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HomeMy WebLinkAbout058-210-176k ,. 058=210-176 PERMIT#94-2141 SCOTT & SETTLE 4250.,-.PAIUTE DR.,, OROVILLE MOBILEHOME UTILITIES ELECTRIC •-GAS-LINE' COMPACTION TEST REQ ,'SUPPORT STRUCT .REQ Ai10 058-210-176 PERMIT#94-2143 SCOTT & SETTLE 3„ 4250 PAIUTF DR., OROVILLE�f MOBILEHO'V.'. NSTALLATION , Of BUILDING CODE VIOLATION, LETTER'30`DAY 94-1322PE(MH) 058-210-176 SETTLE, Kristy & SCOTT, Judith Prater 4252 Paiute Dr., Oroville Mobilehome Utilities (Aunt lMinnie) Vp'%Q ELECTRIC -?oo Lon w" .GAS LINE COMPACTION TEST REQ SUPPORT STRUCT REQ 058-210-176 PERMIT#94-2039 PRATER & SETTLE 4252 PAIUTE DR ,, OROVILLE CONT: WILLIAM SQUYRES AUXILLARY WATER SUPPLY SYSTEM FOR FIRE, 058_210=176 PERMIT#94-2142 SCOTT & SETTLE 4252 PAIUTE DR.-�i, OROVILLE MOBILEHOME INSTALLATION 62/1200%/ 058-210-176 V4-VYVv PRATER, JUDITH '4252 PAIUTE DR, P SE CONT: OWNER r. STORAGE B ING#2 058-210-176 04-0907 PRATER, JUDITH 4252 PAIUTE DR, OROVILLE CONT: OWNER, STORAGEBUILDING#3 I : 0 � r. �. Y J � a o � � _ f RESIDENTIAL 94-1322PE(MH) 058-210-176 SETTLE, Kristy & SCOTT, Judith Prater 4252 Paiute Dr., Oroville i Mobilehome Utilities (Aunt Minnie) i l e OFFICE COPY Address j r- GAS_ ,j Meter By Date 1 { ELECTRIC Meter By Date% JOB FINALE Signature V=OK O = Not OK *=Not Rpeadyable MOBILE HOMES .I Date/Initials 1111110A&E KOME UTILITIES Plans OK except #'s ng.Requ i remente-Setbacks-Easements So Special MH Support Sketch L,rtewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Locatlo-Clearences-Grnd- Amp -Concrete 8. as; Locatio - a - rep: / / /"Nat. o 'ft./ /"LPG 7. Wel(,CrearanW& Disco/mect 8Ility Clearance D eAn lals MOBILE HOME INSTALLATION Plana OK except #'a /1,4WIng Requirements -Setbacks Easements 1%L F tangs; Size -Spacing -Marriage Line Gas; MH Teat-Demand-Valve—Connector P tricity; MH Teat -Crossovers -Breakers -Clearances ra n; MH Test -Fall -Flex Connector ater;_MH Test -Regulator -Connector / 4%—t-ar• and Sewer Connected -C/O to Grade -HD Approval 4 and Electricity Taaaad Cert. of CA 0 2-S e' /,�_ 0i LI7CI MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1: Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joista-Decking-Bracing-Stairs-Rolls 4. Wood Awn.; Posts-Beams-Rftre-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosurea 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'a 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 8. Elec.;Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V = OP O = Not OK - = Npt Applicilble = Not Ready RESIDENTIAL (Single & Duplex) Date/Iritia.Is UNDERFLOOR (Plans) OK except #'s 1.- Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth, 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors -*yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials 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/Mach. 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 Al 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 -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'a 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/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Ceiligga 60. Infiltration -Wells -Windows Date/Initials 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 -Mach. 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 -Mach. Protection 75. Plb., Elec. & Mach. 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 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION 9 DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico;{CA 71(916) 891-2751 tis 7 County Center Drive, Oroville, CA;- (916) 538-7541 747 Elliott Road, Paradise, CA - (4916) 872-6307 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 notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, 3i please contact this office immediately. _ e r � Q NA 4 S a ✓Y —Y P 066'�i�� `T Date Inspector A /7 REV MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. 22- Z -11k Address or location of mo/bilehome ��h `1 z G>„t�e �D ✓]� Owner's name �J� r� �l� f -I C Owner's address �/ 64 00 /7 Y Insignia or hud number Manufacturer's name ;1 Z Serial number of V.I.N:J3= icifal'AAroving Installation) ,,;'34 Year of manufacture `5 ate IF,?THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEOIOME IS INSTALLED ON A FOUNDATION SYSTEM. j�z��'0�8-a�o�/�� ' 513B White - Owner, Yellow - Installer, Pink - D.P.W. I►:..' , COUNTY OF BUTTE - DEPARTMENT OF•DEVELIIFMENT SERVICES - BUILDING DIVISION _ 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION Alb PERMIT 9q-/���7 ASSESSOR PARCEL NUMBER 058-210-176 FRS ZONING BUILDING PERMIT OWNER TELEPHONE KRISTY SETTLE/JUDITSETTLE/JUDITHPRATER SCOTT 532-0458 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 4122 OROVILLE 95965 CONTRACTOR'S NAME OIaNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 425? PATITTE DR PERMIT FEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.p� D� SUBDIVISION'S NAME PARCEL MAP p 12!� Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome O' Other SPECIFv Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S }@G @20.00 60.00 TYPE OF WORK New ❑ Addition O Remodel 1:1Utilities 4 Installation ❑ Other O Describe Work: AUNT MINNIE PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 1 20.00 Main Service ( III OR LESS 00A OR LESS ) 23.00 1 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP.j OR ADDNS. ( & ACC. BLDS. ) SO. 3.5C FT, NEW CONST. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) El am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ID/I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAO@1:0`50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $ 100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. VI shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ - ju Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 against said C ty in cons a ence of s/he granting of bis permit. X /L C=am Date -gnature of Applicant - Q1010wner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ '0"" rrPE TOTAL FE fA 166.00 HAZ• I D. FEES I IMP I F CO PARCEL PD N ISSU This permit is hereby issued under the applicable provisions of the Butte County C Ede and/or Resolutions to do work indicalonbove for w ch fees have been paid. BY ✓fig ` Date I PERMIT EXPIRES ON ! J Ma tel Receipt No. 162769 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A COUNTYOF BUTTE -DEPARTMENT OF DEVeilv®PMENTSERVICES - BUILDINGbDIVISION 7COUNTYCENTER DRIVE - OROVILLE, CAtI .IFORNIA95965 - TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATASHEET OWNER JA, A.,p o. . > Y 46 7L Proposed Building Use -1•Building Inspector Date S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted. ........... ........................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... alZ 'Impact fees as shown on attached schedule. ......?P. ........... California Department of Forestry plan approva e s /.-t.LS0. F.o -1t Flood elevation letter (100 year flood) by California Engineer. S4 My 14. 'Sanitation and plot plan approval QJ1,0 Health Department . ............ City of Chico plumbing permit . ........................................ . is. -Plot plan and business license appro from City of Biggs/Gridley. . 17. Planning approval for (A) Use: (B) Parking: '5 1 -�rd r1ann;,,q 1 Contact Land Development about (A) Improvements (B) Drainage. ........... �/" 'f_ U 9. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. o e�°, :9;.speaoat r (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... _. - . Owner -Builder Verification (Given to owner , Mail to owner _)............ :?< 24.' Recorded copy of Agricultural Acknowledgement Statement . ..................� 25. Letter of signature authorization . ..................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road...... 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... - 29. Documentation of legal access . ..................... :.. . .............. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed A r, and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... r 32. Plan chef . ................... �— When you issue the permit, proces as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup atoffice. Deliver with inspector. Other Parcel Creation Acreage Applicant J2 �-Date 519M1 9 1 Copy of Haz-Mat form sent Health/Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted o perm i ce: "r w item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date ---00bntractor, designer, ownprr., was advised of above repuired data by _ phone _ mail Counter by _ Date Plans checked by Dates Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works b ► H.H. NLY t sF Plot Phn A -A -A t PI. Plin AM. Sant to B.D.. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location APIA Plan Approved for: Sewage Disposal ,1� Water Supply: Public Private Well Clearance for _/ bedroom mobile home. Other Hold final for: Final clearance O.K., for: / Environmental 8/92 COUNTY OF BUTTE Department of'Development Services Building Div'.sion Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �T. 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 Address City 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 Signed: Property Owner Social Security Date 5� 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 permitted to issue the permit. Return to: AGRICULTURAL STATEMENT OF. ACKNOWLEDGEMENT Z 6 4 3 Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this" acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included ' 94-0206431' Rec Fee 6.00 within an area zoned for agricultural purposes, and residents I Cash 6.00 of this property may be subject to inconveniences or ! Recorded I , discomfort arising from the use of agricultural chemicals, Official Records I including, -but not limited to herbicides, pesticides, and i County of i fertilizers; and from the pursuit of agricultural operations Butte I including, but not limited to cultivation, plowing, spraying, I Candace J. Grubbs I pruning, and harvesting which occasionally generate Recorder I dust,smoke, noise, and odor. Butte County has established 9 s 55am 12 -May -94 I PUBL XX 1 agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County_of—Butte,-State of California, described as follows: DESCRIPTION -C' All that certain real property situate in the County of Butte, State of California, described as follows: Parcel 2, as shown on Parcel Map of Parcel 2 of Maps, in Book 105 of Maps, at page 41, which Map was filed in the office of the Recorder, of the County of Butte, State of California, August 3, t I 1993, in Book 129 of Parcel Naps, at pages 95`'and 96. V { TOGETHER WITH AND RESERVING THEREFROM a right of way for road and I public utility purposes, over Paiute Drive and Dark Canyon Road, as shown on said Parcel Map filed in Book 129 of Parcel Maps, at f pages 95 and 96. j PARCEL TWO: I A right of way for road and public utility purposes, over Paiute Drive, a 60 foot roadway, as shown on that certain Parcel Map of a '01 portionof Section 35, Township 22 North, Range 4 East, M.D.B. & +) M., which Map was filed in the office of the Recorder, of the a County of Butte, State of California, December 22, 1986, in Book 105 of Parcel Maps, at page 41. EXHIBIT "A" Date: PROPERTY OWNERS: - BUD rl�f A, 1°�9TE��eDTr J.4 - blL, 1 J0 0 16 TV A4. 5E7 -7&e' State of California County of On S / before me, +• pc �_/ 2� -Gt` r " personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/hen/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. OFFt97�L JAME CLARK 31 Signature Seal: COU rY OF BUrM 0 axnkme 13e®9. 17,19M 3 --' / �IIRt1A9tAR18AAAEAIWA1Ptt4AB1BOtABIIIEAtl4AR9AtA9tBp3EE9lAA11E4tjlt!{IIIIi� /. A.P. END OF DOCUMENT .. couNr► o� ou��. gt)Il01NG 4�p! :. AUG 10.199�t toafPv Tenalev Full OFFICIAL RECEIPT COUNTY OF BUTTE STATE OF CALIFORNIA OFFICE OF PLANNING RECEIPT 14346 J 225 DAYS R[C:I►T TOTAL FUGLIC •LAICD uoe WAR$ANCes PUOLIC TONING RNV oTNER APPLICANT RECEIVED FROM NO. ptC61V[D WORN/ PCRMITS OOCUML•NT� HHA'LTN OFFICIAL RECEIPT COUNTY OF BUTTE STATE OF CALIFORNIA OFFICE OF PLANNING RECEIPT 14346 J AP # -' 2-12 OWNER�r/��� PERMIT /2- MH UTIL.CLEARANCE DATE INSPECTOR 2 - ELECTRIC GAS Support Struc. Compaction Test -Req. vice Other Pipe" YES NO YES NO/ e Load Type �S ize } Lenjzth COUNTY OF BUTTE - DEPARTMENT OF DEVELC)PMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-210-176 - ZONING FR5 BUILDING PERMIT OWNER SCOTT &SETTLE TELEPHONE 32 -0458 SO. FT. OCC. BUILDING VAL ION OWNER'S MAILING ADDRESS PO BOX 4122 - OROVILLE, 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN - Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4252 PAIUTE DR PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome bOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile HoS G W me @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities O InstallationjX Other O Describe Work: RP #94-1399 =g;;gT2Em- /'t()IV7— in PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service "OVOR LESS ( 200A 0R LESS ) 23.00 Main Service ( 200A To t000A ) 46.00 NEW CONST.DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 W ER APPARATUS ) ( PSIN & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20@1.00 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESIO.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 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 Vncoty in conseq en a of th granting oft 's permit. r 11_1q Y19141Date ture of Applicant Owner Contractor O Agent A OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100-00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 143.00 HAZ. �- I DVJ IMP I FLOOD CDF — PARCEL PD HD .. ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY PERMIT EXPIRES ON Q (Da rel provisions to do work paid. ,/ ate . Z �'7 Receipt No. 156473p WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f , A•»� t 'fevR - "- COUNTYOF BUTTE - DEPARTMENTOFI V1iPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER � � �� !�. P,,, No. (OSI? - a 1 p - /% Proposed Building Use � e 1 Building Inspector Date 7Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. �9. Engineered truss details and layout in duplicate (required prior to plan check). . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... / 10. Fees of $ ........................................ 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. p required. .. to s�;;a;�y (Date) Pre -inspection for to BuigDeg`Inspector` 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. 28. Letter of intent on building use. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed --, and (B) Parcel meets zoning area and frontage requirements. (............... -- 31. Existing violations/expired permits . ....................... �,............. 32. Plan check list . ..................................................... 33. 34. a When you issue theermit, pro ss as follows: Mail to owner. Mail to contractor. �� Telephone �'- nd hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire DeptAir Pollution Date Copy of plans sent Health Dept. Fire Dept. `Other Date By The following data must be submitted prior to permit iss c Circle new item not checked above). 1. Index permit for above items No. j 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTkENT OF DEVELAPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER A.P. # �S —a1,4D - 1-76 PROPOSED BUILDING USE DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES DYZ) 40 (paid at District Office).........--/�-�-� 2. SHERIFF FEES (paid at Building Department) Residential ...... __x --t) =$ unit amt. Commercial (sgft) x =$ -- 3. URBAN AREA FEES sq.ft. amt. (paid at Building Department) Residential (per unit) x , _$ # amt. Commercial (per sq.ft) x =$ sq.ft. 'amt. -- 4. RECREATION DISTRICT FEES (paid at District Office)........ ............... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA. FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT E�' .DATE �C'wc�ii r.-�:.. „i � x 74�,�, .✓::n-'A*�wi'..i.s' ,aaarrsa`ari:.r�i . •'�'.' �+i i � r "��N'�,� �Q`�'�,f'" iinnwr%w'V�+.�'Y:y`'irt�r°'u"'N g;� 110-00,5 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ' (One Form Per Building) School District V Building Department No. A.P. Number asA--- (�^ t7(0Jurisdiction (_ J City -IX County . / A . n Property Owner_ ' Property Location/Address Subdivison Residential Development Commercial/Industrial [U I I No.'of Living MHi ;,,Ynits Lot No. 0 Sq. Footage Addition (Group R) !!�..Gtrt�'i7yt��tiruB-- Sq. Footage New Addition (Including Exterior Roofed Areas) J. Aildingepart ent Representati Da „i (Floor Plans reviewed by School District Personnel) Dis " dentification No. 9.5--_0 Q._.1 ®_.-_____;_.-___ /�� Y hool District certifies t (Applica ) (Street A dres) (Phone Number) .0ko y �� (City) (State) (Zip Code) has complied with the requirements of Resolution No. _ �� � by payment of $ 1,,5 7� . representing©Q _ square feet. C� 8, /99 - School District Representative Date Paid by Check Number —_ _ _ Remarks: Bank Number Paid by Cash ----- - ---- ——�( () —el x S If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the .School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental (duality Act (CE®A), this project may be subject to additional school fees to fully mitigate itsimpact on the school district's schools. White (applicant), Yellow .(building department), Pink (school district) X -feeform-wk1-(4Mr-�. �� 7, 1. Owner's Name: 2. Installer's Nam BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,.Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes © . No (If yes, furnish permit number ( 1 13� ) OR Is the site an existing site? . Yes F] No rV (If yes, furnish two plot plans.) 4. Will,the.mobi-lehome•be-located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes. 1XI No F] (If no, clarify 5. What is the mobilehome electrical rating? --------------- ( Amps 6. What is the mobilehome site service rating? ------------- �Q0 Amps 7. What is .the mobilehome site circuit breaker rating? ----- 10 �2 Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------------------D------=-, Yes No (If yes, identify the load and size: ! (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 10. What is the type of gas'service?------------------- Natural 11. What is the gas pipe length from meter or tank to the / (in.) LPG !L J mobilehome?--------------------------------------------- (ft.) 12. What is the mobilehome-gas demand? -----------------------(BTU) c T *(This information not required if pipe length 1500=$11haVCUsf �an'V``� natural gas or less than 50 ft. on LPG.) Vk"Q vI� � q,V1di/ �`.1 +� NEXT PAGE MUST BE COLLETED TO PROCESS PERMIT APP,L�ICATION. �" MOBILEHOME SUPPORT DATA r . . If other than single wide, Mobilehome Mfr. GL furnish Setup Model No. Width— 0_214) (ft.) Box Length�(ft.) Tagalong or Expando Size, z. Year UQ_0 ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade.0 2. Other (specify) SUPPORTS (check one) Concrete block." 2. .Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Ling amine 1 Line 2 Main Beams Line 2 — — — — — Main Beam, — _ — — � ins Tag or Triple ,r Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ Spacing-Max - ----------------- Spacing-Max. --------- - „ Each Side of Openings From Ends -Max. ------- '- " With Width Over --------- Line 2 Piers: Size -Min. ------------ j Spacing -Max. --------- From Ends -Max.------- Line 3 Roof Loads: v 1,grl 4 - Size -Size -Min. Min. ------ ------ ..x x „ Location (From Front) Size -Min .------------ Spacing -Max.--------- From Ends -Max:------- Line 5 Roof Loads: Size -Min. ----------- ,.x1. „x 11x It ,.x „x ,.x „ ,Lx „x Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ "x Spacing -Max.---------------- From Ends -Max --------------- i P ✓' i0)^ & cc r n i rl 1 .,x k x - „ x „x „ „x „ Line 5 Piers: (Under Bearing Walls Only). Size -Min .------------------ ,.x u Spacing -Max.--------------- From Ends -Max .------------- Location (From Front) RE$IDENTIAL 058-210-176 PERMIT#94-2141 SCOTT & SETTLE 4250 PAIUTE DR., OROVILLE MOBILEHOME UTILITIES �1 I 9 h 3 �i OFFICE COPY r i Address s GASSkE Date Meter By F I ELECTRIC 1 Meter By Date I M - C ELECTRIC Meter By___Date r t� JOB FINALED (Date) Signature z. V= OK O = Not OK Not ReadyApplicable MOBILE HOMES ' Not Ready Date/Initials MO E HOME UTILITIES Plane OK except #'a per Zoni g- Requirements -Setbacks -Easements . of ;-Special MH Support Sketch ewer a`tion-Test-Fall-C/O Concrete Water; Location -Teat -Easement Needed (Sketch) J. Electricity; LOCati n-Clearences-Grnd-/ /Amp -Concrete 8 as; Locatio Tes p: / /" U ft. / /"Nat. or 'L"ft. "LPG Well ance a& Dlsc nnect l tility Clearance Date/Initials MOWfEAOME INSTALLATION Plana OK except #'s Hing Requirements -Setbacks Easements F ttngs; Size -Spacing -Marriage Line j,,8�Qas; MH Test-Demand-Valve—Connector t40'Elgctricity; MH Test -Crossovers -Breakers -Clearances L5/Drai"H Test -Fall -Flex Connector /fiNffater; MH Teat -Regulator -Connector 7, -Water and Sewer Connected -C/O to Grade -HD Approval 8. Gis and Electricity Tagged 1 9. zits; Insp.-Sketch j 10. rt. of Occupancy S- 69 11 X, X17 � MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=(Got OK -=Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clea rance-Materlal-Support-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil 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/initials 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/Meth. 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 Al 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 -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials 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/Initials 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 Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials 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 -Mach. 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 -Mach. Protection 75. Plb., Elec. & Mach. 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-Draina e & 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; Pibg.-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 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE h COUNTY OF BUTTE t DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 M PERMIT N0. !24/-Z/ 3 r Address or location of mobile/home:71IA p; MOwner's name o Owner's address . 0 �0 25, ?, • Insignia or hud number 7 r a` Manufacturer's name cl r / (� 4.• Serial number of V.I.N. �. � �� t J(jov Year of manufacture (Of ici A: ro ing Installation) k(Date) t IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE ,f MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. I COUNTY OF BUTTE BUILDING QIVISION E, DEPARTMENT OF, DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER / PERMIT NO. �t A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. " Date / L Inspector ,4-11 REV 10/9 COUNTY OF BUTTE - DEPARTMENT OF,DEVELQPMENT SERVICES - BUILDING DIVISION _ 7 County Center Drive - Oroville, Califorrlia'95965 ,,Telep6one (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9/_/ `.? ASSESSOR PARCEL NUMBER 058-21-176 ZONING FR5 BUILDING PERMIT OWNER . SCOTT & SETTLE TELEPHONE 2 0458 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 4122 OROVILLE, 95965 CONTRACTOR'S NAME UIILSON TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4250 PAIUTE. DR PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAMEPARCEL MAP 129 9S Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF C)Duplex ❑ Mobilehome Al Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 1 X 09 1 VA 1 @20.00160.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities] Installation 1:1Other ❑ Describe Work: MTiT1 PERMIT FEE $ w.00 Contractor ELECTRICAL PERMIT Filing Fee 1 20.00 Main Service6001 OR LESS ( 200A OR LESS I 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) gO, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I ama licensed under provisions of Chapter 9, Division 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 compensation, will do theyvork, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ' ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) 8 SINGLE OUTLET C.R. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPS. OR ( OwUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring.00 Lt 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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 expe es which may in any way accrue against said consequ ce of the grand of this permit. 'JI- "27_94 AppI nt - Owner ❑ Contractor ❑Agent WnHApermit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FEES IMP F O C PARCEL PO H ISSUE �--Date/ This permit is hereby issued under the applicable provisionsof of the Butte Coun ' Code and/or Resolutions to do work indi to fo which fees have been paid. B Date PERMIT EXPIRES ON (Date/ Receipt No. 156472 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..,�yi,e^�`rr1�3'•Nyiw^'�,+�xr[�.+r•:.�i....F �..�,�„rr,4'�1R,.,..•iw•'4✓''-i�#,+'-'�_O'wY'k�,,,,,�,..,t•, �..;,rh�-1 R,'t\fe�a!`•^.+^'ti`.d-5i�y,SL�i.•'y�i�-�1Pa..,.ti:�'Slc--,4.ti,}:r.�r.4�rhtai:r+;:t!N"w�t-•�'r CT^.^-+r'n... COUNTY OF BUTTE - DEPARTMENTOF D .L*®PMEN�S RVICES -BUILDING DIVISION- 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 !TELEPHONE(916)538-7541 r PERMIT APPLICATION DATA SHEET p� OWNERS A. P. No. Proposed Building Use Building Inspector Date19 .19 o2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1 • All items have been submitted . ......................................... ` 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparerof plans. ........ 'i ............ 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans ............... 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings : ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobil home data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. .......... 12. California Department of Forestry plan approval/fees.Q4A- S . W.. 13. Flood elevation letter (100 year flod) by California Engineer . ................. . 14. Sanitation and plot plan approval MZ Health Department . ............ r' 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ` 17. Planning approval for (A) Use: (B) Parking: ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for Frnanspection reyu� p required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .... . 22. Certificate of Workmans Compensation Insurance. ...........# ...., ...... . 23. Owner -Builder Verification (Given to owner , Mail to owner x ). ........... r� 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ..... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... ' 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... . 31. Existing violations/expired permits . ...................................... 32. Plan check list. ............. ............ j 33. ��l',NC�P r^ U-S,p S 34. W When you issue the peermit, process as follows: Mai o owner. Mail to contractor. Telephone - and hold for pickup at office. Deliver with inspector. Other Parcel Creation r/ Acreage Applicant 4�ate--r- Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Po lution .Date f Copy of plans sent Health Dept. Fire Dept. Other Date, _ By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. T 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by - phone _ mail Co4qter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance H.H. Plot Phm Attached l Floor Plan Attached Scotto B.D. / Owner Location AP# Plan Approved for: Sewage Disposal" Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental 8/92 to speciaust COUNN O SUTM BU�L�IN 0199 .s/,y a 6 Fun lt�at'Pr� Ten�ev 00 Aa r' J.s NdE Fe-e'A.R. RECEIPT 14346 OFFICIAL RECEIPT COUNTY OF BUTTE STATE OF CALIFORNIA OFFICE OF PLANNING ISSUED 13V . 1 . _ _ - - -- - ---- --- --- -- - -- - - . - -_ _. _ — ---- - 8/4.� OAT■ RECtOIPT TOTAL PUDIIC LA/co Us■ VARIANCUS PUWLIC ToNINa KNv Of"UR - APPLICANT RECEIVED FROM M. RLCi1Vao WORN/ PtRMITS OOCUMCNT• NQALTN RECEIPT 14346 OFFICIAL RECEIPT COUNTY OF BUTTE STATE OF CALIFORNIA OFFICE OF PLANNING ISSUED 13V . 1 AP # % n OWNER PERMIT `# MH.UTIL.CLEARANCE DATE INSPECTORZ— ELECTRIC GAS Support Struc. Compaction Test eq. lice Other Load T e Pipe Size Length YES NO YES NO COUNTY OF BUTTE - DEPARTMENT OF, DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive- Oroville,_Califomia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9 4/ ASSESSOR PARCEL NUMBER 058-210-176 ZONING FR5 BUILDING PERMIT OWNER SCOTT & SETTLE TELEPHONE SO, FT, OCC. BUILDING VAL OWNER'S MAILING ADDRESS PO BOX 4122 OROVIL•LE CONTRACTOWS NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDEWS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4250 PAIUTE DR PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP 1-77-9,5 Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities ❑ Installation � Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 r 4r L i7� Main Service ( '"ORLESS ) 200A OR LESS 23.00 // Main Service ( 200A TO 1000A ) 46.Co NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) so. 3.50.T CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a XCertificate of Consent to Self -insure. Ishall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. NEW CONST. MULTI -OUTLET .NON RESOD. ( BRANCH CIRCUITS ) - @7.510 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 1.0000 BAL. Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and a enses which may in any way accrue against said ce of the gr ting of this permit. consrqRcanP Date � *Signture of Ap 'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ• a I D. FE IMP Flo CDF PARCEL PD HO 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. f� / a �Z 7 By Date PERMIT EXPIRES ON /Date/ Receipt 156474 .D. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C ...,e*•'.yr,'+\rrrir;cri..�i+wq.wr•rwv..<N�`w'x:_:r.. `taar�n'a,c 1F+r'c•vc�l'�'`�`%r. �it`kT sir.,3°�.."?C-�yyl�. t ,� �w ."fi Y 5C'{R M +r.:,;,i. .f..,....-. ..a t '�.,Y. 41 7 '" !'^' Y' ,,;.rr "R 1i. • .r. l�'- rrs .,�•- o Q, t COUNTY OF BUTTE - DEPARTMENT PMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CJ%1 d6 1A95965 -TELEPHONE (916) 538=754:1 •,. PERMIT APPLICATION DATA SHEET OWNER A. No. 5 2S' o� /a - '7 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: IF DATE RECEIVED BY 1. All items have been submitted . ........... ............................. 2. Plot plans, 3/4 sets, signed by preparer of plan s . .......................... - 3. Complete plans, 3/4 sets, signed by preparer'of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................................ 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .. 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........ . 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees......... . 13. Flood elevation letter (100 year flood) by California Engineer. .. ? ............... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business'license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. . Pre -Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (Not, Name Style, Classification) . .............. s 22. Certificate of Workmans Compensation Insurance . ....................{ .... �� 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . �27. Letter of intent on building use. 28. Mobilehome.utility clearance . ....................... . 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................... :................. 32. Plan check list . .......................... :............................... 33. t 34. Wheryyou issue the permit,_pr cess as follows: Mail to owner. Mail to contractor..,," ✓✓ Telephones -b45� and hold for pickup at �� ,o - office. Deliver with inspector. Other Parcel Creation ��� (y Acreage Applicant J�'��--�9'ate 0b Copy of Haz-Mat form sent Health Dept. Fire.Dept. Air Pollution Date ' Copy of plans sent Health Dept. Fire Dept. Other Date Bye t` ` The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail C. nter Date� Plans checked by Date Plans approved by Date 11 � I Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 4 ' COUNTY OF BUTTE - DEPARTMENT" OF DEVELOPMENT SERVICES - BUILDING DMSION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER A.P. PROPOSED BUILDING USE r/ ' DATE REC. # ATE REC SCHOOL DISTRICT FEES lie (paid at District Office). _2. SHERIFF FEES (paid at Building Department) Residential...... i x_% =$ o% unit amt. Commercial (sqft) x =$ —'— 3. _URBAN AREA FEES sq.ft. amt. (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. -- 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT' FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE �`�y . � °� 5��+tkY�x' j`SiIr�7�i�i,§�'�� �'�4 ��yt , ���....,� {���'e�'"tL."r+ �#�N�!]{rkfyt;'w������p,�i;rt��r;��i; �++�1^t^4+-�'""*ya�.(*�; �..,.pr1l•.4:ETrKi:'� 4I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM' (One Form Per Building) School Districtt_ _ Building Department No. A.P. Number" a/(�� Jurisdiction �_ City County Property Owner _�` Property Location/Address cc Subdivison Residential Development Commercial/Industrial No. of Living MHi Units C� New Lot No. 0 . Sq. Footage 1 0 Addition (Group R) 0 Sq. Footage Addition (Including Exterior Roofed Areas) Bu ,ding Department Re resentative Dat (Floor Plans reviewed by School District Personnel) Identification No. l) , �IA (Street,/ (City) 95:001 hool District certifies that has complied with the requirements of Resolution No representing ..M� _square feet. School District Representative (State) licant) (Phone Number) (Zip Code) -----D -� by Payment of $ 0 0 dq.c2l 19q�-1 Paid by Check NumberRemarks: Bank Number Paid by Cash -------------- If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White_(applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: / i o 01 2. Installer's Name: CS O 3. Is the site currently under permit? Yes © . No (If yes, -furnish permit number qq-J14I.) OR Is the site an existing site? Yes No (If yep, furnish two plot plans.) 4. Will the mobilehome.be-located at least 5 ft. away from septic tank and leach 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. o���(� natural gas, or less than 50 ft. on LPG.) �-�-�� cb tt DEP P" NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT ah/. fields and clear of all setbacks and easements? Yes No F-1 , T (If no, clarify 5. What is the mobilehome electrical rating? --------------- I O`S Amps 6. What is the mobilehome site service rating? ------------- Vy Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served b eo ; • lv 1 FX F�! mobilehome site service? ------------- ----- Yes No (If yes,, identify the load and size: ,' (Load) (Amps) t 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is _ type of gas service? ------------------- . . -, NaturalLPG . - . Fl... -- . 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. o���(� natural gas, or less than 50 ft. on LPG.) �-�-�� cb tt DEP P" NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT ah/. MOBILEHOME SUPPORT'DATA If other than single wide, Mobilehome Mfr._PaC(ILMq furnish Setup Model No. Ykrar (� Width�(D (ft.) Box Length5I(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one),F"7/Nl. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block.2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE inLine 1 Main Beams / Line 2 Line _ _ _ tin e 2 — — — — — Main Beams —Tag or Triple Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min- ------------=----- ux n Spacing -Max. --------- ,_ Each Side of Openings From Ends -Max. ------- '- " With Width Over --------- " Line 2 Piers: Size -Min.------------ i „x Spacing -Max .--------- - n From Ends -Max.------- ' " Line 3 Roof Loads: "X ,� Size -Min ------------- T "x "x 'k "x "x Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ y� Spacing -Max.----------- From Ends -Max -------------- /7 Location (From Front) Line .4 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.:-------- From Ends -Max .------- Line .5 Roof Loads: Size -Min.-_ ------- location (From Front) Size-Min------------------- Spacing-Max ---------------- From ------------------ Spacing-Max---------------- From Ends -Max .------------- p,9SIDENTIAL 058-210-176 PERMIT#94-2039�� - PRATER & SETTLE 4252 PAIUTE DR.., OROVILLE CONT: WILLIAM SQUYRES AUXILLARY WATER SUPPLY SYSTEM FOR FIRE v t r V=OK O = Not OK -=Not Applicable Not..Ready MOBILE HOMES ' = Date/Initials 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 -Teat -Wrap: / /" L" ft. / /"Net. or/ /%'X/ ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials 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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORT% GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs: Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Truases 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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 lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts-Jolsts-Vents-Cripples 15. Access & Ventilation 16. Insulation Date/Initials 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-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ina. 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/Mach. 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 Al 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 -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials 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/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials 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 -Mach. 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 -Meth. Protection 75. Plb., Elec. & Mach. 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 ❑ Yea 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 Comments at Final: �,*vi oryaG� STATE OF CALIFORNIA—BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT o ' DIVISION OF CODES AND STANDAWS c�yV Ty Off` ACTIVITY REPORT AREA OFFICES ? Date 1 -�- g Report by L /tJ 4 S � wthern Area ct_ LJ tr V Third street (�' �� �9H V ?iJ �C A.,7CC ) r v� 8a,:ranwnto. CA 95814 To: Name P.(. Box M? Address /% p �X 1/ •7G C A/, t o Sacramento, CA 95812.14oT Tel. Activity Site (If other than above) - ��/ 'SZ; .T� /piT 7`C it Southern 445-0135 , Area ❑ 2038 Iowa Avenue Bldg; B, Suite 1o2 Riverside, CA Owner (If other than above) 92607.24W Address / D 13 dx e! / Z i— Tom•: 614) 792.4420 P POSE OF REPORT: (Checked( as appropriate) INSPECTION RECORD ONLY. ❑ INFORMATION ONLY •: ❑ NOTICE OF VIOLATION AND RELATED INFORMATION:_ This report provides notice of violations of the California Health and Safety Code, Division 13 or the California Code of Regulations, Title 25, Part 1, Chapter _, Sections indicated. Copies of the regulations may be obtained from the State of California, Office of Procurement, Publications Section, P.O. Box 1015, North Highlands, CA 95660-1015. Violations indicated shall be corrected and a written request for further inspection filed with the Area Office indicated above on or before The request for inspection shall be accompanied by minimum fee of $ A permit shall be obtained from the Area Office identified above for work to co, rect item(s) # If you believe this report has been issued in error or is factually incorrect, please confect the Area Supervisor at the Area Office indicated above. INSPECTED UNIT IDENTIFICATION: Type of Unit "Ili Box Size Overall Size RT Decal No. 14 r f7 -yam 3 �r Manufacturer, Year and Model / 9�r �i�%C L /YJ/,ile-, c� HUD LABEL or HCO Insignle No. Serial'No. or V. 1.`N. O �' 0 FILE IDENTIFICATION CPT # FAC. ID # ASSIGNMENT # LABOR DATA: Sc DR ID Z DATE�O PCA/ACT CODE Of/y-4 11041'1- AREA CO 0 K LOC TR MILES TIME: INSP /ACT TR INSPECTION DATA: H;� REPORT ONLY INITAL INSPECTIO ❑ REINSPECTION # HOME/UNIT # FLOORS Z•—� VIOLATION DATA: TOTAL MP TENANT S_F_E_M_P_G/O_NP_ MH ALTERATION TYPE: .�p�7 AC [:1 ACC ❑ ROOF ❑ FP [1 0;9 THIRD -PARTY MONITORING: OAA ® -HO ❑ • IP ❑ OL ❑ rs DAA # PLANS # COMPLY MP INSPECTION DATA: - BLG/FIX _ MH LOT _ RV LOT_ AS FH INSPECTION DATA ❑ AC77VE - ❑ INACTIVE MAX CAP P CAP OCC SFD DORM MH/RV 0 FEE ACCOUNTING: COL#� USED DUE ATTACHED' INSPECTION _. �;.. INSIGNIAi OTHER G ATTACHED FEE I.D. INSPECTION RESULTS OR INFORMATION:,C/7 7, �'iyS fl-sd-J Yl. Ooi� m.r 6. /�� �-,i �a a •y;C �d / .JGO�r,� Lii�,vcC. �a i ..RECEIVED BY: TITLE -DEPARTMENTAL , USE ONLY. Actlon `M , Y : r -f + I 'Close Fjle {] Relnapeotlon RegWn �'„ .Ep ogress Irispec"tin Required �- ❑ . EnforcementAc t.on N x 1 • * } eeded , , ❑.ay..OMer • K, SEND COPIES.' OPIES TO; .:.Rec!P1 �, �]: Owner-'- ❑;:.SAA < .. ❑ .OL ❑ .•- Other.,- SUPERVISOR REVIEW - DATE COPIES BENT..BY. -DATE Hcc-et (Rev. s->gt) 91 919211 PAGE 1 of COUNTY OF BUTTE - DEPARTMENT OF DEVE110PMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califor`ni195965 - Telephone (916) 538-7541 � PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-210-IXE 176 ZONING FR5 BUILDING PERMIT OWNER ' PRATER/K. SETTLE,TELEPHONED. SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS A959 PAT.11TE DR, OROVITLE CONT EST. 1,200 CONTRACTOR'S NAME WILLIAM SQUYRES, TELEPHONE 342-1012 CONTRACTOR'S MAILING ADDRESS , PO ROX 1176, C-14TI20 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4252 PALUTE DR OROIVLLE PERMIT FEE $ 72.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other WATER SUPPLY SYSTEM SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O Installation ❑ Other }@ Describe Work: LY SYSTEM FOR FIRE PERMIT FEE $ 35.0 13 Contractor ELECTRICAL PERMIT Filing Fee 20.00 f/)� f Main Service 'OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) so. 3.50 FT, - NEW CONST. MULTI -OUTLET .NON-RESID. I BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I deFlare under penalty of perjury (check one) 1 am a licensed under provisions Of Chapter 9, Division 3 of the Business and Profession a r7� li ense is in full force of t. Argy @ani License No. ` Classification ❑ I, as the owner, or my employees with wages as tfFeir sole compensation, 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 contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code for this reason I POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O, This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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 a enses which may in any way accrue against said Co ty in con a uen� owe ra g of this permit. X YL\�}`-• A Date a Signature of Applicant - ❑ Owner Co tractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ -'"� CONST. TYPE TOTAL FEE $ 107.0 HA2. D. FEES IMP FLOOD CDF PARCEL PD HO I E This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been Af�w�- BY �eA*5 PERMIT EXPIRES ON t tcl provisions to do work paid. ReceiptNo. 166gg8 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTT • DEPARTMENT OF DEVE�tR7 hiiIST�SERVICES -BUILDING DIVISION 7COUNTYCENTERDRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 z� A. , PERMIT APPLICATION DATA SHEET OWNER fi'�C� ,���/ � Proposed Building Use No. U b dr - Building Inspector 9Date _ 2/0:/7 - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: / f DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. .10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 28. 29. 30. 31. 32. 33. 34. All items have been submitted. Plot plans, 3/4 sets, signed by preparer of plans. .......... :................. Complete plans, 3/4 sets, signed by preparer of plans. .. j* .................. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ......:. ............. Engineered truss details and layout in duplicate (required prior to plan check). .... `` Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ ........................................... Impact fees as shown on attached schedule. ....................... . California Department of Forestry plan approval/fees. Flood,..elevation letter (100 year flood) by California Engineer. ........... .... . Sanitation and plot plan approval Health Department. ... � ........ City of Chico plumbing permit. ....., ................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage. ...........` Driveway permit (construction approval required priorupancy). .. Pre -In ... r spection requ�- Pre -inspection for , occrequired. . to Building Inspector (Date) Contractor's license inform ti NNV.-, WaTe S e, ssification). .............. Certificate of Workmans Compensation Insurance . ....................:..... Owner -Builder Verification (Given to owner , Mail to owner _). : �-~� Recorded copy of Agricultural Acknowledgement Statement . ................... Letter of signature authorization . ............................... :.......... Copy of recorded deed of parcel creation and.60 right of way to a public road. ..... T Letter of intent on building use . .......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . .................:...:................. . Documentation of 50% subdivision developed or (A) Road -improvements completed ,and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ..................................................... 4 When ou issue the permit, process as follows: MaMLC wner. Mail to contractor. Telephone3y.5- /D! Z- and hold for pickup at office. Deliver with inspector. Other Parcel Creation Date ) Acreage - Applicant Copy of Haz-Mat form sent Health Dept! Fire Dept. ! Air Pollution Date I Copy of plans sent Health Dept. j Fire Dept. Other : Date By I The following data must be submitted prior to `permit issuance: (Circle new item not checked above)'. 1. Index permit for above items No. A a 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail r Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail ter by Date Plans checked by Date Plans approved by Date ` Sets of plans on hold 1n File cabinet AP folder%�z/ Copy -Department of Public Works 7 ( sw 0 � NIB("O 200 1b. wmir') bronnCheck Horizontal Swing - Repriding IYpe - Rerw.-ml)lo IA;c 200 PSI Non -Shock C%jld Water KF -403-W NPT to NFIf to 14.1cciflicalioll: MATF-TUAL LYS, A ADE IN AMERICA ICT' -403-W thrt�.'aded DIML11SIONS PART SF,tl;ll ICA I Wit • I Ulnlrn:Nonihmi limii.-i! A!31 M 11-10 P. Reidy 1,51M 3. Ifillve Fill li,m...: .."IIA LI -1411 Alloy C:,I,lfx. III 13.11 Cultist !4101 11 13.1 Alhy 4 Nut M. 011.111fillf IA H.lflovl.f Ulll 11jum-.1 11.9i Alhv b. (fiv. lifildel Cnu1 9 k;ll.l A W 7. font (;I!;(. V111.1.1 lilt A I') to 16. if 9i I-Ii.q. 165[i1x1 It llill(lp, Pill 1,11.11 &,;If.f B-1-10 Ajloy 1'cllxxl (fI,A IQ Seal llise V4hi A 174 Alloy UIPS(.�) 'IJ el 14', 11, 1%, J --d Its I triliv. A ADE IN AMERICA ICT' -403-W thrt�.'aded DIML11SIONS WCIGII I IS OIJAN I ITIFS Ulnlrn:Nonihmi _-Hasler Aillolur 13.11 Cultist !4101 A b Nut M. 011.111fillf IA I 'A if to to fill Y! NI IIA A! Al 2 -1.9 4 4 Hit. t.0 K I 41le 1`11110.) Oteck %-,!to ... ituy No hv%I;illt0 in IYIIIt ill l/1: 1,,131 .111.1 vollnull latev -ith til) illimillellinle NILIC-0 ULK I I/% IT, INDIANA I 15 h1 c;a 1' — 1 '�+ �'i �•/ �; L'i 4.1 r:4 1'. F_ r' V 1-1 I Q Q _--_.---.�............._....._ . P 1 1. Attach valve to tank wall and connect vpivo inlet to water supply, 2. Valve outlet must be 90° to water level for bind -fro,? operation. 3, Screw stem and float to short arm. 4, Rotote arm and s►om for desired water levcl, fliakion shore omi 111u1116K,-w. QUESTIONS? TECHNICAL, ADVISE? CONTACT OUR ENGINEERING DEPARTMENTO J$Ooj 877-6237 t 05/04/94 09: 11 PSH D-IPPLY -r 9169911779.3 . PO4 ' k,2/0'):•?1 kl'lIUif T 916 631 6940 ' PtlgLHh - ) Ir I) N.b6 HD -8600 Molt Indox Series Rotational Molding trades Density 0.9 Dosorlptlan HD -8600 serles the Ilnear high densltyy polyethylene resifts that Provide outAtAndlrlg environmental olfess crack resistance. Properiles are well sulled for the rotomolding of lar a parts that require a combination of stillness and creep resistance. This product Is capable of rSplaoing 01'080-llnK ►esN1 In motet applioallons. See your repwantative for complete details of the following: HD•GGGO Tully forrntillhlod long tor111 UV otrablllty Pucka®p In pallet form. HD -8601 Fully formulated Ionto term UV stANIlty package In 91'ound form, Tynloul A.ppllaatiGne it Largo agrloultural tanlc o Industrial producte 1. 8sh Mandllltg HD -8600 Series prados are free-flowing produole. They 00.11 be conveyed and red throttph'syslems designad to handle rotational molding resins, provided appropriate equipment modillcallons are made to prevent (accumulation of dust partioles and fines whloh alle present In All polyethylene resins. ' , National Dire Protection AseoulAllon (USA) Standardb (NFPA 654. NFhA 80) Indioate polyethylene (Inas and dur~t from granular or other forms of pulyetllyl9ne oan pose an explosion hazard under oerttain conditions. Facilities and procedures should conform accordingly, Flosin handling systems should be equipped with properly designed Nllors and be Operated to avoid 1e0kAO#a of flnafs or dust to the outside, All System colYlponents must be proporly grounded Slid 000d housekeeping Should be praoticed. Polyethylene realtts will burp when Supplied with enough float and oxyg®n. Avoid cotllAot with opal) flame or other Sources of Ignition. It la reoornmended that dust concentrations In lho wyrkplace not exceed the parmissigla exposure limit set for nuisance dusts (ACOIH-1903). For more Inforr>latlon see: Material Solely (Jetta Sheet -Polyethylene M$D #30010, available frorl) your Exxon Chemical Canada represontAtive. Processing Conditions Tho HD -6800 eeflee grade can bo roedily processed on oomlTiOrOlsily rtvallable rotational molding machines, Wide variations of oven temperature and residence tinlo oan be tolerated wIthoUt Impairing the produot's outhiaridlrng low ismp�erStwe IMIMI resistenoe. Contaol yolir Exxon represlantAilve for prooveoing recomniancidtlone spociflo to your "ppllcallo►) and equipment. Kood PaokagIng Th9so ruelne moot speomootions contained In FUA Fleputations 21 CHI 1 Y7. MO, (c) 3.2 and so may he u®ed ao an articlo or oomponent of tarlicfes Intended for use In contact will) lood, sub)ect to any limitations In the regulation. I1111 111161rhAll6A Matte unly 10 Intl Op"It1O m.lonal 09019,191ya 11 Ir•e Ills! 01 IllanO1110110 ping Ilse1610+19 melhoda Indicrllvd, Ona may 011100 vrlid for eu0h A16011141 41;100 ill 0011tlnallon Oh nn that n%X101Mlr Or In ny 61tutOel a. Of oulhnp4lodoaanrdbellol IGO ill�eandINOIGAO010160Ngh 018tornpll�iv, to the ed.Moy.,t Oi,no NVis6en1011on. WAnO11fy or Oblrpntee Is nlp00 0e 10 110 e9evrpcy, 1e110Dlllfy or porn 1919n911.11IAVIe11sofs1e9oon9ibfliylPOtllielyldmsellat191holyllpbUilyend onmpqun pa vl yuan IntrllmnllOn 101 (III O*n pitillnulor ole, and wl nllhll A9 all p/rIli l„anw e1 Il,a rnelelleu, 601 <!V 00 enaepl 11e01111Y Ill Anl1 Uu Or OAM09e 11131 m0y Octul (Joni 910 VIP 01 Inle IMO(MOIltjrl pf Offor any rlmloy 6041AiI VAJOnl Inlring0nlenl, VXXON OMNMICAL CANALA k10111nO Addle- RO. 009 JIM, ti,ollon °R'. Toronto, Onlndo MDV IK9 a17 C Horizontal Multi=Stage Jet/Centrifugal Pumps Design Series HMS Series pumps are available in 1/2,314, 1 and 1-1/2 HP models for a wide range of applications in deep or shallow wells. In shallow wtells (to 25 ft.), sell -priming jet pumps develop pressures exceeding 60 PSI and offer capacities to 57 GPM. Deep well applications accom- modate (to 160 ft.) single or double pipe installation - 2", 3" and 4" piping. These develop pressures to 130 PSI and offer capacities to 26 GPM. Trouble-free automatic pressure regulator is available for deep well applications. Pump may also be operated as a self -priming centrifugal (to 25 ft.) to provide a wide range of high pressure pumping capabilities ... with heads to 167 feel... capacities to 62 GPM. Applicatioi,ii s .... Water systems and sprinkling for homes, farms and cottages Materials Body - one-piece rugged cast iron Pump and motor shaft - stainless steel Impeller - Lexan' Diffuser - corrosion -resistant cast iron Ordering Information HP Catalog No. Pipe Tapping Sizes Stages Motor Approx. vultage Wt. Lbs. Sucl. Drive _ Disch. 1/2 IIMSC 1-1/4" 1" 1" 1" 2 -1 _2 _ 115/230 46 115/230 50 - 3/4 I-IMSD 1-1/4" 1" 1 HMSE 1-1/4-- 1" — — 1"--- 2 115/230 80 1-1/2 HMSF 1 1-1/4" 1" 1" 2 115/230 85 AUTOMATIC PRESSURE REGULATOR - DEEP WELL ' Catalog Approx. No. Des0plion Application Wt. Lbs. Pkg. 107 Regulator, tubing. Required for ALL 4 pipe plug and deep well installations. compression fitting. Order pump and pressure regulator it required. from ordering inlormalion tables above. A jet package and the automatic pressure regulator described above. are required on all deep well installations. jwj, It r`";;i . BTA- RITE' Features Automatic Pressure Regulator - Faster -acting and quieter, design eliminates "hunting" for correct drive pressure. New improved stem and guide are precisely molded to assure efficient, trouble-free performance on all deep wells. See ordering information (Deep Well only). Quality Construction - Close - grained cast iron pump body is rugged, one-piece unit, specially treated to resist corrosion. Drain port provided for easy winterizing. Precision -machined Diffusers - assure faster priming. Mechanical Shaft Seal - Precision lapped and highly polished carbon - ceramic, stainless steel construction. Internal design guarantees continuous water lubrication for maximum proieclion. Z.Eltitiri'f:l'su•�N9:rr' �r?Gi:i.`tl TtiliC...'�i for perfect balance, and ultra -smooth for highest performance and efficiency. Motor Windings - Superior insulation materials protect against excessive moisture and contaminants to ensure prolonged motor life. t Dustproof Cover --All electrical components are protected from dirt, dust and insects by a dustproof canopy. Ventilating air cannot contaminate vital switching components. This eliminates the most common cause of motor failure. Balanced Rotor - Rotor is die cast under high pressures for uniform performance and greater efficiency; dynamically balanced. Heavy-duty Ball Bearings - Shielded, permanently lubricated bearings are extensively tested to ensure extended life and smooth, quiet operation. Pump and Motor Shaft - One piece threaded shaft for positive impeller drive and alignm&l. Shaft is stainless steel for maximum corrosion resistance. a-Lexan is a registered trademark of General Electric Co. STA—RITE. BqjIt On Commitment. 5-7 Horizontal Multi -Stage Jet/Centrifugal Pumps Centrifugal Performance te0I .. ...(.. tiySF f � 1140 NOTE: Dotted lines indicate performance reduction at high suctionlift. Pkg. #107 and Jot not required for shallow well Installations. NOTE: Pumps installed with a CON -AIRED tank ' require a 100# relief valve. Pumps installed with a conventional tank require a 75# reliel valve. Relief valve must be capable of relieving 9ntire f!q.v of pup at repel pressure. - 170 I .. ..t .._ .:._. ..... .... 100 .. Press. Switch Selling �._.... ._' ... ... _... _._. 1/2 HMSC 20-40 5 19.0 14.0 8.5 50 10 18.0 13.0 7.0 48 15 p 11.5 5.5 46 20 16.3 10.5 4.0 ..... _...,.... .1 �......�A..1 !151' � \i ...._1 \\ ` _...... 42 3/4 HMSD 30-50 _ 5 I 28.5 22.0 13.5 60.5 10 32.7 27.0 I1 \ 15 31.0 25.5 18.5 9.0 56.5 20 15 '10 24.5 17.0 6.5 54 1 HMSE 30-50 25 ._ • o 52 i• II W yo ... . NO...... 1. 10.5 65 10 43.3 CAPACITY U.9. GALLONS PER MINUTE? 7.0 63 15 Pump Performance- Centrifugal Application HP Cat. No. Press. Switch Selling Total Sucl. Lilt Ft. Discharge Pressure - PSI Shut Off 20 30 40 50 60 Pressure Capacity - Gallons Per Minute PSI 1/2 HMSC 20-40 5 19.0 14.0 8.5 50 10 18.0 13.0 7.0 48 15 17.0 11.5 5.5 46 20 16.3 10.5 4.0 44 25 9.0_2.0 - 42 3/4 HMSD 30-50 _ 5 _14.5_ 34.0 28.5 22.0 13.5 60.5 10 32.7 27.0 20.0 11.5 58.5 15 31.0 25.5 18.5 9.0 56.5 20 28.5 24.5 17.0 6.5 54 1 HMSE 30-50 25 24.5 22.5 15.0 52 5 44.5 38.5 31.0 22.5 10.5 65 10 43.3 36.5 29.5 20.5 7.0 63 15 42.0 35.0 27.5 18.0 60.5 20 39.3 33.5 25.8 15.5 58.5 25 34.0 31.0 _ _ 23.5 12.5 56 1-1/2 HMSF 30-50 5 57.0 50.5 43.0 34'5 23.0 70 10 55.0 49.0 41.0 32.0 20.0 68 15 53.0 47.5 39.3 29.5 16.5 66 20 50.7 45.5 37.5 , 27.5 12.0 63.5 25 42.0 40.0 35.5 25.0 61.5 r ' '"�'r 2 STA -RITE. Built Ort f#Pmmitment. BTA -RITE' /r Horizontal Multi -Stade Jl6ttlCentpifugal.Pumps H lkql�- � Design Series Pump Performance Deep Well 3" Single Pipe (CP) & 4" Double Pipe (EP) HP Cat. No. Well Size Disclr Press. PSI Pumping Depth In Feet 3� 4" 20' 30' 40' 50' 60' 70' 1 80' 1 90' 1 100' 1 110' 1 120' 130' 1 140' 150' 160' Jet No. HMSE Capacity - Gallons Per Minute 1-1/2 HMSF j 9CP 4EP ' 20 6.9 .6.1 5.3 4.6 4.1 30 6.9 6.1 5.3 4.6 4.1 .40 6.9 6.1.3 4.6 4.1 ` 50 �• 6.9 6.1 3 4.' 4.6 4.0 4.1 B0 6.0 5.3 3.3 D.P. 0.9 0.9 0.9'' 0.9 0.9 S.O. 1.9 1.8 1.7 1.6 1.5 D.P. - Minimum Drive pressure S.O. - Shut Off Pressure In PSI. Tested and rated in accordance with Water Systems Council standards. NOTE: Pumps installed with a CON -AIRED tank require a 100# relief valve. Pumps Installed with a conventional tank require a 75# relief valve. Relief valve must be capable of relieving entire flow of pump at relief pressure. 1NPT DISCHARGE 1-15/16 1 NPT DRIVE LINE 1-1/4 NPT SUCTION -� 7-1/4 5.3/13 3.3/8 DIA. 1 (4) HOME 1/8 _10-112- - A IDimensions (in inches) are for estimating purposes only. C I B . 8-3/4 K33/4 7.1/2 4P printed In U.S.A. BTA -RITE /a WICOR company d. 1981, Ste -Rite Industries, Inc., oeleven, WI 1-1/4 NPT I--7-7/8 --1 ),11-13/16 Cat. No. A B C HMSC 17-7/8 9-1/2 5.1/8 HMSD 17.718 9.1/2 5.1/8 HMSE 18.3/4 9-1/2 6.1/8 HMSF 19-1/4 10 5.5/8 C - �N511 WS (Rw. IN1) -711 U 0 %3TrF0 Butte County Department of Development Services o Building Division 7 County Center Drive couN�y Oroville, CA 95965 '� (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by th6 person whose name is on the receipt) and return to Development Services for payment processinq. CLAIMANT'S NAME:U�NMI MAILING ADDRESS. PHONE: ASSESSOR'S PARCEL NO.: [Please use one claim form per permit.] BLDG PERMIT NO.: RECEIPT NO.: 1�WW ! A No. 1 1 `7 (� No. 2 -A El RECEIPT DATE: 90 RECEIPT AMOUNT: 'REASON FOR REFUND REQUEST: , C�RSN VU•c1Mil�c L Check those fees which you wish to have considered for refund: =Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): (Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may Dick them UD prior to that time. p. Signa re Date K:/For s/Refund Application 082203 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSyT SHEET BUILDING DIVISION DEPOSIT # BAG # 181 316 PERMIT# RECEIPT# ACCOUNT # F-10 ACCOUNT # ACCOUNT # (SRA) 0100 (SHR) 1800 ACCOUNT # (CUA) 1800 ACCOUNT# ACCOUNT# (SMIP) 1001 (COPIES) 0010 040897 395470 $ 687.43 040574 395471 $ 426.17 395472 $ 152.50 040899 395473 $ 55.00 040901 395474 $ 659.88 $ 43.00 $ 1.73 395475 $ 659.88 $ 43.00 $ 13.16 033750 395476 $ 54.99 040903 395477 $ 55.00 040904 395478 $ 110.00 040905 395479 $ 55.00 040717 395480 $ 25.00 $ 335.00 033848 395481 $ 944.70 $ 335.00 :..::.:.:`�8�':::::::: :::..:..:::::::::::::X388:..............::..:...4.8.::::::::::::::::.:::::::::::::::::::::.:.iEi#I�iIS:::::::::.::::::::::::::::::::::::::::::::::::..:.$.::::.::::::.........{3..... :......:::.: ..: .::.:....4..3:: 070908 395483 $ 2,189.42 $ 43.00 040909 395484 $ 549.90 $ 1.73 040910 1395485 $ 164.80 040913 395486 $ 110.00 040915 395487 $ 549.90 040915 395488 $ 152.98 040917 395489 $ 109.98 040919 1395490 $ 549.90 040920 395491 $ 1,154.79 040283 395492 $ 553.00 040923 395493 $ 109.98 040922 395494 $ 384.93 $ 43.00 11,521.93 367.98 670.00 -IsIs 17.74 MONEY COLLECTED: auditor:yellow Il COMPILED BY: GRAND TOTAL TO BE DEPOSITED DIANE LEWELLEN extn 6869 DATE ..................................... r OWNS?- W f bL AV ru Fo A�Z `BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 _Z_(Dtl NER'S LAST NAME: r��-TG,F IN: C>50- a to - t7(0. OWNER'S FIRST NAME: - �kCO k r rR -)S1 PERMIT NO. s3o-W.26-v�s'i SITE ADDRESS:q 2- Zz- Po, t LcTe " i I It r r. P o G C' K�L� 1 I�Iis t3 ISTr C l�J NrX� O T1CT/LOy �n )-A" tU {� APPLICANT NAME: PHO STREET ADDRESS: 1 P, O U- b1 \'J FAX C, ZIP: E-MAIL: CONTRACTOR NAME: PHONE STREET ADDRESS: FAX CITY. ZIP: * E-MAIL: LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: hu`I ►Ck1 nC ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) 10.0S'AC- EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: - 512A 162-411 Notes: e. P. 549.90 SM1 P Application Received by: Receipt number. �q Jr. -'403 Date: 4. 2. 0 4- 703, 3► Amount Received:-c� Y11; ,r- . COUNTY OF BUTTE -DEPARTMENT -OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 'JU 2 1 d1 PERMIT APPLICATION DATA SHEET - / 3Po/4© 0-1 OWNER: ASSESSOR PARCEL NUMBER C)• -7 (� F 11-45 3 Proposed Building Use: S H c - L7 ounter Technician: L64 Date: • CIA - Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. .❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 0 "` ' 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑Chico ❑ Oroville, as applicable. Sbr✓ SPo4o9o� ❑ 16. Other `l Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by a ❑ 19�. Soils Report, and/or Engineered Foundation required ........................................... ......... O 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑. 22. Cityof Chico Plumbing permit......................................................................... 4� 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. .� 411 24. Planning approval (A) Use:aV-_ (B)Parking: (C) Parcel Check: --I!Zr eT,4 ❑ 25. Contact Land Development about -Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ......:............ ❑ 30. Worker's Compensation Carrier and Policy Number ....: ..................................... Q" 31. Owner -Builder Verification (_Given to owner, _Mailed to owner) ...... 4 ... r.., _-,,q. ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit application for the above items numbered: 2. Additional items re ' d Contractor, designeWowne was advised of the above data by phone, ❑ mail, ❑ counter, by Contractor, designewas advised of the above data by ❑ phone, ❑ mail, hunter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: I Date: q / Z /b Plan Check Letter ' Yellow: Building Division Date: Date Date: �►� ov i de, eng a or -W-0,Y-C,c vin - 0,_X,r en w P I l Con f1"k LQ o�F-9b(�Qoy-9o� • O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES t' NO ❑ I HAVE 'E3 HAVE NOT i signed an application for a building permit for the proposed work. . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but. I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: may: PHONE: CONTRACTOR'S LICENSE NO. 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: _ X PROPERTYOWNER: Gl p/A-, DATE: NOTE. This Owner -Builder Verification is required by Section 19531 and 19532 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 OWNER BUILDER INFORMATION Dear Property Owner: O.B.- I 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. ♦ There may be financial risks for you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ 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 "owner builder" building' pelma 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. I 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. In Mic 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE: 7iris Owner-Builderinfom atkn is required by Section 19830 of the Cagornla Health and Safety Code- OVER ode OVER 14 'BUTTE COUNTY 0 OTrE►0 DEPARTMENT OF DEVELOPMENT SERVICES b o BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) o _ o OFFICE M (530) 538-7541 Lo __ �a o PERMIT NO. BPoA0goj )ATE -2 - 0 , J APN. QSS10 - 17 (p ZONING: F•R - �1J fes+ WNER'S /LAST NAME: OWNER'S FIRST NAME: PHONE rr�AD ESS: FAX: ZIP: E-MAIL: �r c0 S e"Ca ' qt -q(0 SITE ADDRESS -q2_ Z �a r" t 12� APPLICANT NAME: PHONE STRM ADDRESS: FAX: I G 4- V\ S3 Tr fie_ r C ZIP: E-MAIL e CONTRACTOR NAME: PHONE ARCHITECT/ENGINEER NAME: y.1:4 I DESCRIPTION OR SCOPE OF WORK: 15f6Y-Ckq e EC, -1 I Oki 0 Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) STA?W L-aAj>, JISM -rte Oboae- '32q >GAI5AC EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: 5RA U+•RGo oN-OPoq:�qo& Notes: sM) P. . !09 3. P .54gA0 Application Received by: (`—"" Receipt number: 585483 Date: 4- 2-- o 4— Amount Received: SSO. 5-7 `z5re)4�Dio 7 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner:\ l l� tom) j c 1 �� Phone: Mailing Address -2 Is there a primary dwelling on the property? Yes No ❑ Site Address: Is the structure already built, under construction, or under notice of code violation? Yes Ej, No Assessor's Parcel Number: 0,,59 ,--7 to — / 7L Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORIIIATION: 1. Is there a primary dwelling on the property? Yes No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes Ej, No 3. Will items produced in this building be offered for sale? Yes ❑ NoE-911 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ NO 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? Yes ❑ No 15. What type of floor covering «ill the building have? 16. What type of wall covering will the building have? OVER 1 of 2 PROPOSED USE: (check only one box) I . 6Residential Storage Shed — I will be storing�N� ('IErMS in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely oven. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop' ❑ Home Occupancy Z ❑ Other— Use = 1. Dncribe type orWorbhop Z bhm be approved by the suite Caney Plarmirng Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with'specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Owner's Name: Please Print Owner's Signature:Date: Z-b� 2 of 2 a , E -H. USE 0 YY Plot Plan Attached ✓ Rear Plan Attached Sant to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r-- c��A 6-0 /39/ TX- D - /'%& Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance- for dwelling. Other ocG7l�c.c ic,�i.�43 .y® /�Gym6i.yg Hold final for: Final clearance O.K. for: (VOTE: n Environmental Health Vecialist Date 8/96 • 058-210-176 1/12/04 Page 3 •/ a i= 058-210-176 1/12/04 Page 3 058-210-176 1/12/04 Page 4 058-210-176 1/12/04 Page 1 , i;`` •tom 74 1 "1 1II .I •i II � - -. t .r 058-210-176 1/12/04 Page 1 058-210-176 1/12/04 Page 2 1 058-210-176 1/12/04 Page 2 058-210-176 1/12/04 Page 2 058-210-176 1/12/04 Page 1 \ r y �4 E f _ � ` I y .>R ►�e� sa,il�IR!� t1 A 058-210-176 1/12/04 Page 1 N January 12, 2004 Gil Smith 460 Rio Lindo Chico, CA 95926 'gutte count, LAND OF NATURAL WEALTH AND BEAUTY DIRECTOR'S OFFICE DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 www.buttecounty.net Re: HAZARDOUS ELECTRICAL CONDITIONS . 4250 & 4252 Paiute Dr. Oroville, CA. AN 058-210-176 Meter #s 8G2301, 8G2302 Dear Mr. Smith This department received a complaint alleging health and safety hazards at the above referenced living unit. On January 12, 2004 an inspection was conducted by this department. The owner (Paul D Truitt and Judith Prater) and tenants are not currently occupying the structure. The structure at this site has numerous electrical hazards including but not limited to open conductors and conductor splices, unprotected conductors, and a lack of proper grounding and bonding. The structures have been posted for nonhabitation . As the Chief Building Inspector for Butte County, I am requesting that the electrical and gas to the structure referenced above be disconnected until appropriate actions are taken to resolve the hazards. Further, I request that the electrical and gas service not be reconnected until an authorization from this Department is granted to do so. This letter shall also serve as notice to the property owner and tenants that the electrical and gas service is to be disconnected. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira at the number above. Sincerely Scott Rutherford Chief Building Inspector Butte County Department of Development Services ADMINISTRATION' BUILDING' GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile February 5, 2004 Tim Truitt 5721 Round Tree Dr. Paradise, Ca. 95969 RE: Building Code Violation Location: 4250 and 4252 Paiute Dr., Oroville AP# 058-210-176 Dear: Tim Truitt: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of a cabana, two out buildings, and deck around pool. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which- provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Bill Barron in this office at the address or telephone number listed above. Sincerely, r i Barr n Ak/ Supervisor Building Inspector BB: ms cc: . Assessor COUNTY OF BUTTE AND'PLANNING IW11LDING CENTER DR. o OUNTY R VILLE A. 5965 0 o c 9 F �+' day 4�6� Z a 0.3 5_ f REM VICE REGUES 712133 U.�. PO TAQE BUTTE COUNTY JAN 3 0 2001 BEVELOPMENT Paul D..Truitt and Judith Prater SERVICES PO,Box 4104 Oroville, Ca. 95965 TRUI104 RETURN 'TO 959-653537 1104 83 SENDER 01/27/04 r TRUITT'TIM 5721 ROUND TREE DR PARADISE CA 95969-4830 RETURN TO SENDER ll1i,,J1111,l,1,ll1„1,i,�'!I„I s a 9 4 I i a 9 4 I a Butte County Department ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive . Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile January 13, 2004 Paul D. Truitt arid_ Judith Prater PO Box 4104 Oroville, Ca. 95965 • of Development Services RE: _ Building Code Violation Location: 4250 and 4252 Paiute Dr., Oroville AP# 058-210-176 Dear: Paul D. Truitt and Judith Prater: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of a cabana, two out buildings, and deck around pool. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. Y: It is the County's goal to obtain voluntary compliance With the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Bill Barron in this office at the address or telephone number listed above. Sincerely, t Bill Barron Supervisor Building Inspector BB: ms cc: Assessor 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 August 15, 1994 , . r Judith Prater Scott 7165 Bunker Hill Mine Road Oroville, CA *95965 CERTIFIED MAIL Re: Use Permit, AP 058-210-176 Dear Ms. Prater Scott: . Enclosed is your validated Use Permit No. 94-82 to allow a mobile home as a temporary second dwelling on property zoned FR -5 located on the east side of Paiute Drive, approximately 2000 feet east of Dark Canyon Road, at 4252 Paiute Drive, Concow, CA. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday. Very truly yours, JBar . Ho n n' Pla g M na er BKH:bd Enclosure cc: Building Division Land Development Division Environmental Health Department of Forestry USE PERMIT BUTTE COUNTY PLANNING COMMISSION August 15, 1994 DATE: (Certified Mail Rec.) 94-82 PERMIT NO. 058-210-176 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Judith Prater Scott is hereby granted a Use Permit in accordance with application filed: May 9, 1994 to allow a mobile home as a temporary second dwelling on property zoned FR -5 (Foothill Recreational - 5 acre parcels) located on the east side of Paiute Drive, approAmately 2000 feet east of Dark Canyon Road, at 4252 Paiute Drive, Concow, CA. I. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-62. 2. Unless otherwise provided for in a special condition to this use permit, all conditions must be completed by the Permittee within 12 months of the delivery of the countersigned permit to the Permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the Permittee, the permit shall become null and void and reapplication and a new permit shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. Occupancy of the temporary mobile home is limited to Judith Prater Scott, applicant, and occupancy of the primary home is limited to Dennis C. Prater and Kristy M. Settle. 2. No rent is to be charged to the occupant of the mobile home. 3. Meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The applicant must install a sewage disposal system under permit and inspection from Environmental Health office. 4. The mobile home is to be a temporary use on the property pursuant to the requirements of Section 24-303 of the Butte County Code. 5. The Use Permit shall expire two years from the date of issuance of the Use Permit. Upon application, the Planning Commission may grant extensions of time in one year increments. 6. In the event that the applicant, for any reason, vacates the premises, the Use Permit granted herein shall automatically expire and the mobile home shall be removed within one hundred twenty (120) days. In the event the mobile home is not removed within one hundred twenty (120) days pursuant to the terms of the Use Permit, the County shall remove the mobile home and store it at the owner's expense. 7. The applicant is to pay a deposit or post a bond to cover the cost of removal in the amount of $1,500 for a single -wide mobile or $2,000.00 for a double -wide mobile. 8. Meet the requirements of the Building Division of the Butte County Department of Public Works. 9. Meet the requirements of the Butte County Fre Department/California Department of Forestry. The structure must meet the Fire Safe Regulations of Butte County and PRC 4290. In addition, the applicant is required to pay $200.00 into the Battalion 6 Water Tender Fund. 10. Building permit fees and any current, or new, impact fees are to be paid at the fee level in place at the time of the application of the building permit. Applicant will be responsible to meet additional requirements established by Pacific Bell for telephone service. 11. Applicant must also comply with all other applicable State and local statutes, ordinances and regulations. NOTE CONCERNING ALL COUNTY CONDITIONS OF APPROVAL: Minor changes may be approved administratively by the Director of Development Services or his designee upon receipt of a substantiated written request by the applicant. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. If no changes are made prior to recordation of the Parcel Map, this condition shall be considered to have been met. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. Ch4frman of the Butte County Planning Commission cc: Land Development Division Building Division Health Department Department of Forestry DEVELOPMENT PLA6 SCALE: 10= 100' 10. 05 AC. w X565.58• .� -75^qi S 3q o h� IN�IE . G P RAS _ � Sg9 • a 5• Q�•E 0.0 0 � 6 NOTE: BEARINGS AND DISTANCES SHOWN HERE ARE TAKEN FROM THAT PARCEL MAP SHOWN IN BOOK 129 OF MAPS AT PAGE 95. PLOT PLAN OF PARCEL 2 AS SHOWN IN BOOK 129 OF MAPS AT PAGE 95. BEING A PORTION OF SEC.35, T 22 N, R 4 E, M.D.M. A.P. # 058-210-176 FOR KRISTY SETTLE AND JUDY PRATER SCOTT MAY 1, 1994 .D111181 L1804110AS Covera Arta D sfj tjw (916) 534-3324 PLANNING DIVISION - BUILDING PLAN APPROVAL • Use: ©� Date: y Parking: Landscaping: other. Signature: i / x -� �' �� .... ����►©_ :tet N`�� ;,�.-�--'= " �,:...�..� ..� i • � jkD '64 1�/ ;� cam' 14', ,- C 4.1 • lam' .. —_ — _ r �" .. ; �� v 3•• Y j t.tt�: \ o7O/• :.FX. -q- Y' .(- of PRS pcz:-�' Y LAr. Pool Ov411 APPROVED' utte Coun a .- , ealth s knvlromental w .yam •� Co P�. ...... �... ... ,: a c ��.�a _ 3 i nature , 9 .. t�. 1r 'mss• �` _ s a 1 REVISIONS s e 1 TOLERANCES _ QRla�i\IN:.._FO:IZ .. Tuo`i PRAM G R TNOTEDNO DATE BY PLA EXCEPT AS ISLE 111�...__{..l•'S.l'�,t 0.L;C.l.�1.•C1. DECIMAL s _ f DI'\R V'Y.'v liY 1 f'\U4. 1'�UI�T. •_ _ __."—.... __ ... ._ .�RAC IONAL IJ BY SCAL *L�•� .i AE)''NR/L3 5721ZOOND. CHECKED GATE DRAWING N O' YANGULAR� 02 51 r _ '_r ` TRACED APPROVED fL�, P..- z.• _> _' O 01 STAMMER APPROVED Butte C Bnviro mental ealth ate ignatur * a NO DATE BY 1 ECIMAL t 2 14 3 ANGULAR t 4 5 N,,'` I STAEDTLER _.....__.__-_- L�l,Anl..--'-------'----'----- d-6" 71�u SHEf�trNC� - - � Coi!nP. Srr,He,LE s 'Z _- el I 1 i i i — I I - SCALE : A- ....... ... - 1 \ Lcolp- 211 L. 3-Q"T _ � C�tiRD6tZ . ..__-.:.._............. _........ .,_... PIER BLOCK UV PA T-L� p_,N : TAI L aPPRc sUft® c TOLERANCES EXCEPT AS NOTED REVISIONS NO DATE BY 1 ECIMAL t 2 RACTIONAL t 3 ANGULAR t 4 5 �UIL�I N Cl2• SToR.At�E FouN.�.�:�►vty, F�� �r�o �'i''Rv uAt- Pt,10�-t-AS VNBT SCALE . MATERIAL jL- TRcx-Tr rq 5 n E NEO . OATE DRAWING NO ED- APPROVED NG _. �;'1� X11 '-► _ _ -. I 1, 41 2?(47f i { STs roe. ;k.. Tae, y :toA fid;f�sltl �R- Y�c oN c t ' I r ri1ta _ 1 APPROVE y }:.. 'y l t .Ft`;�I:)�r�rsF•�stit — @iJ#kB Ci9ttn '� x; .rs. _ ,c :' a ,moi.---'�e.� '•x.� Irnvtro ental a0th ate tgo ture ��� � �xi � z.a�'��' �e.,-�� spar" �}~ t�. '-• .. ,Y.. ' TOLERANCES REVISIONS EXCEPT AS NOTED NO DATE BY i t 2 FL<O,6L�e til FRACTIONAL q 'DRAWN BY 3 SCALE, rt s I 71 MATERIAL i, _ { ANGULAR Q CHECKED DATE' - DRAWING NO t 5 TRACED APPROVED /, ' r— , Tb tf3_'AM v /�'k,A)AY7l GA>LE F6ocJ SGJ. X7-0 RFU �9Y DT� er) YR�.vF �" cPra 0 1 i ll PYG rgo,N Ivr�j. 41- sUfty IrY5• (ay opmric4i 9):SF9 DF77f}1.I. Y.rs . 20')( II/ Z ' 1-108 li-F` I-11OM,E F/ RE 6I' L1 !U <L LE R , PYLA M EXIT Mom I - SY5TFm To of /,vsrnjip PFR IfFPA 130 Mfb z - f IFF To FF I-MrFD GPvG oil F®vpr. 3 - hfAbl TV AX G£O"- 6:Bp- -F' 62 S/w, - y - AILL W PoSrD NPA7 TV Rr coVFF-FP P174 „D �-sNIF1.D" C SFF c vr 6 Hrs. ( Pm Mrs-, S pre') S - MW ACEs 1# odv — ,�EE "w.+re, !:rY-Mq'. ,rApp 44t4&. 6- A-1jV• WATER -�TpM,. E rANX S)ZIF TO 'ax 309 GAI. 6 r 3 � ••gtia,g o� �� E-4 W, in y x�d� a —06 �• 1 o I Q.v0� O SCALE: V= 100' �Ilp t, Owl ,p 49 QTAfi 58' +4J�1' �o W 1565. C �� eco reAuire Jr;�� � �t lot 75.4 $ • � PNO \ A E�Agy�'. •? T- 0 but - 1 /i Idi 2 T7 ✓�7 (/ ow k �v or S�� 05 AC. \11 \ b N ull 55� _ 0 0� V -oo 6 NOTE: BEARINGS AND DISTANCES.- SHOWN ISTANCES'SHOWN HERE ARE TAKEN FROM THA T PARCEL .MAP SHOWN IN .. 'BOOS 129 OF MAPS AT PAGE'. -95. vw y �C0 v — ,00�• CCOT(5�; C 4 .. PREP —7 SID VOW PLOT PLA OF PARCEL 2 AS SHOWN IN BOOK 5Y`57 �S 129 OF MAPS AT PAGE. 95 .X26. BEING A PORTION OF SEC. 35-, T 22 N, R 4 , E , M.D.M. A. P. # 058-210- 1.76 FOR �Y CRI STY SETTL.COVN �) A ND� JUDY PRATER - -� �� i.�! /lcl.11la5trallDAs 9 MAY 1 -199'. p pp2. i� �L—/— CA/II/Dia/��nj • ! �y'l.Y Nle) N�-esti