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Home My WebLink About056-080-094�qvt 2102_-91P,E HORNBACK, Shelley Huntley 1722, Vi -las Rd, Cohass • GAS y 514 20 ; COMPACTION TEST REQ SUPPORT STRUCT REQ _ 56-08— _ Permit#2103-91MHI -llat ' �(mt�: installatio •,.: T R NTIAL ,Ql?�5(.1�. 2102-91 P , E --- -- ---- -• L A; HORNBACK, Shelley & Huntley 1722 Vilas Rd, Cohasset (mh utilities) f - r 1 �/ `�"• C' ►'`� _ /Zed "� - �`,��"�- I OFFICE COPY y Address GAS t Date Meter BY ELECTRI D Meter JOB FINALE Signature n V=OK O= Not OK - = Not Applicable = Not Ready ,MOBILE HOMES Date MOBK HOME UTILITIES P ns K except #'s h ina-R eau ire ments- tbacks-Easements Special MH �Gpp Location -Test -F Location -Test -E. rete 6 -.-Gas; Locatmt(Test=Wrap: 0/"L" ft.20` / /"Nat. or/ /"L"ft./ jiNtPG 7. Well Clearance & Disconnect P Utility Clearance Date / -q, Card B-1 i/6P Date Card B-1 Date C rd B-1 Date Card B-1 Date MOBJeEHOME INSTALLATION (Plans) OK except #'s t.?."zyKiqg Requirements -Setbacks Easements gs; Size -Spacing -Marriage Line H Test-Demand-Valve—Connector ctr' ity; MH Test -Crossovers -Breakers -Clearances r MH Test -Fall -Flex Connector er• MH Test -Regulator -Connector 'rad Sewer Connected -C/O to Grade -HD Approval sjXd Electricity Tagged PV—S; Insp.-Sketch 10 Cert. of Occupancy 1prDate �f —/3 Card B-1 ft Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card 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. wi5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK ti O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = - - Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- -- ----------------------------- 17. Water,atipe: Test &Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --- ---- --- -- - ----- ------------ 19. Shower Pan: Test. First Floor -Tub Access 20. Test -Tub & Shower, ---- Second Floor -Tub Access ------------------- ------------------- 21. Gas Pipe; Size & Anchors --------- ---------------------------------------------------------- Date Card B-1 Date--------- Card B-1 ---------------- --------- -------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except k's 22. Fixture & Transformer Clearance -Ins. Protection ------------------- --------------------------------------- -- - 23. Elec.. Receptacles Spacing -Lights & Switches at Doors - ----------- --------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------ ------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. - - ------------------ 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water --------------- ----------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------ --------------------- 28. Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or -AI --------- ----------------------------------------------------- - 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes--- ❑ No - ---------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ---------- - ------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------------------------------------------- - 33. Smoke Detector ---------- --- -- --------------- ---- ------- -- ----------------------------------- Date -------------------------------- Date Card B-1 DateCard B-1 ------------------ --.----------------------------- ------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support --------------------------------------------------------------- 35. Vent Fan. Exhaust above insulation ------------ --------- -- ---------- 36. Conden=ate Drain & Overflow: Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return -Air Vent -115 outlet 38. Attic -Access-&- Platform if Furnance in Attic ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------- ------------------------------------ ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors --- ---- --- ----------------------------- ------------------ ---------- 40. -Walls- Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------- -------------- 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ------------------------------------------------------------------------ 43.- Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ----------------- ---------------------- 44. Headers & Beam -Size & Bearing "ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing -----51_Property -Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -.Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fc. Vents-Underflr. Access 57. Glazing Area -Glass Protecticn-Skylights-Plastic _ 58. Shear Walls: Nailing -Bolts ____________ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------ ------------------ Date ______ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except H's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents-Clearance-Ccmb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ------------- 64. Bedroom Exiting ------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------ 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ------------- --------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_ --------------& Appliance: Grnd_Air Gap -Cooking Clearance 71. -Elec. -Outlets & Receptacles at Kit. Counter --------------- -- -- 72. Garage Fire Door: Swing -Landing -Closer -- ----- ------ 73.-A.C. Duct in Garage -Damper - --------------------- - - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection - ---------------- 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: ;G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps --- ----------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth ----------------- Clearance Looked under Floor ❑ Yes 80. Following instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters 0 -Yes -_0 No -- 81. Stucco: Brown -Finish ------------------------------- - 82. A.C. Unit: Disconnect. Electrical, Plumbing ------------------------------------ - 83. Vents Above Roof: Plbg.-Appl ance-Fireplace.-Clearance to Openings - -- - - - - --- -- -- --------------- ----------- 84. Water Well: Disconnect, Electrical, Plumbing -------------- ----------------- - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground ----------------------------------------- 86. Ventilation Throughout House - -------------------------------- --- 87. Glass Protection 88 Corrections from Previous Inspections -------------------------------------- --- ----------------- 89. -Gas -Test -Meters -Tagged: Gas -Electric ---------------------- -- - 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -------------------------------- ------------------------------------------ - Date Card B-1 Date Card B-1 -------------------------------------- - Date Card-B-1Date Card B-1 ----------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE � r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. ICZY Address or location ofjjmobilehome ! ? (1 �U C 7B� 17 r/ �1l 51^ T Owner's name ?--�)i -/ 0r� ;r ; (-IC Owner's address ,( / 2 Z Ji i G S We, 0 G r 5l" / Insignia or hud number -3 Manufacturer's name Serial number of V.I.N. l �i' Year of manufactur & �,��'�7 ('Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE i .vim DEPARTMENT OF PUBLIC WOhKS' I 1'96 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 f CORRECTION NOTICE aloa- T NO. A routine inspection indicates that the following violations of County Ordinance existAorr the above address and should be corrected. Please notify this office whenrection of work is completed. If you have any question pertaining to this atte need additional explanation, please contact this office immediately. 'Date �� /, Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS. I 196 Memorial Way, Chico — Phone:'891-2751 f 7 County Center Drive, Oroville — Phone: 538-7541 ` 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE n n (• y Z -tel PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when corre •tion of work is completed. If you have any question pertaining to this matter,need additional explanation, please contact this office immediately. ,I k Date ^ �Y —ql Inspector / COUNTY PF BUTTE - DEPARTMENT OF PUBLIC WORKS l/ 7 Cour.y Center Drive - Orovllle, California 95985 - Telephone: 918/538.7541 APPLICAtION AND PERMIT PERMIT NO. _n ASSESSOR R NUMBER 56-080- 7,ONINO TM -5 BUILDING PERMIT OWNER ,Huntley & Shelley Hornback TELEPHONE 894-8253 SQ. FT. OCC. BUILDING VALUA ON OWNER'S MAILING ADDRESS 10544 Cohasset Rd., Cohasset 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING. ADDRESS Permit Fee $ ARCHITECT OR LN ,INEkR LICENSE NO. Plan Che, -king Fee ; 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 22 Vilas Rd., Cohasset 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 STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer ' 5.00 Mobile Home I S I G J VIT 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti s ❑ Installation❑; Other Describe work:_ 1 Rpdrnom MHT yh{��7�0 Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 100 AMP 00V OR ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): p y p I y( )• eNEW F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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.61 OR ADDNS. ACC. BLDGS. , /20sgft NON.RESID R BRANCH CIRCTITS 2.50 ea POWER APPARA-US e) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20®50t eALO 30 FIXED APPLNS. OR \ Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. No ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation penult 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 County of 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 I' bilities, judgments, costs, and expenses which may in any way accrue aga t said Nouni conspuence of the granting of this permit. %� Date Signature of Appl' ant - Owne, Contractor ❑ Agent ❑ An OSHA permit is required for ----- tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 49.00 Energy Inspection Fee $ occ CONST TYPE TOTAL—FEE $ 70.00 HA . CUA f PARK SCHL .� P D E // PAR P I s This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abov for which fees have been aid. p E R OF L C WORKS n By Date PERMIT EXPIRES Me Receipt No. 93792 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ..."tir^r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVEL"' VILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 vo PERMI . APPLICATION. DATA SHEET v c, OWNER-- Proposed Building Use A/ Permit No. A. P. No.�- Building Inspector Date r I At time of permit application, I was advised, the following data must belsubmitted prior to permit processing and/or issuance: I DATE RECEIVED APPROVED 1. All items have been submitted . ...................... V*':.......... -**-- 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by prepare'r. of plans . . 4. Complete engineered plans and calcs, with wet signature, on plans . . 5. Hazardous Material Form ............................. ........... 6. Energy Design Compliance and supporting documentati6p ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. -X�8Engineered truss details and layout in duplicate (required prior to plan check) . Mobilehome installation dais including manufacturer's installation Instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees ppa, OS,�....... . � C--(�'D School District fees paid ............. t 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, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 9.- si nature auth p--.......... 27. f 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 ! I h 1. I Copy of !-Idz-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 per i 'ss nce: (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 req fired data by_phone_mall_c unter by date Plans checked by � Date 714)q/ Plans approved by Date _-7/1, Sets of plans on hold in File cabinet AP folder Copy -DPW 1?/ COUNTY OF.BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - ZONING BUILDING PERMIT ow ER T L PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS /QS44 Cd ASS o SSS CA qsq C rz7 ELEPHONE CONTRACTOR'S MAILING ADD SS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee .. $ X0.00 Permit Fee $ ARCHITF-CT OR LN :INEER LICENSE NO. Plan Che�lang Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 U Pig- 1111-kS Q, Each Trap 2.00 C0M?3S1_T Cbl{ q Solar or heat pump water heater 20.00 LOT NO. SUBOI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeliCl Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installations Other ❑ Describe work:_ Ie 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 perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions -Code and my license is in full force and effect.SINGLE 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.aJ OR ADDNS. ACC. BLDGS. /z¢sgft NEW CONSTR TI.OUTLET NO N.RESID BRANCH CIRCUITS 2.50ea POWER APPARATUS 6 OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 200001 eALeso FIXED APLNS Ex. OCCUp. OUTLETS PRESID JREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 -H Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of -the -Labor Code, you must forthwith -comply with such provisions or this permit shall be deemed revoked. I Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 �- Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 Iia ilitie judgments, costs, and expenses which may in any way accrue agai t said oun in on eque ce of the granting of this permit. c %� Date Signatu a 0f App . ant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz. CUA- PARK SCHL FLD cpF . PAR PD I HD. IssuE This permit is hereby issued unser the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT AP # S(o- Og _ ITS OWNER PERMIT �k ZIOZ��r MR UTIL.C.LEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. ervice ize Other Load Type Pipe Size Length YES NO YESI NO zadM 30 L P& 31q I !7I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: _ An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and terials for construction of the proposed property improvement (yes or no) Y'�. 2. I (have/have not) signed an application for a building permit for the proposed work. " 3. I have contracted with the following person (firm) to provide the proposed construction: Name t 4. Address City Phone Contractors License No. �I plan to provide portions of this Iwork, but I have hired the following person to coordinate, supervise, and provide the major work: Name ' Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work E Signed: Property Owner Social Security Number _ Date (A-15-- I k 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. MOBILEHOME SUPPORT -DATA If'other than single wide, Mobilehome Mfr. FLA-MR40 furnish Setup Model No. Width In (ft.) Box Length S b (ft.) Tagalong or Expando Size, Year . 1 l ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one0l. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Line 1 OPeninLe: Size -Mir— ------------ � „ Size -Min. ------------------ k „ Spacing -Max. - '-'---- _ Each Side of Openings F:om`Ends-Max:; With Width Over --------- i ��• Line 2 Piers: Size -Min. ------------ „ x Spacing -Max ---------- From ---------From Ends -Max.------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ 'k Spacing -Max.--------------- From Ends -Max .------------- ._ Line 3 Roof Loads: Size -Min.------------ " 'k x "x 'Sc "x Location (From Front) _ _ _ Line 4 Piers: Size -Min --------------- Spacing-Max ---------- From ------------ Spacing-Max.--------- From -------- 1.1 „ "x 'k 'k ” e 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ ' Spacing -Max.--------------- r_ „ From Ends -Max .------------- '- Line 5 Roof Loads: Size -Min. ------------ „x „ ox „ „x „ „x „ ,Lx „ „x „ ,k „ ux „ Location (From Front) , BUTTE COUfffy BUILDING ®EPAgTMENT APVRO\IELJ BUTTE COUNTY DEPARTMENT OF -PUBLIC WORKS 7_County Center Drive; Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: L3LEY 1 �1 11C)fZrd 6�'f�. 2. Installer's Name: 00 til' r L.8_`1'1.Tgh111ae-1. 3. Is the site currently under permit? Yes No (If yes, furnish permit number Z.1 D L— — j) OR Is the site an existing site? . Yes G No 2Z (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- � ( // amps 6. What is the mobilehome site service rating? ------------- '10r, Amps 7. What is the mobilehome site circuit breaker rating? --- Amps 8. Is there any other electric load to be served by the n mobilehome site service? -------------------------------- Yes L�; No (If yes, identify the load and size: (Load) (Amps) it 9. What is the mobilehome site gas pipe size? -------------- 3/4 (in.) 10. What is the type -of gas service? ------------------- Natural F LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft ) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) ..'^nrovs«.-..+•. .,.J.. •.•,.+.••6,tiyr...-t ..---...--..E�a•- �-.+.<tiv.tFr -, r•.•;x'r i r.«.n-,�•rit-•s•w•y�1::'°.yq$'s:.t4 �:nYw=-•i:...,.n^t °'•"E'�:r .� r::�:i:riw�sc.++^i i BUTTE COUNTY SCHOOLS DEVELOPMENT"FEE-..-CERTIFICATION FORM /" (( One „Fprm, per Building) A. P. Number �i' - gym" 4—fBUilding Department No:. School District �-t% �j j.� City = county-tfNj.Jurisdiction Property Owner ": Ley � �L LLi Y / /C�� Project Location/Address � �L.../4's �,�• •.•�1VI •� I / Subdivision Lot Number Residential Development: U .5 a W" F Sq. Footage L # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) , i B ildinge itm rpt Representative f/j Da e (Floor Plans reviewed by School District Personnel)`, 1 District Id No. N n School District certifies that 9 - .ol Applicant ame) (Phone Number) f4- S 0,47 (Street Address) (City) (State) (Zip/.Code) has complied with the requirements of Resolution No. by the pa-ment.of $ �p� representing SCJ squ re feet.. School District Representative Date PAID BY CHECK NO. C/A - BANK NO PAID BY CASH REMARKS: AM IF MAW -1 white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 959¢5 - Telephone: 916/538-7541 • APPLICATION AND PERMIT lin ASSESSOR PARCEL NUMBER 56-080— ZONING _5 BUILDING PERMI OWNER I TELEPHONE 894-8253 SQ. FT. OCC. BUILDING VALUATr6N OWNER'S MAILIN A.DDR E55 10544 Cohasset Rd., CIG �f 26 CONTR ACTOR'SNAME oWnp TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ XN)M LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR LN ,INEEP, � LICENSE No. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS , Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 7 -2 -- 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 STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer. 5.00 Mobile Home S I G I W 3 10.00 ea 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: 1 Bedroom MHU Permit Fee $40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP OR1 OR LESS1 10.00 10.00 Main service EA. ADD'L too AMP 1 2.50 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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. I DWELLING OCCUP.& ,/z(Csg OR ACDNS. ACC. BLDGS. NEW CONSTR. ULTI-OUTLET a NON-RESID BRANCH CIRCUITS2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. z0 G 50e Ex. DCCUp OUTLETS OR FIXTURES ewL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 1 15.00 15.00 Permit Fee $37.50 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 Xshall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Ii ilities, judgments, costs, and expenses which may in any way accrue agai s said ounty-' c seque ce of the granting of this permit. XIF Date s Signature of Ap Ii on; - Owne Contractor ❑ Agent ❑ An OSHA permit is required for excava ons 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 TOTAL FEE $ 92.50 HAz. cuA PARK SCHL FLU 7F PAR Pp H Issu This permit is hereby issued under the sions of the Butte County. Code and/or work indicated above for which fees DIRECTO F PUBLIC By. PER EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Receipt No. 93792 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 9595 - Telephone: 916/538-7541 APPLICATION AND PERMIT // ASSESSOR PARCEL NUMBER 56-080— ZONING TM-5 BUILDING PERMI OWNER 1894-8253 TELEPHONE SO. FT. OCC. BUILDING VALUATr6N OWNER'S MAILIN A.DDR ESS 26 CON T R A CTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ XIODN LENDER'S MAILING ADDRESS Permit Fee $$ ARCHITECT OR LN ,INEEP LICENSE No. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Permit fee $ .00 PLUMBING PERMIT Filing Fee 10.00 7-1-2.= WoMilli Vi 1 Rd (-.,,h, ,Pt- acTrap 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 STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer. 5.00 Mobile Home S I G W 3 10.00ea 30.00 TYPE OF WORK p-1 New❑ Addition[]Remodel[]UtilitiesU Installation❑ Other ❑ Describe work: 1 Bedroom MHU Permit Fee $x+0.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 1000 AMP ORSLESS 1 10.00 10.00 Main service EA. ADD'L too AMP 1 2.50 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ 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.6 , OR ADDNS. ACC. BLDGS. h¢sgft NEWCONSTR MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. zo®aoe Ex. Occup OUTLETS OR FIXTURES 5ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 1 15.00 15.00 Permit Fee $37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 Ii ilities, judgments, costs, and expenses which may in any way accrue agai s said ounty.' c seque ce of the granting of this pe it. X Date Signature of Ap li ant - Owne Contractor ❑ Agent ❑ An OSHA permit is requiredfor excava ons 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 TOTAL FEE $ 92.50 HAz. cuA PARK SCHL FLo coF PAR PD %H Issu This permit is hereby issued under the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO F PUBLIC WORKS BY l ate•�/� ! % ��p� PER04 EXPIRES Date Receipt No. 93792 WNITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLOENROO-APPLICANT NO COUNTY OF BUTTE - DEPARTMENTQzPiLJ:BLIC WORKS - BUILDING DIVISION 7 COUNTY CENTO DRIVto OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ' n� PERMIT APPLICATION DATA SHEET _ Permit No. OWNER�n� 1 / I A. 56 I Proposed Building Use - '/Building Inspector Date�S 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance. DATE RECEIVED APPROVED I'll 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 ............................... ... 1Sch of Distri fees paid .............. .Sanitation approval from �� G Health Department /to 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': Lr. 1 Improvements may be required. Contact Land Development Section DPW O L Driveway permit (construction approval required prior to occupancy) ti 0. Pre -Inspection for required Pre-Inspec. request to .1.. Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... gL Certificate of Workmans Compensation Insurance ................... wner-Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 91 4. Recorded copy of Agricultural Acknowledgment gtatement ......... Lett r of signatu a authorizatio n . f i CCS 6K I ..... AP)Iv f0 ✓'� — _c en you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other G ?213 Applicant L IVAL We Copy Of Haz-Mat form sent Health Dept. .1 ~Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By The following data must be submitted pri Nr 't issuance (C" cle tem n.Qtchecked above). 1. Index permit for above items No. 2. Additional items required: J 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_mall-cter by date Plans checked by Date Plans approved by ,,((/L/L Date 7 Sets of plans on hold in File cabinet AP folder Copy—DPW �J T0: Building Department _ FROM: Encroachment Permit Section RE: Driveway Clearance /-{v,1 He AoIr ��`�� / location wner ` een issued for the above property - has b Driveway permit date si ature k TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance U C, ,- , � --C-L - t3ove,(), (e-sPj r, -4 -QR— . --- Owner I ILocation A # Plan Approved for: Sewage Disposal / Water Supply Hold final for: Final clearance O.R. for: Clearance for bedroom mobile home. Other NOTE** Water Supply Water Supply r Sanitarian DD to COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. Calitornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARC E=NUM E i(o - Q ZONING G7 BUILDING PERMIT OIRER _S1461 -LEY v NIS e TELEPHONE '39 4-$25_3 SO. FT. OCC. BUILDING VALUATION OWN R'S MAILING ADDRESS 0S4Jc CD14A 3rzrT RD COWASSE—r CA °[5I2G CONT CTORS A r/ TELEPHONE CO RACTOR'S MAI NG ADDR—ESS—, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee _ $ LENDER'S MAILING ADDRESS Permi: Fee $ ARCHITECT OR L.11:WEER LICE`tSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT ee 10.00 VPP)tg VITAS 9D- Each Trap 0 15.00 n G CO "SSaT CA q S - 2— Solar or heat pump water heater 0 LOT NO. SDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome)< Other SPECIFY Gas piping system 1 - 5 tlets 5.00 Building sewer 5.00 Mobile Home G O.O00a TYPE OF WORK New ❑ Addition❑ Remodel Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 6001 OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 rS CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Ei OR ACDNS. AGC. BLDGS. , It /z¢sga NEW CONSTR U NCH TLETCIRCUITS) NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS tr SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES DAL* 30t FIXED APPLNS. Ex. Occup. OUTLETS (RES] D iREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Z Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the -Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid C unty in cc sequence of the granting of this permit. X /� 6'ZS_clI Date Signature of Applic t — Owner% Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz. CUA PARK SCHL FLo cpF PA Pp ) HD. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF Bd17E - Deoartment of Public Works . 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUIUER 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. 11. I personally plan to provide the major labor and t ials for construction of the proposed property improvement (yes or no) ' 2. 1 I have/have not) ) signed an application for a building permit I for the proposed work. I have contracted with the following person (firm) to provide the proposed construction:. Name. 'Address City Phone Contractors License No. I plan to provide portions of this work, but I have hired the following person to. coordinate, supervise, and provide the major work: Name %Address City Phone Contractors License No. 5. :I will provide some of the work but I have contracted (hired) the following persons to -provide the pork indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number --- _— Date NOTE: This Owner -Builder Verification, is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned -to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Huntley & Shelley Hornback 10544 Cohasset Rd. Chico, CA 95926 With reference to the above subject: Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER DATE July 1. 1991 RE: BP Appl. #2102-91 Mobilehome Utilities A.P. # 56-08-95 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced /XX/ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. XXX Recorded copy of deed showing when parcel was created (1972 or 73) Recorded copy of agricultural acknowledgement statement. / / OTHER Should you have any questions concerning the above, please contact of this office. Yours very truly, William Cheff Director of Public [4orks J.F. Glander JFG/aj Chief Building Inspector FT& o RECORDING REQUESTED BY-, AND WHEN RECORDED MAIL TO ,L hyA,;t• N..,. PATRICIA IREN:; SANDERS 11,„1 803 Third St. Aad,... OrlanC. CA .L 31.1. TO .OJ C 0rfi;.i1:L RFCO GS 1- a9•:11-('01IF +A'S 1 o2 PH 1912 LOUISE Kt.' -1i0l Zrvl nr 1 GUE4rT T I.1CCRCEIR tjofj AL,.•,.3.) FEE SPACE A30VE THIS LINE FOR RECORDER'S USE OOCUNEATA,I 11ANSrER TAX r .,,,..,.,..0 COrir_1(D ON I,,, "'..2 CI PRDP(.rY CoNvET[O 01 !Ow.ru:(D oN lull IAIUt Itll 1117"1 AIID AI' /11 j..-_ _ _I. n. ,I ASI e• I.N TI 1, ,r..l EN[aN.hrAr•il1 Pl.•.An.n.;, AI Inn( CI 1A(!. D•. • A�, d../ til —.— Quitelaim Deed THIS $PORN FURNISHED OY TITLE INSURANCE AND TRUST COMPANY FORA VALUABLE CONSIDEIIATION. r.•veipt .d l,hirh i, hrn•L! arhu"IJrdped, RONALD DEAN SANDERS does hrn•Iq ItEMISE. IIELEASE AXIL FOREVER IICITCLAI\I III PATRICIA IPE M. SANDE..^,S the following dh,crihl•d rt -al pntper1%. in do - State of California: County of 111 TE Commencing at the Northeast corner of the southwest quarter of Section 13, thence west along the Northerly line of the OW quarter a distance of 1440 feet to the point of beCinninE, thence south 330 feet, thence at:.right angles.xdst to Vilas Road, thence Northerly along Vilas ?toad to the Northerly line of the SW quarter of Section 13, thence easterly at right angles, along the Northerly line of the S:,f quarter to point of beginning; and being a portion of Section 139 Township 24 11, Range 2 E, 1(DD&Id. Dated__. F.:bruary 26, 1972 STAT: OF CALIFORNIA, COUNTY OF Contra Costa ss .__.._ n„ February 26, 1972 Io•In1.• r..,•, the .Illd.•I •icn.•d, IT Notnrl I'uhli, in I"vl for ..lid pan.•. p.•I mmlh nppsn.d Ronald Uean Sanders known to me Io be the prr•on_ -b— n,mr.18•uh.rrihrd D, the within iu.lrumrnt ■nd „knnwlydFrd Illat—�rarrutrd Ihr .Amr. a'ITN ".' y iund end olfiri.l .r,l. I,l'rd l r Donna .4—Curtis \.dmn I'ohliv it, and N, •mid �;I.w It rlrrWrA by a Cnr(ar.Erinn the forl.Rralinn Form nJ ArhnorrGdprlrnT must hr nfrA. 'A L 90 OF DOCUMgW . 4L -A W,,P� —8c _.. .._.. ... ..___.. ._ SSSS ItIWYN1YNM WYYW YMN W INIIYYMIWYIIYN OFFICIAL SEAL .----00NNA-L:-CURTiS NOTARY PUBLIC • CAL.PORNIA COUNTY OrCONTRA COSTA IIP O..IwI.R.. E.,I— S., It. I//t Tide Order No. Em -row or Loan No.._..-.... 6 v fI RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO NAM. rRonald Dean Sanders ACC.... .03 3rd. St. Orland, Calif. STAT' L J BUTTE COUNTY 9UTTE CO �7Y TIT S; P i 3 Y� : z itr 03 . Title Order No. Escrow No._. 7288 SPACE ABOVE THIS LINE FOR RECORDER'S USE ruL Tu .,Ase Marr. to as above t •.............. G�GC� LC�Ga.ti-G7-�T�J^7 •r �I+ �O. •u•iol. ru ul Ju.l..�.�i�l . e... .1.1........... �lnbibibuai faint Tenancp �Deeb ,Mx PAID WESTERN TITLE FORM NO. 100 FOR VALUE RECEIVED, It'f1.I.TA11 1I, III-TTENCOIJI(T and GI.01(fA E. I{I'.TI'EN000RT, his teifc GRANT -to I((1\ ;LU UI•:d\ SA\Ulil(S and PATIMIA THEM: SANI)HIS, his wife as JOINT TENANTS all that real property situate in the u n i nr.urpnr;I tavl County of 11111 ft., State of California, described as follows: At 1111111.Imrt.in" o1' the North Ball of flit! North half of the Soulhnrusl. quarter of Suction IS, Township :.1.1 North, Ha"l•le East, 1I, I), B. t; M., lying East.erly of Vil;Is Itnad, as the. Same existed on .luly I, 1971 and 11'estcrly of 1111sly' 1111c, Itorld, as the s;Ime exist.ell on Jilly 1, PITI, ItESEIMM; 111EHEIA1011 I right of tray for public, utility purposes over the Southerly 11 feet theroof. Dated_ ^dc1last 1:1.71 ' G19 STATE OF CALIFORNIA Countyof_ Putte } u• t'L71 — before me. the undersigned. glary Publ1a c, in nd for said State, personally appeared_ lam .3ettettC a_ Rettencou known tome lobe the pem-F 3- whose name 9 A rP subscribed to the within instrument, and acknowledged to me that 1114L ssecuted the same. Notary Public FOR NOTARY SEAL OR STAMP ru!nr.•n.urnn•nu:......•... nunnlu..nonu0 . • ..:;A:'11 11. G.:I:.t: , n A.,.....1.I.I.1.:1..1,......:1..t:., 11x1..1.1...1.......1.1 MAIL TAX STATEMENTS AS DIRECTED ABOVE OC 't xX�Lar• -PLAN PLOT NUNTLEY € SNLUv NORN6ACK L0544 CORASSFT Rb. CRASSV-T, CA. Q 59 2Co S94 -$2s3 170, I I I r 'dCUfig' Pa LE i � � ooI� Zoo AMP mI Permit +nstollatlo " Be Ho - �X50 BR M„p cR►c r'. o� SIGN SPIT. .�~v "ROAD N� MA114TAD �; coKAsg�.T tN WtucE all Sm�Yc 0 C) P ROKUY Lo'CATI O . VI LAS Rb.) Cowkssf' r rr WELL. I This set of plans and specifications MUST be I t is unlawful tr I cept on the iobi1"alS ake any changes orrat►ons on same with I SEJ� out written perm 'on {hpt��ie-DeparTme�� 7A N K Public Works, � tt 1250 dAL. NO NOTEy-Al Materials & Workmanship SIwD 98 h► Accordance with Recognized Good Practices Old of. a quality prescribed for the S cified U" 10 fW Uniform Building, Plumbing & Mechanical Code$ COO Fhe National Electricol Code. 2-00' I LEACH} FIELD / too' �Q. 4Z� - SobacK °f g `troa s teback propeKom herod '� hall be clear of centerline or equipment excePt structures 0vorhan9µ� for a 2 n• ead u- E &��A ;02/0 vR l tsu 1 .1 r— LOUU114 I I B G DEPARTMENT Nc�T 0 Sc AZA u��N APPROVED MOST 'D(STANCfS APff-OXIMATE 01-/ 71�q� >;- Return to DPW' AGRICULTURAL STATEMENT OF ACKNOWLEDGEMEN P-1 -27993 pr. opc_r e y described herein is adjacent FOR RESIDENTIAL DgYHLOPMENT land or. included within an area zoned Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded --- prior to issuance of a building permit. 7.00 7.00 XX 2 occasionally generate dust, smoke, noise, and odor. Butte County has establ..i.sl-lcd agr i c:.u.l - Lural zones which have as a priority use for productive agricultural. purposes, aiid res.i.denl s w:i.thin said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that r.ea:l property situate in the County of Bubte, State of California, dc:,cri..bed as follows: AP # 56-08-94 i All that portion of the North half of the North half of the Southwest quarter of Section 13, Township 24 North, Range 2 East, M.D.B.&M, lying Easterly of Vilas Road, as the same existed on July 1, 1971 and Westerly of Musty Buck Road, as the same existed on July 1, 1971. Except that portion deeded from Patricia Irene Sanders to Ronald Dean Sanders dated February 26, 1972, recorded March .2, 1972 in book 1741 of Butte County Official Records, at page 226. AP # 56-08-95 Commencing a*t the Northeast corner of the S.outhw6st quarter of section 13, thence West along the Northerly line of the SW,quarter a distance of 1.440 feet t.to the point of beginning, thence South 330 feet, thence at right angles West .tto Vilas Road, thence Northerly along Vilas Road to the Northerly line of the SW quarter of Section 13, thence Easterly at right angles, along the Northerly Date: 1(� -� -� PRO ERTY WNERS lPi i R 14arn 1pa&�l RU r,�T�-Y 4ORNSAP I/ State o6I' 1'1)1k,)) On this the a-1 day of Jo'oe 19g1 1,(,fure mc, '/, ) SS. the undersigned Notary Public, personally appeared County of �0) /nen Lain t nases�s�sssasss�ss�>:�ssssysassss 'kit) /� OFFICIAL SEAL b/vIq JOANNE S. VAN NUYS . ft�� NOTARY PUBLIC—CALIFORNIA # ElPersonall y known to me. rroved to me on the bis i s o $> < NOTARY BOND FILED IN ,UTTE COUNTY of satisfactory ev:idc'n(:c:`. *� My Commissicn Expires September 14, 1992 ; to be the person whose name(n subscribed to the within instrument .and acknowledged that executed the same for the purposes therein contained. TN WfTNESS WHEREOF, I hereunto set my hand and official seal. IM! Present A.P. N•�. - - •: -- Notary Puh].ic: 91-427993 Rec Fee The pr. opc_r e y described herein is adjacent to land or. included within an area zoned for agr.i.cu LI..Ural. purposes, and residents Recorded of this properL:y mc:iy be subJect to incon- Official Records vc•n:i.e.nces or d i.scomfort arising from the County of � use of agr:icult.ural chemicals, :including, Butte but not 11miLed to herbicides, pesticides, Candace J. Grubbs and ferL.:i l.izers; and from the pursuit Recorder of agr.i.cu.ltural operations including, 2e43pm 10 -Jul -91 1 but not lim:i.l:cd to cultivation, plowing, spraying, pruning, and harvesting which 7.00 7.00 XX 2 occasionally generate dust, smoke, noise, and odor. Butte County has establ..i.sl-lcd agr i c:.u.l - Lural zones which have as a priority use for productive agricultural. purposes, aiid res.i.denl s w:i.thin said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that r.ea:l property situate in the County of Bubte, State of California, dc:,cri..bed as follows: AP # 56-08-94 i All that portion of the North half of the North half of the Southwest quarter of Section 13, Township 24 North, Range 2 East, M.D.B.&M, lying Easterly of Vilas Road, as the same existed on July 1, 1971 and Westerly of Musty Buck Road, as the same existed on July 1, 1971. Except that portion deeded from Patricia Irene Sanders to Ronald Dean Sanders dated February 26, 1972, recorded March .2, 1972 in book 1741 of Butte County Official Records, at page 226. AP # 56-08-95 Commencing a*t the Northeast corner of the S.outhw6st quarter of section 13, thence West along the Northerly line of the SW,quarter a distance of 1.440 feet t.to the point of beginning, thence South 330 feet, thence at right angles West .tto Vilas Road, thence Northerly along Vilas Road to the Northerly line of the SW quarter of Section 13, thence Easterly at right angles, along the Northerly Date: 1(� -� -� PRO ERTY WNERS lPi i R 14arn 1pa&�l RU r,�T�-Y 4ORNSAP I/ State o6I' 1'1)1k,)) On this the a-1 day of Jo'oe 19g1 1,(,fure mc, '/, ) SS. the undersigned Notary Public, personally appeared County of �0) /nen Lain t nases�s�sssasss�ss�>:�ssssysassss 'kit) /� OFFICIAL SEAL b/vIq JOANNE S. VAN NUYS . ft�� NOTARY PUBLIC—CALIFORNIA # ElPersonall y known to me. rroved to me on the bis i s o $> < NOTARY BOND FILED IN ,UTTE COUNTY of satisfactory ev:idc'n(:c:`. *� My Commissicn Expires September 14, 1992 ; to be the person whose name(n subscribed to the within instrument .and acknowledged that executed the same for the purposes therein contained. TN WfTNESS WHEREOF, I hereunto set my hand and official seal. IM! Present A.P. N•�. - - •: -- Notary Puh].ic: E 61 ' I -27993 Z line of the SW quarter to point of beginning; and being a portion of Section 13, Township 24 N, Range 3 E, M.D.B.& M. 1661 P I�nd�0 �NRp��O RETURN TO PUBLIC WORKS AP NO. NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY The undersigned, 111JR11 "OF I ��:Wllk MUM, i In MPOAd do hereby- declare as follow] 1. I am, (We are), the owners) of that certain real property situated in the County of Butte, State of California, described in attached Exhibit A. 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s') as described in the above.noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain,."S'aid parcels or lots cannot be sold separately. DATED: r7— to 'q 1W r110 6f r oVner ... ,IFORNIASTATE OF C, Signature oA owner -of record s, COUNTY OF BUTTE 00�W U 0 19qbefore me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned an sworn, personally appeared known to me to be the person who e namEj subscribed to the within instrument and acknowledged thatexec�ted the same. --------------- �. WITNESS my hand and offical seal. SCJ �- rt.. Omcul.;mul Signature PATRICIA A. LYNCH NOTARY PUBLIC—CALIFORNIA NOTARY BONO FILED IN L �� CA BUTTE COUNTY Name typed or printed My Commission Expires September 14, 1992 AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED IN TIM OFFICE OF THE COUNTY RECORDER. LD"1540 (5/83) PARCEL I: 89'-39903 Order No. 2-147475 All that portion of the North half of the North half of the Southwest quarter of Section 13, Township 24 North, Range 2 East, M.D.B.&M., lying Easterly of Vilas Road, as the same existed on July 1, 1971 and Westerly of Musty Buck Road, as the same existed on July 1, 1971. Except that portion deeded from Patricia Irene Sanders to Ronald Dean Sanders dated February 26, 1972, recorded March 2, 1972 in Book 1741 of Butte County Official Records, at page 226. PARCEL II: Commencing at the Northeast corner of the Southwest quarter of Section 13, thence west along the Northerly line of the SW quarter a distance of 1440 feet to the point of beginning, thence South 330 feet, thence at right angles West to Vilas Road, thence Northerly along Vilas Road to the Northerly line of the SW quarter of Section 13, thence easeterly at right angles, along the Northerly line of the SW quarter to point of beginning; and being a portion of Section 13, Township 24 N, Range.3 E, M.DB&M. AP No. 056-080-094 and 056-080-095 State of California County of Placer On this 10th day of October in the year 1989 ) ss. before me, Karen R Russell the undersigned Notary Public, State. of California, duly commissioned and sworn, personally appeared Patricia Irene Sanders **�� KAREN R. RUSSELL .� NOTARY PUBLIC—CALIFORNIA !-. PRINCIPAL. OFFICE IN PLA(*E0 f:!%1'NTY My Commission Expires September 10, 1993 unwnunnuuuauatuututaumtuunnnnuuuuuu:;n,;,wuu,�aunu Acknowledgment, General ( ) personally known to me, (x ) proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is subscribed to this instrument andpcknowledged that she executed it. Notary Public, State of California DA 135 0288 END OF DOCUMENT' r i PARCEL I: 89'-39903 Order No. 2-147475 All that portion of the North half of the North half of the Southwest quarter of Section 13, Township 24 North, Range 2 East, M.D.B.&M., lying Easterly of Vilas Road, as the same existed on July 1, 1971 and Westerly of Musty Buck Road, as the same existed on July 1, 1971. Except that portion deeded from Patricia Irene Sanders to Ronald Dean Sanders dated February 26, 1972, recorded March 2, 1972 in Book 1741 of Butte County Official Records, at page 226. PARCEL II: Commencing at the Northeast corner of the Southwest quarter of Section 13, thence west along the Northerly line of the SW quarter a distance of 1440 feet to the point of beginning, thence South 330 feet, thence at right angles West to Vilas Road, thence Northerly along Vilas Road to the Northerly line of the SW quarter of Section 13, thence easeterly at right angles, along the Northerly line of the SW quarter to point of beginning; and being a portion of Section 13, Township 24 N, Range.3 E, M.DB&M. AP No. 056-080-094 and 056-080-095 State of California County of Placer On this 10th day of October in the year 1989 ) ss. before me, Karen R Russell the undersigned Notary Public, State. of California, duly commissioned and sworn, personally appeared Patricia Irene Sanders **�� KAREN R. RUSSELL .� NOTARY PUBLIC—CALIFORNIA !-. PRINCIPAL. OFFICE IN PLA(*E0 f:!%1'NTY My Commission Expires September 10, 1993 unwnunnuuuauatuututaumtuunnnnuuuuuu:;n,;,wuu,�aunu Acknowledgment, General ( ) personally known to me, (x ) proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is subscribed to this instrument andpcknowledged that she executed it. Notary Public, State of California DA 135 0288 END OF DOCUMENT' 0 Department FROM: Environmental Health SUBJECT: Sanitation Clearance -Lga, Owner k ILocation A Pian Approved for: Sewage Disposal WaterSupply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance fore_ bedroom mobile home. Other NOTE * * * Sanitarian D to