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HomeMy WebLinkAbout056-120-100l� w IJ,,�,°� ` - 56-12-100 J 1 .. - ' koters 56-12-10d' 1 ' ' ' )} | ` Support structLiN req Com ' | � | 56-12-100 | , umotr | �- Issued � � Cou�r� r-.,_ . ' 56-l2-lD6' ` ---^ ~^��u uooa�a ` '1���-cm. storage)MH --~`"p=n oeck, cov deck & o / r W2 �ri RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: - BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1111 III III I IIII i III III III II I Ilil II 20�tF—X029401 Recorded Official Records I REC FEE 13.00 I CONFORM 1.00 County Of I CANDACEUTrE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Travis 02:08PM 18 -May -2004 I Page 1 of 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 1.8551. 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. DAVID SWERINGEN AND ENEIDA SWERINGEN REAL PROPERTY OWNER/LESSOR 8930 COHASSET ROAD # 111 MAILING ADDRESS COHASSET BUTTE CA 95973 CITY COUNTY STATE ZIP 111 MAPLE LANE CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT 538-7541 jBUILDPERMITNO. TELEPH COHASSET BUTTE CA 95973 CITY COUNTY STATE ZIP SAME NONE UNIT OWNER (if also property owner, write "SAME") ' SAME - MAILING ADDRESS SAME 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 COUNTY STATE ZIP 040815 530 538-7541 jBUILDPERMITNO. TELEPH NUMBER u RE OF LOCA AGENCY OFFI IAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. ' MOUNTAIN VALLEY HOME 1982 MOUNTAIN HOME MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S3106 A/B 60x24' 229396/7 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 056-120-100 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. R DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: A PORTION OF THE SOUTH HALF OF THE SOUTH HALF OF THE SOUTHWEST QUARTER OF SECTION 23, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTH QUARTER CORNER OF SAID SECTION 23; THENCE NORTHERLY ALONG THE EAST LINE OF THE SOUTHWEST QUARTER OF SECTION 23, A DISTANCE OF 660 FEET TO THE NORTH LINE OF THE SOUTH HALF OF THE SOUTH HALF OF THE SOUTHWEST QUARTER OF SAID SECTION 23; THENCE WESTERLY PARALLEL WITH THE SOUTH LINE OF SECTION 23, TO THE NORTHEASTERLY CORNER OF THAT CERTAIN PARCEL OF LAND CONVEYED TO EVELYN M. FISHER, A MARRIED WOMAN, BY C. L. FISHER AND EVELYN M. FISHER, HUSBAND AND WIFE, DATED FEBRUARY 16, 1973, AND RECORDED FEBRUARY 20, 1973, IN BOOK 1817, PAGE 393, OFFICIAL RECORDS, SAID POINT BEING ALSO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, EASTERLY PARALLEL WITH SAID SOUTH LINE OF SECTION 23 FOR 872 FEET; THENCE SOUTHERLY, PARALLEL TO THE WEST LINE OF SAID SECTION 23 FOR 250 FEET; THENCE WESTERLY AND PARALLEL TO SAID SOUTHERLY BOUNDARY LINE OF SECTION 23 FOR 872 FEET TO A POINT LOCATED IN THE EASTERLY BOUNDARY LINE OF SAID FISHER PARCEL; THENCE NORTHERLY ALONG SAID EASTERLY BOUNDARY LINE OF THE FISHER PARCEL FOR 250 FEET TO SAID TRUE POINT OF BEGINNING. PARCEL II• A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, 60 FEET IN WIDTH, DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SECTION 22, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M.; THENCE NORTH 340.00 FEET ALONG THE EAST LINE OF SAID SECTION 22; THENCE NORTH 82 DEG. 44' WEST, 589.30 FEET TO A POINT IN THE CENTERLINE OF COHASSET ROAD; THENCE SOUTH 17 DEG. 51' WEST, 130.52 FEET ALONG THE CENTERLINE OF SAID COHASSET ROAD TO THE TRUE POINT OF BEGINNING FOR THE EASEMENT HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, ALONG THE CENTERLINE OF SAID 60.00 FOOT WIDE EASEMENT, THE FOLLOWING COURSES AND DISTANCES: SOUTH 82 DEG. 44' EAST, 377.82 FEET AND SOUTH 61 DEG. 05' 23" EAST, 354.57 FEET TO A POINT WHICH LIES EAST, 30.00 FEET FROM THE EAST LINE OF SAID SECTION 22; THENCE SOUTH 75.00 FEET, PARALLEL WITH THE EAST LINE OF SAID SECTION 22 TO A POINT ON THE SOUTH LINE OF SECTION 23, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., AND THE END OF THE EASEMENT HEREIN DESCRIBED. CONTINUED DESCRIPTION - CONTINUED PARCEL III• A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY EASEMENT OVER THE SOUTH 60 FEET OF THE WEST 330 FEET OF THE SOUTH HALF OF THE SOUTH HALF OF THE SOUTHWEST 'QUARTER OF SECTION 23, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M. PARCEL .IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60.00 FEET IN WIDTH LYING, SOUTHERLY AND EASTERLY OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE SOUTHWEST CORNER.OF SECTION 23, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M.; THENCE EASTERLY ALONG THE SOUTHERLY BOUNDARY LINE THEREOF FOR 330 FEET TO THE TRUE POINT OF BEGINNING FOR THE LINE HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING NORTHERLY, PARALLEL TO THE WESTERLY BOUNDARY LINE OF SAID SECTION 23 FOR 225 FEET; THENCE EASTERLY PARALLEL TO SAID SOUTHERLY BOUNDARY LINE OF SECTION 23 FOR 60.00 FEET; THENCE NORTHEASTERLY TO A POINT THAT BEARS SOUTHERLY AND PARALLEL TO SAID WESTERLY BOUNDARY LINE OF SECTION 23, A DISTANCE OF 404 FEET FROM THE NORTHEASTERLY CORNER OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN DEED TO EVELYN M. FISHER, RECORDED FEBRUARY 20., 1973, IN BOOK 1817, PAGE 393, OFFICIAL RECORDS; THENCE NORTHERLY ALONG THE EASTERLY BOUNDARY LINE OF SAID FISHER PARCEL FOR 154 FEET TO THE SOUTHWESTERLY CORNER OF THE ABOVE DESCRIBED PARCEL I. THE SIDELINES ARE TO BE LENGTHENED OR SHORTENED TO INTERSECT PROPERTY LINES. I NOTES t RESIDENTIAL. PERMIT NO. 056-120-10004-1448 S WERINGEN, DAVID I. 8930 111 MAPLE LN, COHASS.ET Cont: OWNER I - r K ' 1 r 2 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER s A� 1 5. t� k 4�, JOB FINALED (Date ` ` v t = Signature J=OK 0 = Not OKNot . = NotReadyable + ° MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Alum. Awn.; Colum -Connections-Splice-Decal-Enclosures 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Carports; Wi s -Doors 7. Well Clearance & Disconnect Electric 8. Utility Clearance Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 1 10. 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 POOLS (Plans) OK except Ws 2. Footings; Size -Spacing -Marriage Line Setbacks -Easements 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS OVERS, CARPORTS, GARAGES (Plans) OK except #'s 1.oning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing i 5. Alum. Awn.; Colum -Connections-Splice-Decal-Enclosures lttt 6. Carports; Wi s -Doors 7. Electric E 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 1 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Dat DatV 47 Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date POOLS (Plans) OK except Ws 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'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- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-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; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection . Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Walls -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Insulation -Foam -Looked in Attic 41. Sills Proper Materials & Anchors Guard Rails & Deck Construction -Post Caps 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 43. Bearing Walls over Girders & Floor Nailing Clearance Looked under Floor ❑ Yes 44. Draft Stop in Walls (rat proof) Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Stucco Brown -Finish 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041448 LICENSED CONTRACTORS 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 Issued Date: 06/18/2004 APN'' 056-120-100-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 111 MAPLE LN COH Date: Contractor: Map Index: Description: CABANA(168) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner•• SWERINGEN DAVID & ENEIDA to its issuance, also requires the applicant for such permit to file a 8930 COHASSET RD #111 signed statement that he or she is licensed pursuant to the provisions of CHICO, the Contractor's State License Law (Chapter 9 commencing with Section CA 7000) of Division 3 of the Business and Professions Code) or that he or 95973-9088 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the to a civil penalty of not more than five hundred dollars ($500).): ,,,applicant to 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 (Sec. 7044, Business and Professions Applicant: SWERINGEN DAVID &ENEIDA Code: The Contractors' State License Law does not apply to an pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 Athe Bus' ass and Professions Code Date: ner: License #: ORKERS' COMPENSATION DECL'ARAT I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: TOtal'Square Ft: 168 S. F. Policy #: Valuation: $10,920.00 Census Code: 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. V �O V v Date: � /_ �J C Applicant: /C,I�j�[j OIQ [ ( u WARNING: Failure to secure w rk s' compensation coverage is unlawful, and shall subject an empl r to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of (�Q compensation, damages as provided for in Section 3706 of the Labor �� , r code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cody andiOr I hereby affirm that there is a construction lending agency for the Resolut' n o do work iodic ed abo or ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) B � Date: /g Name: P IT EXPIRES ON: Address: D to ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly autho ' d e of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of y official fo cu ant of Butte County. I hereby re enlatives of Butte County to enter upon the above mentioned property for inspection purpose .� 1, I/ �l Signature: L wrier 0 Contractor 13 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041448 LICENSED CONTRACTORS 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 Issued Date: 06/18/2004 APN'' 056-120-100-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 111 MAPLE LN COH Date: Contractor: Map Index: Description: CABANA(168) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SWERINGEN DAVID & ENEIDA to its issuance, also requires the applicant for such permit to file a 8930 COHASSET RD #111 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division,3 of the Business and Professions Code) or that he or 95973-9088 she is exempt therefrom and the basis for the alleged exemption. Any - violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Applicant: SWERINGEN DAVID & ENEIDA Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 the Bus' ass and Professions Code �1 Date: ner: License #: WORKERS'COMPENSATION DECLARATOW I hereby affirm under penalty of perl'ury 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers', compensation insurance carrier and policy number are: Carrier: Total Square Ft: 168 S. F. Policy#: Valuation: $10,920.00 Census Code: 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. OS( s �` ++ qO Date: C �i �l (�U 1,96 Applicant: , WARNING: Failure to secure wakm' compensation coverage isunlawful, and shall subject an empto criminal penalties and one t hundred thousand dollars ($100,000), in addition to the cost of �7 Q compensation, damages as provided for in Section 3706 of the Labor / 7 // code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluf n o do work indi ed abo or ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /g Name: B Date: P IT EXPIRES ON: Address: (N to ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct. and that I am the owner or the duly autho ' d e of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of y official for u ent of Butte County. I hereby authorize repre entatives of Butte County to enter upon the above mentioned property for inspection purpTe 1 Print Name: U �W �� Signature: D Date: caner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor N TO: Building Department FROi . Environmental Health SUBJECT:- Sanitation Clearance E.H. USE ONLY PlotPlan Artachad Fluma s Eln Anacl+od a. Sent to 6 O. 0,41 ave S--�-Jer� L�-Z ?9-3,2 Owner ✓ Location AP# / Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for Wig. Other 4Z- r,!e) 4zg9 rx 46Gi- Hold final for: Final clearance O.K. for: NOTE: UrrriJ !S �a�a eat D r��—u Environ m nt Health Special st 4.0 Date Gla 8/96 �'"" �' • .. s/ •. ..�.. '- ..-. v. •' t�' j...: i:.:} �r+�'S...+wT': ✓.aa-..►k•^t, .y,,. ,+ny,-.- ;.�.-.,rte.-. ,R -.r,..... -r+_ 'tin•'^".. ::wi.rfi Yf+.....r.��.r�rt: nx:.. �r,•..= "'+ ..., i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION M 7 County Center Drive, Ocoville CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Proposed ASSESSOR PARCEL NUMBER *&)--. Building Use: �� 6u 1 (Q-fJ� �� Counter Technician: Date: • ��• Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order&D apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All -of these must be stamped and wet -signed by the engineer. i ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form lefl, 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ; 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required....................................................................... .. .... 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. / 22. City of Chico Plumbing permit................................................................... ll�a" 23. California Department of Forestry plan approval !id. Sent by:Y�......yu.b.4-3 nen ❑ 24. Planning approval (A) Use: OK(B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage .... :.................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ............ :.............. ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification)..........::f:..... c� 30. Worker's Compensation Carrier and Policy Number .................................... s...... 31. Owner -Builder Verification (_/Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization ............................... ....... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have beenVinVjgrmedth bove items and requirements f r obtaining a building permit. Applicant: Date: Za O� 1. Index permit application for the above ' is numbered: P an Check Lett4r 2. Additional items required Contractor, designerre as advised of the above data by one, ❑ mail, ❑ counter, by Date: Contractor, designer, owner was advised of the above dal by ❑phone, ❑mail, ❑ 'coun byDate: Plans reviewed by: Date: (0 Plans approved by: l J Date: Structural reviewed by: 4f A Date: _ Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES 1. BUILDING PERMIT FEES --- Balance Due ..................... A.P. O �9' I '1 06 DATE J'�U RECEIPT # --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES c — (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES Residential (per unit)..... X # Units Amt. /Commercial (Sq. Ftg.).... X Sq. Fig. Amt. (paid at Building Division) 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $$A:OTqz (pa d at Building Division) h. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. ommercial (sq. ftg.) ......... X =$ A A q. Ft /Amit. 0. OTHER At time of permit application, I was advis the above fees are required to be paid prior to issuance of the pelt. These fees may be changed d the plRa c ki ocess. % APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby noti ie hat items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) O.B. =1 OWNER-BUIE fDER VERIFICATION Attention Property Owner: An "owner-buildee, 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. C I personally plan to provide e, major labor'and materials for construction of the proposed . property improvement :YES 0 NO ❑ 2. fI HA- E HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: may: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the `work but I have contracted (hired) the following persons to provide the work indicated.: NAME ADDRESS. PHONE TYPE OF WORK S GNED: OPERTYOWNER:lve- A /I CLJ OIAL LN MBER- DATE: NOTA: This OwnerBuilder-Yerifcaion is required by Section 19831 and 19832 of the CaL ornia Health and Safety Code. T7ris ver kation must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owfler. O.B.-1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, You should be aware that as "owner -builder'+ you are the responsible party ofrecord on such a permit Buil p �e not required to be signed by property owners unless they are personally performing their own work- If your work is being performed by someone other than yourseh; You may protect yourself from possible liability if that person applies for the proper permit in his or hes name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own wod; with the exception of various trades that you plan to subcontract; you should. be aware of the following information for your benefit and protection:.. 4 If you employ or otherwise engage any persons other than your immediate fey, and the work Cmctn.uding materials and other costs) is S30D or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, You must register wi& the State and Federal Governmemb as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation mmir mce, disabilify insurance costs, and unemployment compensation cont tions. There may be financial risks for you ifyou do not ceay out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific mfommation about your obligati mms under Federal Law, contract the mternal }revenue Service (and, if you wish, The U.S. Small Business Administration). For more specific information about your obligations under State Law, contact time Depaziment of Benefit Payments and the Division of Industrial Accidents. If the st=tam is httended for sale, property owners who are -not licensed contractors are allowed to perform their work personally or dmigh their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building genu is are that the property owner is providing his or her awn labor and material personally. Building tits are Qi t about licensed to be signed by property Owners UnIm they ate pig their own work personally. actors may be obtained by contracting the factors State License Board in your cammtmily or at 102014 Street; Sacramento, CA. 95814. Please complete the "Owner Builder: Verification" on the reverse side of ft form so chat we can confirm thatyou are aware of hese matters. Time building p==willnot be issued until the verification is returned, ly, • Building Inspection NOT - T &is Omer-Bu"arInfomudpU is required by Section 1483D of &e CWorrrfa He and Safely Code BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #:1(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP ' DATE: 91/90y 0 APN: 0.5-6/ 2,0_ /00 ZONING: +M _ OWNER'S LAST NAME: Ywe-r 1' 101 OWNER'S FIRST NAME: PHONE: 8`99—Z83 3E STREET ADO 33: D c o 'C4 s ve kd - 1 FAX CITY, ZIP: C ICO 95-9 -.7- 3 E-MAIL: SITE ADDRESS' CITY. ZIP: C a $5 eiri [ ` yy NEAREST CROSS STREET: unfl TRACT/LOT P. APPLICANT NAME: avt su'-Pri PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: r2vI' POrcb 62moerv)" ivie'ir A Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: 1 A- � l�a Notes: • 7 Application Received by: Date: ov O Receipt number. Amount Receive 15 a Master application 3A-04 O.B.-1 O'V`► MR -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. CI personally plan to provide the major labor and mater ials for construction of the proposed property improvement :YES N ❑ O 132. I HAVE HAVE NOT ed an application,for a building permit for the proposed work . I have contracted with the following person (firm) to provide the proposed construction: AME: PHONE: CONTRACTOR'S 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: may. PHONE: CONTRACTOR'S 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 NOTE: This Owner -Builder ,Verification is required by Section 19831 and 19532 of the CWornia Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit OVER OB. -1 I OWNER BUILDER INFORMATION Dear Property Ower. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For yourproteciion, you should be aware that as "owner -binder" YOU are the responsible party ofrecord on such a penin Budding permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for time proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California, and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work with the exception of various trades.tl l you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (Including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to WOADWs compensation insurance. ♦ For more specific intimation about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building perms erroneously imPb* that the property owner is permits are not required to be providing his or her own labor and material personally. Building signed by property owners unless they are Performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 102014 Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will; of be issued umhl time verification is returned. ly, Mi 1 C. Vi iia, C.B.O. ` Building Inspection NOTE.- TRIS Owner -Builder Information is required by Section 19830 of the California Health mrd Safefy Code .OVER BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FOR' L�- ' Q r Bu (One form Pe,,ildin 9) School District � Building Department No. V �G A.P. Number. W Jurisdiction: City I X (County Property Owner Property Location/Address Subdivision Lot No. Residential Development Q Q ., No of Living Mobile Home Additio 'Supplemental to Units Installation Conversion Permit # *(No foundation Inspection) ................................................................................................_... Commercial/Industrial Q Q New Addition Sq. Footage (Group R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. School District certifies that ��fflo 01 ��� Sq. Footage (Including Exterior Roofed gas) Date sw (Applicant) (Street Address) V (Phone Number) C. l 16,0 C^' '- - 9"7:5 (City) . (State) (Zip Code) has complied with the requirements of Resolution No. representing square feet. -1 w 0i School District ITS -W-0 W 'Q ?' by payment of $ • � 2926 $ ^� FULL MMGATION $ Date NoNee: You may protest the Imposition of the fees Identified above by submitting a written protest to the District. In compliance with Gova r m d Code Section 66020(a), within 90 days from the dab fees are paid. Failure to submit a timely written protest wlll'prohibk you from challenging the Imposition of the fees In any court action if. subsequent to the School District Rep m"tatlw signing this Bulb County Schools Impact Fee Certification Form, the School District Is nOR ed by the applicable Local Planning Agency that this project Isbeteg rwlewed under the California Environmental Quality Act (CEQAL this project may be subject to eddtdonal school fees to fully llig Ie.Its Impact on the school dl bkft schools. White (applicant), Yellow (building department), Pink (school district) feefonn.As 00/03)dmm Butte County Department ofDevelopment Services ADMINISTRATION • BUILDING' GIS' PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile June 18, 2004- Mr. 0.04 Mr. David Sweringen Mrs. Eneida Sweringen 8930 Cohasset Road # 111 Cohasset CA 95973 RE: Request for Grant Deed for 433A (mobile home on a foundation system) Location: 111 Maple Lane, Cohasset CA 95973 AP # 056-120-100 / BP # 04-0815 Dear: Mr. & Mrs. Sweringen The County of Butte, Department of Development Services Building Division is requesting a copy of the Grant deed to the land. Please mail or drop off said documents at Butte County Department of Development Services Building Division located at 7 County Center Drive, Oroville 95965. The recorded 433A and supporting documentation must be mailed prior to the State of California removing the mobile from state license rolls and the Butte County Assessor treating the mobile as real property. Should you have any questions concerning this matter, please contact Alice Mefford or Tammie Powell at (530)538-7541. Thank you. Sincerely, 12�/ Tammie Powell Plans Application Assistant r RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION V 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 18 -May -2004 2004-0029401 Has not been compared with. original BUTTE COUNTY RECORDER 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. DAVID SWERINGEN AND ENEIDA SWERINGEN REAL PROPERTY OWNERILESSOR 7 COUNTY CENTER DRIVE 8930 COHASSET ROAD # 111 MAILING ADDRESS , MAILING ADDRESS OROVILLE BUTTE CA COHASSET BUTTE CA 95973 CITY COUNTY STATE ZIP 111 MAPLE LANE UILDr PERMIT NO. TELEPH . mm &� INSTALLATION MAILING ADDRESS, IF DIFFERENT SISKATURE OF LOCAE AGENCY OFFI IAL COHASSET BUTTE CA 95973 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") _ SAME MAILING ADDRESS SAME t 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 COUNTY STATE ZIP 040815 530 538-7541 UILDr PERMIT NO. TELEPH . mm &� NUMBER -;� SISKATURE OF LOCAE AGENCY OFFI IAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. ' MOUNTAIN VALLEY HOME 1982 MOUNTAIN HOME MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER S3106 AM 60'x24' 229396/7 SERIAL NUMBER(S) LENGTH X WIDTH MSIGNIAILABEL NUMBER(S) REAL PROPRTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 056-120-100 SEE ATTACHED HCD FORM 433(A) REV, 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: A PORTION OF THE SOUTH HALF OF THE SOUTH HALF OF THE SOUTHWEST QUARTER OF SECTION 23, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTH QUARTER CORNER OF SAID SECTION 23; THENCE NORTHERLY ALONG THE EAST LINE OF THE SOUTHWEST QUARTER OF SECTION 23, A DISTANCE OF 660 FEET TO THE NORTH LINE OF THE SOUTH HALF OF THE SOUTH HALF OF THE SOUTHWEST QUARTER OF SAID SECTION 23; THENCE WESTERLY PARALLEL WITH THE SOUTH LINE OF SECTION 23, TO THE NORTHEASTERLY CORNER OF THAT CERTAIN PARCEL OF LAND CONVEYED TO EVELYN M. FISHER, A MARRIED WOMAN, BY C. L. FISHER AND EVELYN M. FISHER, HUSBAND AND WIFE, DATED FEBRUARY 16, 1973, AND RECORDED FEBRUARY 20, 1973, IN BOOK 1817, PAGE 393, OFFICIAL RECORDS, SAID POINT 'BEING ALSO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, EASTERLY PARALLEL.WITH SAID SOUTH LINE OF SECTION 23 FOR 872 FEET; THENCE SOUTHERLY, PARALLEL TO THE WEST LINE OF SAID SECTION 23 FOR 250 FEET; THENCE WESTERLY AND PARALLEL TO SAID SOUTHERLY BOUNDARY LINE OF SECTION 23 FOR 872 FEET TO A POINT LOCATED IN THE EASTERLY BOUNDARY LINE OF SAID FISHER PARCEL; THENCE NORTHERLY ALONG SAID EASTERLY BOUNDARY LINE OF THE FISHER PARCEL FOR 250 FEET TO SAID TRUE POINT OF BEGINNING. PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, 60 FEET IN WIDTH, DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SECTION 22, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M.; THENCE NORTH 340.00 FEET ALONG THE EAST LINE OF SAID SECTION 22; THENCE NORTH 8w2 DEG. 44' WEST, 589.30 FEET TO A POINT IN THE CENTERLINE OF COHASSET ROAD; THENCE SOUTH 17 DEG. 51' WEST, 130:52 FEET ALONG THE CENTERLINE OF SAID COHASSET ROAD TO THE TRUE POINT OF BEGINNING FOR THE EASEMENT HEREIN DESCRIBED; THENCE FROM.SAID TRUE POINT OF BEGINNING, ALONG THE CENTERLINE OF SAID 60.00 FOOT WIDE EASEMENT; THE FOLLOWING COURSES AND DISTANCES: SOUTH 82 DEG. 44' EAST, 377.82 FEET AND SOUTH 61 DEG. 05' 23" EAST, 354.57 FEET TO A POINT WHICH LIES EAST, 30.00 FEET FROM THE EAST LINE OF SAID SECTION 22; THENCE SOUTH 75.00 FEET, PARALLEL WITH THE EAST LINE OF SAID SECTION 22 TO A POINT ON THE SOUTH LINE OF SECTION 23, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., AND THE END OF THE EASEMENT HEREIN DESCRIBED. CONTINUED DESCRIPTION - CONTINUED PARCEL III• A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY -EASEMENT OVER THE SOUTH 60 FEET OF THE WEST 330 FEET OF THE SOUTH HALF OF THE SOUTH HALF OF THE SOUTHWEST QUARTER OF SECTION 23, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60.00 FEET IN WIDTH LYING SOUTHERLY AND EASTERLY OF -THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE SOUTHWEST CORNER OF SECTION 23, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M.; THENCE EASTERLY ALONG THE SOUTHERLY BOUNDARY LINE THEREOF FOR 330 FEET TO THE TRUE POINT OF BEGINNING FOR THE LINE HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING NORTHERLY, PARALLEL TO THE WESTERLY BOUNDARY LINE OF SAID SECTION 23 FOR 225 FEET; THENCE EASTERLY PARALLEL TO SAID SOUTHERLY BOUNDARY LINE OF SECTION 23 FOR 60.00 FEET; THENCE NORTHEASTERLY TO A POINT THAT BEARS SOUTHERLY AND PARALLEL TO SAID WESTERLY BOUNDARY LINE OF SECTION 23, A DISTANCE -OF 404 FEET FROM THE NORTHEASTERLY CORNER OF THAT -CERTAIN PARCEL OF LAND DESCRIBED IN DEED TO EVELYN M. -FISHER, RECORDED FEBRUARY 20, 1973, IN BOOK 1817, PAGE 393, OFFICIAL RECORDS; THENCE NORTHERLY ALONG THE EASTERLY BOUNDARY LINE OF SAID FISHER PARCEL FOR 154 FEET TO THE SOUTHWESTERLY CORNER OF THE ABOVE DESCRIBED PARCEL I. THE SIDELINES ARE TO BE LENGTHENED OR SHORTENED TO'INTERSECT PROPERTY LINES. BUILDING PERMIT NUMBER:040815 Address or location of unit: 111 MAPLE LANE, COHASSET CA 95973 Legal Description of Real Property: AP # 056-120-100 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DAVID SWERINGEN AND ENEIDA SWERINGEN Owner's address: 8930 COHASSET ROAD # 111, COHASSET CA 95973 INSIGNIA OR HUD NUMBER: 229396/7 SERIAL NUMBER OR V.I.N.: S3106 A/B MANUFACTURER'S NAME: MOUNTAIN VALLEY HOMES YEAR: 1982 OFFICIAL APPROVING INSTALLATION: (Iamwi ��-xxj DATE: PHONE: (530) 538-7541 H.C.D. 513C 04/14/2004 LVED 11:22 FAX 10002/004 STATE OF CALIFORNIA -'DEPARTMENT OF HOUSING ANIS COMMUNITY DEVELOPMENT REGISTRATION CARR Manufactured dome Decal No: LAC7647 Manuf.,low 1DlName Trade Name Model DOM DFS RY Ex9 P.0a6 150 MOUNTAIN 58N VALLEY HOM .�......__. MOUNTAIN HOME 24X00 2BR CKU 8 01126!1982 I 08/10/1982 Serial NurtlDer S3108A LabellInaigni4 Number Welght Length Wow SPC SCC I Exempt � Uso1. Type S31068 1229397 229398 16,920 00' 14,100 80, 12' 04 I 12' SFO I I LPTI Tp ai Fees Paid ' I i May 12.20()0 II 3127,00 Addressee LOANWORKS WT Op. �-�• P.O. BOX 4040 e KALAMAZOO, MI 49003 e ry t>Ej0 Registered Owner(a) DAVID SWERINGEN ENEIDA SWERINGEN JTRS 2320 RUTH DR NAPA, CA 94558 Situs Address 111 MAPLE LN COHASSET, CA 95926 Legal Owner(s) LOANWORKS P.O. BOX 4040 KALAMAZOO, MI 49003 Lien Perfected On: 12/02/9914:57:15 lI® LEGAL OWNER COPY INFORMATIO14 ONLY I IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 04/14/2004 WED 11:22 FAX 10003/004 t Releaaing'Rcgistt red Owner(a) must sign below. NEW REGISTERED OWNER rill in Items below (please print) n) •:- (4)* .. NWNt1tb NAMP(6) . • f STATE OF CALIFORNIA- DEPARTMENT OF 'HOUSING AIVL COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE _ _ Manufactured Home Decal No: LAC7647 ��. Menutaeturer ID1Neme Tratla Name , Model •DOM PFS RY Exp Dote 59150 MOUNTAIN VALLEY HOM MOUNTAIN HOME W ZOX80 26R CK B 01126 1992 00/10/1962 ' J- Weight _ serfs) Numbe. Labelllnslgnla Number Weight Length wlmn I SPG I scc e�i�empt i UseTjip6 . S9106A 229 00 16,920 ' OW_ 12• 04 I SFO I. LPT ' 531068 + 14,100 I 60' 12' I ; leeued Totsl Feoe pall i I May 12.2000 � 8127.00llf Addressee LOANWORKS P.O. BOX 4040 ..�. - KALAMAZOO, MI 4900 F %J Registere n �. �- DAVID S IIG' , . ' T. Y Y ENEI JT 2326 R DR" i� _�r moi_ :it= NAPA, Situs drat 111 LEL COH ET; CA 95 Legal n® LOAN RK - P.O. B 40 KALAM O,, 00 Lien Pe d ZOTv 04 Its - Butte of Butte Building Division 411 Main Street Chico, CA April 28, 2004 To Whom It May Concern: I recently had an inspection on the installation of a permanent foundation for our manufactiued home at 111 Maple Lane in Cohasset. I was asked to provide a letter explaining that the license decals had been lost. or misplaced if not found. Please accept this letter as confirmation_ that the license decals for this home are lost and cannot be found. The Decal member is La.C7647* The serial numbers for the home are S3108A and insignia number 229396 S31 08B and insignia number 229397 f ' Sincere � 0 Dave Sweringen Owner Home 899-2837 Work 879-7517 ig 1-. Vr R•. v m. F+ ;7•. T .x. z d,. 1.• fr: , !T+ e_ei vs � M � 5 y+ iy 5 d a a iy $ �I :# ��s�' � s ti h., �„'. f h.� h'� �� -t^ �: �t `sr :.�- �: ,�• r Sii -w� �- r� ��, ,•'r� �!+ a 0 UT,s I a � .: . � �, . �' �� �c.: C:'� � ._ � �, �'�- _ i T � o � lop II 4U }1 z J nA k l 1 V \\! � ... �.SuR .e':- s.E s.e.._. __...as #�'.®�;.:�.1%"•: �. t.. r �;.,n,*�r.�,.. � 3X-.�. ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER QNS PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date ' �` Q Inspector 1OLA �/Ak Z- -REV 10/92 ' r NOTES RESIDENTIAL ( PERMIT NO. 056-120-100 04-08151 i SWERINGEN, DAVID 111 MAPLE LANE COHASSET Cont: OWNER EX MH PERM FDN THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE t INSPECTOR MUST RETREIVE). �! (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). !� INSPECTOR TO VERIFY SERIAL & LABEL #'S. I N SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER - 61 i I 4//JOB FINALED (Date) Signature71_L614 b _ J,= OK 0 = Not OK =Not Applic Not Readyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Z ing Requirements -Setbacks -Easements Card B-1 Date Card B-1 ootings; Size -Spacing -Marriage Line ;r 4 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. W ter; MH Test Ve'Water and Sewer Connected -8- Gas and Electricity Tagged . Exits 192 License Decals _T1. Verify #'s with Office Dat 4 Card B-1 Date Card B-1 12 Da ` Card B-1 Date Card B-1 Com( 2-2--q 301 (4, �-I 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, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation 47. Hangers -Post Caps -Anchors -Connectors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 17. Water Htr.; Vent -Access -Combustion Air Baffle Garage Fire Protection Framing -RC Channel 18. Water Pipe; Test & Anchor -Nail Protection Property Line Firewall & Openings 19. D.W.V.; Test Fittings & Anchor -Nail Protection Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 20. Shower Pan; Test, First Floor -Tub Access Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 21. Test Tub & Shower, Second Floor -Tub Access Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 22. Gas Pipe; Sixe & Anchors Siding -Nailing Veneer 23. Fire Sprinkler; Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 62. 24. Fixture & Transformer Clearance -Ins. Protection 63. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. FINAL (Plans) OK except #'s 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 36. A.C. Ducts Insulation & Support A.C. Duct in Garage -Damper 37. Vent Fan, Exhaust above insulation Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 38. Condensate Drain & Overflow, Size & Grade Plb.; Elec. & Mech. Equip. Listed for Location 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Elec. Receptacles in Garage (F.F.I.)-Romex Protection 40. 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 (Permit) OK except #'s 41. Sills Proper Materials & Anchors 83. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 84. 43. Bearing Walls over Girders & Floor Nailing 85. 44. Draft Stop in Walls (rat proof) 86. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 87. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive O Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ` COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ip OWNER `J PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, o nro or additional explanation, (please contact this office immediately. 11 i if /v✓�l�1.�' ff t ��1f`.Sc� V` ��C�U d1-�, -I_\� �IC�.i S ;N• Date 0 REV 10/92 " q - t Inspector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP040815 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/14/2004 APN: 056-120-100-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 111 MAPLE LN COH Date: Contractor. Map Index: Description: PERM.FDN.EX. MH, EX. SITE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SWERINGEN DAVID & ENEIDA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 8930 COHASSET RD #111 signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95973-9088 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Applicant: SWERINGEN DAVID & ENEIDA Code: The Contractors' State License Law does not apply to an gg30 COHASSET RD #111 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for 95973-9088 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law. . ❑ I am nder Article 3 of the sines Professions�Code iErIp D�wner: Date: License #: WORKERS' COMPENSATION DECLARATI I hereby affirm under penalty of perjury one of the following eclarations: ❑ 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 Census Code: 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith com ly with those provisions. L y Date: Applicant: WARNING: Failure to secure workers' compensation coverage is�� unlawful, and shall subject an employer to criminal penalties and one ��/ / "'� hundred thousand dollars ($100,000), in addition to the cost compensation, damages as provided for in Section 3706 of the Labor I ✓J,}— code, interest, and attorney's fees. e�'� 3 ( -0-79 _ , r / T CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable pr visions of the Butte County de and/or I hereby affirm that there is a construction lending agency for the Resolutions to do o ind'Lcated ab ve for h ees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Z111411101-1 Name: By: Date: , Address: PERMIT EXPIRES ON: ; • Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. .. . ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authoriz d agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official rm r document of Butte County. I hereby authorize representatives o Butte County to enter upon the above mentioned property for inspection purpos VI 5 el��%Ir e h Print Name: Ya Signature: Date: 0 0 Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor N 000 s IQ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 st"t. ( i 1*rvca44S PERMIT NO. APN: DATE: 2 q ZoV 0 0 ZONING: -r+ — NEAREST CROSS STRE : , fwQCt' O TRACT/LOTv: SITE ADDRESS: l A a 1 CITY, ZIP: L �f'l4S OWNER NAME:PHONE: i lea v ,�/t /i -- STREET ADDRESS: Q/h R 60 FAX: CITY, ZIP: E-MAIL: APPLICANT NAME: av/ PHONE: .D r,�rl �� STREET ADDRESS: FAX: CIN, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: w e� FAX, CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: 1 7� vnu C(2y) r ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: C% ' 'O/ ! vV Date: t%- 2q --L Receipt number: Amount Received: � 9 B. C. Building Permit 01-23-04 pg 2 COUNTY OF;BUTTE-DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMITAPPLICATION DATA SHEET (� OWNER: S tj ev I v1 J ASSESSOR PARCEL NUMB R Proposed Building Use: 1'( r). CK • 1-1/1 H e K 51 +-P-Counter Technician: % Date: Zq Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t6 apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other z Remaining items needed to issue the permit (May require additional plan review upon receipt of the followin:gi ems. ✓ 7 ❑ 17. Fire Sprinklers........................................................................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ................................................ O 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway fyo the Public Works Dept ..... ...:................ 28. Pre -Inspection for V�' u �' e K to I tt pti� t'Y 5 required....... 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................:.. ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance ................................................ ... ❑ 35. Existing violations and/or expired permits ..................................... ................ ❑/ 36. Dee ,Restriction......... ........................... 9........... . 37. ran Deed, ❑•I�I.H. TitlelStatement of Facts, ❑ L r fro Le al Owner heck to .C.D. $ �Z ❑ 3$�. er: ❑ 39. Other: _ When issued Telephon IN d hold for I have been inform of the ab 61r r ms and requirements for obtaining a building permit. y � -2C4-�1 Applicant: / �!, Date: 1. Index permit application for the above items numbered: ✓ Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the ab ve data gb hone, ❑ mail, counter, Date: Plans reviewed by: NN � Date: • 5 O� C3Plans approved by: Date ':'_+ D Structural -reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY•CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER Sly e r n ie n a V, -C, A.P. # -✓�D 20 ' t v o _PROPROSED BUILDING USE �-erm • Tit ►'1 • elf V N ei� 5 DATE 2 1 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES 2� � , C --- Balance Due ..................... $ 1 --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ 4. URBAN AREA FEES Residential (per unit)..... . X # Units Amt. (paid at Building Division) 90 Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of permit application, I was advised Ae above fees are required to be paid prior to issuance of the permit. These fees may be changed during lan chec 7J44 APPLICANTDATE 3/2 t� " Pursuant to Government Code Section 66020, you are hereby no ted that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) O.B.- I OV`J WR-BU1ELDER 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 ll I personally plan to provide IthennEor labor and materials for construction of the proposed t. property 13 Q I HAVESV 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: NA MIE: ADDRESS: CITY: PHONE:' CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this wow but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY.. PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide.some of the work but 1 have contrasted (hired) the following persons to provide the work indicated: ' i�R ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYO NOTE. This Owner -Builder YerzfcakOK is required by Section 19831 and 19832 of the CaWornia Health and Safety Codes This verrf=tlon must be completed and returned to our oj)ke before we are permitted to issue the permit OWNER BTJft.DER INFORMATION Dear Property Owner. a.. - An application for a building permit has been submitted in your name listing yourself as the budder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Builder pemiis are not required to lis signed by property owners unless they are personally perfa:ming their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if the person applies for the proper permit in his or her name. Contactors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades dint you plan to subcontract, you,should be aware of the following information for your benefit and protection: Ifyou employ or otherwise engage any persons other than your immediate family, and the work (Including materials and other cis) is'S300 or more for the etre project, and such persons are not licensed as contactors or subcontractors; than you may be an employer. If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social se=71y tames, wo&ers compensation bsurance, disability bon -ace costs. and unemployment compensation contrbu2timm ♦ There may be financial risks fir you if yon do not cway out these obligations, and these risks are especially serious with respect to worker's compensation inscrance. ♦ Forman specafic information about your obligations under Federal Law, contact the Inbemal Rsvem Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of LwInstnial Accidents. MOO strucwm is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contactor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contactors is to secure an "owner budder" building pew e=wusly impbbg that the property owner is providing his or her own labor and matmial perronally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Inion about licensed contractors may be obtained by mntracting the Contractors State License Board in your commmmity or at 1020 N Street, Sacramentay CA. 95914. Please Mete the "Owner Builder Verification" on the reverse side of this fisrm so that we can confirm brat you are aware of these matt= The building permit: wr11 not be issued unztl the verification is returned ly►. IM 1 C. VAIra, C.B.O. Bu ildiag Inspection NOTM T ha Owner Budder informfion is required by Section 19830 ofBte CaWvrnia SeaM and Safety Code OVER PRE -INSPECTION REPORT . OWNER. A Pr �;�. DATE: 2 • .� LOCATION: tie A.P..# 05%! 20 ^ 10 - 5 CONTRACTOR: �W �/� �%— ZONING: —T --;1V1. l` REASON FOR PRE -INSPECTION W1114 C� ' -i i ✓� (�c� w DATE TO INSPECTOR:. PERMIT HISTORY ( ) NONE ( EE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: - Commercial/Usage: Residential # of Units: Mobile home # of Units: - ' 4 Currently Occupied ( Yes ( ) No Abandoned/Vacant: Electric: Electric Currently ( On ( ) Off c Condition of Electric 6, Gas: -Currently ( ) On ( ) Off Condition Sanitation: Plumbing Worldng (') Yes ( ) No Obvious Sewage Problems ( ) Yes (� ACTION RECOMMENDED: ISSUE ( �es ( ) No Hold for permits or verify: Tncnectnr: I I 1 M / Vt 1 1(/1/X/ / Date: —/, • V �� C4T7TT!"TT YbYTTT T%T'%Td"0 ll1kT nr. XTTTbC1Y1 A XTTT T11LT1-%Yh" A TiM T !1/" A TTl1AT CNXT T1T)/'1T)TT TT7- n Now 0 T O BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 Suit 4 i 14%;4e #"N PERMIT NO. DATE: 2— O APN: 05—&'/?'0'/00 ZONING: T (d1G — NEAREST CROSS STREEA:, /21 TRACT/LOT#: SITE ADDRESS: � a CITY, ZIP: 1 6c) A S OWNER NAME: Da v �' ��� PHONE: IF STREET ADDRESS: an' a ada FAX CITY, ZIP: E-MAIL: APPLICANT NAME: PHONE: STREET ADDRESS: FAX- AXCITY, CITY,ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: w !� - FAX CITY, CITY, ZIP: E-MAIL: LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: �Li'► a � 7� Q�u ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: C%" ' O/ ! �'U Date: Receipt number:Amount Received: -,-7 L1• 9 T 31y o 71 B. C. Building Permit 01-2304 pg 2 Building Permit Number: ©�. Owner Name: S 1. e ri it e r) Residential'Construction Requirements IMPORTANT This set of plans and especifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California ' Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top, of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: C)4- d SP5 Owner Name:. w r •-1 q P.� Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: ~ All structures and equipment including overhangs shall be clear of all easements. A setback of '�b feet from the side and �JD feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect.. ~ BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS. 7_.County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: .` ( k-> a e . j 2. Installer's name: r t el'o r 'l 4//C a f 3. :Is the site currently under permit? Yes No./ / (If yes, furnish permit number ) OR , Is the site an existing site? Yes / / No 777_1_1 (If yes, furnish two (2) plot plans.) ' r 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? -------------------- --- 200 Amps 6. What is the mobilehome site service rating. Amps 7.. What is the mobilehome site circuit breaker rating? ------------- ;L00 Amps 8. Is. there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (I£ yes, identify the load and size: (Load) �-®"� (Amps) 9. What is the mobilehome site gas pipe size? ----------------- in. 10. What is the type of gas service? ---------- .----------------- Natural .LPG 11. What is the gas pipe length from meter or tank to the mobilehome? ------ (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required If pipe length less than 6 fton natural gas.. or less than 50 ft. on LPG.) BUTTE: 8 g E: COUNI �RUI DING DEPART EA 4Pd� MOBILEHOME SUPPORT DATA If other than single wide,^ Mobilehome Mfr. '_ fur'ish Setup Model No. Year Width Lq (ft.) Box Lengt(ft.) Tagalong or Expando Size ft. x"""'®" ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973,• furnish manufacturer's installation manual and structural setup sheets (if not on.file with the County of Butte). All center supports measured from front of mobilehome'unless otherwise specified. Footings (check one) Single . Wood either pressure treated o foundation grade. 0.. �x (ft.)(in.) (in.) (in.) 2. Other: (specify) enter support Center support locations* footing sizes Supporta (check one) (in.) Concrete' block. [:].2i Other. (specify) (ft.)(in.) (in.) (in.) Ila <-Tagalong or Expando,' show support details. !0 (ft.)(in.) (in.) (in.) f,3�r 2 xIU -- Typical Support (in. (in.) Footing Size (ft.)(in.) (in.) (in.) 7�� -- Max. Pier Spacing (ft.)(in.) P) I 9�E&x -T0 , l Oil -- Max. Overhang (ft.) (in.) in. in. BUTTE COUNTI SUI WING DEPARTM€NI APPROVED *If center piers e ier are other than drawn above, r, 2"x 2'x 3/1 G.. 3/S" CAD ELATED BOC. HLJ &MASHER m STEEL ANGLE COUNTER BORED FLUSf- WIT7 B=fR)N AT B"' O.C. (B) IDURED lJ W 1/4" STAND ULS< 0_ AmIE3C6 At, PAD #503 WOMIA DETAIL -A- CHASSIS FRAME 1/4" GRIPPER PLATE (2) RE'OUIREO O CJ _1/4" GRIPPER BASE Q 1/2-13UNC-A307 x 4" SOLT VAIM NUTS (4) REQUIRED of 1/2" SCH 40 PIPE RISER WITH—, 01/2: ADJUSTER HOLES AND 3/a" THICK TOP PLATE W SCH 40 PIPE STAIR) VATH TWO-, 01/2' ADJUSTER T•MES J ABESCO ABS PAD #503 STEEL. FRAME - SIE DETAIL V) m i i 36" [UC D "TON OF ALD 10.00 1/2' DIA. HOLE (s) PLLCES STAND B4S= STEEL FRAME - TOP VIOW TDP VIEW 00 MOOM ROAD (' • , I' • CA • 5:I 000 382-8831 STATE APPROVAL Y ,rte O Dof x � n �k WAYI%E T. POLVADO. PE—USTING NO_ F94249 SHEET 1 of 3 e COACH 'C•• FRAME— - COACH "J" FRAME f 2" CHINNEL-1 1/4" aJPPER PLA`E 1/4'x1-i/�'-� TEK STS (4) R£QURED TEK STS (2) REQUIRED 1/a" GRIPPER 1/4" GRWP ER— BASE RASE 1/2" A307 POLI-' (2) REI7L -1/2• A307 SOL7 � (4) REWIRED 3/R -x 6'"xx 6 6' -- STEEL PI E . 1/2" A507 IOL—_/C-9E J -BEAM (2) REQUIRED ATTACHMENT ATTACHMENT {+— 10-00 --moi 10.00 1/2' DIA. HOLE (s) PLLCES STAND B4S= STEEL FRAME - TOP VIOW TDP VIEW 00 MOOM ROAD (' • , I' • CA • 5:I 000 382-8831 STATE APPROVAL Y ,rte O Dof x � n �k WAYI%E T. POLVADO. PE—USTING NO_ F94249 SHEET 1 of 3 e 04 �a 0 0 w Q r m N m m t') m m 66 m Cn m m tr n CV 1n CS) GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADSLIVE LOAD - 30 L8. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE It 5) 2- THIS FOUNDATION SYSTEM 15 DESIGNED TO BE CONSTRUCTED AN A FAIRLY LEVEL 51TE WrFH 140 EXISTING SOIL PROGLEIIS. 3. CHASSIS BEA?i SUPPORTS SHALL K LOCATED AND SIZED FOR THE LOADS AS SHOV:N IN THE 'MOBLE HOME INSTALLATION DIS17RUCTIONS7. 4. N AREAS WHERE DIFFERENTIAL. SETTLEMENT (DS.) CAN OCCUR. MANUFACTURED HOW SHALL -EE RFAOAMVED WHEN OS EXCEEDS 1/4', OR WHEN R WILL ADVERSELY AFFECT WMLE HOLE UNIT. 5. CARRY ALL FOOTINGS DOWN TO FRBA. UINUISTUMED SOIL FOOTINGS ARE DESIGNED FOR 1.000 PSF TOTAL LOAD SOIL PRESSUN16. AND SHAUL BE COMPATIBLE VATH LOCAL SOIL. CONDITIONS 0014PACIED SAND MAY BE USED TO FILL LOCAL VOIDS ORDER PADS. 6. STRUCTURAL STEEL- FABRICATED ACCORDING TO AMSC SPECIFICATION. WELD AMMING TO AYES SPECMCAMWu ElECMCES-378 PLATES-ASTU A56 BOLT —SAE GR 5=ASTM A4494STM ASM. 7. THE GUS GUARD ASSEMRUES SLIM ON ENIS PAGE SHALL BE LISTED AND LABEIED BY INSET AND ASSOCNARS FOR THE FOIIZINM LOADS: Aulaw = LJOWS: HOtUZOb-rAL TrRMCAL SUS GUARD TUF-4 22001 60001 GUS GUARD MGP PAD 22601 6000/ GUS GUARD E -Z TE PAD 22001 6000/ 8. • DURING PRIELUMARY INSPECTION. THE M11MATOR SHALL 91=1311 W1. 'MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTM COACHES MAY 8E RETROFITTED TO RESIST SEISMIC FORCES BY INSFALUNG GUS GUARD TUF-1 UL'fiS-AS 94M ON TM PAGE OF TYPICAL FOONDATYOR PLAN& 10. TAE GUS CUARD TUF-1 SYSTEMS ARE SAFE FOR vWALIATION W F oOD PIAtN AIIEAS WHERE DEEM OF FLOODING WES NOT EXCEED THE HEIGHT i OF T1IMi FELT. I t t. MULTIPLE UW INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TLW-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER ' EACH UNIT_ 12. SINGLE -WIDE LIARS • REQUIRE ADDMONAL RESTRAINT. 0 (SEE SHEET n 13. AU. MEW COtEMMS AND A37ACH110M HEMS SHAD. E PWTECILYE CRATED. 14. WHEN CONCR£RE SLAB IS N E XISTANCE. PAD IS Mn i 16. FOUNDATION BLOCKS 16'x t6'xt2' POURED IN PLACE AT GROUND LrAl MAr BE USEn AT INSTALLERS OtSCRETION ALTFRNATIYE TO PADS. SINGLE WIDE COACHES DOUBLE/MUL11PLE COACHES E= 2' 141N. / U' MAX E= 2' MIN. / I I* MAX. 6' MIN. IN. /16' MAX S= 6' MIH- / 22 MAX VARIES 10'-70' (SEE TABLE ON S1tEET i3) •-- — -� £� s— s s E u y� i i f GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADSLIVE LOAD - 30 L8. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE It 5) 2- THIS FOUNDATION SYSTEM 15 DESIGNED TO BE CONSTRUCTED AN A FAIRLY LEVEL 51TE WrFH 140 EXISTING SOIL PROGLEIIS. 3. CHASSIS BEA?i SUPPORTS SHALL K LOCATED AND SIZED FOR THE LOADS AS SHOV:N IN THE 'MOBLE HOME INSTALLATION DIS17RUCTIONS7. 4. N AREAS WHERE DIFFERENTIAL. SETTLEMENT (DS.) CAN OCCUR. MANUFACTURED HOW SHALL -EE RFAOAMVED WHEN OS EXCEEDS 1/4', OR WHEN R WILL ADVERSELY AFFECT WMLE HOLE UNIT. 5. CARRY ALL FOOTINGS DOWN TO FRBA. UINUISTUMED SOIL FOOTINGS ARE DESIGNED FOR 1.000 PSF TOTAL LOAD SOIL PRESSUN16. AND SHAUL BE COMPATIBLE VATH LOCAL SOIL. CONDITIONS 0014PACIED SAND MAY BE USED TO FILL LOCAL VOIDS ORDER PADS. 6. STRUCTURAL STEEL- FABRICATED ACCORDING TO AMSC SPECIFICATION. WELD AMMING TO AYES SPECMCAMWu ElECMCES-378 PLATES-ASTU A56 BOLT —SAE GR 5=ASTM A4494STM ASM. 7. THE GUS GUARD ASSEMRUES SLIM ON ENIS PAGE SHALL BE LISTED AND LABEIED BY INSET AND ASSOCNARS FOR THE FOIIZINM LOADS: Aulaw = LJOWS: HOtUZOb-rAL TrRMCAL SUS GUARD TUF-4 22001 60001 GUS GUARD MGP PAD 22601 6000/ GUS GUARD E -Z TE PAD 22001 6000/ 8. • DURING PRIELUMARY INSPECTION. THE M11MATOR SHALL 91=1311 W1. 'MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTM COACHES MAY 8E RETROFITTED TO RESIST SEISMIC FORCES BY INSFALUNG GUS GUARD TUF-1 UL'fiS-AS 94M ON TM PAGE OF TYPICAL FOONDATYOR PLAN& 10. TAE GUS CUARD TUF-1 SYSTEMS ARE SAFE FOR vWALIATION W F oOD PIAtN AIIEAS WHERE DEEM OF FLOODING WES NOT EXCEED THE HEIGHT i OF T1IMi FELT. I t t. MULTIPLE UW INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TLW-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER ' EACH UNIT_ 12. SINGLE -WIDE LIARS • REQUIRE ADDMONAL RESTRAINT. 0 (SEE SHEET n 13. AU. MEW COtEMMS AND A37ACH110M HEMS SHAD. E PWTECILYE CRATED. 14. WHEN CONCR£RE SLAB IS N E XISTANCE. PAD IS Mn i 16. FOUNDATION BLOCKS 16'x t6'xt2' POURED IN PLACE AT GROUND LrAl MAr BE USEn AT INSTALLERS OtSCRETION ALTFRNATIYE TO PADS. SINGLE WIDE COACHES DOUBLE/MUL11PLE COACHES E= 2' 141N. / U' MAX E= 2' MIN. / I I* MAX. 6' MIN. IN. /16' MAX S= 6' MIH- / 22 MAX VARIES 10'-70' (SEE TABLE ON S1tEET i3) •-- — -� £� s— s s E u uj u❑au RIDGE BEAM SUPPORT AS REOLARED BY MANUFACTURER El (TYPICA") ❑ ❑ Pi ❑ ❑ ❑ 07 ❑ ❑ ❑ ❑ 8' NOM. I- 1. .. n a ❑ P PADS IN ANY PAIR MAY BE ; STAtIM3W M -H. FOUNDATM - — ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. DAMN ML TYPICAL THROUGHOUT PAD 3`1P) a lo ��Qe.-tea. '� REQUIRED. ANOM STAND TO CONCRETE SLAB VON TUF-1 PERMANENT FOUR (4) '1/2x 3 1/27 EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALIDIYABLE SNOW LOAD TO 100 PSF WHEN NSTALIED A$ESCO GUS GU/RD COWANY WITH EXISTING STANDARDS REOUIRED BY COACH USIFLJOM-P13UMSROAD MANUFACTURER OR REPLACE THEM ON A ONE TO � M. CA 95823 oNE BASIS PH;800) 382-8831 FAX 916) 383-5207 STATE APPROVAL a wV ►- B .9 O c3 x c O s x 95 O � dJ WAYNE T. ROLVADO. PE—LISTING NO. F94249 SHEET 2 of 3 ri0 't•cr. �- i 0 .r f 3/4' CIA. x 18' LG. 1/2"x 3 1/2" 1/2'x 8' LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8' CAD PLATED BOLT, NUT R WASHER (4) REQUIRED (4) REQUIREO COUNTER BORED MUSH WITH BOTTOM _ - • AT 8' O.C. (8) REQUIRED ' CONCRETE PAD INSTALLATION POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION — CHASSIS FRAME 1/4' CR1PP£R PLATE (2) REOLAREO 1/4- GRIPPER BASE 1/2-13UNC-A307 x 4---' BOLT WITH NUTS (4) REQUIRED O1 1/2' SCH 40 PEPS RISER WITH 01/27 ADJUSTER HOLES AND 3/8 - THICK TDP PLATE 02' SCH 40 PIPE STAN WITH TWO - ol - ' AWUSTER HOLES- , ABESCO ABS PAD #303 STEEL FRAME / 36' MAX ✓ t TO BOTTOM .r f 3/4' CIA. x 18' LG. 1/2"x 3 1/2" 1/2'x 8' LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8' CAD PLATED BOLT, NUT R WASHER (4) REQUIRED (4) REQUIREO COUNTER BORED MUSH WITH BOTTOM _ - • AT 8' O.C. (8) REQUIRED ' CONCRETE PAD INSTALLATION POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION — CHASSIS FRAME 1/4' CR1PP£R PLATE (2) REOLAREO 1/4- GRIPPER BASE 1/2-13UNC-A307 x 4---' BOLT WITH NUTS (4) REQUIRED O1 1/2' SCH 40 PEPS RISER WITH 01/27 ADJUSTER HOLES AND 3/8 - THICK TDP PLATE 02' SCH 40 PIPE STAN WITH TWO - ol - ' AWUSTER HOLES- , ABESCO ABS PAD #303 STEEL FRAME / 36' MAX H 44 TO BOTTOM 8 8 OF PAD -1 M I r 01/2'x r C.R. 20 LOCK PIN 1MITH fl/8�' BRIDGE. ' PIN LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATtON LEN H OF HOME lYl Z4 26 H 44 UP TO 44 8 8 8 1 -1 M 12 12 1 1 -t' b 20 20 24 Iti�;1N�lii- lt4RljTib_-q GTiT OF NOME l0 WIDTH OF HOME 12 1t 1 if TO 4iV I6 6 6 6 = biC B e a g se! -1- to 10 10 10 1 10 eummm ui lur-T KuumxD - NUMBER OF TUF-1 ACQUIRED HATE: SINGLE WIDE UNTIS REOIAW (4) E -Z TIE PADS CUS GUANO TUF-1 PERI A1iE To BE PLACED AT APPROIOMATUY EQIML XM"ALS ALDNC EACH FRAME AAI. l �• Y ftL17919 C1>4) OF caL0- TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-ERICciB GUARD CO& AAM 5851 FLIM -PI t,4 ROAD SACRAMEM, CA 95823 PH-' (800) 382-8831 FAX: (916) 383-5207 9 STATE APPROVAL 4 T'ft � C1 -� Ilk V pp ��` 71fpLrJ �. ICF 2 d 0 ' nl $ z WAYNE T_ POLVADO, PE—LISTING NO. F94249 s►iEET 3 of 3 0 ion OERMIT NO. PERMIT EXPIRES OWNER RUTH ROGERS CONTR.— Craig Donalson ASSESSOR PARCEL 56-12-100 LOCATION N/end pri rd, app 400'W off NE S Maple Ln, 300'E.Whispering Pines, Cohaset Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINA D (D e) Signature i %f-= OK' - O = Not OK = Not Applicable = Not Ready MOBIL'EHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's y 1. Zpning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1.' Zoning Requirements—Setbacks—Easements Soil ; Special MH Support—Sketch e 2• Footings; Size—Depth—Spacing—Connectors er; Location-Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Con nec.—Shthg.—Rig.—Bracing ke'Electricity; Location—Clearances—Grnd.—QtZ/ Amp—Concrete : t. .41'u k' Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors Utility Clearance 7. Elec. Card -BI Date,j�-8 rd -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOE INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI ' Date _ POOLS (Plans) OK except N's Z g Requirements—Setb as m s b 1. Setbacks—Easements ootings; Siz�>SpaQ'la@-eMarri ine 2. Soils; Compaction—Structure Stability le2tricity; MH Z9A�Cross—Breaker-Clearar(ce,s; 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI Oe"Train: MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed W ter and Sewer Co ected—C/O rade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater -6�endElectet6ty Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—.Panel boards—Ins. to Main in Conduit �s; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir, Test—Water Supply Test Card B -I QQDate -- O— rd -BI Date Card -BI Date Card -BI Date Card B -I k I Date Card -BI Date Card -BI Date Card -BI Date As -:} IZ r)� r e �. = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _ 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels F 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Pertnit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, 73. Insulation -Foam -Looked in Attic E] Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75. 76. Followinginstld.: Drive E3 Yes ❑ No; Walks F] Yes ❑ No; Planters El Yes El No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic --- Card -BI Date Card -BI Date Card -BI -Date Card -BI Date Card -BI Date Card -BI Date Card-BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except k's Comments at Final: 36. Sills; Proper Material & Anchors 37. Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. _Walls; Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) 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, hapten 5, under permit number W 9,:S - W -2 for the follgiwing location: A, �� Pit R �L — A+rsa4bca O�tJU%�.S�d� Jute �7�a ��p'.3A��� G��r►s�er�0�l+tE Owner Owner's Address Mobilehome Mfg. AA -,Val I e,-# Model C— k(-)YearYear o Insignia No. =91 X7 1 21L`l17 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director.of Pubtic Works Date 41 l0 By \ • �c��a `�- !1 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise - Phone: 872-2961, Ext. 57 CORRECTION NOTICE 0 BUI'LD114G OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. QInspector • Date i A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS J PE MIT NOl 7 County Center Drive - OrOVille, California.95965 -'Telephone 916/534-454 ����/� (APPLICATION AND PERMIT! a ASSESSOR PARCEL NUMBER ZONING _— ILDING MIT OWNER �7 ,SO. TELEPHONE FT. OCC. BUILDING VALUATION OWNER'S MAILING A DRESS CO RACTOR•S NA TELEPHONE ndl CORMIRACTO MAILING ADDRESS _ Fireplace ONSTTRRUgCTION LENDER A,ILE© UNKNOWN Total Valuation $ Filing Fee $9 ER 5 MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER X/. LICENSE NO. Plan Checking Fee Xqui$ . C)G Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ /000 BUI ING AD DR S /, G *Ar £ PLUMBING PERMIT Fit 2.0e 10.00 , ,� Each Trap 2.00 Repair drainage or vent piping 5.00 / T Water piping O LOT NY. SUB VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOF S ICTURE SF ❑ Duplex[] Mobilehome Other SPECI FY Building sewer , 290 Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation EJ Other ❑ Describe work: Permit Fee $ Contractor IELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS �, 6 08 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.N) OR ADONS. ACG. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C de an my license is in full force and effect. License No. Classification � ':Ft ❑ 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 CONSTF1 MU LT'l NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS 61 NON-RESID. SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES a �� FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 7 1519 Contractor 122 MECHANICAL PERMIT Filing Fee 10.00 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 J� 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 shal I be deemed revoked. Heating Cooling 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 ities, judgme costs, and expenses which may i any way accrue agai t aid Count onseque of the granting of this pe it. X Date 3 fi ature of Appl ant — Owner ❑ Contractoro Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARC D HD 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC �I B PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date , � �/ Receipt No. 6Z � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT awe=- FOR RESIDENTIAL DEVELODArm, ec-ion 26-8.1of the Butte County Code requires this acknowledgement. U:. 'r "G>3'�T°-`""`�. e recorded prior to issuance of a building permit, 0R 0,S r. E.r!�e- ;,•, ' The property described herein is adjacent to land or incl MAY l�2 oi included within an area zoned for agricultural purposes, and residents of ELEA!JORFi.GCCKER this property may be subject to inconveniences or discomfort arisingCLERK -RECORDER from the use of agricultural chemicals, including, but not limited to herbicides, FE ' pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: ,�� / ����• State of On this the G day o f �ub'lic SS, before me, the undersigned Notary , personally County of_&7-7Z-7 ) appeared &)-// 110ObLIP5 known to me to be the person(s) whose'name(s) /-5 R+pCR9EBp➢pipq�ppB7Bpp'Rppq(wg1gflRq�gqqr-nq�pRagggqaRq,11 subscribed to the within instrument and acknowledged `-" that C) F F c A S. 4 ' a Ie— executed the same for the purposes pATR!CI, J. px therein contained. NOTARY PUBLIC C';tffoR ,A H IN WITNESS WHEREOF, I hereunto set my hand and official s PRINCIPAL USp1e:F ly TW a I:OUNYY OF ;u,,. m seal. Comm. L r IppepppRepeaeeeapee P. �wr 7. 1983 peoRpeaeppbsRpesnequpgpepnugceere;p� � + . Notary Public Present A.P. NO.0-42 - CA mut i I% a VA -exclusive easement for road purposes over the following described real property: All tluit certain real property situate in the County of.l)utts, State of Calltoeniti ,k•!:(•ribcd as foUowsn —� VA KC EL ONE: , A IKx•liWl of tie South halt of •t1e South half of the Southwest quarter of Station 23, : Township 24 North, Range 2 East, M.D.B. & M., more particularly described v folbwst. .c :uMML••NCUVO at the Southwest corner of said Section 23; thence Easterly along the Smith line thereof, 330 feet; thence Northerly, parallel to the West Une of said Section Zit 225 feet; thence East parallel with the South line of said Section, 60.00 feet to' tlie true point of beginning for the parcel herein described; thence from said point of l,vI;inning and running Westerly paraUel with tho South line of said Sooticn 33, a distance of 60 toot; thence Houthei p emUel to the West Una of mid section =a, 225 feet; thence Easterly on the South line of said Section SS to the Hoath quarter . corner of said Section 33; thee Northerly along the East Una of the Southwest quartet nc.' of Station 230 a distance of 660 feet to the North line of the South half of the South ivor of the Southwest quarter of Section 23, Township 24 North, Range 2 Eat, M.D.H. .�r M.; thence Westerly parallel with the South Une of Section 33 to the Northeas 601 ' corner of that certain parcel of land conveyed to Evelyn M. Fisher, a married Noman, .. by C. L. Fisher, and Evelyn M.. Fisher, husband and wife, dated February 16, 1973 and recorded February 20, 1973 In Book -1817-of Official Records, at page 393, records of ••' Butte County, California; thence Southerly 404 feet, parallel to the West. line of said' Section 231 thence Southwesterly to the place of begiming. VAIlCEL TWO A right of way tot 'road and public utility purpases, 60 feet 'in width, 0es0'bed fulluwsr _....�.. . c,uNIMENCINO at the Southeast corner of said Section ?b2; thence North 340.00 teat along the East line of said Section 22; thence North 82 44' West, 589.30' feet to a . point in the centerline of Cohasset Road; thence South 17 51, West, 130.52 feet along- the centerline of said Cohasset Road to the true point of beginning, for the easement I��•rc in described; thenop from said true point -of buginning, abtig the centee�ne of said 4;u.uu foot- wide easemerbt, the following courses and distances; South 82 441' 377.82 feet and South 61 05' 23" East, 354.57 feet to a point which lies Past, 30.00 feet from the East Una of said Section 22; thence South 75.00 feet, parallel with the 1-51st line of said Section 22 to a point on the South line of said Section 239 std the , end of the easement herein described. I:XCEPTING FROM said right of way that portion lying wlthin Parcel OrM may described. t PAI(Ck.L THREE A K)n-exclusive easement for road purposes) 60.00 feet in width, lying Eastee1. of and ; ji1jnecut to the following described line: ' Isi-A;INNING at the Northeast corner of the above described parcel one, said point boring on the North and South centerline of said Section 23, and running thenot South along said centerline and &tong the North and South centerline of SRetion 260 in , i Township 24 North, Range 2 East, M.D.B. do M., to a point located 1079.091"t South' of lite North quarter owner of said Section 26; and the end of said line.: cXW1B17- �� PARCEL FOUR A portion of the X1.1). H. & M. r Northwest quarter of Section 269 Township 24 North, W40 Z BaBt,, .. A nonexclusive moment for road purposes, described as folloris: : COMMENCING at the intersection of the North and South centerline of said SNUM .. 26, with the North line at Vitas Road and running thence North along said centerSnM,; : . ji distance of 761.00 feet to the Northeast corner of the parcel of land "ABC bed to ' fife Quitclaim Deod from Donald Sorenson and Audrey Sorenson to S. A. Willingham of Of fjcW wid Bernice L. Willinghami reeor-'ed Janna y 20,i 19 4 intheBook 1 epoi t of D�lnning foes • � . ,it page 14, records of Butte County, Ca , the parcel herein described; thence from said true point of begimiajf, continuing 'North along said centerline, sit distance of 80.00 • "feat; thence North 88 23' 20" Went wA purullel with the North line of the. Willingham parcel, ;36.00 feet; thence nth Ol 15, 50" East, parsiilel I* the West line of said Willinghamcel, V 02.0lEioa Ott- more or less, to a point in the North line of the County Road known �►►ong said North line, 80.00 feet, more or less, to the Southwest corner of said...: Williligham parcel; thane North 01 15' 50" West along the Wast line of :skid Willingham p,ireel, 742.00 feet to the Northwest corner thereof; thence South 88 23' 30" Bast along the North line of said Wlllingtw►m parcel to the point of beginning.. PARCEL FIVE: A non-exclusive easement for road and public utility easement over the South 80 feet of the West -330 feet of the South halt of the South half of the Southwest quarts Af ; • '•. e 2 East M.U.B. do M. Sa:c.tion 23, 'Ibwnship %4 North, Rang � •--, ... ••:..: •.. •. Being an easement for waterline purposes over a strip of land 5.00 feet in width lying 2.50 feet on each side of the following described centerline of an existing waterline located in the South half -of the South half of the Southwest quarter of Section 23, Township 24 North, Range 2 East, M.D.B. & M.: BEGINNING at the Southwest corner of that certain parcel of land described in Gift Deed to Ruth E. Rogers, recorded December 3, 1981, in Book 2678 of the Official Records of Butte County, California, at page 243; thence following along the Southerly boundary line of said Rogers. parcel, Easterly for 57 feet more or less to the center- line of an existing waterline and the true point of beginning for the easement herein described; thence from said true point of beginning, Southerly along said waterline for 48 feet more.or less to an exist-. ing 2" waterline; thence Easterly along said waterline to a water storage tank; thence continuing along said waterline, Northeasterly to a well site and the end of said described waterline, TOGETHER WITH all rights reasonably necessary to maintain and repair said waterline, and TOGETHER WITH reasonable access to said water line. sn YD -2"Rmi vvr AVY-1 sL - ZI' sD� -4 ") 9 SYA(2 31tl0 -ra % 2�zy � Q�a'�� • � (q :1o3rsns n\4-3vMn woad �V0(2j® _ Ira wnpu®j®wn ,„ Of mm* 4 ®dn®-inju' f, o v �p N► ,� m Of (MM • 515 Wall Street Chico, CA 95926 4 WHEN RECO R-D*E. D —M "-A-1- T LEVERENZ & WA RD 515 Wall Street hjco, CA 95926 MAIL IAX STATEMENTS TO: RUTH E. ROGERS SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX $ ...... Computed on the consideration or value of property conveyed; 08 ...... Computed on the consideration or value less liens or encumbrances remaining at time of sale. Signature of or Agent determining tax __jF1rm Neme GIFT DEED Chan, .)p cf T IN CONSIDERATION of the love and affection which the grantorS bear to the grantee DAVID R. WESTPHAL and SHIRLEY J. WESTPHAL' dQ hereby give, grant and convey to RUTH E. ROGERS all that real property in the City of County of Butte SEE ATTACHED EXHIBI 31ated %198-1 State of California, described as x DAVID R. WF,STPHAL ;TATE OF CALIFORNIA ,OUNTY OF Butte ss. x:4j RLEY ESTPHAL )n ,efore me, the undersigned, a Notary Public in and for said �tate, personally appeared -_ DAVID R. WESTPHAL and SHIRLEY J WESTPIIAL nown to me to be the person S whose name -ibscribed to the within instrument "and::kno.l edged that h V executed the some. 4ITNESS my, h'a"nd and off jai air—..—,,. OFFICIAL SEAL CARL B. LMREK W)TARY PLVIX — rmupoitM COUNTY 00 MMI Comm. Exp. Feb. 7, 1964 ignature (This area for Official notarial seal) 1088(10/69) MAIL TAX STATEMENTS -AS DIRECTED ABOVE (A- QL!TT`C ;_ ,8;_ dEc 3 IT 2 8 P)" 1Qq, I C L A R K A. CLERK-RE G c?.r." � 8 1 —.3's vri " I FE SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX $ ...... Computed on the consideration or value of property conveyed; 08 ...... Computed on the consideration or value less liens or encumbrances remaining at time of sale. Signature of or Agent determining tax __jF1rm Neme GIFT DEED Chan, .)p cf T IN CONSIDERATION of the love and affection which the grantorS bear to the grantee DAVID R. WESTPHAL and SHIRLEY J. WESTPHAL' dQ hereby give, grant and convey to RUTH E. ROGERS all that real property in the City of County of Butte SEE ATTACHED EXHIBI 31ated %198-1 State of California, described as x DAVID R. WF,STPHAL ;TATE OF CALIFORNIA ,OUNTY OF Butte ss. x:4j RLEY ESTPHAL )n ,efore me, the undersigned, a Notary Public in and for said �tate, personally appeared -_ DAVID R. WESTPHAL and SHIRLEY J WESTPIIAL nown to me to be the person S whose name -ibscribed to the within instrument "and::kno.l edged that h V executed the some. 4ITNESS my, h'a"nd and off jai air—..—,,. OFFICIAL SEAL CARL B. LMREK W)TARY PLVIX — rmupoitM COUNTY 00 MMI Comm. Exp. Feb. 7, 1964 ignature (This area for Official notarial seal) 1088(10/69) MAIL TAX STATEMENTS -AS DIRECTED ABOVE (A- IV All thut certain re property,aituate in tho County 0 Butte, State of �elifornia, �e3cr' follows: PARCEL ON PC) rtion of the South half of the South half of the Southwest quarter of Section 23, Township 24 North, Range 2 East, M.D.B, & M., more particularly described.as':.s;'•'>'::; I'ullowu: y UCGINNING at the South quarter corner of said Section 23• thence Northerly* alon the East line of the Southwest quarter of Section 23, a distance of 660 feet to. the North line of the South half of the South 'half of the Southwest quarter of ';`;(.''.::• Section 23,.Township 2CNorth, Range 2 East, M.D.B. h M.; thence Westerly parallel`; with the South line of Section 23 to .the Northeasterly corner of that certain, I;::;. parcel of land conveyed to Evelyn M. Fisher, a married woman, by C.L. Fisher, and `,'`:'}'-.i!:, •; Evelyn M. Fisher, husband and wife, dated February 16, 1973 and recorded February'.;., 20, 1973 in Book 1817 of Official Records, at page 393, records of Butte County;' California; said point being also the true point of beginning for the parcel of land herein -described; thence from said true point of beginning, Easterly. parallel.;! .•`r with said South line of Section 23 for 872 feet; thence Southerly, parall'el.vo the West line of said Section 23 for 250 feet; thence Westerly and parallel to said Southerly boundary line of Section -23 for 872 feet to a point located in the.;. `?..•` .Cdsterly boundary line of said Fisher parcel; thence Northerly along said Easterly,:,::;.a;,";;; boundary line of the Fisher parcel for 250 feet to said true point of beginning. •;: ;';;�,;:: ;': ; ' TOGETHER WITH a non-exclusive easement for road and public utility purposes 60.00 feet in width lying Southerly and Easterly of the following described line: BCGINNING at the Southwest corner of said Section 23; thence. Easterly along the Southerly boundary line thereof for 330 feet to'the true point of beginning for the line herein described; thence from said true point of beginning; Northerly,; parallel to the Westerly boundary line of said Section 23 for 225 feet'; thence Casterly parallel to said Southerly boundary line of Section 23 for 60.00 feet; Lhunce Northeasterly to a point that bears Southerly and parallel to said West- urly boundary line of Section 23 a distance of 404 feet from the Northeasterly ' corner of that certain parcel of land described in Deed to Evelyn M. Fisher, recorded February 20, 1973 in Book 1817 of the Official Records of Butte County, California at page 393; thence Northerly aloncl the Easterly boundary, line of said.:. fisher parcel for 154 feet to the Southwesterly corner of the above described parcel of land. The sidelines of the above described strip of land are to be lengthened or shortened to intersect property lines. TOGETHER WITH at least a five (5) foot easement for existing water lines on the following described parcels: All thu t certain real property situate in the County of. Butte, State of caufornja, , ,,, . :• 6• vriued as foUowei PARCEL ONE: A litirti,ili of tic South half of .tile South luilf of the Southwest quarter of Section' 23, Township 24 North, Range 2 East, M.D.B. & M., more particularly described as follower. c :vh7 M L•'NCLNG at the Southwest corner of said Section 23; thence Easterly along the , SoIltll line thereof, 330 feet; thence Northerly, parallel to the West line of said Section 23, 225 feet; thence East parallel with the South line of said Section, 60.00 feet to, ' tho true point of beginning for the parcel herein described; thence from said point of h-1,,inning and running Westerly parallel with the South line of said Seotion._23, .a. distance of 60 feet; thence southerly, parallel to the West line of said Section '23,.' 225 feet; thence Easterly on the South line of said Section 23 to the South quarter corner of said Section 23; thence Northerly along the East line of the Southwest quarter ' - of Section 23, a distance of 660 feet to the North line of the South half of the South lin If of the Southwest quarter of Section 23, Township 24 North, Range 2 East, M.D.B. .4 M.; thence Westerly parallel with the South line of Section 23 to the Northeasterly corner of that certain parcel of land conveyed to Evelyn M. Fisher, a married woman,. by C. L. Fisher, and Evelyn M.. Fisher, husband and wife, dated February 16, 1973 and recorded February 20, 1973 In Book '1817 --of Official Records, at page 393, records of Butte County, California; thence Southerly 404 feet, parallel to the West line of said- i Section 23; thence Southwesterly to the place of beginning. 0 x V ._j C_ rn rn ` �1J �-_Ywfel r '�� r•lOnc OL way for road and public utility purposes, 60 feet In width, described �,�i follows: as \� c'UNIMENCING at the Southeast corner of paid Section orth 340.0feet along the East line of said Section 22; thence North8200 X44' West , thence N589.30 feet to a I)OInt in the centerline of Cohasset Road; thence South 17 51' West, 130.52 feet along. the centerline of said Cohasset Road to the true point of beginning, for the easement I11!r•ein described; thence from said true point of beginning, along the center of said ru,uU foot- wide easement, the following courses and distances] South 82 44' Fast, 377.82 feet and South 61 05' 23" East, 354.57 feet to a feet from the East line of said Section 22; thence South 75.00 feet, llwith int which lies East, 30.00he I:)rst line of said Section 22 to a point on the South line of said Section 23, and the cild of the easement herein described. FXCE;YTING FROM said right of way that portion lying within Parcel One above described. � I'ARCI:L THREE: ; :N flan -exclusive easement for road purposes, 60.00 feet in width, lying Easterly of and pill .irleent to the following described line: III -'(;INNING at the Northeast corner of the above described parcel one, said point . being on the North and South centerline of said Section 23, and running thence South-. ulrnig said centerline and along the North and South centerline of SEction 26, in 'I'ownship 24 North, Range 2 East, M.D.B. & M:, to a point located 1079.00 feet South' of the North quarter corner of said Section 26; and the end of said line. I'AI(CrL FOUR portion of the Northwest quarter of Section 26, Township 24 North, Range 2 Fact, 17 , l). B. & M. A Iron -exclusive easement for road purposes, described as follows: COMMENCING at the intersection of the North and South centerline of said Section 26, with the North line of Vilas Road and running thence North along said centerline, :- 11 distance of 761.00 feet to the Northeast corner of the parcel of land described in the Quitclaim Dead from Donald Sorenson and Audrey Sorenson to E. A.• Willingham and Bernice L. Willinghamt recorded January 20, 1964 in Book 1292 of Official Records, ,it page 14, records of Butte County, California, and the true point of beginning for the parcel herein described; thence from said true point of beginning, continuing North Along said centerline, a-. distance of 60.00.'feet; thence North 88 23' 20" West and' parallel with the North line of the Willingham parcel, 336.00 feet; thence South O1 ` 15' 50" East, parallel to the West line of said Willingham parcel, 802.00 feet, more or less, to a point in the North line of the County Road known as Vilas Road; thence nIong said North line, 60.00 feet, more or less, to the Southwest corner of said...... tvilli,Tgham parcel; thence North 01 15' 50" West along the West line of sgid Willingham st pareel, 742,00 feet to the Northwest corner thereof; thence South 88 23' 20" Fa along the North line of said Willingham parcel to the point of beginning. I'AII EL FIVE: ' non-exclusive easement for road and public utility easement over the South 60 feet ()f the West 330• feet of the South half of the South half of the Southwest quatrter •of &-:etion 23, Township %4 North, Range 2 East, M.D.B. & M. 1392 CLAhM FOR HOMF.OwrlFR'S PROPERTY TAX EXEMPTION SIi7tJ ?JG F„ i. Ir:�; rr�u.,..y�.,..{ !HE AF-SCSSOR ON OR ri[FORE APRIL 15. 1913:BROWN D SFINSTRUCTION , BEFORE COMPLETING r_ E --......_..- ------ -- ASSESSOR COUNTY OF RUTTE PAR( FLNUI`4P,ER 056-12-0-IUO-6 AD[ ar_•gc rf Ot1JELLINt, C.v---- - �.��.. IE `'l".. l.�L .. Atru�`.(; pr.Jrl .., h,i r•Hr•„r: (: r•+ ,S' rrrm `YC•UR ANr, �r.�,? Spr)USlo -:i I'fe1•: (.:?nL G _ r I L:Ct. 6vt EN V(1U'� ]:P{)U;; C'> Srl ;:qL RUERS RUTH E SS i�,!�irti•,;„Tr={>HERF.. 141-A CUHASSE T STAGE - - C1-t1Cn c �....1 = 95926 ;!.rye r,t nnm rprn,, i:: n,q7 ;Lel+�rcr • - - ---- -- TELEPHONE NO. (8 A.M.. � Tct "U!it:(, t: ;;( rOhJ. ONS '•i THE OWNER OR A CO-OWNER OF THE ABIDVE-DESCRIBFD llri-FITY (INCL LID!NG A P iR^ n Si E tNSTRtL^,itOhrs FFF Rr L• .:N..SF.:R UNDER CONTRACF OF SALE i .?n r n•t r r:n•ar_Ei! r^ r? i FIiS 1 r:luA,t. P,EPRF-SENTATIVE- 1 1 ' n.::_:n.FFrrU,vl,c:l,•r. MAY SIGr,;. ( lav f �•L'IY rr rFH,lurv; r�GEI! r1iL r cA:.: SURA:: F.5',iprc r;. ; » is r..rnrtrr; INV �HnrOrir.` r.lar .. - .E(�Nl'. - - r UE' C(t1:nEGT�n1,l;r;•,;•t, V .. hpry T)LNrf h 1 UA r, '-----.. ..._. .w ..—.—.._.... e.t o^...- �.�---...4. ._,..._.,,,�_„•�...__. _.__... __ SIC; t:Eb.. _-...---- _ __ LEVERENZ, WARD & SWEENEY "Y 515 Wall Street .Chico, CA 95926 WHEN RECORDED MAIL TO: LEVERENZ, WARD &SWEENEY 515 Wall Street Chico, CA 95926 f3Unl l-� COU.NTY-CAL F. RUS REQUESTED Y n APS 30 12 66 P1 1 1pl CLARK A. NELSON CLIERK-RECORDER FEE 32120'72 SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: RUTH E . ROGERS DOCUMENTARY TRANSFER TAX$.........NO...........NE ............. DUE .............. ..... Computed on the consideration or value of property conveyed; OR 141-A COhaS Set Stage .... Computed on the consideration or value less liens or encumbrances Chico, CA 95 926 remaining at time of sale. Sirneturc of Declerant or Agent determining tax — FIrm-Nerne SUPPLEMENTAL GI -FT' DEED �- IN CONSIDERATION of the love and affection which the grantor bear to the grantee , DAVID R. WESTPHAL and SHIRLEY J. WESTPHAL NOT COMPARED v✓ITli do hereby give, grant and convey to RUTH E. ROGERS all that real property in the City of County of Butte State of California, described as SEE EXHIBIT "A ATTACHED Dated April 30, 1982 STATE OF CALIFORNIA J COUNTY OF Butte u, 1 On Apr before me, the undersigned, a Notary Public in and for said State, personally appeared known to me to be the person S whose name S subscribed to the within instrument and acknowledged that they executed the same. WITNESS my hand and official seal. X DAVID R. WESTPHAL SHIRLE)V J(� WESTPHAL OFFICIAL SEAL NIGOum clum C ConmL Exp. F46. 26, 1986 (This area for official notarial seal) 1088(10/69) MAIL TAX STATEMENTS AS DIRECTED ABOVE 4 A non-exclusive easement for road purposes over the following described real property: All t1wt certain real property situate in the County of. butte, State of Wfornks dt-neribed as followst PARCEL ONE: ` A i-.rtion of the South halt of.the South half of the Southwest quarter of Section' 239 Township 24 North, �e 2 Easto M.D.B. dM., mom particularly described as iollowst... . COMML••NCINO at the Southwest corner of said Section 23; thence Easterly along the Smith line thereof, 330 feet; thence Northerly, parallel to the West Une of said Section . 23, 225 feet; thence East parallel with the South line of said Section, 60.00 feet to' the true point.of begiming for the parcel herein described; thence from said point of 1,(I;inning and running Westerly parallel with the South line of said Section 23, • distaince of 60 Pact; thence ftuther!y: pare—Del to the West Una of said Section =S,. :. 225 feet; thence Easterly on the South Una of said Section 23 to the South quarter corner of said Section 23; thence Northerly along the East Una of the Southwest quarte! of Section 23, a distance of 660 feet to the North Una of the South halt of the South iui if of the Southwest quarter of Section 23, Township 24 North, Range 2 East, 14.D.B. & M.; thence Westerly parallel with the South line of Section 23 to the Northeaster>11 vorner of that certain parcel of land conveyed to Evelyn M. Fisher, a married woman.. by C. L. Fisher, and Evelyn M.. Fisher, husband and wife, dated February 16, 1973 and M recorded February 20, 1973 In Book '1817 of Official Records, at page 3939 records of Butte County, California; thence Southerly 404 feet, parallel to the West. Am of aald- *.. Section Zit thence Southwesterly to the place of begiming. PAl(CEL TWO A right of way for 'road and public utiUty purposes, 60 feet 'in width, described as fuliuws: ' COMMENCING at the Southeast corner of said Section t2; thence North 340.00 feet along the Fast line of ' said Section 22; thence North 82 44' West, 589,30' feet to a point in the centerline of Cohasset Road; thence South 170 51' West, 130.52 feet along. the centerline of said Cohasset Road to the true point of beginning, for the easement how in dotuaribad; thence from said true point-of beginning, along the eenterine of "Id 60-00 foot wide easemen44 t. the following courses and distances; South 82 '' Bast, 377.32 feet and South 61 05' 23" East, 354.57 feet to a point which Iles East. 30.00. feet from the East line of said Section 22; thence South 75.00 - feet, parallel with the Gest line of said Section 22 to a point on the South Una of said Section 23, and the CIO, of the easement herein described. EACEPTING FROM said right of way that portion lying within Parcel Coo" above described. J; , ••..:. . PARCEL THREE: . A non-exclusive easement for road purposes, 60.00 feet In width, lying Easteeky. of and ; tolincent to the following described line: , isi•x;INNING at the Northeast corner of the above described parcel one, said point being on the North and South centerline of s$id Section 23, and running therm-I Nth"'• along said centerline and along the North and South centerline of SEction 26, In : Township 24 North, Range 2 East, M.D.B. do M., to a point located 1079.0Q .rept @Mtb' of the North quarter owner of said Section 26; and the and of said Une. , eX H 1B IT ,.� A G 4 PARCEL, FOUR A portion of the Northwest quarter of Section 26, Township 24 North, "0 .i Bast, B. & M. A lion -exclusive easement for road purposes, described as follows: COMMENCING at the intersection of the Norte and South centerline of said .8eotio0 :• 26, with the North line of Vilas Road and running thence North along said centee1104,; it distance of 761.00 feet to the Northeast corner of the parcel of land described in the (,quitclaim Decd from Donald Sorenson and Audrey Sorenson to 8 A. Willingleafll V . and Bernice 1. Willingham, recorded January 20, 1864 in Book 1282 of Official Records, at pate 14, records of Butte County, California, .and the true point of beginning. for the parcel herein described; thence from sald true point of beginnir�, continuing Nosh ,. a long said centerline, a distance 'of 60.00 • 'feet; thence North 88 231 20 - West purtillel with the North line of the Willingham parcel, 336.00 feet] thence South Ol 15, 5011 East, parallel to the West line of said Willingham parcel, 802.00 feet, -mote or less, to a point in the North line of the County Road known as Vilas Roadl there ; along said North line, 60.00 feet, more or less, to the Southwest corner of saW Willirhgham parcel; thence. North 01 15, 50" West along the West line of skid Willingham parcel, 742.00 feet to the Northwest corner thereof; thence South 88 231 20" .Bast :hlong the North line of said Willingham parcel to the point of beginning.. PARCEL FIVE: A non-exclusive easement for road and public utility easement over the South 60 feet of the West 330 toot of the South half of the South half of the Southwest -quarter• .ot -, Section 23, Township %4 North, Range 2 East, M.D.B. do M. WHEN RECORDED MAIL TO: MAIL TAX STATEMENTS TO: RUTH E. ROGERS 141 A Cohasset Stage Chico, CA 95926 SPACE A NONE DUE DOCUMENTARY TRANSFER TAX $ ................................................ ...... Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances remaining at time of sale. Signature of Declarant or Agent determining tax — Firm Name SUPPLEMENTAL GIFT DEED IN CONSIDERATION of the love and affection which the grantors bear DAVID R. WESTPHAL and SHIRLEY J. WESTPHAL do hereby give, grant and convey to RUTH E. ROGERS all that real property in the City of County of Butte Being an easement for waterline purposes over feet in width lying 2.50 feet.on each side of centerline of an existing waterline -located in South half of the Southwest quarter of Section Range 2 East, M.D.B. & M.: to the grantee , State of California, described as a strip of land 5.00 the following described the South half of the 23, Township 24 North, BEGINNING at the Southwest corner of that certain parcel of land described in Gift Deed to Ruth E. Rogers, recorded December 3, 1981, in Book 2678 of the Official Records of Butte County, California, at page 243; thence following along the Southerly boundary line of said Rogers parcel, Easterly for 57 feet more or less to the center- line of an existing waterline and the true pointof beginning for the easement herein described; thence from said true point of beginning, Southerly along said waterline for -48 feet more or less to an exist- ing 2" waterline; thence Easterly along said waterline to a water storage tank; thence continuing along said waterline, Northeasterly to a well site and the end of said described waterline, TOGETHER WITH all rights reasonably necessary to maintain and repair said waterline, and TOGETHER WITH reasonable access to said water line. Dated May 14, 1982 SHIRL Ji7WESTPHAC STATE OF CALIFORNIA COUNTY OF Butte On May 14,_ 1982 1 . 1 ss ' x�iz� DAVID R. WESTPHAL'� before me, the undersigned, a Notary Public in and for said State, personally appeared _SHIRLEY J. WESTPHAL and DAVID R. WESTPHAL known to me to be the person S— whose nameS ARE subscribed to the within instrument and acknowledged that THEY executed the same. WITNESS my d and official seal. i Signature C(:�CrL ZC/I� •'nau,17e98uJ 061118111111111 IIIIEIts aIamIII mainlines ama—.•. OFFICIAL SEAL PATRICIA J. PERKMS NOTARY PUBLIC — CALIFORMA PRINCIPAL OFFICE IN THE coutm of W"' Comm. Exp. luly 1, 1983 (This area for official notarial seal) 1088(10/69) MAIL TAX STATEMENTS AS DIRECTED ABOVE COUNTY OF BUTTE - DiPARTMENT OF PUBLIC WORKS PE MI NO. • 7 County Center Drive - Oroville, Califcl,�nia 95965 - Telephone 916/534-45 7S APPLICATION,AND PERMIT AA ASSES PARSs L NU B R /��Q( ZONING UILDING PERMIT o EqP �® TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S/MAILING ADDRESS CO TRA T`O R%NAME�EH�NE1dv ; C AC�LRSS V l/T// ' 1 // Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING A R SS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 16,0-0 Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee $ BUIL ING ADDRESS / 11U PLUMBING PERMIT FilingFee 10.00 ar � �O � � • �� Each Trap 2.00 Repair drainage or vent piping 5.00 /A% Water piping LOT NO. SUED ISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation Other ❑ Describe work: ge— Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 100 AMP OR01 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.si OR ADDNS. ACC. BLDGS. / 2�sgft CONTRACTORS LICENSE LAW I declare un penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessEx. and Professions Code and my license is in full force a d 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 CONSTR .OU LET 2.50 ea IRC ITS NON.RESID BRANCH CIRCUIT S NEW CONSTR. ( POWER APPARATUS e NON-RESID. (SINGLE OUTLET CIR. / Occup OUTLETS OR FIXTURES a �� FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 10.00 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. shall not employ any person in any manner so as to become subject Mmi 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 shal I be deemed revoked. Heating Cooling 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 liabilities, judgments, costs, and expenses which may in any way accrue again/ d un in conse nce of t ranting of this permit. X Date F� Signature f Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Q TOTAL PERMIT FEE $ j0. -o-0 Occup. GROUP I TYPE OF CONST. PARCEL PD ND 59 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date�—Z—XZ 6—Z—P,3 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK- SPECTOR. GOLDENROD -APPLICANT T BUTTE COUNTY . DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive, Oroville, CA. PHONE: 534.-4541 ' MOBILEHOME INSTALLATION SHEET 1. Owner's name: Po f1k� 2. Installer's name:J=22t/ ' 3. Is the site currently under permit? Yes .7 No (If yes, furnish permit number ) OR. Is the site an existing site? Yes / / No (If :yea, furnish two (2) plot plans.) ' 4."Will the mobilehome be located at least '5 ft. away from septic tank and leach fields and clear "of.'all setbacksand easements? Yes No (If no, clarify ) ( ) 5.,.What is the mobilehome electrical rating? ----------------------- 0 Amps 6. What is the mobilehome site service rating? --------------- �Q UAmps 7.. What is the mobilehome site circuit breaker rating? ------------- �� Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (I£ yes, identify the load and size: (Load) '�+ (Amps) J 9. What is the mobilehome site'gas pipe size? ---------------------- 10. What is the type of gas service? Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required.if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) --' w MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.Afurnish Setup, Model No. 4Cft Year' 1 �� Width�(ft.) Box Length_(ft.) Tagalong or Expando Size "----ft. ft.. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) • Single Wood either n pressure treated or ._. [t2qx foundation grade. . (ft.)(in:) (in.) (in.) ❑ 2. Other: (specify) L Center support locations* Center support footing sizes Supporta (check one) ' (in.) 'oncrete block. y / + x D E]•21 Other,. ( specify) (in.) (in.) ' *----Tagalong or Expando,' show support details. (ft.)(in.) .(in.) (in.) 2x,30 -- Typical Support (in. (in.) Footing Size o ' (ft.)(in.) (in.) (in.) Max. Pier Spacing T41 1d t -- Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) BUTTE COUNT1 BUILDING DEPARTMENT APPROVE Z *If center piers are other than drawn above, draw in-locations,.spacing,, and dimensions. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO, ASSESSOR ARCEL�{UMBER —%ol — Zi1N ING `' BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS C TRACTOR' ME TELEPHONE. i NTRAC OR's M I G ADDRESS C C� Fireplace RUCTIO W LEN UDER*S UNKNOWN Total Valuation .� MAILING ADDRESS Filing Fee $ 10.00 Permit Fee Ci. � $ A HITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Alwle3/v PLUMBING PERMIT Filing Fee 10.00 D Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 ' Gas piping system 1 - 5 outlets 5.00 USE OF STRUC UR j� SF ❑ Duplex ❑ Mobi lehome ❑ Ot._ �-C �^�— -TSPECIFV Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ : Descr be wP11� (21 �� 04 22 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1$o AMP ORV OR LESS10.00 Main service EA. ADD'L too 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. 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 t is reason NEW CONST.(DWELLING OCCUP.tr OR ADDNS. ACC. BLDGS. 21hQSgft NON-RESID R BRANCH ciRLCTITS 2.50 ea NEW CONSTPOWER APPARATUStr' NON- R RESID, (SINGLE OUTLET CIR, Ex. OCCUp(OUTLETS OR FIXTURES SAL030 ALes FIXED APPLNS, OR EX. OCCUp- OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor r 1— WORKMEN'S COMPENSATION INSURANCE I declare and r Penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed.on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the Cpugt.y of Butte against all liabilities, judgments, costs, and expenses YVhich may in any way accrue ainst said County in consequence of the granting of this permit. XThis Date Ignature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE S� OCCUP. GROUP TYPE OF CONST. PARCEL PD No ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS j Date Receipt No. WNITK-D.'.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE zc�1zzzs - 71,* a&-a-.Vz BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 66'e06e-1 2 / - ter 9 o%'cl� .foes GWX Inspector. Date r 4 i PERMIT NO. 2262.-82B � • t c I' PERMIT EXPIRES— ;A XPIRES = OWNER RUTH RODGERS I ` CONTR. Craig Donalson, Chico ASSESSOR PARCEL 56-12-100 ) LOCATION E/end Maple Ln, 3/10 mi E Cohasset_ i Rd•,.Cohasset l � ' t 7 t { i 1 }� l � t 1� I 4 I Temp. Power Pole Called PG&E x Temp. Elec. Service Called PG&E Temp. Gas Service �l Called PG&E . t JOB FINALED (Date) y Signature U J _ OK ' 0= Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS I Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, CaVERS, CARPORTS, ETC. (Plans) C- ;xcept it 1. Zoning Requirements -Setbacks -Easements 1 oning Requirements- t -.Ea"mem4s 2. Soils; Special MH Support -Sketch 2 ootings, Size -D -Spacing-Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Conhec.-Shthg.-Rfg. -Brac ing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc;os�res 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI . 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I bate Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI -Date i J =, OK /= Not OK i Not Applicable k Not Ready A. RESIDENTIAL (Single and Duplex) Date UNDERFLOOR s OK exce t 's Date FRAMING Continued oning requirements -S cks-Lc&QQWnts 48. Property Line Firew & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth, 49. Ext. Doors -One 3' Aheck Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth, 50. Stairs; Width-Hea room -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /"•Ftg. Depth 51. -Plywood on Roof verhang-Attic Vents -Rafter Outriggers 5. Stemwalls, in; S e -Blockouts-Wrapped-Slab 52. Siding -Nailing -V ear 6. Ste Gara I -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Sc d-Fdn. Vents-Underflr. Access 7. Piers ire I .-Steel 54. Glazing Area -Glass Prot e ion -Skylights -Plastic 8. D.W.V.: fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pip ize-Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Car - I Date Date FINAL (Plans) OK except N's Card -BI Date Card-Bil Date Date PLUMBING (Permit) OK excep 's 56. Ext. Steps -Door & Sidel' ht Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent- Acces Combustion Air 58. Furnace; Vents -Clear nce-Comb. Air -Connector= In Garage; Above FI r-Ducts-Mech. Protection _ 15. Water Pipe; Test & chors-Nail Protection 16. D.W.V.; Test -Ft gs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; T t, First Floor -Tub Access 60. G.F.I. & Bath Fixtu es P. Tub Access 18. Test Tub & Sh er, 2nd Floor -Tub Access 61. Elec. Trim & Subpa el; Breaker Sizes -Labels 19. Gas Pipe; Size & hors 62. Stairs & Rails 63. Fireplace or Stove; learances-Hearth 64. Elec. Outlets at Woid Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & A lian e; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Rec tacles at Kit. Counter Date ELECTRICA ermit OK except q's 67. Garage Fire Door; w g -Landing -Closer 68. A.C. Duct in G ge-Damper 20. Fixture Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vent -Clearance-Comb. Air-Connector-P.R.V.- In Garage; Abo Floor-Mech. Protection - 21. Elec. R ptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mec Equip. Listed for Location 22. Size Boxes & of Conductors -Stapled 71. Elec. Receptacles in e; (G.F.I.)-Romex Protec. 23. Romex Installed Clo to Edge of Studs & C.J. 24. Equip. Ground made up),/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in is 11 Yes 73. Guard Rails & Deck Construct io Post Caps 25. 2 Appliance Circuits jA Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door-ainage & Wood -Earth Clearance Looked under Floor ElYes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neut I ❑Yes ❑No 75. Following instld.: Drive ❑ as ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service-Ris Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. CI rances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect Irnces-Brkr. & Cond. Size -115V Outlet 30. Clothes vioset Light -Shower Light 78. Vents Above Roof; bg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disco act, Electrical, Plumbing 80. Exterior Elec. T m; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throw out House Card B -I Date Card -BI Date 82. Glass Protection N1.1_ Date MECHANICAL (Perrnit) except N's 83. Corrections from Prev iou spections 84. Gas Test -Meters Tagged; Ga-sNQlectric 31. A.C. Ducts; Insulation & pport 85. Water & Sewer Connected -C/O to rade-HD Approval _ 32. _ Vent Fan; Exhaust above In ulation 86. Energy Compliance Certificate- her Certificates --33. Condensate Drain & Overflo ; Size & Grade _ 34. Furnace -Vent; Access -Co . Air -Return Air Vent -115V outlet 35. Attic Access & Platform i Furnace in Attic - --- _.___ Card -BI Date Car I Date Card -BI -_- Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dale Card -BI Date Date FRAMING(Plans) OK a cept q's Comments at Final: 36. Sills; Proper Materi I & Anchors 37. Studs-Nailin , Spacing & Bracing -Plates -Sound _ 38. 39. _Walls; Bearing Walls over irders & Floor Nailing_ Draft Stop in Walls ( t proof) _ `40. Fire Stops; Furred ilio s -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam-Siz & Bearing_ _ Hangers -Post Caps Anchors-_ Connectors Cing. Joist-Rftr. T_ es-Purlin - Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or pe A Flue -Fireplace Throat 45. Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows o_r_Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) LAND OF NATURAL WEALTH AND BEAUTY ° DEPARTMENT OF PUBLIC WORKS ° ,,� • CLAY CASTLEBERRY. Director ry+!•.,r7�,5 .:-.•.,. c 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 t WILLIAM (Pill) CHEFF Deputy Director February 29, 1984 Craig Donalson. Owner: Ruth Rodgers,_ P.O. Box 4055 RE: Building Permit No. 2262-82 Chico, CA • 95927 Expires 8/11/84 (A. P. No. 56-12-100 ) Dear Mr. Donalson: With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started -but -not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the Chico office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to ` this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. JFG:aj Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Chico Yours very truly, Clay Castleberry Director of Public Works .F. Glander Chief Building Inspector Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATI IN AND PERMIT ASSESSOg PARCEL NUMBER ZOt-ING BUILDING PERMIT OWNER !) ) �r TELEPHONE SQ. FT. OCC. BUILDING VALUATION 7 OWNER'S MAILING ADDRESS i' CO7-TRACTOR'S NAME E� ,! iG L/t,JitiG150,pu TELEPHONE 1irlr CONTCTOR'S MAILING ADDRESS — 4'eu X, yUS [ ( Fireplace CONSTRUCTION LENDER Al ��� � UNI'NOWN Total Valuation $ � ,�',�, �� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ J S.(JCj ARCHITECT OR ENGINEER et/.?A.1 If LIC=NSE NO. Plan Checking Fee i $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 C%{GJfy Water piping LOT NO. SUBDIVISION NAME PAECEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome©!Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition/,❑ Remod�e7l ❑ Utilities [:1 Instal lation [ Other Describe work: 04fy / t' . �Dr�Crtin ��r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service ;°o°o AMP ORSLESS 5.00 / Main service EA. ADD'L too AMP 2.50 NEW CONST. (DWELLING OCCUP.51 OR ADDNS. ACC, BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of tke Business and Professions.. Code and my license is in full force and effect. T License No. "� /' •i Classification ❑ I, as the owner, or my employees with wages as their sDIe compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR TI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW -CONSTR. POWER APPARATUS Q) NON R ESID. (POWER SINGLE OUTLET CIR. so @ 25¢ Ex. OCCUp OUTLETS OR FIXTURES log (.FIXED APP LN5. OR Ex. Occup.(ouTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 0 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or E 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 be©me subject to the W. C. provisions of the Labor Code, you must forthwith comp y with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 B,-itte against all liabilities, judgments costs, and eexpenses which may in any way accrue against said County in,'consequence�of the granting of this permit. X i L/C-s� UtI G��t J �- �'�—Date �1 . '. { v Signat� a of Applicant — Owner ❑ Contractor ElAgent ❑f An OSHA V permit is required for excavations over 5'0" deep and demolitior or construct- ion of structures o//v''erp3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ "t/, dt) occuP. GROUP I TYPE OF CONST. PARCEL PD I HDt] ' ISS UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT PUBLIC By ._..,, r` ' ? PERM IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date _ - J1 'r• Receipt No. (G� r� WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAhTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville„CalifornO 95965 - Telephone 916/534-4541 % • _.. APPLICATION AND PERMIT / le ? g ASSW PARCEL NUMBER _ p ZONING BUILDING PERMIT OWNERTELEPHONE O SQ. FT. OCC.1 BUILDING VALUATION 00 OWNER'S MAILING ADDRESS Od„ CO RAC TOR'S NA �' 6� roei TELEPH NE - �� / O LJ O TSyACT R' MAILING ADDRESS /�//� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ O Filing Fee $ 10.00 LEND R. MAILING ADDRESS Permit Fee $ O ARCHITECTG{'OR ENGINEER . LICENSE No. Plan Checking Fee ,$ ` Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS • Permit fee $ BUILDI`N,f ADDRESS / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOF STQUCTURE SF [:1Duplex ❑ Mobilehome — Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Descritye work: crJ'/DEdt/ .�.l� r/�vtEC� ✓�G/l C/�GLC G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 {S Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP,al OR ADDNS. ACC. BLDGS. 21Csgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business50@050 n and Profess* Code a my license is in full force and effect. ��3 f7 License No. Classification n ❑ 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 CONSTR -OU LET 2.50 ea NO N.RE SID BRANCH CIRCUITS) NEW CONSTR (POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL@1 FIXED Ex. OCcUp.�OPLNS R UTLETS (RESID.)EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 5Khave placed on file with the County of Butte Building Department 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. Heating Cooling Hood 3.00 Ventilatiqn Permit Fee S Contractor I certify that I have read this application and state that the above information rs 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 a to save, ind nify and keep harmless the County of Butte against all li iii ies, judgmen costs, a expenses which may in ny y accrue agai t s id County ' c n equen f the granting of this per it. X Si tore of Appli nt – Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0” deep and demoliti n or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 1Q, gpo occuP. GROUP TYPE o coNs `� PARc�L P l/ HD ISSUE 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. DIRECT OF PUBLIC WORKS By Date dv� PE T EXPIRES Date /� • ` �� Receipt No. {!fin �T �G� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE;fCALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICAt ' DATA SHEET / ,.�,// Permit No. OWNER if111 16 W, 15 aG_r A. P. No. 52;'/ ;, = SOU Proposed Building Use. Permit Fee Based Upon Building Inspector UP T Complete Contract`Price 'Other fEx©lain) G� DPW Valuation Date % 0- g_eL-- At time of permit application, I was advised i 1=o4L;w-ing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2 Plot plans in Je/triplicate. , . . . . . 3. Complete plans in dukia�triplicate. 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. 'Letter of signature authorization �.�� �/� Sanitation approval from �i`/,�Go Health .Dept. • 5�/� / � 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec, request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other 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., Othe _ Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at ie of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: Diner Copy—DPW A TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitatio�+n Clearance caner kation I AP# Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for bedroom mobile ,home. 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FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" -PROVIDE-FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: Environmental Health APR 2 8 2004 Chico, Califomia •� r, ,! 1 oto i ,1 �j 1 1 1 11 Ij vv� "n•M6 f� i vat Mao�c�4 Zit 464%). , � www 1 �.a00i� ���� .owwvp• y�ho�S {•� © o c`1 .n.'►b ��r`�.►t'� -s%-LV •-x P �� � > } _ l ro.uora.•m..aa.a- APPROVED Butte County Environmental Health Da Signature SITE PLAN ............. ...... 7 ............ ...... 7 ............. ...... 7 ............ ...... 7 ............ ...... 7 ............. ...... 7 ............ ...... 7 ............ ...... 7 ............. ...... 7 ..... ...... 7- 7** ........... ...... ............ ...... 7 ............ .................... ...... 7 ............ ...... 7 ............. ...... 7 ............. ...... 7 ....................... ........ ..................... ..................... ..................... ..................... ..................... ..................... ...... .................... ..................... ..................... ..................... ..................... ..................... ..................... ...... ............ ...... ...... ............. * ...... ...... ............. ...... 7- ...... .......... .................... ...... ...... ...... ...... ...... ..... ...... ...... .. ...... ....... ...... ...... * ------- ...... ............ ............ ...... 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Odcbw 23,2003 FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: 4.0(r USES: `+..qt - a. Ad v� .`. eT- , :• - _- _ _ -- ..,..r,• . .4 'f,�•.l.•,�F' �• 1 �ih�. '`� .a.rx�. 4.1�,;'�,i�+� t.:,�.1 x -5;:. 4'.^'",-�`.�"`'`a'.��'^-�-+�.".--_,_....�.-a- -� •�_ r�fir. �. � r tx�1, .� s� , r .' •r ' "°�,�, ,, << , -1256-_0 DRUTH F_0GER` & SHIRLEY WESTPF1?.�E/S Maple LaneCohasa :. r 5. ;.• ''� ,• � �. .°H D LLLMEIMWCE MEI): 4/5/82 KO oers 56- L2 -.L=30 y j x Pe:rmit�x 108-82P E fM/H u _il J Elect.' 2co14 Gas -Zo Support •stuytu req.i Co•mreq paction hast ° ' , cot'itr: Graig Donn, -hi t' r =y -r: _ 56-12-1C0 Con QIP �i r G tU r, Ser, Magalia a =-, Permi 435-8-1IHI `Is M Con=r: Craig1 56'-,2-LO0 f y�_ ernit��2232_8 na Eon,Ll torage) °Pert da_=k, cov •3� & 05E-120-- 00 04-0 1 . - SWERINiGEN, DAVE 117 IvLAE'LE LAME CCH %SSET i Cant: OWNER I ! _ EX, MH PERM E DN 1� j V I f A� y a� a -- Assessors Parcel Number 0 ® © 0 Q — Q 0 E Scale: 1" Owner Name Drive- Swev-;AvieY1° Address/ Phone No. 9? (o Site Location Ill IMULr r- Contack Name Dwt Ss Phone'''" 89a� 2$3r wk g7y- 2sr� October Zoning: General Plan Desig: Size, Acres ` 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: SITE PLAN ............ ...... ........ I.. Assessor's Parcel Number Q ® — Owner Name w e r i e Address / Phone No. 5MQ Cols ' Site Location I/ ► MHLe- e Contact Name © F? -1E— ED � 0 Scale: 1" = Phone #'" a9a- 2837' w K X -/Y- 11,51* OdWm 2X = FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres i 400' ' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: 0 ME -L L A setback of 5 ft. from the ve, r property lines and a setback C, Cl) of 50ft. from the road centerline shall be clear of i _7 structures or equipment except overhang. fora 2 ft. eave + This set of plans and specifications MUST be , kept on the job at all times and it is unlawful t, - it 0 make any changes or alterations on same with- r out written permission from the Department of NOTE:—All Materials & Workmanship, Shall Beii Public Works, County of Butte. Accordance with Recognized Good Practices an� for the Specified use in thE., of a quality prescribedIBLrffP- COUNTI r17 Uniform Building, Plumbing & Mechanical Code and the National Electrical Code.. BUILDING DF-PARTMP V APPPOV6D 12" o� I REVISIONS I BY I Date Scale Drawn Job Sheet 'I 1W Sheets %z LJ LAD LJ "_J Date Scale Drawn Job Sheet 'I 1W Sheets %z i"J C', f A, q Provide adequate bracing - I ."­ —7 . -7, !C, � t 36 in. high with ails to be not I 18X24 P!UNTIED ON NO. 160OH-2 CLEARPRINT FADE-OUT REVISIONS BY Date Scale Drawn Job Sheet Of Sheets