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041-480-034
nneth M. Kriser m' .off Cherokee Rd., 1 ' mi.S.of Towno herokee, Oroville Permit #4 76P,E (util : ,MH) ' ELEC . " " S �» GAS .L 8D SUPPO T STRUCT Q. A_ COMPACTION T RE �u 4 48-34 3%77 Permit 6902-76MH7 Issued_ %— 7, k//' � ,,� 4] 48 �4 a H,9V4--$=W�wni g 7 V —111<<< -dC MJ-.04VOCr 41=45-34 WILLIAM HOWARD W/S pri rd, a pp z mi. W of Cher O_" ee Rd, app 1 a mi. S of Cherokee Oroville 'Permi£ #4ST-78MH�(-exis in Issued . "41=48=34 — 4251-89B,E '.HOWARD, W. Frank 3437 Los Ranchos�Rd, Oroville ' (cabana/deck) i 041-480-03%4 PERMIT#97-240T S •- JOHNSON;-Stevens&�Chrstina�-¢�;:- 3437 Los``Ranchos' Rd:., Orov`ille ; Cont: Skycrest Bldg, - c IZ/ ,T .MH on Perm Fn(? -Ex Site �+ N '41QOt,34 orI u r 'EDUCATION Terri Thurman` Executive Assistant i Student Support Services 1859 Bird Street ; OroviM, CA -95965 (530)532-6757 Fax (536.)1532-57-58 tthurmandibCoe.Prgl , I t r RESIANTIAL 041-480-034 PERMIT#97-2407 JOHNSON, Steven & Christina i PERMIT j, iC1343e7-Los .Ranchos,.Rd. , _Oroville— Cont: Skycrest Bldg PERMIT 1.'. MH`Lcon_Perm .Fnd. Ex-.Si_t.e. OWNER CONTR. ASSESSOR PARCEL + LOCATION 06 0 THE FORM 433A FOW THIS MH CANNOT I BE RECORDED:UNTIL'ONE OF THE FOL'LOWIN ` HAVE BEEN'TURNED IN TO THE BLDG DIV i. (2) STATEMENT OF FACTS(ONLY ON'' • NEW MH' S) -0►1Ae-m NSPECTOR TO VERIFY'SERIAL & LABEL V Sy -O gAc, p_ a400% 7k> 4C I{rwtwvEp A/Zio2 M FIAIAI- Temp. Power Pole Calle OFFICE COPY Temp. EI Address Calle GAS Meter By Date Temp. Gi . ELECTRIC V f l Meter By Date Call JOB FINALED (Date) Signature Date MOBILE HOME INSTALLATION (Plans) OK except #'s • t 1. Zoning Requirements- Setbacks Easements - 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Dernand Valve -Connector . 4. Electricity; MH Test-Crossovers-Breakem-Clearances 5.. Drain; MH Test -Fall -Flex Connector Y- 6 -Water, MH Test -Regulator -Connector - - 7. Water and Sewer Connected-C/b to Grade -HD Approval 8. Gas and Electricity Tagged a. 9. Tie Downs -Type -Installation Cert. 10. Exits: Insp.-Sketch' f 11. Cert of Occupancy ' 12. Perrnanenl Foundation Only: Llcehse Decal Date Card B-1+ Date + Card B-1 Date Card B-1. Date - Card B-1 . 2 FI IS`F3:� -76 46Z /< ` 1 Date r ' Date 1 Date _.POOLS (Plans) OK except#•s 1. Setbadka-Easements 2. Soils; CompactionStrUctureStability.,. . " V=OK 4♦ 5 p �t=. + . O = Not OK 5. Elec.; Pod Ughting;..15 Volts-GFI, - 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Not Applicable • =Not Rea MOBILE -HOMES ' _ - _ ` `MISCELLANEOUS MISCELLANEOUS: --- y Date Date MOBU HOME "UTIES(Plans) OK except #'s - Date DECKS, COVERS, CARPORTS, GARAGES (Plana) OK except #'s 10. Plumb.; Cir..TesHNater. Supply Test - i uirements'- Setbadka - Easements ` ` _ t 1: � Zoning RequirementsSetbadts-Easements - Is; Special MH Support Sketch,. (. ' _ 2. Footings; Soils•Size-Dep"paang•ConnectorsSted . Card B-1 '_ _ . - '. Date Card Card B-1 _ 3. SewerLocation-Test-Fall-C/O-Concrete. - Card B-1- - +" Date Cab B-1. 3. Oecks; Girders and/or Joists-Deckingraa $ ng -Stairs -Rails 4. Water, Location-Test-Easenient Needed (Sketch)- s 4.• Wood Awn.;Posts-Beams•Rftrs.connectors 5., Electricity; Locaton-Clearances-Gmd-/' /Amp Canasta } `I -1,r ' Shthg.=Rfg.-Braang _ _-~ , 6. Gas; Location Test -Wrap; / /Tft 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Endosures / /Nat or/,. /'LW "G'+ S: 6. Carports; Windows -Doors . T. Well Clearance 8 Disconnect . / 7. Electric - 8. Utility Clearance. t a.,Frrng.; Sils-AnchorsStuds-RfOrs-Trusses ; -9. Siding; Nailinga/eneerStucco-Mesh ` ` ( 10. Root; Shthg-Roofing,*"- ' Date Card B-1 Date + Card B-1- 11: Ext: StepsDoora-I,andinga Date Card B-1 • Date- r- Card B 1 -12 Braced Wall Panels' - ' Date MOBILE HOME INSTALLATION (Plans) OK except #'s • t 1. Zoning Requirements- Setbacks Easements - 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Dernand Valve -Connector . 4. Electricity; MH Test-Crossovers-Breakem-Clearances 5.. Drain; MH Test -Fall -Flex Connector Y- 6 -Water, MH Test -Regulator -Connector - - 7. Water and Sewer Connected-C/b to Grade -HD Approval 8. Gas and Electricity Tagged a. 9. Tie Downs -Type -Installation Cert. 10. Exits: Insp.-Sketch' f 11. Cert of Occupancy ' 12. Perrnanenl Foundation Only: Llcehse Decal Date Card B-1+ Date + Card B-1 Date Card B-1. Date - Card B-1 . 2 FI IS`F3:� -76 46Z /< ` 1 Date r ' Date 1 Date - Card B-1 Date ' - - . ', Card B-1 Date Card B-1 " Date " _ "- Card B-1 Date _.POOLS (Plans) OK except#•s 1. Setbadka-Easements 2. Soils; CompactionStrUctureStability.,. . " 3: Pod Structure; Steel•Ckinnections_ -Thickness Dead Men -Lining _ - 4. Elec.; Receptacles iind Lighting. Distance-GFI 5. Elec.; Pod Ughting;..15 Volts-GFI, - 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec'.; Bonding; Metal w/5-Circulating.Equip.7Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip'-Pdol Lghtg. - ' Boxes-Enclosures-Panelbdards-Ins. to Main in Conduit ^ 9.. Health Depaitrnent Appro)W ' - 10. Plumb.; Cir..TesHNater. Supply Test - 11. Light Niche - � l Date Card B-1 '_ _ . - '. Date Card Card B-1 _ Date Card B-1- - +" Date Cab B-1. � l c ✓ = OK O = Not OK - = Not Applicable = Not Ready 'i RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3.. Fig. Garage; Soils-Steel-Elec. Gmd/ / Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Holo Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-SL-61 9. D.W.V.; Fall -Fitting -Test 2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor BoltsJoists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card 0-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFi 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower UghtSpa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Puriin-roll Brac: Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54: Stairs; Width Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit Fat. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. HO:; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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: �4 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Cglifornig 95965 - Telephone (916) 538-7541 C d _ PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ?((J'-T� - ASSESSOR PARCEL NUMBER 041-480-034 ZONING BUILDINGPERMIT O OWNER STEVEN & CHRISTINAJOHNSON TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S "UNG ADDRESS 3139 3437 LOS RANCHOS RD ORQ-, 95965 CONTRACTOR'S NAME SKYCREST TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 261.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93 00 BUILDING ADDRESS 3437 LOS RANCHO S RD Energy Plan Checking Fee $ $ OROVITLE, 99965 PERMIT FEE $ LOTNO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 11 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1 Describe Work: lura or UL' nDM L'l�UNDATT/1TT EXISTING SIT��iJT�r�r Gas piping system 1 - 5 outlets 15.00 15 QQ Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo n oa mss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �� S 4 ' License Class C•t17 1 LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier OLp�� �l`�(9 K Policy Number WC. 37 47:_7 D f (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with those provisions. - X 9Y`� �' Date _t (o� �7 _ Signatu a of Applicant - ❑ Owner Ct ctor ❑ Agent An OSHA permit is required for excavations er .50" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, SO OR ADDNS. ( & ACC. BUDS. 3.50Fr. NON•R SLID. MULTI.00UTCUTTS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu . ouTLFr OR FIXTURES 20 p 1.00 BA.00 Ex. Occup. O50 UTLETSA REEPPLNSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL F $ 412.25 HAZ. 0. FES IMP FLP/ cDF RCE PARCEL pp ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. _ By ate�/ �Q PERMIT EXPIRES ON Dale ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r E.H. USE ONLY Plot Plan Attached Floor Plan Attachedl44 Sent to B.D. / I ^ ) / " TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance STv g 1:�) A 0 sort 3%13 Lb s I*12A i j t 14 Q q L4 U 3y Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other a F)I '7. III)LUYr rnl1' u u:� R 43rnjc, Hold final for: Final clearance OX NOTE: for: Environmental Health Specialist L; Date ' COUNTYOF BUTTE - DEPARTMENTOF DEV5,LOPMENTSERVICES -BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET O OWNER ��1`� VX Proposed Building Use M 4�1� ` Building Inspector Date // At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED r BY 1. All items have been submitted. .......................................... 2. Plot plans, 3/4 sets, signed.by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ................... " ....................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . 9 9. Mobilehome data and manufacturer's installation instructions, 2. sets. 10. Fees of $ . .......... Impact fees as shown on attached schedule °p�. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flog) by,V�ifornia Engineer. . . A 14. Sanitation and plot plan approval UYflJt Health Department . ........... . 15. City of Chico plumbing permit . .:................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 181,,,Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. . Presp anedion n:que�si 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .........: . 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a publio road..... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 36- Documentation of 50% subdivision developed or (A) Road improvements completed j and (B) Parcel meets zoning are and frontage requiremen s. `'. 31. Existing violations/mired-pertrrits. � �r���? Q`n.. �� �0. 32. PI n eck list. ................ . 33 eft e%e 4 ao zn 34. When you issue the permit pr cess as follows: M 'It owra r. Mail to contractor. l/ Telephon - o and hold for pickup at � , office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 6 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to a it issuance: (Cir_clg new item ntrked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works �!'irw�' .. µfi'��'l�"R�''�:-,2��'°�, i�"t� l��`.�•�'�����i�^I'.r1�i'C�., „�, ��' �'�i�•te�i•�tNa:b ��Ft'ra.:�•,-n J ,• y . s BUTTE COUNTY SCHOOLS iMOACT FEE CERTIFICATION FORM (One Form Per Building) School District DMO I ` Building Department No. A.P. Number 041- 40 03 Jurisdiction: 0 City EV County Property Owner Property •Location/Address rSubdivison Residential Development Lot No. 0 0 Sq. Footage 1 So No. of Living MHI Addition (Group R) J Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior R ofed Areas) fding Department ep esentative, Date a +a. . (Floor Plans reviewed by School District Pers el) 11 / 7 t' t Identificatio 98jO 06 0 L hool Dist ' certifie at a'&A�z�� JUto--;6 Applicant (Street Ad (Phone tuber) (City)(State) (Zip Code) has complied�v ith the requirements of Resolution No. by payment of $ representing d&,Z- square feet. As 2926 $ FULL MITIGATION t School District Representative Date Paid by Check # Remarks'�J Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County<S'dh6bl`s Impact Fee Certification Form, the School District is notified'by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. ,.White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 97-0486913'1 Rec Fee .00 I Total .00 Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 2:07pm 23 -Dec -97 I COMS XX 3 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. STEVE C. AND CHRISTINA JOHNSON MANUFACTURER'S NAME 3437 LOS RANCHOS ROAD MAILING ADDRESS OROVILLE, BUTTE, C.ti 95965 CITY COUNTY ':TATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME"` MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUN'T'YSTATE ZIP 97- 07 916 538-7541 BUI D RM 0. TELEPHONE NUMBER 12/:22%97 SIGNOF LOCAL GENCY OFFICIAL DATE COU IN GARY'S DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE 1997 WOODFIELD P 202 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER 17-70-0462—KA/B 52'X26' ULI 458983, 458984 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. A.P. # 041-480-034 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. :,k 11 WkI(1b1'91 LEGAL DESCRIPTION A.P. #041-480-034 The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: All that portion of Lot 5 of Section 33, Township 21 North, Range 4 East, M.D.B. & M., lying within the boundaries of the following described parcel of land: Commencing at the South 1/4 corner of Section 33, Township 21 North, Range 4 East, M.D.B. & M.; thence North 89 deg. 36' 59" East along the South boundary of said Section 33, 63.72 feet; thence North 14 deg. 38' West, 153.83 feet; thence North 16 deg. 59' West, 61.71 feet; thence North 16 deg. 38' East, 44.31 feet; thence North 16 deg. 57' East, 88.59 feet; thence North 08 deg. 16' West, 92.44 feet; thence North 01 deg. 33' West, 101.83 feet; thence North 02 deg. 12' West, 78.69 feet; thence North 15 deg. 10' West, 84.80 feet; thence North 40 deg. 11' East, 98.80 feet; thence North 46 deg. 01' East, 136.93 feet; thence North 69 deg. 17' West, 184.40 feet; thence North 41 deg. 54' West, 140.62 feet; thence North 22 deg. 04' West, 318.45 feet; thence North 07 deg. 11' West, 103.65 feet; thence North 02 deg. 04' West, 3 70.3 9 feet; to the point of beginning for the parcel of land described herein; thence from said point of beginning, continuing North 02 deg. 04' West, 107.81 feet; thence North 15 deg. 44' West, 160.95 feet; thence North 10 deg. 38' East, 59.75 feet; thence North 68 deg. 06' 34" West, 768.36 feet; thence South 03 deg. 29' 14" East, 315.0 feet to a point that bears North 68 deg. 06'34" West from the point of beginning; thence South 68 deg. 05' 34" East, 787.05 feet to the point of beginning. TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width lying Southerly and easterly of the following described line: Commencing at the Southeast corner of the Northwest quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B. & M.; thence South 88 deg. 4614" West along the South boundary of the Northwest quarter of the Southeast quarter of said Section 28, 523.62 feet to a point in the centerline of the Cherokee County Road and the point of beginning for the herein described line; thence from said point of beginning, continuing, South 88 deg. 46' 14" West along said South boundary, 570.55 feet; thence South 32 deg. 13' 04" West, 611.67 feet; thence South 27 deg. 04'32" West, 278.27 feet; thence South 29 deg. 25' 06" West, 205.67 feet; thence South 31 deg. 53' 51" West, 524.46 feet; thence South 27 deg. 49' 26" West, 179.54 feet; thence South 15 deg. 30' 58" East, 451.78 feet; thence South 5 deg. 38' 00" East, 212.70 feet; thence South 01 deg. 53' 41" West, 141.38 feet more or less to a point that bears South 29 deg. 28' 18" West, 1 ] 46.60 feet from the South quarter corner of said Section 28 and the end of the herein described line. ALSO TOGETHER WITH A right of way for road and public strip of land 60 feet in width lying 30 feet on each side of the following described centerline: Beginning at a point that bears South 29 deg. 28' 18" West, 1146.60 feet from the South quarter corner of Section 28, Township 21 North, Range 4 East, M.D.B. & M.; thence South 18 deg. 14' 21" East, 160.22 fe&- thence South 20 deg. 00' 34" East, 187.42 feet; thence South 08 deg. 53' 13" East, 340.50 feet; thence South 23 deg. 25'26" West, 258.71 feet; thence South 25 deg. 06' 35" West, 370.53 feet; thence South 04deg. 32'24" West, 305.16 feet; thence South 20 deg. 14' 58" East, 216.58 feet; thence South 07 deg. 51'43" West, 93.82 feet; thence South 31 deg. 36' 53" East, 148.36 feet, thence South 46 deg. 59'02" East, 154.67 feet; to a point designated point "A'; thence South 05 deg. 22' 33" West, 193.72 feet; thence South 24 deg. 19' 33" West, 222.24 feet; thence South 05 deg. 53'33" West, 336.76 feet; thence South 40 deg. 41' 03" West, 203.26 feet; thence South 03 deg. 28'06" West, 363.04 feet; thence South 30 deg. 41' 30" East, 248.48 feet; thence South 28 deg. 03'22" East, 257.88 feet; thence South 37 deg. 57' 17" East, 242.10 feet; thence South 09 deg. 47' 17" East, 270.85 feet to a point on the South line of Section 33, Township 21 North, Range 4 East, and the end of the herein described centerline. ALSO TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width lying Southerly and Easterly of and adjacent in the following described line: Beginning at point' A' referred to above; thence South 46 deg. 59'02" East, 110.33 feet; thence South 26 deg. 11' 45" fast, 274.32 feet; thence South 76 deg. 31' 20" East, 201.79 feet; thence North 60 deg. 09'40" East, 454.20 feet; thence North 08 deg. 39'05" West 99.15 feet; to a point on the North line of the South 2100 feet of Section 33, Township 21 North, Range 4 East, M.D.B. & M. ALSO TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width lying Northerly of and adjacent to the following described line: Commencing at the South quarter corner of Section 33, Township 21 North, Range 4 East, M.D.B. & M.; thence South 89 deg. 36'59" West, along the South boundary of said Section 33, 276.60 feet to the point of beginning for the herein described line; thence from said point of beginning, North 89 deg. 36'59" East along the South boundary of said Section 33, 1723.76 feet more or less to a point in the centerline of Cherokee County Road and the end of the herein described line. ALSO TOGETHER WITH a right of way for road and public utilities purpose over a strip of land 60 feet in width lying 30 feet on each side of the following described centerline: Commencing at the South 1/4 corner of Section 33, Township 21 North Range 4 East, M.D.B. & M.; thence North 89 deg. 36'59" East along the South boundary of said Section 33, 63.72 feet; thence North 14 deg 38' West 153.83 feet; thence North 16 deg. 59' West 61.71 feet; thence North 16 deg. 38' East 44.31 feet; thence North 16 deg. 57' East 88.59 feet; thence North 08 deg. 16' West 92.44 feet; thence North 81 deg. 33' West 10 1. 83 feet; thence North 02 deg. 12' West 78.69 feet; thence North 15 deg. 10' West 84.80 feet; thence, North 40 deg. 11' East 98.80 feet; thence North 46 deg. O1' East 136.93 feet to the point of beginning for the herein described centerline; thence from said point of beginning; North 69 deg. 17' West 184.40 feet; thence North 41 deg. 54' West 140.62 feet; thence North 22 deg. 04' West 318.45 feet; thence North 07 deg. 11' West 103.65 feet; thence North 02 deg. 04' West 478.20 feet; thence North 15 deg. 44' West 160.95 feet; thence North 10 deg. 38' East 59.75 feet to the end of the herein described centerline. BUILDING PERMIT NUMBER: 97-2407 Address or location of unit: 3437 LOS RANCHOS ROAD, OROVILLE Legal Description .of Real Property: A.P. #041-480-034 SEE ATTACHED LEGAL DESCRIPTION. r (x) Mobikhome/Manufactured.Home O Commercial Coach Has `been affixed to the real property above by installation on a foundation sytem pursuant to Health and Safety�Code Section 18551. Owner's name: STEVE C. AND CHRISTINA JOHNSON Owner's address: 3437 LOS RANCHOS ROAD, OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: ULI 458983; 458984 SERIAL NUMBER OR V.I.N. 17-70-0462-K A/B MANUFACTURER'S NAME: SKYLINE YEAR: 1997 OFFICIAL APPROVING INSTALLATION: i DATE: 12/22/97 PHONE: (916) 538-7541 H.C.D. 513C STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDAROS REGISTRATION AND TITLING SECTION 0. STATEMENT OF'FACTS This unit 'is..ai Mobilehome [] Commercial Coach L] Floating Home Decal (License) No.(s) Trade Name Serial No.(s) if/o I/We, the undersigned, hereby state that the unit described above: o�Gpo Truck Camper 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, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on fl — — 9? at eff/eo e� Date (City) (State) Signature of each affiant Printed name of each affiant Address _ 13 46 Y 14W Y 9 CY - City c.141 C -o State - eA HCO 476.6 (Rev 11/86) LaI v"":',.". J-111H•1Z1 HOG j.,( EwrL w Nu. Ir' Ltun No, 40-006ZS48 1 Roc F -.7c 11.00 WHEN RECOIaCL'l) MAIL T0: DOC ZZ7.50 Recorded Total 30.50 MR. & MRS STEVE JOHNSON Offlclal Records I 3437 Los Rancl►os Roatl County of I^ Oroville, CA 9utte Candace J. Grubbs I Recording Itequeeted 1•y Recorder 61dwo11 Title Co. 6:00am'16-Feb-90 I BG 4 MAIL_ TAX STATEMENTS TO: Same as above _'•" DOCUMENTARY rlrrirc,.iR T4X 5.....�Y 0..';,,);,?_:,,,i`-,. ,..� .3, Conlpul■d on m■ v.•• ,.•notion or.olvv of u•cuony cun"vvq: OR ' .._... Cernau!■d u • u.. ter:.• 4o,allar, or v olun 1,,, Il.m a, .nc„mb•onrvr r■m■Inhno ■. 4.-41..a., As de F��r��7._hy•.tlie_.underslined--.-_ Slpnalur■ of 6.e1■i •n! or A■vn1 a•Ir r, n,nl �� •,. Ir!n N•M• 1' VIP 041 Oso 034 GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hcn'hy ackmAitcloca, WILLIAM, F. HOWARD and KATHLEEN B< HOWARD. Husband & uifu .,,ro hcrebyCGRANTISI to 1 !', ,. STEVE4OIINSON and CHRISTINA JI•HNSON, husband and Wife as Joint 'rnnant:; the real propr:rty ir, the ekXN*X unincorporated area of the County of CUTTE 51o1c or j,ow. dusolucd j.- SEE _SEE ATTACHED SCHEDUL"c C n• ' t I I Dated— F6 br u_trV 1G, 1990 _-_ — -- L4tTil WILLIAM F. HOWARD . ' STATE OF CALIFORNIA-- COuurYoF—mentl0Gin4— f J� �� / -- on--Yebruary,_� ,4..� 9�L 5 �✓.' C :t,4 bolore me, the undrralpned. a Notary Public In and for into glnln, a(Ir. KATHL EEH 0. HOWARD eonallyaCaenrc�Wl fVB�L�014r3CC�---•�— "'�_-- —.-. ' —.. -- r and Kathleen B. Howard r Delbenelly known to mu la Droved la one on Ina hn■le of conal■dory ,�,;. OFFICtnt ;EnL evldancel to be Ihu pamonlol whoao hamate) Wal, :ubocrlbnd Io Ina �\.V DEBfiA NI�SEN !.;fi r=>'•'. NOTAHT btlotlC.• CaurunFln Wllhta Inolrumanl and nc+nowlodQod to me that Aur■hunhoy m,.cul•u Pplf�^��•IL t.'"I 4. �^�y CE 4r •,,, ►lr.NuOCINu coUN„ Ind ealne. ''� Gommhilry a�E.wr^,;nal I9. tcv,r� wITNESSmy-hlfdlda11101l, Signature..- �!�, �u DC6RA AEh _ - ' y" MAIL TAX STATEMENTS 100'2 AS DIRECTED A00VC �la,o •11�4•:rt'air: 200'd OM £b£ 916:131 31111 *11N A1113M bI:£1 MA)416 r10-'100 c�M • , n�hr. „Aja 90-06348 4) Order.No. 3- �• SCHEDULE C The land referrod to herein is described as follow6_ All. that certain reel property situate in the County of Butte, Stata of o California, described on follows: Pi All that portion of Lot 5 of Section 33, Township 21 North, Range 4 East., M.D.B. 6 M., lying within the boundariea of the following described parcel of land: Commencing at the South 1/4 corner of Section 33, Township 21 North. Range 4 East, M.0.,8.r&M.t thenc6 North 89. 36' 59" East along the South bounda.:y of said SectioiDy33, 63.72 feet; thenca North 14. 38' west, 153.83 feat; thenca North 16' 59' West, 61.71 feet;. -thence Northf'16' 38' East, 44.31 feet; thence North 16' 57' East, B8.59'feet; rheric a North 08. 16' West, 92.44 feet; thence North 01' 33' West,11101.e;1 feet; thence North 02. 12' West, 78.69 feet; thence North 15' 10 -West,. 84.80 feet; thence North 40' il' East, 98.60 feet;•thence North 46t,"01' East, 136.93 feet; thence North 69' 17' West, 184.40 fact;'thence North 41' 54' West, 140.62 feet; thence North 224 04' Went, 318:45 feat; thence.North 07' 11' West, 103.65 feet; thence North 02. 04' West, 370,39 faett to the point: of beginning for the parcel of lond described herein; thence from said point of beginning, continuing North 02' 04' West, 107.81 feet; thence North 15' 44' West, 160.95 feat; thence North 10' 38' Fast, 59.75 feet; the.rce North 69' 06' 34" West, 768.36 feet; thence South 03. 291 14" Eerc, 315.0 feet to a point that bears North 68' 06' 34' West frons the,point o1! beginning; thence South 68. 051 34" East, 787.05 feet to the point of beginning. TOGETHER 411TH a right of Way for road and public utility purposes over a strip of 1ai1(1 60 feet in width lying Southerly and Easterly of the following described line: Commencing at -the Southeast corner of the Northwest quarter of the eoutheaut quarter of Section 280 Township 21 NorthC'Range 4 East, M.U.L, G M.; thence South 88' 46' 14" West along the Souttrboundar7/ of the Northwest quarter of the Southeast quarter oC• said Seotion 28, 523.62 feet to n point in the centerline of the Cherokee County Road and the point of beginning for the herein described line; thence,from said point of beginning, continuing, South 88' 461 14" West along said South boundary, 570.55 feet; thence South 32'..13' 04' West, 611.67 feet; thenca South 27' 04' 32" West, 278.27 feet; thence South 29' 25' 06"..West, 205.67 feet; thence South 31' 53' S1" West, 524.46 feet; thence South 27' 43' 26" West, 179.54 feet; thence South 15' 30' S8" East, 451.78 feet; thence South s' 38' 00" East, 212.70 feet; thence South 01. 53' 41" West, 141.38 feet more or less to a point that beare South 29. 28' 16" West, 1145.60 feet from the South Quarter corner of onid Section 26 and the end of the herein riescribed line. ALSO TOGETHER WITH a right of way for road and public strip of land 60 feet in Width lying 30 feet on each side of the following described centerline: Beginning nt a poi:tt that bears South 29. 2d' 18" Wort, 1146.60 feet from the South quarter corner of Section 28, 'township 21 North, Range 4 East, (Continued)..- a1FF •" M 'd OM M 916:131 31111 '11N A1193013 b :.0i (GIM 16 110- '100 ALSO TOGETHER WITH a right of way for road and public utility purpose= ' over a strip of land 60 feet in width lying Southerly and Easterly of rM1 and adjacent in the frllowing described line: Beginning of point "A" referred to above; thence South 46. 59' 02" East, 110.33 feet; thence South 26' ill 4S East, 274.321fect; thence ` South 76. 31' 20" East, 201.751 feet; thence North 60' 09' 40" East„ li:.. 454.20 feet; thence North 08' 39' 05" West 99.15 feet; to a point on the North line of the South 2100 feet of Section 33, Township 21 North, Range 4 East, M.D.B. & M. i1 ALSO TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width lying Northerly of and adjacent to the following described line: Commencing at the South quarter corner of Section 33, Township 21 North, Range,"4 East, M.D.H. E. M.; thence South --09' 36' 59" West, along the South boundary of said Section 33, 276.60 feet to the point of beginning for tha herein described line; thenee•from Said point of beginning, North 89' 36' 59" Fast along the South boundary of said Section 33, 1723.76 feet more or less to a point in the centerline of l Cherokee County Road and the and of the herein described line. . ° ALSO TOGETHER WITH a right of way for road and public utilities purpose over a strip of land.60 feet in width lying 30 feat on each s' side Of the following" -,described centerline: Commencing at.the South•1/4'corner.•of'Section 33, Township 21 North; Range 4 East, 'M.D.B..''& M.; thence North 89' 36' 59" East along the `z South boundary of said Section 33,'63;72 fact: thence North 14. 38' West 153.83 feet; thence North 16'•�591'West•61.71 feet; thence North 16' 38' East 44.31 feet; thence North -16' 57' East 88.59 feet; thence '., Worth 09' 16' West 92.44 feet: thnnco North 81' 33' West 101.63 feet; ,A: thence North 02' 12' West 78.69 feet; thence North 15' 10' west 84.60 feet; thence North 40' 11' ea3t 98.80 feet; thence North 46. 01' East k�M, .t (Continued) 900'd OM fit'£ 916:131 31111 11N A111301d SI:E1 MMIL6,10-100 ii • . , -'fie 4). 90-06349 . Order No. a -148227- -14822'/:M.D.B. M. 1). B.& M. thence South 18' 14' 21" East, 160.22 feet; thenco Sr,c'.Ir% 20. 00' 34" Eaet, 187.42 feats thence South 08. 53' 13" East, 340.50 foot) thence South 23' 25' 26" West, 258.71 feet; thence South 25' 0,6' 35" West, 370.53 feet; thence South 04. 32' 24" West, 305.16 feet; thence South 20. 14' S8' East, 216.58 feet: thence South 07' Si- 43" �•.. West, 93.82 feet; thence South 31. 36' S3" East, 148.36 feet; thence South 46' 59' 02" East, 154.67 feet;'•to a point designated point "n'; 7 thence South,•05. 22' 33" West, 193-72 feet; thence South 24' 19' 33" West, 222.24 feet; thei.ce South 05' 53' 33" West, 336.76 feet; thence South 40. 41' 03" West, 203.26 feet; thence South 03' 20' t:b" Test, 363.04 foot;,thence South 30' 41' 30" East, 248.48 feet; thence South 28' 03' 22"'East, •257.68 feet; thence South 37. 57' 17",E8st, 242.10 feet; thenoel'South 09' 47' 17" East, 270.85 feet to a point on the I South line of Section 33, Township 21 North, Range 4 East, and the end of the herein described centerline., ALSO TOGETHER WITH a right of way for road and public utility purpose= ' over a strip of land 60 feet in width lying Southerly and Easterly of rM1 and adjacent in the frllowing described line: Beginning of point "A" referred to above; thence South 46. 59' 02" East, 110.33 feet; thence South 26' ill 4S East, 274.321fect; thence ` South 76. 31' 20" East, 201.751 feet; thence North 60' 09' 40" East„ li:.. 454.20 feet; thence North 08' 39' 05" West 99.15 feet; to a point on the North line of the South 2100 feet of Section 33, Township 21 North, Range 4 East, M.D.B. & M. i1 ALSO TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width lying Northerly of and adjacent to the following described line: Commencing at the South quarter corner of Section 33, Township 21 North, Range,"4 East, M.D.H. E. M.; thence South --09' 36' 59" West, along the South boundary of said Section 33, 276.60 feet to the point of beginning for tha herein described line; thenee•from Said point of beginning, North 89' 36' 59" Fast along the South boundary of said Section 33, 1723.76 feet more or less to a point in the centerline of l Cherokee County Road and the and of the herein described line. . ° ALSO TOGETHER WITH a right of way for road and public utilities purpose over a strip of land.60 feet in width lying 30 feat on each s' side Of the following" -,described centerline: Commencing at.the South•1/4'corner.•of'Section 33, Township 21 North; Range 4 East, 'M.D.B..''& M.; thence North 89' 36' 59" East along the `z South boundary of said Section 33,'63;72 fact: thence North 14. 38' West 153.83 feet; thence North 16'•�591'West•61.71 feet; thence North 16' 38' East 44.31 feet; thence North -16' 57' East 88.59 feet; thence '., Worth 09' 16' West 92.44 feet: thnnco North 81' 33' West 101.63 feet; ,A: thence North 02' 12' West 78.69 feet; thence North 15' 10' west 84.60 feet; thence North 40' 11' ea3t 98.80 feet; thence North 46. 01' East k�M, .t (Continued) 900'd OM fit'£ 916:131 31111 11N A111301d SI:E1 MMIL6,10-100 Imp'. order Ho. 3-140227 136.93 feet to the point of baq+,,v.-.Ing for the herein described center liner thenoe from said point 0- - 7 .e.ijinningi North 69' 171 West 184.40 feet; thence North 414 $44 Wecr UZj.61 feet; thence North 22- 041 West 310.45 feat: thence North 07@ 14 West 103.65 feeti thence North 02- 041 Weat 470.20 feet; thence North 15' 44' West 160-95 feet: thence North 10' 361 East 59.75 feat to the end of the herein described center line. AP NO. 041-480-034 EVI FUM E-O./mow �1 A, DOCUMENT _Mw 900 'd 0IVV M 916:131 31111 IIN U1930ld 91:0-1 MA) 16110-100 1:1468 HWY 99 Chico, CA 95973 �o oP 6 316 5 5 f # 91265 • Contractor's License # 29: ! (916) 343-8494 SA NOTICE:THIS FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS TRICTLY FORBIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STOTEMFKIT' PURCHASER: l O DATE: Z ADDRESS: 3 143 0n, I.", HONE: AY Z"V314— 405M7 CITY: �rou. I G STATE: ZIP: SALESPERSON: PHONE. EVENIN .• Snt Subject to the terms and conditions stated an both sides of this agreement Seller agrees to sell and Purchaser agrees to purchase the following.NFD./MBL Horrieu '•MAKE MODEL /�+ B. ROOMS rrAPPROX. (NOT INCL. W • _ �•, , •„SITUS _•. • ,y„r' Lyy, s y;•_,� / n/\�1��1_ // ;TO BAR/EAVES.) ADDRESS$ "� '`: Sr •/rrs� �(%Ot7/J�V-Itjl�j L� W.Zf. ❑USED x, - STK ISE NUMBER' DAPPROX L. D TE - HUD OR HCD NO .;, DT. OF MFG. .•' • • F: zl •��V�' •• ' h�'�,�5 ' f'..1✓'� i Countyt •�.'fi.4 ! .1 �I�4 ��11��� � Yl'�4 THE COST OF THE MFD./MBL. HOME EkCLUDES THE LISTED PRICES FOR THESE fTEMS - SO. FT. LIVING A 'AP. #1 .. t° p�!1 �+� i �+ $'''' 0 TOW BAR,�«WHEELS,$,, s HEEL HUBS, •' TIRES,t� ••AXLE; �/ �V. 1z. y', �.FD.'.OME PRICE $ 'titer , DATE MFD. ORD - ESCROW OPEN _, , < < i,L.� l • STK/OTHER u+ fryr - •« y_ ! USED HOME SALES TAX IF ANY ' IST SOLD PRIOR TO7/1/86 $:::i'�!�N:`tf:: ITEMIZED ACCESSORIES AND THEIR COSTS: (SEE AD_DENDUMS) ?.',.> t r ,+ x'x�`• r t �; t ;�, r.•; s +wt^f^ r,.X ,n. , r ".."SEE BBELOW ', CIRCLED ADDENDUMATTACHED' HERETO= A".', +PRICE' SUBJECT TO:SITE APPROVAL ,_ 7?1�� f V�v � `O r^�•�-..` �''7c> �� ✓LL.It�tX 4/�_" .._ �t� .OQ�..c '7.; J�� ,,��. r � Y:,T*;; _ '--�/"""r---•—�1 �.%^G _'.i.,L��yyI)��� 1� �/�0._...t1`�0`�'s' CSS'{ hJ ,//+'��`'''•`••''"` . Y r < �� (� . . Mtn ++st' . � �_ —�-�_ '..-:_.Y.f•'/ DESCRIPTION OF TOTAL ACCESSORIES (OUTSIDE HOME)r;^ MAKE r' :,, ! ''•. ear t,(�, T -/--• ` MODEL 1 TOTAL MFG. HOME 81 ACCESSORIES '�t4h:►4 $t; ,. 140 _N O. SERIAL NO. SAL X ITEMS NOT INTEGRAL -TO HOME) Y.-.3•t$s FOUNDATION SYSTEM TIE DOWNS; ;T; AMOUNT OWING ACCO NO. ..;C .,,•'` '''�' '"` DELIVERY r : ,. .• t S°»ty�i4il1'3 F $4t t 4s ,•"rL� ,�. S .• rM �J'�04 ziv. TO WHOM: SET UP M j11',)+ _ HCD FEES ADDRESS/PHONE /Don Q •',� , r,.. INSURANCE PREMIUM (ONLY IF SOLD BY DEALER) VENTILATION IMPROVEMENT- ONLY ESCROW FEES I HAVE RE D VENTILATION IMPROVEMENT I MATION FOR ,. tfw`��� /MBL. HOME. (�t•}.ci'�►r:�h r •, ; 1 r -x THIS SCHOOL FEES o " 's� }�r$ YER'S SIGNATURE OTHER /PRE PAID TAXES *,e DOC. FEE (NOT A GOVERNMENTAL CHARGE)+*. ',•gar+$ ryr = in f;y THE MANUFACTURER STATES THAT INSULATION HAS 5 BEEN 1. TOTAL CASH PRICE • :?r :�.�•t:=`t``�i�j7> INSTALLED IN THIS HOME AS FOLLOWS: (NEW ONLY) "`t rc„t`j2$.. TYPE THICKNESS R' FACTOR ALLOWANCE ON TRADE-IN. ;4 =• '; I i''"tr` *�'a�`;=f• LESS BAL. DUE ABOVE $ { '• A �+k.,�. :. ice-• t,�` Fr t<`7 �;; ROOF e3wn l.vvo r7 11 Tz—t`i NET, ALLOWANCE + ' — EXTER WALLS d% — it _ PAID HEREWITH ,• $ FLOOR • 4 s 1% 'CASH BEFORE DEL. $ ? I t WARNING—Unless a charge is included in this Agreement for Public "�� DESIGNATED DEPOSIT $ •+ Liability or Property Damage Insurance Payment for such Coverage.:(INC. a'�:. r y g IN DN. PMT) is not provided by this agreement. = :' .. is ;t' • �r Vii',%, P'". .'.;' 4. LESS BUYERS DOWN PAYMENT !`If the dealer Is also licensed; as 'a real; estate:, broker,'; the • 3. UNPAID BAL. ON CASH SALES PRICE $ eze 4. FINANCE CHARGE $ sale . of. a manufactured home or mobilehome being' installed on a foundation system pursuant to Section 18551 ' may be 'in', 5. ANNUAL PERCENTAGE RATE includedthe purchase -for the -underlying real 6. TOTAL PAYMENT AMOUNT (3+4) :$ !document property, `'provided' that the. requirements, of + HSC., SEC. 7' UNPAID BALANCE DUE PRIOR TO DEL. $ 18035.3' are met.” ;, ; B. TOTAL DEFERRED PAYMENT PRICE (2+6) $ ! PAYABLE`AS FOLLOWS: .!,,THE DEALER CERTIFIES THAT;THE. INSTALLATION CONTRACTOR IS: NAME Chico Building • Systems . uC. # 295412.:.x. , BUSINESS ADDRESS ' 13468 HWY: 99, �� In the event the manufactured home canno be dted elivered'and�or :inspection comple within the agreed delivery time due to nonperformance by the buyer, buyer agrees to one of the following at the option of seller, either (1) to pay $ 7S charges per day until a manufactured home installation acceptance or certificate CITY Chico CA ZIP .95973 A Contractor is required by law' to be licensed and regulated by the Contractors State License Board, P.O. Box 26000 Sacramento, CA 95827.: of occupancy is obtained in addition to all other consideration owing or (2) pay the sum in lieu of total consideration; BEFORE YOU READAT:OR::IF'IT; CONTAINS • • A(A) DO NOT'SIGN THE PURCHASE -.AGREEMENT ANY BLANK SPACES TO BE FILLED IN. (B) YOU ARE ENTITLED AGREEMENT AND, IF PURCHASING A MANUFACTURED/ TO A COMPLETELY FILLEDA COPWOF,-THAT MOBILE HOME COVEREn RV A •WARRAAIYV* 'A1 %noV. � PRoPoSE r- RDE�3C (� BR) 2(; X 5 2. zi--I � c Nl�c :� 4® 0 i3 Z7 �c �i LU ca rc i^5 W h 0 � i. J,L(i � $ ua �c pop r0 , .t � co fd aLL fz ' cq .. cf) 0 v 787 APPROVED Butte County Environmental Health ate _�-w'd�'-------- Signature sTEVEN CKRI ST;NA ToHNSOr 3437 LOS RANCN05 RD OROVILLE CA 1759ea5 qJ P *� 041- 4-80 - 034 SCAl-E I " = 100' p op WELL 0 W b M.H.I.- 2 Mobilehome Manufacturer: .5K yL/^/ Manufacture Year: /`1,9`) If other than single wide, furnish Setup Model Number: P - Width: 2� (ft.) Length: SZ (ft.) Tagalong or Expando Size —(ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[?(] Other: SUPPORTS: Concrete blocky] Other: � rv4cts�,E w sd `v Provide Tie Down Specifications for all Mobilehomes: Eoy nr /, A v- r o lf Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2--.,. Line 2 ................................................................................................ Main Beams Line2 ................................................................................................ IQ e 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ..................................................................:............................. Line 2 Line 1 .................................................ine S Tag or Triple Line 4 in e 1 Line 1 Piers: - Size minimum: r I x Spacing maximum: I` From ends -maximum: ` Line 2 Piers: Size minimum: [ 1-t- ] x [ 3o ]. Spacing maximum: y o ` From ends-maximum:1 Iv ` Line 1 Openings Size minimum: [ %2--1 x [ 30 ]. Each side of openings with width over: I -I ` o ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` Line 3 Roof Loads: �p Size minimum 12-A30 12x3 jz,c 3- 190x3o ;W3o12•x30 ILx3v 1 ►L'>?v Location (from front): I u ► $ I 9 iU I jqr n 1 /S.(. 130,7f I �W 43 u ?'b Line 5 Roof Loads: Size minimum: Location (from front): sal e "JU OVER iE �9 1. Owner's Name: -5 7-,e r/ E/,.( 70 0 f4 s o a 2. Assessor's Parcel Number: b 4 ( — 4 1�-n - o'�, k( 3. Installer's Name: s 6 s 4. Is the site currently under permit? Yes[ ] No[Y] Permit No. 5. Is the site an existing site? Yes[(] No[ ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the. mobilehome? 10o Amperes. 7. What is the mobilehome site circuit breaker rating? /0 0 Amperes. 8. What is the electrical rating of the mobilehome site?. /00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[V-j If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No [.y ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[,Y] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3/,{ inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 2 ,�!(ft.). 14. . What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM -MUST BE COMPLETED IN ORDER TO . PROCESS THIS PERMIT APPLICATION May 1995 8.5 Ti m m uji s SEC. 4 ILL. 51 PCL 6-52 R'� • ru s ME N � �` rn f u, n �13'-f' I - • ?2'-fi' � 1 d-8'�5-4'� 'CENTERLINE S•UPOCRT REQUIREMENTS • TEAS SHEET TO BE INSERTED TATH SUPPLEMENT TO FIELD INSTALLATION MANUAL 1 -FOR 504000F SNOW LOAD, SEE ABOVE PRINT FOR LOAD REQUIREKN7. I' UVE LW ! 5226-xx-2B-CATH .W G) FILE LIH 9321 m YOL 1 s SEC. 4 ILL. 51 PCL 6-52 R'� •; ; m s ME N � DRAWN BY: RYKER m DATE 02-24-1997 A P202/CT APPROVED - Butte County ' - Environmental Health Date 21�---------- :. Signature 14 41' CENTERLINE S.IJPPCRT REQUIREMENTS THIS SHEET TO BE INSERTED VAIN SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR ROGF SHOW LOAD. SEE ABOVE PRINT FOR LOAD REQUIREM7. LIVE LCIADI 5226 -3M -28 -CAIN 5'-4'—J 10601 . u� m 0 z m • .00 YOL. 1 m SEG 4 ILL, Al P& 6-311d m DRAYM BY : R11(ER m DATE 02-24-1997 m u� m 0 z M2/CT m FILE MH 9321 m YOL. 1 m SEG 4 ILL, Al P& 6-311d m DRAYM BY : R11(ER m DATE 02-24-1997 m M2/CT ° • j JOB FINALE Signature Y 1 7i„�yl1t ��''[��-yi� � �+ i'Y,•}X�y �'+r�� `lt � `i � c .: �1, F as IK 'Y Y � Q' W R Y J =.OK O = Not OK = Not Applicable = Not Ready 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/ P L" ft./ /"LPG 7. 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, • f� Date DECKS, COVERS, CARPORTS, GARAGES, Plans OK except #'s Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel "3 Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails L,.Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 4Electric rmg; Sils-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 1. Ext.; Steps -Doors -Landings Date 7j�,� Card B-1 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval - 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK - = Not Applicable Not Rea RESIDENTIAL (Single ' =" & Duplex) Date UND OOR (Plans) OK except #'s Date FRAMING (Continued) Zoning-Setbacks Easements-Flood-Slope 45 angers-Post Caps-Anchors-Connectors tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Cing. Joist-Rftr. ties-Pu rlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth eWlFireplace Ties or Type A Flue-Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils-Steel-/ /Ftg. Depth 48.cess; Size & Romex Protection-Draft Stop-Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab;;Steel-Wrapped 52. Ext. Doors-One 3'-Check Garage-3rd Story, 2 Exits 8. Piers Fireplace Ftg.-Steel 53. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 54. plywood on Roof Overhang-Attic Vents-Rafter Outriggers 10. Gas Pipe; Size-Anchors 55. Siding-Nailing Veneer 11. Water Pipe; Test-Anchor-Regulator-Service Test 56. Stucco Mesh-Drip Screed-Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area-Glass Protection-Skylights-Plastic. 13. Pienums & Ducts; Clearance-Material-Support-Ins. 58. Shear Walls; Nailing-Bolts 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 59. Insulation-Walls-Ceilings 15. Insulation 60. Infiltration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except q's Date Card B-1 Date Card B-1 16. Water Htr.; Vent-Access-Combustion Air-Baffle Date FINAL (Plans) OK exceptg's 17. Water Pipe; Test & Anchor-Nail Protection 61. Ext. Steps-Door & Sidelight Protection-Landings 18. D.W.V.; Test -Fittings & Anchor-Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor-Tub Access 63. Furnace; Vents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor-Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access-Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card P-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances-Hearth 22. fixture & Transformer Clearance-Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. VLf3. Elec. Receptacles Spacing-Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance 24. Size Boxes & No. of Conductors-Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of ds & C.J. 26. Equip. Ground made up w/MecK Fastners-Bond GasWater 72. Garage Fire Door; Swing-Landing-Closer 73. A.C. Duct in Garage-Damper -& 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation-Foam-Looked in Attic 0 Yes 30. Service-Riser Conductors & Ground-Main Disconnect 78. Guard Rails & Deck Construction-Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light-Shower Light-Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 13 No; Planters 0 Yes 13 No Date )% 7 Card B-1 y Date Card B-1 81. Stucco; Brown-Finish Date Card B-1�Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except N's 83. Vents Above Roof; PIbg.-Appliance-Firep lace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle-Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access-Comb. Air-Return Air Vent-115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test-Meters Tagged; Gas-Electric 90. Water & Sewer Connected-C/O to Grade-HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate-Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except N's Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date B-1 40. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound Date _Card Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings-Stairs-Chases-Tub 44. Headers & Beam-Size & Bearing each time you visit job site) „ (NOTE: An entry must be made COUNTY OF BUTTE ; DEPARTMENT OF PUBLIC WORKPERMIT NO 7 County Center Dri\;e - Oroville, California 95965 - Telephone: 916/538541 fZ APPLI TION AND PERMIT o ASSESSOR PARCEL NUMBE -ZONING .r BUILDING PERMIT OWNER TELEPrE Al ,% SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �� � �� 3 9s ® I CONTRACTOR'S NAME R IL 145-1 TELEPHONE _ ( CONTRACTO'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ?5 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS -3:2 zorPermit fee $ -' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUREec���� SF ❑ Duplex❑ Mobilehome❑ Other e,461WO AO �' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I O.00e TYPE OF WORK NewA Addition ❑ Remodel ❑ U ' lities ❑ instal latJpnn,❑ Other ❑ Describe work: 6f3 �X�(] e?" -44.// _ I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of (check . P Y perjury Iur Y (econe): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneS$ 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.8i) A OR DDNS. ACC. BLDGS. '/zQsgft NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050C e ALO 30 FIXED EX. Occup. OUTLETS P(RESID.)REA.Y 2.00 , Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Heating Cooling g Hood Ventilation ' FiIingFee /10.00 z00 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. 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, a d expenses which may in any way accrue against sa' County in c nsequenc of the granting of this perm't. %� 1 Date !� Signature of Applicant - Owner IM 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 $ Energy Inspection Fee $ occ CONST TYPE r!' TOTAL FEE AL HAz e PARK F PD I This permit is hereby issued under sions of the Butte County Code and/or work indicated bove f hich fees I TO O UBLIC By PERMIT EXPIRES Date the applicable provi . resolutions to do have been paid. WORKS >7�r Date /U� kL ' Receipt No. 6, 7 fl WNITC-D.P.W., TELLO W-A88C990R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDILD41SION I 1 7 COUNTY CENTER DRIVE OROVILLE, CAt:LIFORNIA 95965- TELEPHONE: 916/538-7�� 41 PERMIT ARJF�j TION DATA SHEET Permit No. OWNER � �A�I�I< Ol.� ��iL� ��A77. P. No. —4' 3L Proposed Building Use /A r'G� Building Inspector /.i�% Date :71. f permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 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 .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health 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, Classification, ... 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 you issue the permit, process as follows: _ Mail to owner. Mail to contractor. Telephone-' and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following,data must be submitted prior 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---nail—counter by .date Contractor, designer, owner, was advised of above required data by_phone_mail_ unter by date Plans checked by Date Plans approved by Date.,e Sets of plans on hold in File cabinet AP folder Copy—DPW a, TO Buildina Department ` FROM: Environmental Health SUBJECT: Sanitation Clearance Prate- _ Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.R. for: Clearance for bedroom mobile home. NOTE * * * Sanitarian Water Supply Water Supply Other 15�1/ &y Date COUNTY OF BUTTE - Departplent of Public Works 7 County Center Drive jOrovil,le, 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 improvemen({ye or no) 2. I av /have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name A I Address _IX /C,-� 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 4 1 ZJ= 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 Security Nmb r Date <�1 �89 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. FORM 7 ADDITIONS tO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A"(Additions) Owner Il��aw� trcn k t ow and Climate Zone Permit # Floor Area S/255-fl- The l2S5-fl- The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA lq CEILING R -,JO R-38 WALL R-11 R-19 FLOOR SLAB R-11 R-19 R-7 R-7 GLAZING U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) - DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 C 0 ❑ *1 HEATING. VENTILATING AIR CONDITIONING SYSTEM (A) Heating t 9 Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) - Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector nriPntation collector tilt rated y -intercept Other (describe) (B) Cooling Electric Air Conditioner - (brand and model number) Btu/hr (cooling capacity at 95°F) Electric Heat Pump Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ *2 DOMESTIC WATER SYSTEM (A) Gas Only (seasonal EER) EER Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) 2 ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P,S.E. chart or other approved system (form 4)5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT h ; 06CArlIA116 i f 10 0 rkmanship. Shan Be, h, .'Ac'q9rdO:fkc`6 With' lecogniz Good Practices 4md 1 k1l a qualityprescribed for e Specified - use in the .Banding, g, Plumbing Mechanical, Codes �d c tical. C 61ional 4h Is set of plans argil pecifications M .'-kep!-or�.the job at all'Ji es and it is unlawfu tc :_.ma ` ch-- . a any anges or 9 erations on san)e with- 6". wr iften permission om the Department of Public Works Countyo Butte. :' roti ` — — � .01 I ci vN C) w lvc j 5. C, 11 A seftX16k. O -f 5 ft'. from to -property lines and a setback of 50 ft. from the toad' Centerline shall be clear. Of - atfuGtures or equipment 6xo* it, gave overhanq. - .,y -- S 1.7 � BUTTE COUNTY BUILDING DEPARTMENT APP O ED 01 DW 12 /J W(-- ,-v SftCIAL ROOF COVERING REWA Wp. • -T AW), .._r oo11 r ooi -- _ ---- sow X43 --�,- Sov�� U ICU—) Nor+v, view �6n BUTTE COUNTY n BUILDINGDEPARTMENT APPROVED, 011 too y y- t. r 1 l I�JDOA V1GIIEO �" �'• � �' � `� C�sll\`n� \axro C�t�i►'�c�, �ai_StS��� C�•C�a . r- . %vp , 4 waCC.S 1, . ►► r�---� F— 6 /g Plywood (\(>Io LA BUTTE'COUNTY BUILDING DEPARTMENT APPROVED k, Insulation Certificate Numba and Street City County Subdivision ROOF Material Thickness (inches) EXTERIOR WALL Material Thickness (inches) . CEILING 1 Description of Installation Brand Name 114 Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft` lb Minimum thickness . inches Manufacturer's installed weight per square foot to acheive Thermal Resistance'(R-Value) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Brand Name Thermal Resis•Wnce (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Declaration Lot Number I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) License Number , Signature and Title Sub -Contractor (Insulation Installer) Signature and Title Date r License Number' Date California Energy Commission `� I 0 `o 7 L1 V S rA , PERMIT NO. 4863-76P,E PERMIT EXPIRES ld OWNER Kenneth M. Kriser- CONTR. owner LOCATION (A.D. 41-48-34 mi.W.off Cherokee Rd.,12 mi.S.of town of Cherokee, Oroville 11fi9b Temp. Power Pole Called PG&E Temp. Elec. Serv.1 (7- f r Called PG&E 9 ¢ . emp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) 41-48-34 4251-89B,E HOWARD, " W. Frank 3437 Los Ranchos Rd",Oroville (cabana/deck) 9 41-48-34 4251-89B,E HOWARD, " W. Frank 3437 Los Ranchos Rd",Oroville (cabana/deck) COUNTY OF BUTTE � DEPARTMENT OF PUBLIC WORKS L BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Slab Forms Parapets 1st Floor FIREPLACE Main Bldg. Restroom Finish 2nd Floor ELECTRICAL Footings Windows 3rd Floor Reinf. Steel Stemwall Siding To out FIRE SPRINKLERS Slab Roof Sheathing Water Piping'— -- Piers Roofing Sewer Mesh Garage Fdn. Vents Fixtures Heating Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Temp. Pole Slab Carport Prov. for physically handicaped Conformance of ex. Appliances Gas PI In - &Test 3tz Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h —/ Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service �p —) to Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMA KS OR CORRECTIONS 00, ��� i'V �✓ V � �� V V �it- � sA��I� lolkl-7 0/67 ^• i 2s A�5 — 30 i Vf L P S / (NOTE: An entry must be made on this form each time you visit the job site.) J�- COUNTY OF BUTTE - L EEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi l le, California 9596511006 /006 / �, 76 Tel eghone: 534-4541 APPLICATION AND PERMIT / J ) BUILDING Owner "i" R -A SES SQ. FT. OCC. BUILDING VALUATION Mailing Address R� iJ WEE O Tel 7 o HO Fireplace Contractor QWM Total Valuation Mailing Address Permit Fee P I an Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r--- �✓2���� Repair drainage or vent piping 1.50 Water piping ntng eri ication Vnl L -Le 'Each gas water heater or vent 1.50 �b �, A. P. No. b Zan Gas piping system 1 - 5 outlets 0 Each additional outlet .30 Sari n Fire Dept. Fire Zone Use Permit Building sewer EQA I Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 pp BWPlans Recd V/ Parce Approval Plan pproval Permit Fee $ 3100 $ 3, NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 o Main service V OR LE 1000 AMP ORSLESS 5.00 Q Main service .per ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 6 00V25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. DWE( ACCLBLDGOCCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: t i4p- (?QA&P ao Ex. OccUp(OUTLETS OR FIXTURES) BAL@t Ex. Occu FIXED APPLNS. OR P. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ b $ 2 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.1 @ FEEPERMIT FILING FEE $3,00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ is I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 4 ,,4 X Date gnoture of _P e mi tee or Agent Receipt No. I J I _Z / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE is 5© 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 0 UBLIC WORKS BY Date P' wilding permit expires Date Z7 •- 7 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 A. Telephone: 534-4541 APPLICATION AND PERMIT above-mentioned property for inspection purposes. X Date Signature of Permite or Agent Receipt No. ZZ//?F White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I n(s 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 24 By Date permit expires Date _ f/,3V;ng BUILDIN Ownere� e SSV SQ. FT. OCC. BUILDING VALUATION Mailing AddressV S r �+� VL ( r d T l hone No. Fireplace Contractor 6d Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Addressf 1 �� W PLUMBING No. @ FEE PERMIT FILING FEE $3.00 i/ 1 s Each Trap 1.50 J ovO V Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �— _ 3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe � // IN _ n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Appi,4 PI s Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 a da V OR L ES Main service i°oo AMP ORS LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1OOOEAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ACDNS. ACC. BLDGS. 20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID, BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 50 BAL2� Ex. Occu // FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 7� 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. �( fes( I certify that in the performance of the work for which this J�11 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 Hood 2,00 Permit Fee $ $ 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 30 60 TOTAL PERMIT FEE � 30 bc above-mentioned property for inspection purposes. X Date Signature of Permite or Agent Receipt No. ZZ//?F White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I n(s 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 24 By Date permit expires Date _ f/,3V;ng Irehne Tl, NOTE:—All lvinferrvls &. Workmanship Shall Be in Accordance with Reconnized Goocj, Pracltices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. fhis set of plans aspeeWim ews MUST be '��•.!% „, kept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Public f j o � Works, County of Butte. ?-=n m i T *� `IF -C 3 -7d All utility connections shall be located within 4 ft. outside the rear third section of the mobile home -_� on the left (road) side of the mobile home. The M!. Setback shal e 5 #. from the side property lime and 50 ft. from the centerline of the road, permitting a maximum ofja 2 ft. eave overhang. r of W permit will 6e re utred for the installation of the obilehome. Septic system an to be as per Butte County Health Dept. Re- quirements. ` BUTTE COUNTY BUILDING DEPARTMENT APPROVED e"d* q ✓✓utte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Mr. & Mrs. Kenneth Kriser ADDRESS: CITY & STATE: Oroville, CA 95965 IMPORTANT: July 2S 1977 SEE INSTRUCTIONS , DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Sold property. Decided not to build. (Permit Appin. 36904-76B, receipt P155302 - AP 41-48-34) -Retaim Building permit fee ------ $28.00 - 113 of fee ---- - 9.33 Amount of refund due ----------- $18.67 $18.67 I TOTAL $18. 7 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de. livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for the same. Dated this.... 2Sth ....... day of , `ru�Y................. 1977 , at ,.Oroville Celif..................................................................................... .................. . Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. L A. a INSTRUCTIONS to CLAIMANTS All claims against the county Must be -itemized, giving dates and character of service rendered or work performed, quantitates, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to Count, Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to off,...als for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. • C-OUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS" 1{ 7 County Center Drive = Orov)i le, California 95965 t Telephone: 534-4541 APPLICATION AND PERMIT `fJl r X Dated 6 6 gature on errymitee or Agent % Receipt No. !_ *6Jy2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner e SQ. FT. OCC, BUILDING VALUATION Mailing Address L) Ar, i? � Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Crd Building Address W PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ( xt;, , Each Trap 1.50 D Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 J A. P. N` Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F4<W. Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Decl tion Parcel Ma P 60' R/W Improvements— Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel A pr P pproval Permit Fee $ NEW E, ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service aooV OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2,50 Single Family ❑ Duplex Mobil Home Others ❑ ❑ Main service OVER 600V 25.00 10o AMP OR Main service EA, ADD'L 100 AMP 1.00 0 AM —7LINNEW � G OR ADDNST ( ACCLBLDGS. OCCUP. &) 20sgft NONNEW.RESID R- (BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS &,, NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 0 250 Ex. Occup(OUTLETS OR FIXTURES)LL@1 BAL1 FIXED APPLNS Ex. Occup. ( OUT ETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 74JP am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 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 7 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.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the Ahr1V?-m Pntinnari n --rt,, f- in...... t..,.. TOTAL PERMIT FEE � a� Q C This permit is hereby issued under the applicable provisions of r X Dated 6 6 gature on errymitee or Agent % Receipt No. !_ *6Jy2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date -PERMIT NO. 4515-78MHI F PERMIT EXPIRES OWNER WILLIAM HOWARD CONTR. Owner LOCATION (A.P. 41-48-34 ) WS of pri rd, app mi. W of Cherokee Rd, app 132- mi. S of Town of Cherokee, Oro.. N t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E tTemp. Gas Serv. ` Called PG&E t OB / FINALED y (Date) (Signature) d COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE ' OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter S, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date -{ By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING I Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal i Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES---------------•-- Elec. ery Elec. Pedestal Water Piping Sewer Gas Piping BI E OME INSTALLATI N - - - - - Support Elec. Continuity Water Piping , / Drainage Gas Piping DATE REMARKS OR CORRECTIONS r (NOTE: An entry must be made on this form each time you visit the job site.) I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 Telephone: 534.4541 APPLICATION AND PERMIT su U IVI ILC IVPlV0CIIrarIVCS UI rile L,Uunry UI oune 1u enter upon ine above-mentioned property for inspection purposes. Date Signature of Permiteeoorr Agent Receipt No. 15 q 6 � White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo hich fees have been paid. D ECT F PUB IC WO By D toRKSe Building permit expires Date 2 J, BUILDING 411111111111. Owner ,LL�a �a rd SO. FT. OCC. BUILDING VALUATION Mailing Address R%' 14 k 36 7 J4 �V-,g L t eph n ND. -- 73 50 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee BuildingAddress ril0esa%a Plan Checking Fee &/orPenalty Permit Fee PYD�. LJ.d C A4_ -0 PLUMBING No.1 @ FEE /1(-� .06 Pr Y0 3L. 1 f L c �• a F D wN d 1 A"rG Ode I - PERMIT FILING FEE $3.00 ch Trap 1.50 Repair drainage or vent piping 1.50 A. P. L,� !�/ �— i Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es ftyir ttFerr Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvement ,Each additional outlet .30 Building sewer 5.00 Bldg. PI s Rec'd Parc p roval Pla pproval Lawn sprinkler system pq NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER laOTHERFee $ $ , q Lt,q "T- C )J ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER a 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW // CONST., ACC. BLDGS.DWELLING CCUP. 4') 22sgft 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: NEW CONSTR. - ( BRANMULTH CIRCUITS) NON.RESID `BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES g L@; FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Li ense No. Classification Misc. Wiring 6.25 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 orkmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby e r $ O� TOTAL PERMIT FEE $ su U IVI ILC IVPlV0CIIrarIVCS UI rile L,Uunry UI oune 1u enter upon ine above-mentioned property for inspection purposes. Date Signature of Permiteeoorr Agent Receipt No. 15 q 6 � White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo hich fees have been paid. D ECT F PUB IC WO By D toRKSe Building permit expires Date 2 J, x'90 sei pn Of k"ri�a any f c� s o f _aq ai _ gr�ermis ; �' ",'/ �i';�e e�if cd s° is p�r same ae n ` of of A °v> kv o- Ao4d)c� �— �_ A- side o o6/j HOZNZ E J F s ' J J The 5adr,. Setback shall be -5 ft-from-thesz-e Praperry I�ind and 50 ft. from the { �� 'en ter" of_fhe- -oad,-per-miffing a-mclzi= mum of a 2 ft. a ve overhang but entirely � _+ out-of-pil-ease BUTTE COQ ry aUILDING DP - U E, \ Iz 1: ' • n 1t - -�������-/`fes//''� y 1 ' ` 1 1 1'' i , .0 S . v t y O