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056-170-021
AP 56-17-21 Kenneth Long p/�7 w/s Cohaaet Rd., app r 00 of , Greenwood.Store, Co asset Permit -712-77 P, (util./MH)*" XRSX9.E EC GAS .SUPPORT TR C. COMPACTION 'TEST REQ. AU 56-17-21 contr: Shasta Trailer Sales, Chico Permit #925-77MHI Issued —77P 77r; 5 -17-21 Permitl360-77B (patio cover/,MH) / CONTR: North tate Alum.,Chico J1 -- -56-17:21.... Contr: Schmit-ts Mobleh6me Ser; Vina ' Permit.,43.6.1Q-.8.2MHI(ex sting,.s.it,e)_, Issued. Z,,ZZ2 D' Y ; v" 56-17-21 I Contr: Gerald G. Doremus Permit#3852-84B(MH foundat*On/ex site) 56=17-21 3645-90B,E,1 GERFEN, Dennis 8957-Cohasset.,Rd Cohasset (garage) 23 056-170-021 0072308 GERFEN,, DENNIS FILE 8957°COHASSET CHId CONTR:OWNER - ----- WOODSTOVE nr)*d r &;6,zL �,Yllll', "JOB FINALE[ • Signature i = r , 4 .�2 PERMLT NO. 3.852-84B _ j o� n PERMIT EXPIRES It� �r ! �� r OL OWNER JACQUELINE . LONG Qp,yytd, CONTR., . Gerald Doremus U U ti ASSESSOR PARCEL 56-17=21 LOCATION W/S Cohasset Rd; 100'.N Greenwood Store, Cohasset . ` x Temp. Power Pole Called PG&E Temp. Elec. Service { Called PG&E Temp. Gas Service Called PG&E "JOB FINALE[ • Signature J — OK 0 Not OK — = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements—Setbacks—.Easements 2. Soils;.Special MH Support—Sketch 2, Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location-Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water;, Local ion— Test— Easement Needed (Sketch) .4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7, Utility Clearance 7, Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1, Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI 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 3, Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Electricity; MH Test—Crossovers—Breakers-Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—,Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI, 6, Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7, Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8, Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9, Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI _ Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK O = Not OK = Not Applicable * Not Ready RESIDENTIAL (Single and Duplex) Date UN RFLOOR Plans OK except #'s Date FRAMING ontinu Zoning requirements -Setbacks -Easements 48. Property a Firewall & Openings PC Ftg., Main; Soils -Steel- - / .7/" Ftg. Depth 49. Ext. ors -One 3' -Check Garage -3rd story, 2 exits Is -Steel- / /" Fig. Depth 50. Stairs Width -Headroom -Rise -Run -Landing -Fire Protection g., Porches & Decks; Soils -Steel- / /" Fig. Depth 51. Plywo on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -N ' 'ng -Veneer 16.1 Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh- Screed-Fdn. Vents-Underflr. Access 7. 1 Piers -Fireplace Ftg.-Steel 54. Glazing Area -G las rotectIon-Skylights-Plast ic 8.1 D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailino-Bbks 9.1 Gas Pipe; Size -Anchors 110.1 Water Pipe; Test -Anchors -Regulator -Service Test 11.1 Electric; Underground 12.1 Plenums & Ducts; Clearance -Material -Support -Ins. 13. GO -Sills-Anchor Bolt -Joists-Vents-Cripples Card -BI Date Card -BI Date S' 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 Card -BI 75j< Date s Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protecti -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents-Clearance-CombAir-Connector- In Garage; Above Floor -Ducts- ech. Protection Water Pipe; Test & Anchors -Nail Pr&ction _15. 16. D.W.V.; Test-Fttngs & Anchors Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First FI -Tub Access 60. G.F.I. & Bath Fixtures & b Access 18. Test Tub & Shower, 2n loor-Tub Access 61. Elec. Trim & Subpanel; reaker sizes -Labels 19. Gas Pipe; Size & Ap6hors 62. Stairs & Rails 63. Fireplace or StoveVC learances-H earth 64. Elec. Outlets a0food Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & A fiance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets/& Receptacles at Kit. Counter Date ELECTRICAL Permit 0 xce t q's 67. Garage Fire oor; Swing -Landing -Closer 68. A.C. Duct ih Garage -Damper 20. Fixture & Transformer Cle nce-Ins. Protection 69. Wtr. Htr.;nts-Clearance-Comb. Air-Connector-P.R.V.- In Garage; bove Floor-Mech. Protection 21. Elec. Receptacles Spacing -Li is &Switches at Doors 22. Size Boxes & No. of Conductors- ,pled 70. Plb., Elec. Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of SAOS & C.J. 71. Elec. Recept cles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fast ers-Bond Gas & Water 72. Insulation-Foa -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Co uctor Size 73. Guard Rails & Deq Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl ole Door -Drainage & Wood -Earth Clearance Looked under Floor N Yes 27. Range Circ. / / ga. Cu or AI-Ov Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes E]No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Gr nd-Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels- tors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrn es-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light-Shoy6r Light 78. Vents Above Roof; Plbg.- pliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Efectricai, Plumbing 80. Exterior Elec. Trim; GZ. 1. Receptacle -Underground Card B-1 Date Card -BI Date 81. 82. Ventilation througho House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL errrit) OK except q's 83. Corrections fro Previous Inspections 84. Gas Test -M ers Tagged; Gas -Electric 31. A.C. Duct Insulation & Support 85. Water & Seyfer Connected -C/O to Grade -HD Approval 32. Vent Fan; kxhaust above Insulation 86. Energy C mpliance Certificate -Other Certificates 33. Condensate Nain & Overflow; Size & Grade 34. Furnace -Vent; ccess-Comb. Air -Return Air Vent -115V outlet 35. Attic Access & PNkorm if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Cardi I Date Card -BI Date Card -BI Date Card -BI Date Cardpi Date Card -BI Date Card -BI Date Date FRAMING Plans OK exc t q's Comments at Fin I: 36. Sills; Proper Materi & Anchors 37. 38. Walls; Studs-Naili g, Spacing & Bracing -Plates -Sound 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. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin -Roof _Brac.-Truss-S_h_thng_.-Rfn_g_._ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) UCO - UNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, CaktforniA'�95965 - Telephone 916/534-4541 APPLICATION ANS"' PERMIT !J ASSESSOR PARCEL NUMBER 5(0-/7_ Z1 ZONING BUILDING PERMIT y� Ow�7k TELEPHONE SQ.FT. OCC. BUILDIN VAE—LIATIO �4 C1 /4O• �v c�./1.&I��('%/.(�a(kA1 OWI`IE S MAILING / / ADDRESS I.(/#4s6ff X�N C O'j/ A M ETELEPH ms.. �O iV! V/ S 1F (/ s-- / / 7 % - CO 'R Ap% $E$S �9/Co � A/72 L7/JI 0, s, Fireplace CONSTRUCTION LENDER U NOWN Total Valuation $ f Filing Fee $ 10,00 LENDER'S MAILING ADDRESS ,. Permit Fee - $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S - 0-V Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , 0-0 BUIL - I G ADDRESS G!J S Lc/lAs5er ,eo,4-D APPRIOX. /00 A/ PLUMBING PERMIT Filing Fee 10.00 O ` COD S � c A Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPAR EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ ,RRe'm/odel ❑ �Ut%' lities Installati ❑ Other Describe work: FDKNDI4�/D/V �ie /�-��f _ /I/ Permit Fee $ Contractor ELECTRICAL PERMIT FiiingFee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. t 2h0sq ft CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Code and m license is in full force and ffect. 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 ULTI-OUTLET NON -RESID BRANCH CIRC ITS 2,50 ea NEw CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. g o Ex. Occup(OUTLETS OR FIXTURES BA @c Professions 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 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. XI 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 . I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree t save, indemnify and keep harmless the County of Butte against all Iia lilt j ments, costs, and expenses which may in any way accrue :gains said Count in consequence of the granting of this permit. Date Z Sign ture of Ap lica — Owner ❑ Contractor � Agent ❑ An SHA per t is required for excavations over 5'0' deep and demolition or construct- If structur s over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �72 r G occuP. GROUP TYPE OF CONST. PARCE PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F PUBLIC /d By. w PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I i1L U F U P:i 4 t .i t l/ t -U T� be conpleted'• a., '.che time a building berrrit is..' issued or.. he 111 71,i i ti`c�n of a Mobile on a fo'n'datiori s /ten ursuaat to•,Section r ]d551 of: •Che h2ait.h and. Safety tod:e. opy is toyb.e .imPedia,tehy transnitted` 'L05� to -ttia department w:.t`h a copy of- the building perm* erd fees in amdun.t..or $11 far each: tranS00etab1,e section: of the m6bi.Iehom:e. see, in;t.ru-6tior,s. TO; �T-HE DEPAR–t'iiENT OF P.,0U 1,`lG AND CCihiU'IITf.OEVtLO?itEflT. �msp 01115'-io-i of Codes and Standar3s, -'iobiTeh-one Section W P 0 Box 3i. sacra�ento, CA: 95801 (416} 445-33.38. f FRG't:. �U�i g ��'t .1 , 3 ern -t IN am pr loea.l ajancy i juin bui.Idi�g.Per-N �uildfng Perrsit ++o lir � ij ''j'''Fr'' Al ��� 1.2' 84 _ ilt Fiaa=r�ft�i�>(t FF� E `. Adre.ss pate Permit. Is.saed CC icy aunty ZIp a .ephone tE'AVE THIS SPACE SLAtiK )1"o 121 Ile }w;i-►►.}►}►.iw+i+>.}1r },F}s:•1..►.}{ar r}1}:y'•{'i-}'.}:A.ri:}*}�}:e!•}"'Y.#;y}i.}.•r :}.i{>}+r}M+s4---}.YrT 1Y:st:j..*}►.*yb+l}.R.}f.}rr.A}at:}w; +001 ERSMIP I11P0RSAThOii MOB.11 Ei'Oti'E 1st c..r �gdwner''s 41A S f;am.e ' Legal Ow.ner's ramie. �' wner s Ma i l in ddr. ess ZLe:g4 1 Owner's Mailing Addr 4ss �, c o I J4 , 9 Z i P 'Cit/ 1. pu.aty (State Z. Kityl iioo ehom_- will :be Uw'ner s- r.i.ncipa Resld?nre.?)- ror of Consent Ac'C.e'Pted,? t ttpr, et ) .{s•;.e:}r;poi;e;s'}#y.•a.�i.yy,a.}a}w,}:�. :.,�}. Ya'yx.}s{::.}:t.} ;L .:p,kT1++�twr.} '.r s;.�.>,.}.� ;'0 `IIERSHI? ISFO id ATLOPi - REAC OR6PEkTY n s PSSOR s rC-, �st,�iBE4,?'} 1 ".Fe, h td. th : I alae(s)_ of .). . ke'a l • Prop:er y ri , 1 i n. Address ,ortGaq� . of io' S .3atne� (Zrid Mortgage Holder ' ti.ty.) Gou:n"ty L P A nr's Address c i 1 (Rea .ro .erEy Size.. Length X. hid:th or Ac res•1 Ci/t y. Irl State y" I ) iter Sta.t:e' a P. . e.th;bd of • er'fication? Deed.,, etc..) (Loan a`Ee. > T.erm �'� oa;n Rate<. o eras �YLe ai OesCrip i,on of. the Real' Frop.erty'; w Cly �S�l .fJct[� C� NOT..c6-OArE6. WITH CUNMENT `. . t*,}a►}*,};}�„►}.1�.:1.}.ir+3}.-1;9}{►}s'}'b}i{i.'•�.*}tr:��•':}.A}a,rir}►},►•}t.}•k{t}*+i}*.}1r}*T+Ic•}r..}i:}i}s}*}i•I.i{ir}D.7:.*}�}>}•s+s ys. �.a_ ty.dr T'w►. YLDE,eiIFrC:ATIOft INPORMATIOI-'AOSILEHORE ri i� ��cy�v}a _9 : !i` aanu;:acturer s Hama Oatc of Manufaetur,e) Nod a, Tlar,e/HuihbPr' $ERI`A1 fv0: `(V ]) Ifi$IGi{IA/LABEL .NO. L'EPiG`T14 /Wif(i�Tlr1 ` OtiV E'FCEN5EY E. CAL MO Gni iii%� ya(. Z20ok7 X `� T ��?i �. �Frtrsr: t�� rear. "A` U -t L: -r( 14 J,�L%��G of the' nrooiie home,. faci.rg. t a�lfo�(���1 7,7-oo to, M. z BM _Urri --P— front, the "a" X unit is tie "C" Urrt* one a>t your O Unit' Exterior 41a11 Covering? 1 Total Rd. Rows.. � Bu�]'tin._ Cuofetop?.` ' R:dqf.Covering? • rt� Bedrecmg? Bu:3•tia 04p1' . Exterior. LJa11 Thickness? Baths?' ."Builtin Mtcr ve? l Heating lyre? Dining? C-� Builtia' Trasiv C;c?rpactor? P.afrtpretion' (,/L) F>nilY/Oen Buti.ti;n, Vag, _rs? n Ee ling H?ig�t? �( Z 7e �Ult l ity?.. S Buil tin 'Dish. ! a har., Ta,+ Bar Other? f'� r' Otfier? A}xles F,.�y�.tr _ Other? y . irY�r>.}w}�}•ir-}a}A+},�{*}.itai: ., t'w ,. } ..}. .r3,.*}s}a.�b}sfa++�,}•;:. }}r.*.•} i SALES Lt;�Cf .!r Lu:; - P O.BILEI+ONE r 'n v cis ''o. ar va'iue o:. a� y __,_ `. ed n ^e urcni� price a* t� roht,eru F... cr ',Y rye •. ,Y � -- pe�soarl ar.�p r y. iae:: i +.s *:.f►p►}�...�.}..}+}r.}i.+•. �. ,�}at .r r.}a} _a:ta+ }Ar.r .}r4}>� �r err ... .. fr n.}n}w }+}.a. }ti r}a }. •.�-. ►}}ri++. } pr ?, -1 CM C. 'OCC'UP; N1_, -y Installation 0` ',he above desc rhed ri�bil hors on t.`t r.e 1 0 particu'�rly d �cr ��d hereon hes b cor^pleted :ind a.I n .cert icite of .oece, J.r issued on Cat y; STATE OF CALIFORNIA• --DEPARTMENT OF HOUSING -AND COMMUNITY DEVELOPMENT ' r - CERTIFICATE OF TITLE MOSILEHOME = DECALKA AB5061 NUFACMURE6 NAME/10 FLFXTWOOO HOMES CALIF/90005: TRADE NAitE NEW STANDARD :' YDOE► 76 4482E Of•. Dom,77 DDT 06119181 07/08/71•. DES.. 01/06183' SFC. EXPIRATION U CAFL2A8247600164NUYBEJi LABEUICAL2200877CNUl NUMBER 017300 ` i t;: ! U 04� ExEYPT t i t ( 4.A) R S *'Rrn• 000528 000168 01/25/83 .9 .... SFD LPT 2 CAFL2BB247600164 CAL220088 016000 000528 000168 T'NEW REGISTERED OWNER SIGNATURE ^.'r* TOTAL LEGAL OWNER. FILL IN ITEMS 10 - 12 x 3 4 FEES . 5 PAID: L 6 - 415.00 BK AMER 3 R LONG KENNETH P OR JACQUELINE St-.,! a. $ 4: '' 'r S-A) [ 'ti CURRENT MAILING ADDRESS I A BX 49 COHASSET STAGE e) CITY T L CNTY ST ZIP [ CHICO CA..95926 6. ! 1. • ✓� '' l" FUTURE MAILING ADDRESS 0 RELEASE OF REGISTERED OWNER rx 7 p) LOCAT N O S BX 49 COHASSET STAGE REL'gASE bF DEALER ' e) 11N NEW REGISTERED OWNER. FILL IN ITEMS 4 - 9 MM 400 BROADWAY i t;: ! U ' CA 95926: t i t ( 4.A) R S *'Rrn• .. _...� # � AND CHICO CA 95926 .9 .... OR es• �•. 400 BROADWAY E NAME - PLEASE PRINT T'NEW REGISTERED OWNER SIGNATURE R LONG KENNETH P OR JACQUELINE St-.,! a. $ 4: '' 'r S-A) [ 'ti CURRENT MAILING ADDRESS I A BX 49 COHASSET STAGE e) CITY T L CNTY ST ZIP [ CHICO CA..95926 6. ! 1. • ✓� '' l" FUTURE MAILING ADDRESS 0 RELEASE OF REGISTERED OWNER rx 7 p) LOCAT N O S BX 49 COHASSET STAGE W z ' e) 1 i t;: ! U CHICO CA 95926: t i t ( CITY' rNTY ST ZIP ,tet ,.° R S *'Rrn• .. _...� # � .. .. a-� 8 L E G A L 0 CHICO CA 95926 W DATE: 01/13/83 10:20:00 N NAME - PLEASE PRINT E 2.A) R RELEASE OF LEGAL OWNER J U P N I Z R 0 S R T L Z e N S H E O C L 0 D N ! D R 11. ADDRESS 6) • r' RETENTION OF-:.EGAL OWNER.,:. x,. , 12. CITY CNTY ST ZIP <t T �'l T =v �S ***-NEW 1ST: JR: LIENHOLDERr FILL IN ITEMS 13 - 13 ASSIGNMENT OF LEGAL OWNER NAME - PLEASE PRINT 14. ADDRESS 13 CITY CNTY ST ZIP rP NEW 2ND JR. LIENHOLDER. FILL IN ITEMS 16 - 10 *** NAME - PLEASE PRINT ' 17. ADDRESS 18. CITY CNTY ST NT THIS CERTIFICATE OF TITLE MAY NOT REFLECT AALL LIENS RECORDED WITH THE DEPA,RTMEH1 OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. ZIP 02-021-00263: 0200053 I rw£ py ��/� BK AMER 1 =. PURCHASE PRICE ' DATE .� 2 '• H - t i t ( E 3? ' .9 .... 400 BROADWAY E f T'NEW REGISTERED OWNER SIGNATURE ^.'r* NEW LEGAL OWNER. FILL IN ITEMS 10 - 12 x f f L 0 CHICO CA 95926 W DATE: 01/13/83 10:20:00 N NAME - PLEASE PRINT E 2.A) R RELEASE OF LEGAL OWNER J U P N I Z R 0 S R T L Z e N S H E O C L 0 D N ! D R 11. ADDRESS 6) • r' RETENTION OF-:.EGAL OWNER.,:. x,. , 12. CITY CNTY ST ZIP <t T �'l T =v �S ***-NEW 1ST: JR: LIENHOLDERr FILL IN ITEMS 13 - 13 ASSIGNMENT OF LEGAL OWNER NAME - PLEASE PRINT 14. ADDRESS 13 CITY CNTY ST ZIP rP NEW 2ND JR. LIENHOLDER. FILL IN ITEMS 16 - 10 *** NAME - PLEASE PRINT ' 17. ADDRESS 18. CITY CNTY ST NT THIS CERTIFICATE OF TITLE MAY NOT REFLECT AALL LIENS RECORDED WITH THE DEPA,RTMEH1 OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. ZIP 02-021-00263: 0200053 I .. ... -. RECORDING REGuka, 79D my Title Insurance and Trust AND MN . ux!" .. :: ,"i :: - •1 t.F [N w[COAD[p Wy TD :I. uq`lc lua '= 9T r JI 17123 PMl9I5�L► 1 N... Mr, Kenneth P. Long 1 p"! I:EY,Iil1'rR 6370 tiawati Kai Drive /30 EuUHlT rtCOLLCR �e�, LHonolulu. Hawaii IS(j(J9 hfE`rE J SPACE AGOVt THIS LINE /OR RECOADERY USE *, � Same as above 1 "'��►�T►" ►►►TTT o«uuna•ar TRANSITa TAX x,10.45. ••� Xx .Down o c.: ru_1 v:1u: vs .po►urr'coNvtrro. CU L,iu,.b.I..ucn;mly wncsunualNcuAu�A,i4 L *EM M.UG n4AION AT TIM[ Or" a P pct 56-17-21 J Title Insurance and Trus;.._,�•�, code area 62-18;..nl - Io d cA. nwl - .. w•Na JQint Tenancy Grant Deed 1):T.T.S TNu Pow. rywl.uwtn w. nna M�uwsNc[ Awe rw Vn FOR A V eer►.Nl. _ ALUABLE CONSIDERATION. raei of w GEORGE T.q h,cb n berebT KkDo.kdeDd • CARASCO and BETTY J, CARASCQ. husband and wife II—by GRANT(S) Te - 1 ,.J p* r Nplpy,in ANG and JACQUELINE S. LONG. his the red � ro . , . Courtly o1 Butte wife AS JOINT TEN All .that Portion Sul, -f ANIS. 1 .24 Norrh paD� °f the Southwest ~ d`rl� ":. jJ es follows: FX` M.D.B. a M— -.re of n 34 ore Particular y described I BEGINNING at the most at the intersection Easterly corner said Section, 34 of the North line of the herein described along said and the Westerly line the Southwest Droperty North line a distance °f °f Cohasset Road*Quarter of Southwesterly parallel with thence Westeri distance 400.0 feet to a point; North °f 300,0 feet to a the Westerly line of Cohasset Roadnae line of said Southwest thence Easterl 400.0 feet to a quarter Y parallel With' the thence No rtheasterlyta�onthe Westerly°lineccfosa{d a distance of ' of 300.0 feet to the g said Westerly Co asset Road; ! Point of beginning. line of said road. a distance UJIr•d:_ Januar - Y._ 7,, 19L5 �J aTATF: r.:u.IFoa. CIII sry or-- GE ARASCO�� Jaquary_aI- rG.1.. V..I:r. I'umi, eor .�.Il. .l�n..l-.n.0 - ge'T. CAras- and ' r'""•'^� BE Y.a. CARASCO —B�tty 1 Ca_rasco S. n.m are .mnun. .nA ...�n..a..lr.d Ihn ...theyYG:�a.d ". II,r .Chin ••.....nuuly R ITV n,l. . N+*nnln.n..•nn ,eul.d I. ra. 4'1'1.'IAL E p%AL 1!•nW N4NC M1 r, _ Nol.rr HETF.RcON �,IIII.II.Illnitnnl '-•• O. �YtO JANy 1.�� 44:.n11{nnnll.11yIw� lancY .Peterson �� r •Iu..I ...11 EMD OF DOCUMrrr i. 1". 494XAMI 14635 -NS MAIL TAX STATEMENTS AS DIRECTED ASO, 1I 1 - d\ . I 1 1 w+tLc+6/Rae am 4ECORasRFLUE2TC'- F. nAl'iUM. pU A► i MMrTi 7 JULmist2e ibWorm #!+ Chico, Calif. 95921 �tEtR0.tt'4i `••.• f' wsa[-titMtE1 � , #? PREPAKE OI TRUnimt Olieirl r Ye.edit . C� t« tar Yee+e..�• Tl�s OA► , COPE tr W.-i«w Ta Rmh.N M"Tx or Yaw STM OF CALVG U fir d DMO&M REMMM P. Y.Cl�G . Catm" OF ROTTR ) r VON t Owl& _-April 20: 11i3 ----------------- JACOOELME S. LONG .d 41�.r!wa,.�4 T..waq...�� 0 Ty KM ETH P LQN • dt red— emr1wrd I. A. . Canuica � d atl Y de rr /w� r-SENNrTH P-___oNr ���. q/• ' i dra .b Grant Decd -- �E r an 44 do .. B.Qnaeih P i--�_ w�•e..i ~ Ceorce T.-�rae�and 'B2tras t -� �~ nw - +!JLS_ Lent. hie ..•fe' } w.,...NdidJannar 27. I q 7 _OWN Re w...a k. 19809 � 1963 ON CIlkil Vsob d-Burin C.MOVr h11mN1% PM M 4s.e.IM� p+.q V b COUNT d But to - ti l dimer All that Portion of the Southwest quarter of Section 3t; ibwnsnip atorth. Range 2 East. x.O.B. t Il.. more Particularly described as follows: 13BCI9l7rM.At the mast Easterly corner of the herein described 1 Property at the intersection of the North line of the Southwaat quarter of said. Section 34 and the Westerly line of Onhasset Road thence Westerly along said North line a distance of X00,0 feet to a point; thence Southwesterly parallel with the Westerly line.of Cohasset Road a distance of 300.0 feet .to a point= thenoa Easterly parallel with the North line of said South I, of Section' 34 a distance of 400.0 feet to a west quarter point in the Westerly I line of said Cohasset Road; thence Northeasterly along said idesterlyline of said road. a distance of 300.0 feet to the Apoint of be inn ., 4 iaq• 1 b c.w� -'.Z 1- KGREN M N' 1 3�1 .wa S KTfI c g C� Sv. o... .2n. Isar nwTfo: June - .. l 2 JACQUELINE S. LONG � i; x..10=-•w OF—..aT.oBi_�� � CERTIFICATE OF DEATH - ,� STATE 01, CAlrro"14 0491- • . •••'�ntiai t K. YR �' w.. • .w•.. • ,. ,Y :. _ PATRICK.98 ; i.0?>Ci ,.. �:a—r..n .:,T—�.'..- �—"„'—"c• MttotnlT •.. ....,... a• !cr ►t DATA Wr An.; - ..........,........«,. 3 n. •.. .. w . a.... •T Ale OSA •' n. . r. ..........+.... 9«26- 9 _YS...... Bums banker ».. �>..w,• •• .» ed � J . .. . _ 10« fret ..• ... ».....« ••. ,yam N9tHltetl •” - ocssu.t Boz <9 Cohaaaet •.• _• Im. mak Land ocnr(t we rsc. r„• Butte I »• • «. Chico. . CA orrl Jacqueline jAxW-cif ........ DEATH BO_ 49 Cohas et e tlr. rn.r•wr� Chl-. CA 9'5926 _j.FSZ . -- a urasrc grtc �"""'�+L�..S arra at clrsc ra. s•rc ran .. . r- rs c' ' CAVX ,. .• ' .. f as. e.... c... , !. none ►MTL. !s!-.. +waw•,...,,. ,p �. •<44iDS�°l +..�....,...�. ,•,.,.,, 1�„ mc - ».�.`...�r'..`` ..r .. N/'0 / •� !' .; ,nap.,.. %�����1 % 21. Iy1VM ••.r >, wwr r/i..w• �tt%C / � I"`. 1.I9 �/ � / oar ,,... ......-....�..... .. ...,. I»....,. - car0vifts o/a .. .............�. .l. .,,,:,r n a . w• w... a«.•• ..w:r. a a sc. . >•. r....••,,, ti Crtlon ^ri1.22 198N Sierra Yiew ••• • _ ,• «..... », r .tcnsie A. ir Pfari lir C. TNr b h) oern7y: ei;a Vie' atl is s evs ane oonsa • SAY vital +ea�` on 7r79 in this doff" WW of .cisnC ft aw OEPnittt.{O1T COMM anA. 18-8 County Center Drive lif"i. 95%S „/APR2 2 }�$� O.ovill.. Cay ' gwrscae'.rswao•, . ' END Of DOC'UMET.^ • Is _ k Bank of tMe'rica Chico Consumer Loan Center k. December 20, 1984 Jacqueline S. Long Box 49 Cohasset Stage Chico, CA 95926 RE: 1'981 Fleetwood New Standard' Serial #CAFL2AB241600164 #CAFL2BB247600164. Decal #LAB5061 Dear Mrs. Long: Please accept this letter as authorization for the above mentioned mobile home to be placed on a permanent foundation in conjunction , with the sale of this unit to Dennis and Phyllis Gerfen. This is being granted in order for the buyers to obtain Cal-.;Vet financing. If you should have any questions, please feel .free to contact this office. J.S,incerely, ark Financial -Services Officer (916)891-7012 bs , Bank of America National Trust and Savings Association 418 Broadway. Chico, California 95926 HCO FOPS•; 413 �isTo`r-� }sato be coapleter! a(t .he ti -+e' a buiidingermi[ is issued.'.or gyt'fon o` a mobileheae on a foundation sys%terr pursuant to Section "• ;551 .,r. the health and. Safety Code. A copy is to be BFaa 3 the department with a copy of the building permit a fe�stin amoun�n ar each transportable section of the'mobiletiome_ See e� Ctiors': ' 3: THE DEPARTMENT OF HOUSING AND C0:iMUNITY OEVE 071 t,. . Division of Cod..es and Standards, 'iobileh,ome a mn.-'A 41a. P.0'. Box 31. Sacramento. Cit 95801 (916) 4 5, n_. Ai j,,., n �;g-Ise• of to' -a a,ency i ruin •bding perm it. 0vil.ding Permit tio. / ! / 12/2 U` -7 ' dresP o s Date' Issued CC l / ' ..� LEAVE TH1s SPACE F! -A -NK (amity Lo my LIP a ephone — r.}r+sy►.p...r}r}e�.r,s}rhe.o+r..w;e{wyw+,.{rt►qr{r;w}r.e{e.;s.}•+e+•♦e{rtbiva<.}r}.{.s;��e }.W .+►+W }rt•+•t•+•�+t''aR DaM RSHIP IMFORMATIOit - MOSILEP01E ► -,, ,' ,, � , r�c1 �� - A0 /L. OC— i�il F. aLi C t i Keg t rtd caner s Name—� Legal Quner's'I:a„e r�1400 114'1-L)r is eyed OMner's taai ing ddr ss Lega Owner's Hai1,ing_Address 4L Cit/ ( tiusrty State r City State. Z P) ILI Mob" encae wi i be'O+.ner s rincipa Residence?) For., of Consent Accepted? Letter.. etc_ e;e •tb{4t Ot r{b{sT;l;W;O.}r41.1'rP;Y+.W.pA{O;O}ws"{.►49}>;+tW.PI;!{lr...>�W�.9{t.'Y;s:+.W+>iv;@1"bt>�..YiO�WiW p•b t.6.*•►y.D .}s¢1� b�uERSNIP IYFO.MAT/ION -.REAL PROPEPTY-- e hhld. IP the •nes+ets Z'roperry- T4Ai 1 i ng Address City) tLouncy! �t+� r n ' r�e 7�� V17� R e AT r erty ize`? Length X Width or Acres) netof; eryfication? Deed. etc..) /5 .ior gage, _C' Nara'eje Und ,Mortgage Holder) Apr s ^ � aress ty tate ity tate tLIP i-n-lWal-e e Terms Loan Rate a erns) Lega i �escrip:ion of the Pal Property?) �SFzT f ii�C1�!'z �S�l,�FfJcl�rZ C, >}eq r{,u.}a{s�.s{s;st>.'w{e;o{bt1iW++4o9-^';r;str;•{.s.yc;4ys;W}+}stnMW{r;stots�.o.f�♦etay b,;r sat ot•s.yrt: qi;>iays}•.. IO_EfITIFTCATTJti I:ZFunMATi0ti - HOBILENO,`1F / ���_FT, vslm � C0,14 irj O L� Node I kar' 4/ Hueser anuraeturer s ame Oatc of Monufacture� SERIAL NO. (VTNt) INSIGNIA/LABEL NO'. LENGTH VIDT4 O11V" LIC,a rlSE/E A -L .ri0._ ty� CSL Z2oU�'% (Fr•tsr file rear A` Unit G/1 F %��(��nl �/ .. j/ of the mobile- ffg 'q ^ Ll `'1` oljrL 4r mr facing E"' Un'* front. tie •A Unit:. i s the C" Unit X _ ene at your left_ tlext is X r6r� •C". etc) 0" Unit — - vBuiltin CooktopT %j c Exterior Will Coverin0? Total No. Roars. // ) _--�'-�- R.mf Covering? G• • V\ liedrt"'ns? Builtift ®van?.. c. — Buil tin tiicrvaave? Exterior kali Thickne��? max _ baths. Heatirr3 Tyre? . Oinirr37 Bufl.tin.Trasfl Crn^aaewr? JQ Q % J Fanity/Den Butltin'Y.a^tit !P.e:friger<rtipn? (:./C) �� • , / 1 ' Hui]tin Ceiling N?iyrtt' 1'% Q 1 ity. �? To.+ Bar R.-ovrd' • -`i�'� Other? )!�. Disp6saa.? _ S • OEh2r? Usher' A.cles R='iveNj'? a e:..y0 s ,. A W b. r . )• F i o.. . �;; �,- ,�r.�r aryet:{>}.,}•}r {..p•.}♦t +:.. t .}. "�'+'}:T .,►.► } t i } t s 1 ♦ • {^•: t'+ �etrtst»r•PiT9#nM►: r y }r.; ' { ,�': <• T•.,.... SALES Iti�Ca;'.r,TIv�i •- F08TLF.HOYC• {�� ?urcnas" rlce --. �' 6"9St Lt mS Er:� JOt :dr 'V8IYe5.Ot.• ally. ,�rsona l �r0U2rty i s in:"iu eir in tare purcnase place or the cool .Cnu e:( t'•r •.+i,ar a♦i �r:�.}+v•;•.•r►M•�•♦'}'s}r.�s}a}•a.*v♦e*eN...}.a{Y♦•}••�•♦•ir-1'•a}.♦t♦'}r}•p}rdr;b r.}r;e{Ora}•-+{. }A •♦♦r}-• ,- r *� r- ri �liaticn o''thc above descTihe ,nohileho,r.e"on'the real prop -rt;• C;:?TU Cr.. r OCCUP:,N 7 Inst l,, n =ea'con letCd a.nd a/tnis certEci_ate particularly descr , ed, h_regn has b . ,r of 0cc::pancy i;srned on. TCate :r,.c: r .. E i1 e �EQ, u`$ e j HCD. FOR,4. 413 (1/1J80) e t ime a ',buA ld,ing:,ernit i s ts-su.ed( or. to be completed at Lh h i s,* :.,he �i-`O-t'a I --t i3n of a mob i lehome. an a foundati-on sy4ltem pursuant to.Section. ' e Healt.h and. Safety Co.d.e.. �A. copy is* to be 18531 'f Che immediately transmitted to the department with. a copy of the buil-ding perm -it a,nd fee -s i.n anou.nt o.f $00 for, each. transport.a.b.le.*s.ec-tio.n.o,f th,e mobi.le:home:% See instructions... SU T T'0 THE. DEPARTNEUT OP HOUSING AND:. COMMUNITY DEVELOPMENT F, C Division of Co.d:e.s and Standards, Mobilehome Section P.*O:. Box, 31. Sacraim.ento., CA 95801 .. (91.6) 445-3338 3852-84E��, FROI,'I:, ", 44 0&-t �,of lo-ca.l. atj,!2�_ �s buil i -hg. perm t ) (8u.ildAng- Perm -it toW I ncy:/i u.inq I :T 85- 2050 101A L 10, COUNTY -(At- __ e^t1Fr,1,0 3 2 FEE FEE QU dress} ! ate -Permit Issued) ithe.'et5w� lla�-�d LEAVE THIS SPACE BLANX. (, C i ty ) k L, o u n t Y (ZIP) -�-T e-1 e p h * 6 n%e + + + *+ * + * + + *+ + w + + + + + * + + + + + * + + N. + OWNER-SH4P INFORMATI-ON ;r K08I.L.EHOME A) ®C 1EXI C4 r ler s me wn (Legal, Owner's Name,) redp,Name ; A71 (a) 5 77 (R�egis eyed'Owne.r' s .M,a-i1f.ng Add-r.6s i L eg a I O.w.n-e r s- M a i I-ing 'Addressj. cz 0A i Y Unjyy -S, ate (117) Ci ty) S ta t'l (Zi.p) Q Mob lehome wil. be Nner°'s-Pri-Mpa:l Res,MnZe?): (Form. of n s e n t.l.k cc.eptaf-? .'Let'ter, etc.) ;0 '14'EPSHIP I.NFORMATIO.N. - RE L PROPE,RTY /7 Ca P I 1"i tn n (Ti�Te t_1 I _ 'Proper y--4 Address). t "19r ja g e,t I Igo I d u A 5 Name. iaA,� ((.2ft'd :Ho1-d:erT_ t4lte L L AM, k COO Y A UP 11rdsY) t, Add,r d:5 s ror C o onl)) , . --F— Lenqth�X Width or Acres. i Y. zi-p):., .te)- (zip-) Y i z e Ai STS Ce (City),: �!ta 4' rd ofy�e ic-ation? Deed:,, etc..): .Loam raYe(Term7s7TLoan MiT 14). [Terns) fLega.1 Description of the Real.,property!) ISEA Acrnc-44 t2_1D IDENTIFI'C'AT'I-O(1* INFORMATION MOBIL.EHOME jEL g�p6D 140M -CS Cep -Li,- 7 0 -ture) (;+a-nuf'acturer' s Name kDate 'of Manufa'- (Model Rarrve/Mumb,er:). SERIAL NO -t (VIN4. I:NSI.GN'IA/LA.B,EL NOLENGT' k W: 10 -T- tA DMV LIZENSE� / E CAL 0 , , : -� X ',41 7- "A" U10-tm. ooO .. 71- -fak, I Vrom .the rear of the--mobil-e ML- 4 9 4 IDENTIFI'C'AT'I-O(1* INFORMATION MOBIL.EHOME jEL g�p6D 140M -CS Cep -Li,- 7 0 -ture) (;+a-nuf'acturer' s Name kDate 'of Manufa'- (Model Rarrve/Mumb,er:). SERIAL NO -t (VIN4. I:NSI.GN'IA/LA.B,EL NOLENGT' k W: 10 -T- tA DMV LIZENSE� / E CAL 0 , , : -� X ',41 7- "A" U10-tm. ooO .. 71- -fak, I Vrom .the rear of the--mobil-e ML- 4 9 4 home., facing - ZZoogg toward Vie.. "A- front.,, the: "C!"X UnJt. is=the U n it one at:your left_ Next'i& "0" Unit.- X "C". etc -Exterior Wall Co.vering?C C,( Total No. Rocms?.- Bu.iltin Cooktop.?-' R-oof: Coveri.ng?' MMf>j V\ Bedroc-ns?- Builtin Oven7. S. Exteiior 4la11 Thickness? Baths? Buil tin Microwave? Heati=ng -'Type?. + Q O'S Dining? !j e,S Bui:l.tiry Trasft. Ccrrpactor? - Refrigeration?. (A 0. Z). /C). WFamily/DenBu:i I tin. Vacc�uLm'? (4 Cei Ting H?ight? d4�1 ity?L2 9u i I ti n -0 i sh. Wa.sher? IS GS e - Tow Bar Other? Disposa:17 A Axles R_-1,6vaj? - Other? 0' her?,. - a., Iii;; ?iOBJLEHOM:E' CSI i I the tk s a r. -ii values 0.,F t t i m !.ar v6 ny ate of rcnse _7 .--.a 7_ 1 property inthepurchase price of the r7o—PITe n 0;- L� A sir. rye." S239-.65 _L: Dp`ersona + + + * +* +* +, + + + +* + + + * + + + k + + * +0 + + A + * + * + + + *+ * +* + + + + + C iiR T IF I-C'A T E OF OCCUPA(0,Y Installation of the abovedescribed` i-nobilehome-on the real property particularly described hereon has been completed. and a/th)*,ncertificate of occupancy isscied on ri Date� :4. Kj n., r zea Sign ure, 7 S`96l ilo 44 X 4p; 2050 SCYIEDULE'C T he land referred tfie- 0 .escribed as follows: that .certain reel.: Yy 0f Palifornia,, described 'Ituate in the Count a q fol Butte' State of ow, S'.: All th4t Portion 24 Nor.rh, of the ,_Southwest quarter °f Section 34 Range '2 6:' as follows; . s t'I": M D B, Town M, ship more particularly described a BEGINNING 11 t the most asterl the., intersection t E Y corner of the her described a. of the North -line of the.Southwest property said, Section 34- n 76 .0 the IsRoad; thence sterlY line Of Cohasset thence Westerly said Noxth.Line a distance of 400,0 feet to line thence -�"SOIIUIT�esterly Parallel with the Westerly line of Cohasset*Road a ..:.dNorth istance of 300-.0 feet to a -Point; thence Easterly Parallel with the Iine'Of said 'Southwest, quarter of Section 34 a di ' -400'.0 feet,to a Point'in.the Westerly lin,-, stance of ''thiance North-easterly along said of said COhasset Road* 0 WesterlY line of said road -of 300, 0 feet to the Point Of beginning SLance I-V alonp 6) *0O C9 ..s ..lop ., V,, • et n{ plans and speCificatlon5 tJ1UST ble This s ,1a „'ul 0 i ii• is unl y. kept on the job at a'.I �� � ,tio is on same Vvij�dt t ahannes or e;r .r., z mak© rrY om i.he Department of Pub Of Rutto. _ NOTE:- All terials &Workmanship Shall Be ih v _ L.. Q Acc4r•c a;�..e wit Recognized Good Practices and f a t�utality Ores c 'bed fort he SpianfcalCodes and UPIW�to Building, PI�-nb;ng & lVlecl tha 410tional Electric Code: A;5-etback of .5 ft: from the ; 00,1i�gtyAinos wind b --setback of•504. 4 6m� fhe rbed centerfine'shaill b(i I -ear of structures or equipment except dor 8 2 ft, •x I C.� BUTT- r_")UNTY j BUILDINr' PARTME>`, `l APp;?'D V E D TITLE SHEET oaAerlNG AW BILEHOME FOUNDATION S.YST5rdB, ]I CONCRETE MASONRY ' ASSOCIATION OF CALIFORNIA AND NEVADA 6S SCRIPPS DRIVE SUITE 303 1 r SACRAMENTO. CALIFORNIA 93821.. TELEPHONE ( 9/S) 920 - 4419 i f;_STE'EL_FRAIV .AM- �. SEE IWANUrACTL.R. R5 /NSTALLATIC-:. ..JSTRUC.TIONS FOR PIER .SFACING AND REOUI,9ED PIER CAPACITIES 6 = O MIN. yn FOOTING � O ffF v II�`C B"NOLLOI✓ CONCRETE BLOCK LENGTH L FOUNDATION ' WALLS .. -- - -- --. - STEEL SHEAR PLATE MAXIMUM LENGTH = TO 'FT - UBC WIND ZONE 20 OR 25 9= INDICATES PIER TYPE I FRAME SUPPORTING FOUPIDATION 26 LBS ROOF LO.1lD ONLY - L` BEFORE USING THIS FOUNDATION SYSTEM CHECK, HEIGHTS AND MANUFACTURERS END FRAME DETAILS. THIS SYSTEM W?LL NOT WORK WITH ALL MOBILEHOMES- 2. - FRAMES OR MOBILEHOME EDGE MEMBERS MUST BE SECURELY ANCHORED 70GETHER - MANUFACTURERS TIE DETAILS MUST BE FOLLOWED. 3..- THE FOUNDATION SYSTEM CHOSEN SHALL BE. COMPATIBLE WITH. LOCAL SOIL CONDITIONS. .4. DESIGN LOADS SHALL BE-CONSISTtNT WITH ROOF LIVE 'LOAD. .WIND LOAD, AND SEISMIC ZONE AS ESTABLISHED PERMANENT BUILNmrS WITHIN A SPECIFIC LOCAL AREA. �.•4-z4.6 30.36 • � . 2y •3o•G �q•.2T •G /� •z7�4 • i 16• y,► V - I Z9" 8=' H--74-4'0" MAXIMUM bfOBILEHONE HEIGHT SHALL SE 12'-O NO SCALE THIS SHEET TYPICAL PIER AND FOUIVDATION LAYOUT PLATE MOBILEHOME FOUNDATION SYSTEM. C,-4ACN - 3 "4?= CONCRETE MASONRY. ASSOCIATA: - OF CAL/FOFtilA ANC NEVADA ^ ^ 83' SC -Mi -PS OR/VE, SU/TE 303 LH r.:• - - u.. • .`„ti.i- SACRAMENTO, CALIFORNIA 95623 TELEPHONE (916).920 - 4 414 BUTTE COUNTY BUILDING DEPARTMENT APPROVE` MATER/AL SPECIFICATIONS 4.OHCRETE: CONCRETE SMALL HAVE AN ULTIMATE COMAPES$1VE STRENGTH OF AT LEAST 2000 P.S.I. AT THE END Of 2B DAYS. MORTAR: TYPE M OR 9 MORTAR AS DESCRIBED IN THE /979 U.B.C. GROUT: FINE OR COARSE GROUT A3 DESCRIBED /N THE /978 U.B.C. TNESE PRODUCTS SHALL COMPLY WIM THE FOLLOWING AMER/CAN SOCIETY FOR TEST/NB AND MATERIALS. CONCRETE BLOCK HOLLOW UNITS— ASTM COO -70 (BRAD[ N): SOLID UN/TS — 'ASTM C/45-7/ (GRADE N) BUT WITH A MINIMUM'COMPRESSIVE STRENGTH OF 2000 PSI. REINFORCING GARS— ASTM A6/3-72, GRADE 40 OR GO. ALLOWABLE FOUNDATION PRESSURE FROM TABLE 298 —1979 UNIFORM BUILDING CODE CLASS Of MATER/ALS ALLOWABLE FOUNDATION PRESSURE LBS. S0. Fx I. MASSIVE CRYSTALLINE RWROCK 4000 2. SEDIMENTARY AND FOLLIATED ROCK 2000 S. $ANDY GRAVEL AND /OR GRAVEL (6W AND GP) 2000 a $AND, SILTY SAND, CLAYEY SAND, SILTY GRAVEL AND CLAYEY GRAVEL (SM, SP, SM, SC,OM AND BC) FOOT/N8 DIMENSION PRESSURE l SOO * CLAY, BANDY CLAY, SILTY CLAY AND CLAYEY 9/LT (CL, ML,MH AND CH) 1000 /vU/G. CHECK WITH YOUR LOCAL. BUILDING OFFICIAL FOR SOIL CLASSIFICATION AT YOUR SITE. HE MAY REQUIRE DETERMINATION BE MADE BY REGISTERED ENGINEER OR ARCHITECT. I li Std PPS -T PER FOOTING SCHEDULE ALLOWABLE PIER LOAD AS /N FOOT/NB MAX. SOIL PRESSURE /000 P- $F MAX. SOIL PRESSURE 2000 P. S.F. MIN/MUM 8400/ $OIL INSTALLA77ON AREA FOOT/N8 DIMENSION PRESSURE MANUAL (S0.INJ W L T 1000 Los 0-1000 144 9 /6 4 PER SO. FT. 1000 -1500 216 14 /6 4 1500-2000 2B8 /6 /8 4 2000 - 2300 360 /6 22.3 4 ; 2300 - ROD .432 /6 27 4 3000-3500 304 /9 r 27 14 3300 - 4000 376 24 24 6 4000 - 4300 648 24 27 6 I J 4500- 3000 720 P4 30 6 51000-5300 792 27 30 6 5300 -6000 864 27 32 6, 2600 LOS 0-1600 /06 8 /6 4 PER 90. FT. 1500-2000 144 9 /6 4 2000-2300 /80 I2 /8 4 2500-3000 216 /4 if 4 000-3500 232 /4 is 4 3300-4000 288 /4 2/ 6 4000-4500 324 /6 2/ 6 4500-5000 360 /6 22.8 B 5000-5500 396 16 25 6 3300-6000 432 /6 27 8 WALL FOOTING SCHEDULE Olt- Q $ ` 0/40( S P,4C4AX- S � D IEMLS BUTTE COUNTY BUILDING DEPARTMENT APPROVED FOOTING WIDTH ALLOWABLE LOAD LBS. PER LIN. FT. MAX. SOIL PRESSURE /000 P- $F MAX. SOIL PRESSURE 2000 P. S.F. 12' 8400/ 1340 14* 707 d/, 1873 le 870`/, 2200'/, r— —WV& IASLC AV"094 A MAA/MUM PUUNVATION WALL HE/GNT OF 3-O SPECIFICATIONS AND TABLES PLATE MOBILEHOME FOUNDATION SYSTEM CMACN— 3 CONCRETE MASONRY ASSOCIATION �OF CALIFORNIA AND- NEVADA 3 83 SCRIPPS DRIVE, SUITE 303 SACRAMENTO, CALIFORNIA 93823 TEL EPHONE (916) 920 - 4 414 SCHEDULE OF CONNECTIONS TO HCB FOUNDATION - TRANSVERSE- DIRECTION 1�� 4-164 (TOTAL) CEAAEMT COATED NAILS, SINK /N WET GROUT N STEEL SHEAR PLATE SEE DETAILS PLATE. SA SET IN WET GROUT 2X RIM JOIST 2 - l6d TOENAILS EA. SIDE DETAIL IA DOUBLE RIM JOIST MN FLOOR JOIST MH FRAME 2X8 REDWOOD PLATE OR PRESSURE TREATED DOUGLAS FIR PLATE HIM UP AND ROUT IN PLACE I .MA X. DETAIL 2A RIM JOIST NN FLOOR to WOOD 4TE DRILL 31E HOLES N FL4NGE FOR 7 - IOd RING SHANK NAILS 1 2X RIM JOIST 2 - I6d /PIER 16i TOENAIL £A SSTEEL PERIMETER sr /e 2-12 I "MAX. SHIM A GROUT /N PLA( 25 DETAIL IB JALTERNATE DET—A—IL--1B-7 DETAIL 28 INTERIOR FRAME PERIMETER JOIST PIER HEAD CONNECTION DETAILS FOR HEAD CONNECTIONS USE EITHER WOOD OR STEEL PL4TE. SEE DETAILS AND PLATE 5A GROUT FILLED CELLS F LOAD INTERIOR FRAME(SHOWN) OR DOUBLE RIM JOIST 8" SHOWN �c OR /6 Q of •3 I� /B LOAD DETAIL i /�PER/METE OR R/M Jt ix l VERT/GALS `► I; B=X-_B X /6��b I I Q Cb �. HOLLOW I I CONCRETE RADA LINE BLOCK R v f Ci , ! ;- I I JNOTE ALIGNMENT 6 POURED IN PLACE OURED IN P: IOELLS (.MIN CONCRETE PAD MIN CONCRETE F h BUTTE COUI pTry'IN FROST AREAS CONCRETE FOOTINGS MUST EXTEND � W I UILDING DEPARFLIVIE OST LINE. NT c� T YPE l ,- APPROVE o TYICL a ONCENTRIC LOAD ' ECCENTRIC LOAD �\ 1 PIER CAPACITY<10000 PIER CAPACITY -2670 yp SLE NOTE THAT THE ABOVE CAPACITIES ARE FOR THE PIER ONLY. FOOTING CAPACITIES AND MINIMUM THICKNESSES ARE AS LISTED ON P TYPICAL CONCRETE BLOCK PIER ! A/0 UP WITH MORTAR AND GROUT NO SCALE THIS SHE. TYPICAL HOLLOW CONCRETE MASONRY PIER DETAILS Pl M.OBILEHOME . FOUNDATION SYSTEM CMACN — 3 CONCRETE MASONRY ASSOCIATION OF CALIFORNIA AND. NEVADA tl 83 SCRIPPS OR/VE , SUITE 303 71 SACRAMENTO, CALIFORNIA 95825 b f ✓COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT'` ASSESSOR PARCEL NUMBER 056-170-021 ZONING BUILDING PERMIT OWNER DENNIS GERFM TELEPHONE ttl,; SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 957 DDHASSET CI It 3 *5W: CONTRACTOR'S NAME VWENR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS �y0 Fireplace A 150.W Total Valuation $ Filing Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 55.OQ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 3_0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: TWOVE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ' A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 200o Main Service 2 TO lOooA 46. 00 NEW CONST. %EOC LLING CUP. OR ADONS. ( a ACC. S. SO so 3.50FT. NON -RES D. MULTN CONST. I.OUTLET @7.50 POWER APPARATUS a sINGLE OurLEr C.. Ex. Occup. OUTLET OR FIXTURESa20 1:50 FRED ALNS. OR Ex. Occup. PP ounFrs RESID. EA S.00 Temporary Service 23.00 Mobile Home Facilifies 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.1X1 HAZ. D. FEES IMP I FLOOD I Z7 PARCEL PD HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By `` 4s a ✓1, Lt. PERMIT EXPIRES ONt'l the applicable provisions Resolutions to do work been paid. Date Date Receipt No. trtus�/ ra+U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROE -APPLICANT `.�F",,.:�c�'�i'�*""if? �.-..1�1'•�.'i-"'i'yy'�„i'i+r'k?°t--r�.�}+:y..*„'"'e�o ` r 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 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, or need additional explanation, please contact this office immediately. T, S7Ur�G".t Date REV 10/92 F'yyi.�..f ".v--�aF'1...f.. ' - --GC'�.-'J�,1L'.� �, .t Tom._..}ajy� _ '„ �+w"' '�•-„ COUNTY OF BUTTE.. ; BUILDING DIVISION i DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE .�6 t OWNER 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, or need additional explanation, please contact this office immediately. 1X6 7/&C X -T 1oA1 5ftg--r ,COWL n ell - R7, R Y I Date tL REV 1.0/92 t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN- SERVICES - BUILDING DIVISION 7 County Center Drive 9 Or9oville, California 95965: • Telephone (530) 538-7541 PERMT NO. (Rev. 12/96) APPLICATION AND PERMIT �� �2 ASSESSOR PARCEL NUMBER 056-170-021 ZONING TM 2 BUILDING PERMIT _ OWNER DENNIS GERFEN TELEPHONE 345-0617 SQ. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS y 8957 COHASSET CHICO 95973 1 CONTRACTOR'S NAME TELEPHONE OWENR CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace A 1500.00 r Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. . —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 35.00 Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ SAME $ 1 PERMIT FEE S 55.00 LOT NO. SUBDNISIONS NAME PARCEL MAP N PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap Solar or heat pump water heater 7.00 23.00 SF X3 Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Building sewer 15.00 Describe Work: WOODSTOVE Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V 0R LESS Main Service .AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. CC. OR "� (T. 3._SO MLI BBUDSST NEDWF+ ID. C 97.50 POWEPUS 8 SINGLER AOUTLETPARATC R. Ex. Occup. OUTLET OR FIXTURES a0 Q 1.00 BAL Q .50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occup.DUTELETS R�Ip,OEp 5.00 Law for the following reason: 0 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. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason PERMIT FEE $ WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 Heating 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Cooling Hood 6.50 Ventilation ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: PERMIT FEE $ Carrier Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) j@ I certify that in the performance of the work for'which this permit is issued, I shall Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the FEES IMP I FLOOD CDF PARCEL I PD' I HD I ISSUE workers' compensation provisions of section 3700 of the Labor Code, I shall This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. forthwith comply with those provisions. X Date �.S �!/ _ Signet a of Applicant - ❑ Q4ner ❑ Contractor ❑ Ad—ene An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. PERMIT EXPIRES ON Receipt No. 302986/$55.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541D� � "O. ;Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCB NUMaEA D •�. X70 �- d9,/) -/ZONING BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION ON R'S 3 CONTRACTORS NAME N r TELEP"ONE CONTACTORS MARJNG ADDRESS CONSTRUCTION LENDER Fireplace / VENDER'S MNUNG ADOREss Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ AAcwECr OR ENOINEERS MWNG ADDRESS Plan Checki Fee $ SULDING ADDRESS Energy Plan Checking Fee $ S PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20. 0 USEOFSTRUCTURE SFLR Duplex ❑ Mobilehome O Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation O Other O Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service z�ooV OR LEss 23.00 TOTALFE4 /hEF(S►T$ SRA $ SHERRIF $ C) TOTAL $ RECENT # _�;QL� s �� ReceiptNo. WHITE-O.O.S 4D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROO-APPLICANT Main Service 20OA TO IOWA 46.00 NEW CONST.OWELUNG OCCUP. 3.5¢so. OR ADONS. i ACC. OCC. FT. NON•RESID. MULTEOUTLET 07.50 P.0 APPARATUS • PIOLE OUTLET C.. 20 EX. Occup. OUTLET OR FIXTURES BAL ® I.50 Ex. Occup. OMD.APP NS 0111" 5.00 Service 23.00 —Temporary Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST. TYPE ` TOTAL FEE $ 5O NAz. D. FEES IMP I FLOOD I COf PARCEL PD NO ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON To I O.B.-1 Attention Property Owner: An -"owner-builder'' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the, major 1 bor and materials, for construction of the proposed property improvement : YES[; NO[ ]. 2. I HAVE[ HAVE NOT[ ' ] signed an application for a building permit for the proposed work. 3. I have contracted with the 'following . person (firm)- to. provide ythe proposed construction: NAME: ADDRESS: CITY: - J? 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. 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�11'- i SIGNED: PROPERTY OWNER: DATE' S_ ali NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health -.and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: 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 of record on such a permit. Building 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 the 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 that 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. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information 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""ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be 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 1020 N 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 not be issued until the verification is returned: S warel ,Y 4Z. i UL Michael C. Vierra, C.B.O. Manager, Building Inspection' NOTE: This Owner -Builder Information. is required by Section 19830 of the California Heilth and Safety Code. OVER v=Ok 1 O=Not OKNot j = Not Ready able MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch - 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity;Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1. Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r. MISCELLANE®US ,&/0 U 1zi� Date DECKS, CO S, CARPORTS, GA ES, Plans OK except #'s 1 lit f 1. Zo g R irements-S -Easements ` 2. Foot s; Soils -S -D -Spacing-Connectors-6teet- ;. 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. n.; Columns -Connections -Splice -Decal -Enclosures port ; Windows -Doors t . F g; Sils;Anchors-Studs-Rftrs-Trusses S' ailing -Veneer -Stucco -Mesh i 1 of; Shthg-Roofing t 1 . Ext.; Steps -Doors -Landings jDate Il-lq-qb Card B-1 DateJ6-.:2 �/( Card B-1,�3- ;Date Card B-1 Date /-1 "d - /Card B-1 p.a� I Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 f- t� 4 QK O=Not OK - = Not Applicable fbt Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except #'s I 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/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing & Duplex) Date ' FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps . 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) p,,./�i.rir-'��-K i-f}-'YeF�tii^�•i'-��`� �.Y�'�, ir'� �. Yfft-ir +�a'�1- Vy• •'1"- `R COUNTY OF BUTTE .A: DEPARTMENT OF PUBLIC WORKS ... 196 Memorial Way, Chico — Phone: 891-2751 ,. 7 County Center Drive, Orovi Ile — Phone: 538-7541'- 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE /J OWNER PERMIT NO: t '" A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please,notify this office r 35 when correction of work is completed. If you have any question 'pertaining to this matter, or need additional explanation, please contact this office immediately. ti 1. , n { is ,h+ a Date I� 1 Inspectore- COUNTY OF BUTTEb DEPARTMENT OF PUBLIC WORKS , z 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, 'Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 SF CORRECTION NOTICE 34-/,5 OWNER PERMIT NO. .r;. 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. I='F: =' Date Ao` Inspector �:<'e-.I•Y... ..- ..�.. ..: •�!`+^ —. �«�`�` _ :s. -a n..; ,+...•v,c.s-r:a�'-+qt�'.T.—.a«—...'e.+-- 'S:.r+rtias .^ • is . , zr.. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS -196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNED PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. •Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. i Date ` 1 _ Inspector' -T. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center CJrivie - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIOIN AND PERMIT PERMIT NO. v -3 46 ASSESSOR PARCEL NUMBER _ ZONING BUILDING PERMIT OWNER Dennis Gerfen T E HONE 345-0617 SO. FT. OCC. BUILDING VALUATION 480 6720 OWNER'S MAILING ADDRESS 8957 Cohasset Road CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 62.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 31.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 103.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each gas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Detached Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑x Describe work: Garage Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service ,00 AMP OOR RLESS10,00 Main service EA. ADD'L 100 AMP 2,50 ,, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license Is In full force and effect. License No. Classification Lpp 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUR.& OR ADONS. \ ACC, SLOGS. 2/20sgft NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRCITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20@5 0 5AL@30 FIXED APPLNS, OR Ex. Occup. OUTLETS (R ESI D.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 22.00 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. IY1 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again aid County/in%7=ce granting of this permi X w Date O Signature of Applicant — Own Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONSTTYPE TOTAL FEE $ 12/.7 gl�$Y�X HAz CUA PARK SCHL FLOJ Y/ PA Ho ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY 9e2i9ate PERM E PIKES Date_ the applicable provi- resolutions to do have been paid. WORKS Receipt No. 73959 WNITC-O.P.W., 7ELLOW-A$$[$$OR, PINK-IN$PECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTS - bi�EPARTMENT OF PUBLIC WORKS - BUILDING DIVISION V 7 COUNTY CENTER DRIVE - OROVILJ.E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �y PERMIT APPLICATION DATA SHEET � Permit No. OWNER A. P. No. Proposed Building UseZ?F Building Inspector Date e / 1� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. �c Sanitation approval from 7 e—, D Health Department -2 - 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be .required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24.' Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When yodissue the permit, process as follows: Mail o owner. Mail to contractor. Telephone �t��and hold for pickup a2office. Deliver w/inspector. Other /G Applicant 1 Date / D Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ,. v'` AAQ 6Z Contractor, designer, owner, was advised of above required data by_phone_lnaiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by &.Al Date 14;zAj Sets of plans on hold in . File cabinet AP folder Copy—DPW 1 f TO. Buildina Department t FROM: Environmental Health SUBJECT: Sanitation Clearance —7 Ca, 5, Owner Location. AP# Plan" Approved for: Sewaqe Disposal Water Supply_ Hold final for: Water Supply. ^anal clearance O.K. for: Water Supply clearance for bedroom mobile home. Other NOTE LS 0�2 CC" Sanitaria;4 .t Da e I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 C��untytenter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZON N BUILDING PERMIT OWNER TE PH NE SO. F OC BUILDING VALUATION OWN'S MAILING ADDRESS S GO AD CON RACTOR�N TELEPHONE LO / CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee -. $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking. Fee $ ARCHITECT OR ENGINE,ER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 3 , 7 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 i SF ❑ Duplex[] Mobilehome❑ Other ) G Building sewer 5.00 SPECIFY Mobile Home S I G I W 0.00 e I TYPE OF WORK New ❑ Addition ❑ Remodel[:] U^tilities ❑ Installation[] Other Describe work: Cl/[ -I /CSI O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I 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 Countyor Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — 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. .Receipt No._7 �3i 75-7 YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 Main service EA. AOD'L too AMP 2.50 i NEW CONST./ DWELLING OCCUP.@\ .: OR ADDNS. t ACC. BLDGS. I�"' '/2QSq ft r� NEW CONSTR. 14ULTI.OUTLET NO N.R ESID BRANCH CIRCUITS I 2.50 ea(POWER APPARA) SINGLE OUTLETTC R.& EX. OCCUp(OUTLETS OR FIXTURES 20030¢ a ALO 30,t EX. DCCUp. FIXED OUTLETS PIRESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 i I Permit Fee $. E Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating , Cooling ) Hood 3.00 f Ventilation Mit roc b Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE -TOTAL FEE l� SX, 7s� HA Z I CUA I PARK I SCHL I FLO I PAP. I Po HD I ISSUE Th's permit is nereby 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 4 COUNTY OF BUTTE Ddpartment of Public Works 7 -County Center Drive, Oroville, CA 95965• OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 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. jl. I personally plan to provide the major labor and materials'for construction of the proposed property improvement (yes or no)' 2. / I (have/have not) . signed an application for a building permit for•.the proposed work. 3. I have contracted with the following person (firm). to provide the proposed construction: Name 3 Address City Phone Contractors License No. 4. -I plan to provide portions of this work, but I have hired the following person to coordinate,' supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to,provide the work indicated Name Address Phone Type of Work' Signed: Property Owner Social Security Number Date /22-D NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. _ r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 9o2 -S-:77 QUUiullce 1UP1CJC11ldUVCJ ul lire uumity ul t5utie lu enter upun ine above- entioned property for inspection purposes. Signature of Permi-�tee or Agent Receipt No. 1��'f 3!, � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT0,1_0'F PUBLIC WORKS Bv Date_ wilding permit expires Date 3-y---7 BUILDING ' Owner - � - �. l+� SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor' ,' f .' ', Total Valuation Mailing Address B (j �'y 'Te- -Permit Fee Plan Checking Fee&/or Penalty Iephone No. , Permit Fee Building Address - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 r.• Each Trap 1.50 - Repair drainage or vent piping 1.50 , Water piping 1.50 Each gas water heater or vent 1.50 , ,�q Y6, A. P. No.--: .7 U a-� tel_ % Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Ser3i4etien Fire Dept. Fire Zone Use Permit Building sewer. 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rov ents p Lawn sprinkler system 2.00 Bldg. Ions Recd J Parcel pprovalons Approval Permit Fee $ $ 4 NEW ADDITION ❑ UTILITIES ❑ OTHER ca ELECTRICAL No.. @ FEE PERMIT FILING FEE $3.00 G % — 7 Main service incl. 1 meter ' Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California -Business & Professions Code under the name style of: r -�•{y�l?,L L`� �' Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.24 2 r Classification '- 6, 1 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against,liability for Workmen's Compensation. j I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 1`1' "- i O� TOTAL PERMIT FEE $ n QUUiullce 1UP1CJC11ldUVCJ ul lire uumity ul t5utie lu enter upun ine above- entioned property for inspection purposes. Signature of Permi-�tee or Agent Receipt No. 1��'f 3!, � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT0,1_0'F PUBLIC WORKS Bv Date_ wilding permit expires Date 3-y---7 I E COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive - OroviIIe, California 95965_7� Telephone: 534-4541 �/� . / APPLICATION AND PERMIT BUILDING Owner O '✓ SO. FT. OCC. BUILDING VALUATION Mailing Address r Telephone No. Fireplace Contractor Total Valuation / Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address ����/�� a/t �LtGS.S��elO/PLUMBING K No.1 @ FEE PERMIT FILING FEE $3.00 p O C�� 9,7/ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 0 J Each gas water heater or vent 1.50 - A. P. G - 7 Zoni V:2d:Each Gas piping system 1 - 5 outlets 1-60 O additional outlet .30 es /` V�rC. Sa on Fire Dept. Fire Zone .� U Permit Building sewer EQA Parking Plans 'Parcel, Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. PI nU s Recdarcel Approval P pproval Permit Fee $ ;. } NEW ❑ ADDITION ❑ UTILITIES OTHER E]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 L00 Main service 100 AMP ORSLESS / 5.00 ' Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 ' NEW CONST. OR ADDNS. ( DWELING ACCLBLDGOCCUP. &) 20sq ft NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea • NEW CONSTR. (POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. y CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: j 1,D 00 Ex. Occup(OUTLETS OR FIXTURES) BAL@21¢ Ex. Occu FIXED APP LNS. OR P•(oUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities f' 15.00 License No. Classification Misc. Wiring-. 6.25 to I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. { I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ii�%� 9,i' OG TOTAL P RMIT FEE $ 1514 C above-ment'one d pr pert�y for inspection purposes. , f E ��c: -°�c�/� G , rzao'Le'✓irk %Giea- Date .� ZI SZ5. gnature //of Permitee or gent Receipt No. ,L�� 6� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS ZY Date LL3- 1. 7 ngpermit expires Date � e ,06;7_4+{ �I , +- Jl! -/1/ r. -Ar `t� } t } � # ! ; +�- �1-t r ! , +++ if /I / t +.. r 1- j� f-� -`Yi1 �: �t L _'_NOTE; ' All`_ Maker,a75 = N �1T _ �Y _,� r - !- A nctr 1 .Re �ar4s�r Shall �n ! i I ccgrd � aacl-Yrdctibes, -ja t :-+ of'.a•�val,#-, escn�e� -fgr � r Y 4 r , ._+ . Y, P t:e:}�eclfIed use._in. +_ r 180'- — _.:.��.r ,..��� _ �-�---,-'---_-•,,___ �_ �.._._....r_ Vniforrin. Bu}Iain ,-ftl�,rn --i• i- �• � +-i�-,_� • " � +- - '� -- na I EIg �. � &'Meerrrniial G' 'de;-Alti� ! + ' -• l i Y' t r ,_ .. f . �_ r �. , t the Ndfio 1 ectric�i1 Code: I f i (' ±_ I .+!i.� f .1 L� - r this set lot 4plans.-and specifilcatio $ 'AAu T- by T + •160' A l l it u l it i l _ _. -,- • - ----j-�_�- _ 1 +- r-� - ~ _. _ _ --- y cdnr►ection t ,rept on,thC.jgb_ �t all im�� and t l3 ;�U kj _ ftp! ib - S �f,�il bd , L� r , I loe ted within *fir outsac�e f a ' ' I a « . make. any ch Og4slor ite'afions' _ tHi'rd f`k' ' {�e.re r I- -- I ra ra-sm tn�ithouft r ;-� sec Mott 4 _tl�g jM61506 h. r- r ' ' t '' _ -' written:_ e-rnus ►ifroin_ 11 -/De ' rtm - o e erne --t p eent+of-•Public -+ h t1i Ief goad $ipe-oftthernobi� Works County"of B.utt�•.1-� I orlrle. 1. _ _� rr 1140'4. .. •t a—._..r-T-- i-.--�r--�i -Septic sK f rri ndigc�atiptr'df f�uiId-!-; .rl _ f �-- t -r -!t ` ngrdr d,n1 stub -out it U _ 5_ Ip '_ _�--�'t -1 - _` .�1 _r_ 1 _ ..�_ � Al ,Butte Couniy 1-lealt , . D p 'Rei - -; 120' quirements_ r:. rmiti11 berrquired for tfie r r_� 1 . _ -, , ,. -, of #her mbb�ehome. �p c� + � , -, - - , .1 , 100'. I r t -T 1 r _- t_ . f I-« 1•1 -i I $ l t I 11L.y 1-4 - 1t3 g- setback sFa+II.! 6e-9ji:1om . 6, _ - f _sie`p�gc�i in L- endo' ftp from the I I ; I , i r+ } ; 1 I 'C c trferiinrs of tli aad, ermiifing a maxi '� `.{-' BUTTE! GOU T1f TE clalr oi�er�Fong uf'e`nti! t_ i - -< �� - -; - " + t r • fi, BUll..t�ING•;DF. _ARTM ; " 1 _..TIT t T i i`/ t ( 1 -t t 7 J_ + 1-: � . ; {-i-•-'_• - 1- 1 � 1. I t <- t + -t - r r F r - { J I- I - .� ---i -- ' t j .._j t s_ _ I _ . .40'-r- -. --� ~t-• !-. + _� 1 -� r r-- _ -4- 4 -.r-- .r -Y+ T .~ r 1-.r . - _t`T �-4-1 •� a- +--r �---- �-- � `;-'�-*-t---: �--�-t--*-�--••-+-rT�-��_•_�_.+-'_-r-'_�--*�� .%�..l.i t,_f_ ti ��_}. �-1•-i�---1'•t—.. -� � .•._.I--:--t--��-Y-_-i- ! 7--+- - Jr} _ - II-+-{ r - + t - -1 'I i / r -r •--t I -+- ; + I _r _. 4 _ _ + - -r-• t- r-«• : _ -1- -{ ._ _...,_�-.,.. ._ ._ -7-•�1-+- � ' T._. . �-�'_-.� j�i � } '-�-T-L-•-�—'1—! �'L--•-`-I--I �-'�-�-f -� -r �-•-+- �- �- ' - .. � -� ..fit_ r .. y � t- t' - --- t-/..•� U ...Y •L.J cr/ il`-t. �Fis+✓ • +lii { --i- TT}_.-T a_.r..� ' i_ r_' _L i. t j .� i- �r--T r�-�. +_i._—_�+_'-F - -t -1 i - - - , -,---i �• + + - i - - �'-� �_ 1-`_ 1 .-r-7-.j"! _ •r- - , _ r '-I 4- •; r - j -r- ; �-"r t- _>� �_..1. a- , _ - • _ I r - _ -+- i -".�" t �-'1-j_.r1:F+ - j t..� 1-�, __L - 1;y,7 �-+�..---- ' 1-408 r ' r+-�-•+ ' �1._`..�_..._ r G^t11�' �-i1 •�� i I i r i I ���__�-i � __�._',� __..i-._-l._......yt! � _ 1 r.-�-_�.--_..�_:__�_'_. � : ._._ ~ _._ .�._�f ` MOBILEHOME SUPPORT DATA. Mobilehome Mfr, (:�' T1s +.`tFt $' Setup Model No. ,i Year ;. .,a Width (ft,) Length.:- (ft.) Expando Size ft.x. ft. - (Draw support details below) On all mobilehomes manufactured after Octob.er 7, 1973,,,furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). ,< F Sin le` Footings (check one) Ml. Wood either pressure treated or. Center Center Support _fdn.".grade. Support Footing Sizes % i . ' 'x • ,� Locations (in.) �. ,.. ,.."2. Concrete pad. x i - / / 3. Other, specify 6n•)(in�� c�n Supports (check -one) 1. Concrete block` 2. Concrete •piers'. 3. Steel piers 4. Other, specify d (in.) (in.) *If center piers are other than drawn abgve, draw in locations, spacing, and dimensions, x !Typical Support: Footing. Size, in.) Cn. Max. Pier Spacing (ft.) _....._ _. Max. Overhang �ft`') (iri.) BUTTE COUNTY 8UIL®ING . pEPARTMENT APPROVE f i -. l ILI � i *If center piers are other than drawn abgve, draw in locations, spacing, and dimensions, x !Typical Support: Footing. Size, in.) Cn. Max. Pier Spacing (ft.) _....._ _. Max. Overhang �ft`') (iri.) BUTTE COUNTY 8UIL®ING . pEPARTMENT APPROVE BUTTE COUNTY DEPARTMENT OF PUB;I;`IC' WORKS 7 County Center Drive, Orovill6 CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name:%'j—l%�W6`//j��ot�'Z� 3. Is the site currently under permit? Yes T�r No ( If yes, furnish permit ,number Is the site an existing site? Yes / / No s� J (If yes, 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 setbacks and easements? Yes / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- C10 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes /i % No `Vfv��'/J (If yes, identify the load and size: (Load) (Amps) �.a 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 ft. on natural gas or less than 50 ft. on LPG.) I ` 'M0BT1,1?110:'1'.:: IN99'ALLA'1ION INSPECTION CHECK LIST, -1. Is the. mobi'lehom,:� located wi.l.h equired, separation from lot lines and buildings and generally conform to. plot plan? ,Yes Y .No 2. Does the mobilehome have required clearances above ground? (Sec..5085) Yes_A/ No -3. Are footin-s and supports'properly sized, spaced, and braced as per approved- plans? (Note possible varication at spring shackles.). (Sec. 5082 & 5083) Yes_l,`_ No— ' 4. Is the mobilehome level.? (Sec.- 5088). Yes ' No - 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes—e"No 5, Water A. Is flexible connector•of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) .Yes No- + B. Test - Does water piping withstand working pressure or, 50 lbs. air test? YesZ-No C. Backflow - If coach is not Stat of. California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains V_ A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes V No B. Does it have minimum '' per foot slope and is it..properly supported? Yes p,No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No -V— D. If c ch is not State of California approved, does station have required trap and vent? Yes h� No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome. connected to the gas -'supply with an approved 3/4" minimum mobilehome connector not more than 6,ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome' connector. Yes_ZNo B.. Test OK as p g per following procedure? Yes ' No y o 1. Open all appliance connector valves. 2: Shut off app--1•iance i-burne`r, •arid' pilot valves-. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn, on gas, test connections with soapy .water. .... C. Are all appliance vents properly. installed? Yesj/ No `� 1 9. Electrical A. Is se1-vice large enough to provide ;adequa.r_e amperage to u•iohilcliome (must equal rating of niobilehome �aitli a. ::rin.i.r.:um of 100 amp) anal other facilities on lot, i.e., water pumps, garat,e, cabina, etc.7 Yes�No_ 1;. Is ther,-� proper clearances around panels? YesNo C. Is power supply cord -or feeder assembly properly fused? Y e s_Z.41o_ / D. Is Continuity test satisfactory as per the following procedure? Yes f/ No__ 1. De -energize electrical wiring systeri of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, havE+ been disconnected. 3. Switch all breakers and switches in_,the mobilehome to the "on" position. 4. Connect one load of a test instrument to the mobilehome grounding conductor and 1 7 1 1 7 , _'1. _ 7_ 1 a�jii}' the GiiACi .I.�au i.G eaCi1 r1iUu'i.L-LLL) siippty CGf►�iuCtO'i, inCliii111tg Yte1.lLrdi. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, salter line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly - conductors shall be connected to the site service equipment. A further continuity to>;t shall then be made between ',:he grounding electrode and the chassis of the mobilehome. Upon saL-i_sfactory completion of the electrical tests, the lot or site service equi.pmenL may be approved for energizing. Is job card signed by health Department for water and sanitation? :.1.. If everything o1:ay, sign offcard and t.ag services. ManufacturerATA an rlarnafacturer and/or Namest:yle . - Length Width 2 - Vehicle Serial No. State Identification No. / �_=2 13 7"' �/ 03 7'1 Ad(.itional Infos-nation or Comments: 3 � lit �,., � } PERMIT N0. 712-77 T,E A PERMIT EXPIRES OWNER Kenneth Long CONTR. owner LOCATION (A.P. '56-17-21 ) w/s Cohasset Rd, app. 100' N. of,EXKKM 1 ` Greenwood Store, Cohasset J ■t{ • r Z Temp. Power Pole <� Called PG&E ". Elec. Serv. v o. Called PG&E Gas Serv. d oz { Called f iii t } V JOB Q — FINALED . r (Date) ' (Signature) a i i k Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling X Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer. - A Gas Piping raj -77 BI EME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE _REMARKS CO�tfjE^�'^•'c 3-5-77 o V I (NOTE: An entry must be made on this form each time you visit the job site.) r� d� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION,RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ack Fkrewall 11 Piping Fornx Pa ets ;3t'Floor Mai Idg. Rest om Finish 211 Floor Fon s o ' Window, 3rd .,loor Stem II Siding To out Slab X Roof She Itin g Water Pi din Piers X Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaII Garage Vents\ Insulation I, Water Htr. Heaters Slab Carport Footings r physically handicae dde of ex Conformance structure N Appliances Gas Pipinq &Test Temp. Gas Slab Final, Sanitation Patio FIR�PLACE Final, Footings Footinq ELECT CAl- Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKL .RS Motors Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling X Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer. - A Gas Piping raj -77 BI EME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE _REMARKS CO�tfjE^�'^•'c 3-5-77 o V I (NOTE: An entry must be made on this form each time you visit the job site.) r� d� *tatp of &ttfVMta Ss. Countyof . ..... !utt.e . . .............. . ........ . ....... On this.:....._... ............... day of .... j!A!Y!.L-.19.ZE ........ in. the ycar one thousand nine hundred and ....... AP x_.......-- _ 7 --- — -------- — -- ----- I ...... before me,` Jack D. Brown • Jack ....... D. . . ................. . .......... . ... Notary Public" State of Calif", duly commissioned and sworn, personally appeared..--K� Long ... ancL ... j a.r, ..... . .. ........................................ .......... ..... ............................................................. . .................... . ... . .. . .......... ... . ...................................................................................... . ........ .............. known to me to be the person..... -described in and whose name ... subscribed to the within instrument, and acknowledged to me that.... t49Y ........... executed the same. Attpso 304pred i have hereunto set my hand and affixed my official seal in the-....._._._........_.._. ................... county of Butte . . . ........... . . ... ........ ............. the day and year in this certificate first above written. 0 FACF'l C I. A. L OS EA L Notary Public, State of California JCIK D. BRW%' No -Oi uh 1,E :A 1HE COU."YY OF OUTTE Y Commission expires ................... . ............ My Commission Expires September 24, 1977 M b4 VIDVALLEY TITLE AND ESGRow compo 45 All "I'STS) 2040 0�. t VIDVALLEY TITLE AND ESGRow compo 45 All "I'STS) 2040 I IL L- ,Know attfflwn by t4riir PrPmb- 0f,.,KE�V�TETH,.P;,,.LONG and JACQUELINE S. LONG .......................................................................................................... 7***** ............................................................................................................................... ...................................................................... do'by these presents appoint ... WILL 1AK.jj.....ARQHER ........................................ t then' 'it fact: jbr.Ahf�m ...... and in i r ....... h ........... attorney ............ �t a .... naine ........... and for ..tlieirtse' andbenefit ....................................................................... I ....................................................................... ................................................................................................................................................................ ................................................................................................................................. : ............................... ............................................................................................................................................................... to demand, sue for, collect, and receive all such sums of money,- debts, dues, accounts, legacies, bequests, interests, dividends, annuities, and demands whatsoever, as are now or shall hereafter become due, Aving, payable, or belonging to ...... :h.em .......................................... and have, use, and take all lawful ways and means in .... name.......... or otherwise for the recovery thereof by attachment, arrest, or otherwise, and to compromise and agree for the same, and to make and deliver discharges for the same for .them....... and in ... name....:....; to --contract .-for, purchase,. receive,- and take lands, tenements, and hereditaments, and accept the selsin and possession of all lands, and all deeds and other assurances in the law therefor, and to lease, let, sell .................................. ............................................. .......................................................................... release, convey, mortgage, convey by way of deed of trust, and hypothecate lands, tenements, and hereditaineqts upon such terms and conditions, and under such covenants as .he...... shall think fit-' also to bargain for, bay, sell, mortgage, hypothecate, and in any way and every way and manner deal i . n and with goods, wares, and merchandise, choses in action, and other property in possession or in action, and to -do every kind of business of what nature or kind soever; and also for ..th=.... and in Aheir... name........ . and as ...................... act and deed to make, sign, seal, execute, acknowledge, and deliver deeds, leases and assignments of lease, covenants, indentures, agreements, mortgages, deeds of trust arid reconveyances thereunder, hypothecations, bottornries, charter-parties, bills of lading, bills, bonds, notes, receipts, evidences of debt, releases and satisfaction of mortgage, Judgments, and other debts, and such other instruments in writing of whatever kind and nature as may be necessary, convenient, or proper in the premises including assignments of accounts receivable, notices of the, expected assignments of such accounts, and cancellation of'such notices; also, in case of loss by; fire, or otherwise, to adjust insurance losses. ............................. .................................................................................................................... : ........... ................................................................................................................................................................. 66iui" unto thjqi.r said attorney........ fall power to perform, every act and thing which may think necessary to be done 'a and about the premises, as J'dly to all intents and purposes as ..... thPY ...................................... might or could do ij'personally present ........................... .............................................................................................................................. ! ................................. hereby ratifying and confirming all that ...Ah.eir ......................................... : ...... said attorney.......... ................................................................................................. shall lawfully do or cause to be done by virtue oj'these presents. ....................... ............................. : ........................ .................................................. ................................................................................................................................................................ At Wititros 394prrof ........... have hereui os e I .............. hand ....... the ....... daY of* ..... JAY ............................. one thousand nine hi ndred and ..:5e.VP_ntY..*.1x .. ...................... Signed and Delivered in the Presence of ............................................................................ . ........................................... ................................ ... .... . ............................... .................... AGduELINE'S. LONG 10 INDIVIDUAL ACKNOWLEDGMENT State of Cal i forni a : - County of Butte On this 3rd day of December , in the^ year' 1 qR� , before me,, the undersigned , a Notary public in.and for the. Butte Zounty,.personally appeared Kenneth -P. •LQng and Tarq„pl;na''q_, Teas / I personally known to me proved 10 me• on the basis `of satin- o . Tactory evidence 'to be the person(s) whose name is subscribed .to this .. � instrument, and acknowledged•tha-t t. he executed it. WITNESS nay hand and official seal, bQ0 =--,.-NOTARY CIAL SEAL twoM CORSONBLICCALIfORNIATTE COUNTY i otary P l i c i n . an or• the SAID . expires JAN 14,_ 1985 1 Cou t and State ENUGFDOCUMENTMy commission expires 1-14- 19 85 r ..:n •0 77-77" 0 uaF.... F ^i,�y`y;: �•! ♦ ^t Y1 w. •1;'1. •.f?�y„, A _ "�•r•.-„r ^�-r-...,....' r / `.i `� i ,t ` 82 3'72 '7 AGRICULTURAL"STATEMENT OF ACKNOWLEDGEMENT " FORRESIDENTIAL DEVELOP - • ',, MENT Section 26-8.1 TTE of the Butte Coupty Code requires this aclfnowledgement�� be recorded prior'to issuance of a' buildinig permit.-444_j�t. It ; = 4 DEe ZO IG is AV 1981 The property describpd�;her'einF adjai,ent is to land ,fir iAncluded within an, area zoned for 'agricultural purposes, and rebidents of UC .NOB, M. a-�(AE't be -s, b'ect 'i' CLERK- RECOADE►R L,�..i ' ..thispropertyma y �} 3 o„� z�conveniences or discomfort _prising FES from the use of agricultural,cf�emicts;luding, lout not limited to herbicides, ;4 pesticides, and fertilizers'; and frim#Uqk� 'rsuit of -.agricultural operations including,' but not lin►ited:'to cultivation, plowing;)$praying, pruning, and harvesting which occa- sionally generate dust,'smoke, noise, and odor. Butte County has established agricul-, lural zones which'havb'as.a priority use for productive agricultural ' ,r purposes, and residents within said zones and on adjacent property should be prepared to accept such, E ;inconvenience,or discomfort .t from normal, necessary farm operations. All that real property'dituate yin the County of Butte, State of California, ,..,described, as follows: A11 that portion of the Southwest quarter of Sectiop,34, t Township North, .R n & M. .'' R e g 4 East, M, D, B'. more particularly decrribed es fol}'gy��, BEGINNING' at 'the „dost Easterly `corder of the herein described property at .the -Jntersection of ,the North-line of the Southwest quarter of said Section 34 and the Wester line of Cohas,set Road; thence Westerly along said North line a distance of 400.0 feet ,to a•point;,,thence Southwesterly parallel with the Westerly line of. Cohasset Road a.distance of'300.0 feet to a point: thence Easterly parallel with ' the North line o said�Southwest,quarter of Section 34 a distance of 400,00 feet tbr`a,`.point in the WesterlY li.ne.of said.Cohasset Road; thence Northeasterly along said Westerly line of, sa�i'd.,road, a distance of 300.0 feet to the point of begirin'ing.. •, Dater: 3' 1/ ' P OPERTY 0 RS - a t State of 's., �'- �; , day •�,` On. this .. the .• of , .19 �S . before, me, theme undersigned Notary Public r. CL9unty of ,.�. ,. Personally appeared ,`fir ,• '1�.. me ' CZ known to to be the rso % pe n(s) whose names) E1� subscribed to the within instrument and acknowledged that _s executed the same for the purposes /. CG ,,•, if •, .,� ,�• thereh contained. ' IN WITNESS WHEREOF, I hereunto set my hand and official c n seal ►+' ,. ,,, ,' �•.+, NotaryPublic- H 1 Present 'A:P N0, �* - i '�"*T`Fy Y S: L'.,., !. Y : \..P ". fir � t t •:,'n.�'_.---..-,-.w.+.. �.-.. w..._ .-.•..- r..- �--�.-. w r r r r Ir f cl C, r CPI w 93, !1� �_�,. PEiRMIT NO. r. 1360-77B��� 'fir v i ...od • � PERMIT EXPIRES 4 OWNER KEN LONG CONTR. Norths' ate. Aluminum LOCATION (A.P. .56-17-21 ) f WIS Cohasset Rd, 100' N of Green- wood.Stbre,, Cohasset 1 �i • 1 • t Temp. Power Pole Called PG&E Temp. Elea Serv. I Called PG&E Temp. Gas Serv. 'Cal led PG&E JOB 7 FINALED 3 (Date) (Signature I i • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REZORD a.. Fixtures BUILDING BUILDING (Cont'd) PLUMBING Setback Test Firewall Soil Piping Forms •, Parapets 1st Floor Main Bldg. Scratch Restroom Finish 2nd Floor Footings Cooling *ndows 3rd Floor Stemwall Underground Siding To out Slab Door Closer Roof Sheathing Water Piping Piers ' Roofing Sewer Garage Gas Piping Fdn. Vents Fixtures Footings Stemwa l l Water Piping Garage Vents Insulation Water Htr. Heaters Slab Carport Footin REMARKS OR CORRECTIONS Prov. for ph sically handica edy Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas SI Final •— 3 4 -- i 7 Sanitation Patio FIREPLACE Final Footin s Footino ELECTRICAL Masonry Walls Throat Rough Rel nf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing �`fl/ Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground InteriorLath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r (NOTE: An entry must be made on this form each time you visit the job site.) a:... 73 t, COUNTY''OF BUTTE '— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — ,Urovil'le, California 95965 Telephone: 534-4541 •, APPLIC010N AND PERMIT ...,... _.. .,, r., ,,,,,,...... ...., ...., y v. v L'v tv —1-1 uNvn UIc above-mentione rop rty for inspection purposes. atter SignotyagrPerrnitee or Agent Receipt N—"/ / 2 a- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant' This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F UBLIC WORKS By Date -3-7-9— %_ t . wilding permit expires Date BUILDING - OwnerXo� 0�03m SQ. FT. OCC. BUILDING VALUATION - . ____ - I - Mailing Address 13° i 2 le one No. Fireplace Contractor Total Valuation Mailing Address.yB Permit Fee Plan Checking Fee &/or Penalty ,t el pone o. Permit Fee Building Address PLUMBING No. @ FEE ` PERMIT FILING FEE $3:00 Each Trap - 1:50 ' czUSS Repair drainage or vent piping 0 Water piping 4 1.50 ffe OWI � �� ���� � �� S j ire Each gas water hea r vent 1.50 A. P. No. 0—U 7� —L/)— d %•— (J �{ - Zoning 8 Planning Gas pipings em 1 - 5 outlets 1.50 Each ional outlet .30 Fe W-15'. S ire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 . Bldg. Plans Recd Lpo rcel Approval P pproval Permit Fee $ NEW74f ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service ;$o AMP OROR LESS5.0 Main service EA. ADD -L too AMP 2.50 Single Fa '' Du lex Mobil Home Others 9 y ❑ P ❑ ❑ Main service OVER 600V. too AMP OR ss 25.00 1.00 Main service EA. AD Ioo AMPNELING • OR ADDNS.T( DWC. BLDGS.OCCUP. &) 22sq ft NEW CONST MULTI -OUTLET NON.RES ( BRANCH CIRCUIT512.50ea • NEW C ST R. POWER APPARATUS & NON SID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of lifornia Business & Profes ions Code under the name style 91 ° Ex. Occup(OUTLETS OR FIXTURES) BA FIXED A TS (REST' OR Ex. Occup. ( FIXED APDL SID.) 2.00 Temporary service 10.00 t Mobile Home Fa ' )es 15.00 License N 4 ®� Classification Misc. ,Wiri 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Pe mit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability' for Workmen's Compensation. I have placed`on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this . permit is issued I shall not employ any person in any manner ❑ so as to become subject to the Workmen's Compensation Laws of California. - MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilatio r2O Hood Permit Fee $ $ , I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE v ...,... _.. .,, r., ,,,,,,...... ...., ...., y v. v L'v tv —1-1 uNvn UIc above-mentione rop rty for inspection purposes. atter SignotyagrPerrnitee or Agent Receipt N—"/ / 2 a- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant' This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F UBLIC WORKS By Date -3-7-9— %_ t . wilding permit expires Date 0 COUNTY OF BUTTE - DEPAjRTME.NT OF PUBLIC WORKS 7=Ciunty Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT Q P ERIP41T NQ�� 7) ASSESSO PARCEL NUMBER J ZONING �Z__ BUILDING PERMIT OWNER 1r-A11VC ,ELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS _ C •T ACTOR'S NA �• C '/ TELEPHONE CON ACTa 'S MAILING ADDRESS A/—r�C�-b�/�� . 0 L Fireplace CONSTRUCTION LENDER , / UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $s y •�"•� I $ / ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee _ $ I BUILDING ADDRESSG/ s PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 'y.Sfi 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 STRUCTURE _ SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition Remo/del tilities ❑ Installation[] Other Describe work: 1171:V — S Permit Fee $ Contractor. ELECTRICAL PERMIT Filing Fee. 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 y� li Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 12P'SQft 2� CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): 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. 3�� 3 3 Classification C– 4 / ❑ 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 ULTI.OUTLET 2.50 ea NON.RESID, BRANCH CIRCUITS) 'NEW NON•CONSTR ( POWER APPARATUS &') R ESLD. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES aA 030C FIXED APPLNS. OR \ Ex. OCCUp. OUTLETS (RESID.J EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ' 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. ❑ 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 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 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgme ts, c sts, and expenses which may in any way accrue against wid County i ons �uen of the granting of this permit. X Date /� S Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ oCcUP, GROUP I TYPE OF CONST. F PARCEL PD ND Is7 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–e'a— ?� ��' r �y�� Receipt No._ �S' S WHITE-D.P.W., YELLOW -ASSESSOR," PINK -INSPECTOR, GOLDENROD -APPLICANT This set of plans and specifications MUST be Y' Shall Be i , kept on the job at all times and it is unlawful to NOTE: 'All PJIG`terials &Workmanship Accordance. with R,eco�nized. Good' Practices a^d make any changes or alterations on same with- of a quality prescribed for:the+ Specified use. in, the ' out written permission from the Department of r " ` Uniform Building, Plumbing & Mechanical Code$ Public Works, County of Butte. and the National Electrical Code. i . ,. �.J\�/ �/�'/'_��j ,gyp ' y/'�`i`,/. /8• 1/�r/�, '`�� ' i� t. _ - �.._.... -.- .. 4. - ' ti ��, ', r �� `" � :�✓_7 i!-�. [y,L..(�.1.+^'f�..A1.!(.r:'. �/ till.._ r .. , __. _...._ .-..-.... -A set back-Qf-5-#t.-for =the - '(, j f, property lines and 'a setback ' ` :' � r of''SOftyfromthe`r-oa'd.._._.7.:�..._...-....��_ Y ..__ :_ , -.- --- ---•�;�/...... _ - centerline shall'.be clear of LA—Y strucfures or:equipment-ek�ipt .' • -_'� ; _ . __ __ _ _- ---A—.-- for _for- a 2.ft. eave overhang. +i: J j.. _. - ...�.._ s ��� ,t,«•. -- -IGC:• _ . _� _ _. .....__ _ _ _..._ ._..... ._ 7 � _... . ,..... � "-"-s'�^';7 l.:z :. y.ae.. .f�.+..� � _ ....:I.,_.. r,i..l. ...i- ..:+-.-+Y- . x -- ...- •:r / _[�-�� .. .«. e,,,_I � (� ( -._- - �.- w....,. �..1. .....r... �t,_..__....tw.s.,y.,.ai_.*..__l.•r:,..._;�,.r_�,H,. _..-...._.... ..- �'(.,.:.t.,..r .,......_.. .:-.w..__ ,�. ' ^ - ... `. _ ..«.« •i ....: _... —+...Lit.,. . .L...-� n.- .-f:. �l.l :-.i. �-.. F , _ - . ..Y ^_ _ . ,`,} t�-�-......-.}; ,,. Xs .; Vii,..' �� ' ... Nr •�,a-... ��'�.... �.:_ I , _ 1 _ � I 1 �• ._ .�--.--....�:..,..,,.,},,rar. ..... �'+...-..,f.'y. :+'..�', i-...'\.s .ai .�. .. `_7 t.•, .Y .� _ _j#1Ui C���� L'b �y• TTP" ES --,. r- 3 UILDING DEP.ART.MFNt ";, V. 0+Y_G _ �. _.,. - . ,. �., ?.:Z-.-,,.ev. l'".... : r ,h"• r *' -':eSa ��.., .. ........ , � T:' : u-'• 'r:� •r�'�.: n'r . _ .w. .._r..w+.__� , u' %{� MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. ui®a D . furnish Setup Model No. y yy QJ_ Year Width a g(ft.) Box Length`1 r (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, _ ` .. �`. r'.., tea•-�=• t. Footings (check one) Single ' r MI -t. Wood either. -pressure treated or OHO (ft.)(in.) Center support locations* (ft.)(in.) 2q_$" I -- ,(f j t.) (in. .,.(ft.)(in. 44 -D Z x070 (ft.)l (in.) (in.) (in.) - *If center piers are other than drawn above, -_ draw ins -locations, spacing, and dimensions. foundation grade. El 2. Other (specify) r. Supports (check •one) :. Concrete block. El 2. Other (specify) ;.—Tagalong or Expando,' show support details. -- Typical Support .J Footing Size . �. -- Max. Pier Spacing. (ft.)(in.) (ft.)(in.) -- Max. Overhang 6U 11L.000NII UILDING DEPARTMeN - APPROVED - 2 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:%EX_1A E7-4 2. Installer's name: 3. Is the site currently under permit? Yes f/ No / / • (If yes, furnish permit number ) OR Is the site an existing site? Yes LLZ No (If yes, 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 setbacks and easements? Yes 7Ei/ No / / (If no, clarify ) 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.) 5. What is the mobilehome electrical rating? ----------------------- 101V Amps 6. What is the mobilehome site service rating? - -'Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: el;11,4 (Load) -r7(1 (Amps) 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? T8 (ft.) r _ 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.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE, OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number..42- YI for the following location: # '+• Owner -� Owner's Address Mobilehome Mfg. ,r r `r /->>- �, Model `/ —Year ' Insignia No. ' +' / Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of.Public Works Date / " By r 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, OroViIle — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the followinErviolations 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. Inspector L v� % ��l' Date PERMIT NO. 3610-82MHI(ex :site) PERMIT EXPIRES g1Lm1O OWNER KENNETH LONG � CONTR. Schmi.tt's Mobilehome Ser., Vina A ASSESSOR PARCEL 56-17-21 + LOCATION WAS Cohasset US 200'N Cohaset _ ,t Store; Cohasset . r - _. X, • I k.. 'Temp. Power Pole Called PG&E t; Temp. Elec. Service; i 6 Called PG&E e Temp. Gas Service 2 ,, flvC t- Called PG&E 1 JOB,FINALED (Date) -OJ - Signature Gj`' [- • Y + O — Not OK Not Applicable MOBILEHOMES f MISCELLANEOUS '+~ = Not Ready Date �{ MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks-Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements 2.. Soils; Special MHS ort—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Loc a i—Fall-C/O—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. W51!!!; t at on -Test— semens Needed (Sketch) 4. Wood Awn.; Posts-Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing__ 5, ri ity; Loca = Amp—Concrete'- S. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. as; Location—T — rap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7, Utility Clearance 7,' Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Data Card -BI Date Date Card -BI Date MOBILE ME INSTALLATION (Plans) OK except k's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's onin Requirements—Setffiectts—Ejsr a is 1. Setbacks—Easements ootings; Size—S�Marrijge_ 4,ne 2. Soils; Compaction—Structure Stability t3rEas; MH t-DemaPd-�— Co ctor 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining 4_-ETe_ctricity; M est—Cro ers—Brs'—E.leefances _ 4. Elec.; Receptacles and ,Lighting; Distances—GFI rain'; MH jDst1EaH--Fle rtector . 5. Elec.; Pool Lighting; 15 volts—GFI ater; MHT IEleg, W r-Co®awK 6.. Elec.; Enclosures; Conduit Entries—Terminals—Listed aid Sew�nected-C/CLLo-,err-ade—HD Approval 7, Elec.; Bonding' Metal w/5'—Circulating Equipment—Heater �f 8, Gond Electricity Tagged 8. Elec.; Grounding;;Equip.w/5'—CirculatingEquip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xi i-Insp.—Sketch 1 Cert. of Occupancy 9. Health Department Approval _ t 10: Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card -B-1 Datei Card=B1 Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = 01'I 0 = Not OK - ='Not Applicable fid_ Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 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 7. Piers -Fireplace Fig. -Steel 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 1-9. Gas Pipe; Size & Anchors _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit 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 -Meeh. 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. Insulation -Foam -Looked in Attic F] Yes _ 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes __ 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral []Yes ❑No 75• 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish - 28. Service -Riser Conductors & Ground -Main Disconnect _- 29. Equip. Clearances; Pane ls=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 Card B -I' ---- _Date_ ---__ Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Pero. -it) 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. VetFan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Ovenlow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI 35. Attic Access & Platform if Furnace in Attic -- -- - - -- - - - - - Date----- - Card -BI Date 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 q's Comments at Final: _ 36. 37. 38. 39. Sills; Proper Material & Anchors_ _ __ _ Walls; Studs -Nailing, Spacing& Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__ Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Ring Fireplace Ties or Type A Flue -Fireplace Throat 45 46. 47. Attic Access; Size & R_omex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions_ Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) o��� BUTTE COUNTY ®r��o DEPARTMENT OF DEVELOPMENT SERVICES ° BUILDING PERMIT APPLICATION" c :`- o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o A FEE WILL BE REQUIRED AT TIME OF APPLICATION c0U N'�y Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY **Wherr-filed,{this-applien tion and all supporting material becomes subject to the California Public Records Act. All pu PERMIT NO. r3,?o BIN # ,,lie informntinn elated to this application is subject to public inspection and will lie posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Name Last Name e First Name Address Mail' State City. ��' cn9 State Zip II Phone _'-7 F x E-mail _ S E-mail APPLICANT INFORMATION CONTRACTOR Name Name e J Address Fax State Zip City `' CO=Fax Fax II Zi Phone _log _ S E-mail r �� Lie. # r _Jl O LQ K Class' G/ 'T APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax II State License Number APPLICANT INFORMATION Name. Address 11 City State Zip Phone Fax E-mail APPLICANT SIGNATURE X 40g, A_QL PROJECT LOCATION AP# OS Property A r s City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone o her than liken—se' contractors, a certific to of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 2 LiOY r 0--r Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For -office use only: SRA Yes No Zoning Flood ZonFType Occ. Const. (. Butte County Department of Development Services TIM SNELLINGS; DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601Telephone, (530) 53&2140 Fax .: www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with.the California Building Codes. In addition, your plans .are. routed to other regulatory entities. including but not limited to Planning, Public Works, Environmental Health; and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make: sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) priorto expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections: ' No changes may be made in the original plans and specifications for such work. In order to reinstate action.on a permit after expiration, the permittee shall pay a new. full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit,please contact this office for final inspection. As a reminder to .you, it is illegal to occupy this building .or any. portion of the building for which this permit is issued without a final inspection.., EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by.the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration... The Plan Check portion.of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration.of the permit; provided, no work -has been done pursuant to: the permit. An Inspection may. be required (arid deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hqp:Hmunicii)alcodes.lexisnexis.com/codes/butteco/.. **When filed, this application and all supporting material becomes subject to the. California Public Records Act. All public information related to this 'application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B09-1390 Date: 9/16/2009 Location: 8957 COHASSET RD Parcel Number: 056-170-021 Owner.Name: VANDERVELDEN, LESLIE & ROBIN. ATT GARAGE(576). Signature of Applicant: FILE Phone: (5310) 343-7934 Date: 9/16/2009 California Department of Forestry. and Fire Protection o Butte County Fire Department Fire Prevention Bureau . 1.76. Nelson Avenue Oroville CA 95965 (530) 538-78880ffice, (530) 53872105 Fax Reference Number: B09-1390.. Date: 9/16/2009. Location: 8957.COHASSET RD By: AAM . . Parcel Number; . 056-170=021 Sub Type: PRIVATE GARAGEi: Owner Name: VANDERVELDEN, LESLIE & ROBIN Phone: (530) 343-7934.. Description: ATT: GARAGE(576) Requests for. inspections shall be. made by calling. the Fire, Prevention Bureau's 24 hour inspection. line at (530) 538-6226, there may .be up. to a 10 business day .wait for your. inspection. To.meet the requirements .of Government Code section 51182 and•Public Res ource.•Code 4291, Butte County .:.requires a pre -construction inspection to pro -actively.: provide the below building and site requirementsto: the property owner. Your property is located within'the State Responsibility Area (SRA) of Butte County: All development within the .. SRA is' required to meet the below requirements: ✓ : Public.Resources Code 4290 :.: Public Resources Code 4291. ✓ California Building Code, Chapter 7A Butte: County Improvement Standards: Requirements prior to scheduling the. pre -inspection::. - . ✓ Full plan.submittal to. Butte County Development.Services-Building Division ✓ Driveway and building pad must be identified -on site Structure location must be staked out. on the building site All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://btittecounbLnet/Fire/Fire%2OPrevention/Building"/`20Information aspz Rev'd 517/07 FILE BUTTE. COUNTY: FEE SUMMARY: 7 County CenferDrive Oroville, CA' 95965 . . Department of Development,Services Printed:,9/16/2009 :..11:20 am 0 �V o . cNay... Phone (530). 538-7601 Fax (530) 53.8-2140 ' . Permit N.umber:.1109-1390 Job Address: 8957 COHASSET •RD Contractor: EXECUTIVE HOMES 3042. ESPLANADE . CHICO, CA 95973 . . . Fee Description Account Number '. -'Fee Amount Paid Date: Pmt Amt. DB CA BLDG STANDARDS SB 1413 DB CA SB 1473 10% for DDS 0010-440001-4210504:10114731. .$0.10. DB CA SB1473 90%o for CBSC:1001=0=280.1011473 .$0.90 DB SMIP RESIDENTIAL DBSMIP RESIDENTIAL 95* Dept Co 1001-0-280-1011298 $2.06 DB SMIP RES'5% 1001=0-280-1011298 . $0.11. DBFIRE Fire Inspection (SRA) . 1 4 0 00-45000.1-46172 0-.101001 1 $ 14.00 9/16/2009 - .. '$1,14.00 DBMSC Fire Safe Standards Revi 0010-440001-4210500-101001 $127.00 DBFIRE SR .'Fire'Plan Review ($ . 0100-450001-4617240-101001 $114.00 9/16/2009 $114.00 DBMSC Grg/Shp/Strg Wood Frm No 0010-440001'-4210500-101001 $380.40 DBMSC Grg/Shp/Strg-Wood Frm NH 0010-440001-4210501-101001 $253.60 9/16/2009 $253.60 ' DBMSC Gen'I Plan Maint.Fee Mis . 0010-0-4610311-1011331.1. $28.53 DP Planning Clearance for Perm 00.10 440001 -4210900-101001. $81.50 9/16/2009 $81.50 DBMSC Tech Invst'Fee'MISC Perm. 0010=440001-4610312-101001 $6.34 1;108.54. $563:10:.: . Printed By: Alice' Mefford. Balance Due: $545.44. At the time. of permit application, I was advised the above fees are required prior to. issuance of the. permit. These fes may change during the plan, checking process. Signa Date: 9/16/2009 Pursuant to•Government code Section 66020, you are hereby: not those items listed above may have. been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for. a. protest, are. specified. in Government Code Section 66020(a). Butte County Department of P,ubhi Works T�•O J. MICHAEL CRUMP, DIRECTOR O.� T :LAND DEVELOPMENT'DIVISION � 0. Storm Water Managment.Program. O +o 7 County Center Drive.. •. Oroville, CA 95965. (530) 53&7266:Telephone 538-3.171 Fax,: (530) National Pollutant Discharge Elimination:System (NPDES) Phase II. C'onstru'ction Storm Water Permit and. Storm-Water Pollution. 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