eacniau vas UI Lilt:UUUflly UI nu[[e io enter upon the above-mentioned property for inspection purposes. Signature of Permittee/or Agent Or f Receipt No. 96; , �—f �rt/6e�—�t--C-L White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 PUBLIC WORKS BY -� — Date 6— %— ? Z 6_�- Building Permit Expires Date 7� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address � 3 �. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ '7�Q Building Address &i'/G/ � PLUMBING No. @ FEE PERMIT FILING FEE $2.00 �- Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ,S Each gas water heater or vent 1.50 A. P. No. —Gas y 8 Zoning piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sarlitatio Planning Building sewer `. 5.00 °` tans Fees e/ W. C-- R/W. Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION OTHER ❑ Permit Fee $ G $ �'"�— ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter ""' Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 0 10 Receps., switches & fix outlets Eaffi 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: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring c X-' License No. Classification ® i am exempt from the Contractors License Laws of the State of California. Permit 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ I certifythat I have read this application and state that the above PP information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby rote Fee for String Motion $0.07/$1000 Evaluation nate mentation ng ram $ TOTAL PERMIT FEE $ uLi Ur4e reP eacniau vas UI Lilt:UUUflly UI nu[[e io enter upon the above-mentioned property for inspection purposes. Signature of Permittee/or Agent Or f Receipt No. 96; , �—f �rt/6e�—�t--C-L White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 PUBLIC WORKS BY -� — Date 6— %— ? Z 6_�- Building Permit Expires Date 7� o /�- � 9sf �7 BUTTE COUNTY EUILD1NG DEPARTMENT APPROVED F • Q,f W BUTTE COUNTY EUILD1NG DEPARTMENT APPROVED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - nroville, California 95965 Telephone: 533-1230, Ext. 259 / S�4-7z CP, E 7 APPLICATION AND PERMIT / 7o authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r X V •AC�N_P—CWLU Date �6`r Signature of Permitee or Agent Receipt No. _4P_ d 77 _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 PUBLIC WORKS oe By 4 Date Building Permit Permit Expires Date BUILDING Owner f C, 1E4 SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address _ GN�%f0 �� ET PLUMBING No. @ FEE PERMIT FILING FEE $2.00 .2. ad /�/06F /Q PiiCE Of t✓fiE 0/ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. !�� — !L $ — Z Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer j 5.00 Plans Fees W. C. R/W I Encroachment 2.00 Lawn sprinkler system NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ /G�' p iy� v ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1%7,015/4 AE Yd /'7f Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 E D /T/ Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification PQi am exempt from the Contractors License Laws of the State of California. Permit 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 tate Fee for Strpng Motion $0.07/$1000 Evaluation n;trumentation Program $ PERMIT FEE TOTALSv $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r X V •AC�N_P—CWLU Date �6`r Signature of Permitee or Agent Receipt No. _4P_ d 77 _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 PUBLIC WORKS oe By 4 Date Building Permit Permit Expires Date