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058-220-025
N, — �»�;:`+ 58-22-25 K. M. Alexander S/S Con cowR6�sP8 ''N o K C: Rd., Conc•w Permit #42-9-"OP,E(utils,MH x� ELEC.,p-)Z CJD �Q®flrn� U ' CAS L PCr 3f i SUPPORT STRUCTURE REQ. A/O COMPACTION TEST REQ. Ald f CoLincolb Village'Mh Permit##916-80MH�j p Issued - fo 058-220-025 "' 03-32 JEFFRIES, GEORGE & DIANA SNA ;1 1338 CONCOW RD, CONCOW. _ Cont: OWNER CONVERT DWELL TO STORAGE 058-220-025 03-3367 JEFFREYS, GEORGE 13338 CONCOW RD, OROVILLE !NA Cont: BILL KIRBY NEW MH PERM FND - - - - --- - --- ,lir RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 11 -Feb -2004 2004-0007851 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GEORGE A. JEFFREYS AND DIANA M. JEFFREYS REAL PROPERTY OWNERILESSOR 3830 CAMELOT LANE MAILING ADDRESS OROVILLE BUTTE CA t 95965 CITY COUNTY STATE ZIP 13338 CONCOW RD. - INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-3367 530 538-7541 BUILDUIG PERMrr.NO. TELEPHONE NUMBER A URE OF LdW AGENCYOFFICIAL DATE SERENITY HOMES DEALER NAME (if not a dealer sale, write "NONE") DL # 1118427 DEALER LICENSE NO. FUQUA HOMES, INC. 2003 FIRST POINTE / 1407 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMff/NUMBER 19044AM 56'X25'8" ORE 449906/7 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMIBER(S) W;K6T4A1lI •/I ;14"—a ATTACHEDSEE ASSESSOR'S PARCEL NUMBER AP # 058-220-025 HCD FORM 433(A) REV. 8/91 ,.,05/05/03 15:05 B I DWELL I 1 I Lt y , �ar� �oo�•+�c Preliminary Report Order No. BU -202332-3 AM Description The land referred to herein is situated in the State of California, County of Butte, and is descnbed as follows: BEGINNING AT THE SOUTHWEST CORNER OF THE NORTT^I HALF OF THE SOUTHWEST QUARTER OF SECTION 2, TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. & M.; THENCE EAST ALONG THE SOUTH LINE OF SAID NORTH HALF OF THE SOUTHWEST QUARTER OF SAID SECTION 2, A DISTANCE OF 1256 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE WEST ALONG THE SOUTH LINE OF THE NORTH HALF OF THE SOUTHWEST QUARTER OF SAID SECTION 2, A DISTANCE OF 260.00 FEET; THENCE NORTH PAR.ALLEL WITH THE WEST LINE OF SAID SECTION, A DISTANCE OF 245,00 FEET, MORE OR LESS, TO A POINT ON THE SOUTH LINE OF THE PROPERTY DESCRIBED IN DEED FROM ZADA J. SCHAUER, ET UX, TO NEWTON M. WHIMS, ET UX, DATED MARCH 7, 1932 AND RECORDED IN BOOK 83, PAGE 332, OFFICIAL RECORDS, SAID POINT BEING IN THE CENTERLINE OF THE CONCOW ROAD; THENCE EASTERLY ALONG THE CENTERLINE OF SAID CONCOW ROAD, AND THE SOUTHERLY LINE OF SAID WHIMS PROPERTY, THE FOLLOWING TWO COURSES AND DISTANCES: SOUTH 750 51' EAST, A DISTANCE OF 118.67 FEET, MORE OR LESS, TO A ANGLE POINT THEREIN AND NORTH 92- 08' EAST, A DISTANCE OF 89.70 FEET; THENCE NORTH 66° 27' EAST TO A POINT THAT BEARS NORTH FROM THE TRUE POINT OF BEGINNING; THENCE SOUTH, A DISTANCE OF 222.0 FEET, MORE OR LESS, TO THE TRUE POINT OF BEGINNING. A,PN OSB -220-025.000 Received Time MaY, 5. C O N *� ri:diad, X'� +fir ;�,'�"y; r "'�^P ).,�c r+. ..?—it i ZZ FO:UND`ATIONr SYSTEM°�, k ` . � J wCERTIFICATE,OF OC I CUPANC_ Y r '{ � *� t.. ..rte, � pa �' .'. � ''s'^� •�"• `► � ..` F `� �x e �:t � ;,., r.. BUILDING PERMIT NUMBER: 03-3367 Address or location of unit: 13338 CONCOW RD. OROVILLE CA 95965 Legal Description of Real Property: AP # 058-220-025 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: GEORGE A. JEFFREYS AND DIANA M. JEFFREYS Owner's address: 3830 CAMELOT LANE, OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: ORE 449906/7 SERIAL NUMBER OR V.I.N.: 19044AB MANUFACTURER'S NAME: FUQUA HOMES, INC. YEAR: 2003 OFFICIAL APPROVING INSTALLATION: 2Q� DATE: / g q— 0,4 PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY + DEPARTMENT OFCOMMUNITY DEVELOPMENT HOUSING AND DIVISION OF CODES AND STANDARDS ` REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a:91, Mobilehome 0 Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) FCA Q L4 I/We, the undersigned, hereby state: I .P . I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California; or from issuance of a California certificate of title covering the same. I/We.certify under penalty of perjury that.the foregoing is true and correct. Executed on at (Date) (City) (State) Signature(s) - Printedfnla_me(s_)- `�j� S City State C 4_ D 1 LWCLL 1 1 1 L,.- - •+------ .-- RECORDING REQU&gTW BY MID VALLEY TPTLE & ESCROW CO. AND WHEN RECORDKV MA& M. , GEORGE A. JEF111tEYS DIANA M. JEFFREYS 3930 CAMELOT LANE OROVILLL, CA 95965 ESCROW#202332AM-3/ORO-C A. P.N.: 058-220-025.000 Iilllllll!lIIllillil IIIlilllllllll 2002--005.464Ba Recorded 1 AEC FEE 10.60 Official Records I TAX25.30 Count Of I MONUMEN 10.08 TE CANDACE J. GRUBBS I ROSEMARYrDICKSON I Assistant I kathy 09.,NAM 17—Get-2002 I Page 1 of 2 Above Ibls Line for Recorder's Use Only Order No.: 202332AN GRANT DEED Escrow No.: 202332AM THE UNDERSIGNM GRANTOR(,) DUCLARE(s) THAT DOCUMENTARY TRANSFER TAX TS: COUNTY $2510 X ]computed: on full value of property conveyed, or 11 eompulW on full value less value of liens or encumbrances remaining at time of sale. x] unincorporated area; ( ] City of_, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, GARY A. BADGETT and FLORENCE J. BADGETT, Husband and Wife as Joint Tenants hereby GRANT(S) to GEORGE A. JEFFREYS and DIANA M. JEFFREYS, Husband and Wife as Joint Tenants the following described property in the UNINCORPORATED AREA,. County of BUTTE Stale of California; SEE A CSD LEGAL DESCRIPTION A � R A. BA FLORENCE 7. BADE Document Date: October 7,1002 STAW OF eN • )SS COUNTY OF, ] rl > 00 1X'. '(00L before me. -rgP e 4 L — to t-414 D!A�i� i (' � _ — Ie personally appealed ix(K R �' -IA&Mee-T ke peraotully knav+n to the (or ptbved to the on the basi9 of sntisfacrory evidence) fa instrument the persoh(s) whose name(,) ia/ate subscribed w the within instr�ent and acknowledged to ma that he/she/they'eaeonted the same In hia/her/their outborised capacity(ics) and that by his/heNlheir slgnature(s) on the Instrument the persoa(s r the enniy upon behalf of which the persons) acted, executed the lase mens. WrrNBSS my hand ey i sell/ X7 _ F signature TODD A. 6A eW iea cmmty3attQn ooFQ.Mft=t*6-MaVe,q a Mail Tax Statements to: SAME AS ABOVE or Address Noted Below Received Time May. 5. 4:08PM NOTES RESIDENTIAL PERMIT NO. 03-3367 _ 058-220-025 JEFFREYS, GEORGE 13338 CONCOW RD, OROVILLE Cont: BILL KIRBY iNEW MH PERM FND a3 -3 2-00 i i � HE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS '13EEN TURNED IN TO THE BUILDING DIVISION: ' (1) LICENSE PLATE(S) OR DECAL_(THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). 44i14SPECTOR TO VERIFY SERIAL & LABEL #'S. a i a u SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address ELECTRIC Meter By Date JOB FINALED (Date) Signature CHECKED BY J=OK 1. 0 = Not OK 2. Footings; Size -Spacing -Marriage Line MOBILE HOMES . = Not Readyable 4. Date MOBILE HOME UTILITIES (Plans) OK except #'s Drain; MH Test -Fall -Flex Connector 1. Zoning Requirements -Setbacks -Easements Water; MH Test -Regulator -Connector 2. Soils; Special MH Support Sketch Water and Sewer Connected -C/0 to Grade -HD Approval 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5., Elec ity; Location-Clearances-Grnd-/ /Amp -Concrete 64 as; Location -Test -Wrap -4/" L 'ft. V17-/ P Nat. or/ /" L "jJ4 7. Well Clearance & Disconn t 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged . 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PER NENT END SYSTEM (ONLY) j2j1q4,tQonin equirements-SetbacKs-E sements ootings; Size-SpacingtfAarriage Line 4Z.� MH Test }j.VV3ter and Sewer Connected 10. Lice_use Decals erify #'s with Office Date pjCard B-1 Date Card B-1 Dateand B-1 Date 7 1 Card B-1 �'AAI dpi 9�I�`Io7�14 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date . Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater i 8. t Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ' 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52.. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caos 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52.. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caos 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ,,,.-C[ �Hi •��, -...— .........ac �r•.+.,....r.,i s�..+"�i, .`.1''L3+�s% r..Z+�•+G.�.a.�..tfj.�n�+�-7� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 - 7 County Center Drive • Oroville, CA • (530) 538-7541 _ CORRECTION NOTICE la3- OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 9 Date 1i 'Cl Inspector REV 762 l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/9t) - :' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-220-025 ZONING BUILDING PERMIT OWNER GEORGE & DTANkJEEFREYq 533-86488 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 3830 R 77 652.00 CONTR�.`jQR'6 NAbHsDD�T DILL L\1LVJ1 TELEPHONE 228-2290 CONTRACTORS MAILING ADDRESS PO BOX 2228 PA W ISE CA 95969 CONSTRUCTION LENDER JFireplace LENDER'S MAILING ADDRESS Total Valuation $ 77 652.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 540.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 351.33 BUILDING ADDRESS 13338 CONCOW RD Energy Plan Checking Fee $ $ PERMIT FEE $911.83 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MH PERM FM .19.00 Gas piping system 1 - 5 outlets 15.00 15-00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service OOOV OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class '� Lic. No. 656 9$6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale.')Mobile ❑ I, as owner of the property, am exclusively contracting with licensed contract to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. 8 ACC. S.3.50 FT_ NON-RESID. MULTI -OUTLET @7,50 OWER APPARATUS 6 SIN.. OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 2O @''0° BAL @ .50 Ex. Occup. °F11uTE�°TSA pp .°E 5.00 Temporary Service 23.00 Home Facilities 20.00 Misc. Wiring 23.00 RE -INSPECTION PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' ,co� pensation insuranc carrier and policy number are: ` Carrier 45411 . ,v Policy Number 00/ 0-111 , ooa- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'IM compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date l 0 3 Signature of Applicant - ❑ Owner ❑ Contractor /%- Agent An OSHA permit is required for excavat' s over 60" deW and demolition o construction of structures o stori i h Receipt No. WHITE-D.D.S.-B.D. CAN RY-ASSESSOR PINK -IN ECTOR GOLDENROD -APPLICANT MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 976.83 I y CD I I tHD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fee have been paid. (J PERMIT EXPIRES MgY_ 1� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION E ER 7 County Center Drive - Oroville,, California 95965 •Telephone (530) 538-7 4 (Rev.12/96) a�� r PLICATION AND PERMIT �� zO n BUILDING PERMIT [A;.SSESSOR PARCELNUMBERakl .4�TELEPHONE so. Fr, O C. BUILDING VALUATION R nWNER-S MAILING AQORES_ /�, / A A Qi I J 1 CO R5 - NG ADDRESS � r. �( � • � �� CO UCnON LENDER NO, LENDER'S MAILING ADDRESS Fireplace Total Valuation $ U/ 5.00 LICENSE N0. Frin Fee --- --- $ 20.00 ARCHRECr OR ENGINEER ' Permit Fee _ ARCWMCT OR ENGINEERS MAIUNG ADDRESS - Plan Checking Fee -• - �, $ BUILDING ADDRESS / CJ Energy Plan Checking Fee $ $ PERMIT FEE $ PARCEL MAP SUBDNISroN'S NAME PLUMBING PERMIT Filing Fee 20.00 LOT NO. Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water i ing 15.00 SF ❑ Duplex ❑ Mobllehome ❑ Other s��y Each gas water heater or vent 15.00 TYPE OF WORK system 1 - 5 out 15.00 New 13. Addition [3Remodel ❑ UtiG6es E3Installation E3Other 13 Building sewer 15.00_ Mobile Home SG @20.00 Describe Work: SNOW Te .PERMIT, FEE PAID $ SRA — ---�— �--� SHERIFF $ OTHER AMOUNT RECEIVED $ DATE RECEIVED l'13 oftr.-Peftq.4 391 Z,� PERMIT FEE S ELECTRICAL PERMIT EOOV OA LESS Main Service zow OA LESS Main Service 2wA To IowA NEW CONST. DWEIIM OCCUP. OR ADONS. A ACC. BLDS. ) g Fee 20.00 23.00 46.00 1.50 x7.50 Ex. Occup. OVMET O BAL @ .50 Ex. Occu vnFrsIEs D. EA 5.00 Temporary Service 3.00 Mobile Home Facilities 20.0 MECHANICAL PERMIT Filing Fee 20.00 Heating.. Coorino 6.50 PERMIT FEt S Mobile Home Installation Fee $ C.. . I.. n,4:n.. Gco $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON CONST. TYPE TOT L FEE $ E N aFEES MP CD VSEL 6SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON y&jt^ „ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET , OWNER: v L� ASSESSOR PARCEL NUMBER G Ua_5�' Proposed Building Use: Counter Technician: Date: lo - Items 0 - Items required in order to apply for a permit. II boxes MUS be checked OR marked NA in order to 0. 'v 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. Energy compliance design and supporting documentation in duplicate:' 6. Manufactured homesr% Data sheets and installation in Marriage line info, Floor PlanJ ie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Meta�g Plans, (B) Find plans and calc in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review -line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.. ❑ 9. Site plan and business license approval from the City of Biggs...... ❑ 10. Letter of intent for non-residential buildings ............................... ❑ 11. Detached Accessory Building Form filled out by the owner........ ❑ 12. Hazardous Material Form ...................................................... ❑ 13. Fire Sprinklers.................................................................... _L 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner ❑ 15. Other Date Received By ...................... Sent by�1i A— !8' ing items needed to issue the permit. (May require additional plan review upon receipt of wems.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... tatement of Intent for Non -heated and A/C Buildings ............................................. Sanitation and site plan approval from the Environmental Health Department inCity of Chico Plumbing permit .................................................... ................ Wtv. California Department of Forestry plan approval ❑ paid. Sent by: ...........l.nl 1. Planning approval for (A) Use: 6K (B)Parking: (C) Parcel .heck: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 2 . NPDES Form.................................................................... tt 4. Encroachment Permit for driveway from the Public Works Dept...�.1.. ...�`Q3 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... -i❑ 29. Letter of Signature authorization.................................................................... t' 13 Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance .............................. ............................... ❑ 32. Existing violations and/or expired permits ..................................................... _ :[p 33 T Grant Deeds M. H. Title/Statement of Fact", y6tter from Legal Owner,eck to H.C.D. $ x.134. OtherW60 . When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: X 1 Date: �d 1. Index permit application for the above items numbered: 1 N9 Plan Check Letter 2. Additional items required 1 -" Contractor, designer, owner, was advised of the above data by Ef phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: P9Date: D Structural approved by: Date: 2 Note'transfer by: Date: Yellow: Building Division h E.H. USE ONLY Plot Plan AttechaT— F'-o,Plan A Sllad� cat to S.D. ) / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# \ Plan Approved for: Sewage Disposal 1Water Supply: P blit Private Well 1 Clearance for dwelling. Other Q [vii G'�/Yi-� MaXp Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 liwc— CHEDULE OF FEES DUEOWNER� � _ () '5<6-, aa6 -,bQ� 4:� A.P. # PROPO ED BUILDING USE / 'Pri , BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ DATE 6 REE # DATE REC. ' Additional Fees Due ................ $ Revised Plan Checking Fee ..... .....$ 0_ SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) _ -Pim Qjt SHERIFF FEES(P aid at Building Divisi n) 03 Residential ................... x $360.00 = $ %� 1 0 "l Uni Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 4SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process.. APPLICANT DATE l 3 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner .(Rev. 6100) � ' .. ,�^ �...���:.�.'� ;y:.ai'� ..:-r:fr.,-.y�"�s,.cr<mfr..h��m.:.,,,_�..,.:�.-.,��+.v-...�•w.,�,�. �t�.., ..erw-.rx. .... "BUTTE COUNTY scHoms IMPACT FEE CERTIFICATION FORM One form per Building) ell, V"S� Building Department No. "I D A.P. Number JuriJurisdiction:city county Property Owner Property Location/A Ho -003 6-3--334 Subdivision 4: Residential Development No of Living , Moe Home Units Installation Building Dep_artr ret ReT!s n e District Identification No. 1W A.Ij la, I Str �eet Lot No. ... . ....... . .................................. 4 ........... . ......................... INH 'Sq.' Footage' Addition/ *Supplemental to (Group R) Conversion Permit # N *(No foundation Inspection) ............................................................................................... . ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) .11 U CAS) P1 r7 School District certifies that (City) has complied with the requirements of Restiltition No. representing square feet. M Sq. Footage (including Exterior Roofed Areas) L ...Date (Applicant)J (Phone Number), (State) (Zip Code) X bypayment 6f $11' 2926 $ FULL MITIGATION $ -11— - - ' — Sch.oi-Dlitrict Representative Paid by Check # -5sRemarks:Remarks: T Date Notice: : You may protest the Imposition of the fen Identified above by submitting a written protest to the District. In compliance with Government Code Section 66020(a), wtthIn 90 days from the date fen are paid. Failure to submit a timely written protest will'prohititt you horn challenging the Imposition of the fen In any court action. If, subsequent to the School Dh&k:t Representative signing this Butte County Schools Impact Fee Ceiffocatlon Form, the School District Is -nmR d by tin applicable Local Planning Agency that this project Is being rwlewed under.the Calftrnla Environ nontal Quality Act (CEQAh dftp m2 A may be subject to additional school fen to fully mlitignitsits Impaid,on the school ds&kft schools.. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Perm it'Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: Go Z,?01 07 By signing w, I, the project owner/owner's agent, certify that I am aware that a construction project that distur ore than 1 acre of land requires a Construction Storm Water Permit from the State Water Resourc ontrol Board and that it is my responsibility to submit a Notice of Intent (N. 0.1.), a Storm Water llution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Re urces Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, ffifthpull certify that this project will not disturb more than 1 acre of land. This document and all attacdes e were prepared under my direction or supervision in accordance with a system igne assure that qualified individuals properly gathered and evaluated the information submitted. Ba on my inquiry of the person or persons directly responsible for gathering the information, I certify, the best of my knowledge and belief, that the information submitted is true, accurate, and com ete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan t 058-220-025,�� . 03-3200. JEFFRIES, GEORGE & DIANA 1338 CONCOW RD, CONCOW Cont: OWNER' CONVERT DWELL TO STORAGE (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 03-3200 PERMIT NO' ASSESSOR PARCEL NUMBER 058-220-025 ZONING BUILDING PERMIT OWNER JEFFRIES, GEORGE &DIANA TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIU.3 Ester IN. ORMUZ 95965 CONTRACTORS NAME OWNEK TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.OU ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1338 C ONODW RD. oro C t -w Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CDNVM �I& 2110 DIWEUING TO DUSHOP Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 4 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License LaAv for the following reason: 3.1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. O ADACC. orS. ( 3 Soso. FT. M OUTLET NON-RESID. @7.50 POWFR APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES Zo @ 1,00 BAL @ .50 FIXED APPLNS. OR Ex. Occup. OED RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ! l certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall �forthwith comply with those provisions. //of X A N % Date ' �!r ^ n� _ Signature of Applicant - [)14Ow0erU0 C 'tractor ❑ Agent An OSHA permit is required for excavations ver 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. .. — — I D. FEES IMP —�" ' r ooD _,W PARCEL 5 --- HD — ISSUE This permit is hereby issued under de and/or the Butte CounJwh* indicated above ©h feesh By z z G-01 PERMIT EXPIRES ON the applicable provisions Resolutions to do work e been paid. Date Dae ReceiptNo. �7�ti��'�'�� VV WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND•PERMIT 03-3200 PERMIT NO. ASSESSOR PARCEL NUMBER 058-220-025 ZONING BUILDING PERMIT OWNER JEFFRIES GEORGE &DIANA TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS "UNG ADDRESS 3830 CAMELOT LN. OROVILLE 95965 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1338 CONCOW RD. C&W Energy Plan Checking Fee $ $ PERMIT FEE $ 35,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: CONVERT IMEM 2nd DWELLING TO WORKSHOP Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License L forthe following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OWEWNG OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. T. NON-RESID. MULTI.O rCT1rS QG 7.50 OWER APPARATUS 8 SINGLE 0. C ,R. Ex. Occup. OUTLET OR FD7uREs BAL o L.50 Ex. Occup. O TELE°TSA P.,,DLNSOEEk 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollais ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the orkers' compensation provisions of section 3700 of the Labor Code, Ishall Jrthwith comply with those provisions. X Date �' �(D ^ _ Signature of Ap ant - w er ❑ C tractor ❑ Agent An OSHA permit is required for excavations ver 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. — _ D. FEES IMP �— — FLOOD _ --- CDF --_ PARCEL PO — — HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County C de and/or Resolutions to do work indicated above r wh h fees h e been paid. F By Date PERMIT EXPIRES ON , y 6 De e Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT Rev. 12/96) i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75gi, ,��x APPLICATION AND PERMIT' U� �- zDNmNG • BUILDIPIG PERMIT ASSESSORPAACFJ.NUMBER O �. - O ��� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNS 1 LENDER [�CONSTRUCMN LENDER'S NAILING ADDRESS ARCHnECr OR ENGINEER AR ECT OR ENGDJEERS MADJNG ADDRESS BUILDING ADDRESS LOT NO. SUBDM ON'S NAME USEOFSTRUCTURE SF --Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U666es Installs) Describe�Work: '� U 1 L .PERMIT FEE PAID $ / SRA $ SHERIFF $ OTHER $ $ $ AMOUNT RECEIVED $ `{J� 01 DATE RECEIVED t) 69 RECEIPT ## Main Service 200A OR L—M Main Service ( 200A TO 1000A NEW CONST. DWalm OCCUI OR ADDNS. &A CC. BLDS. /20.00 iling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 ,g Fee 20.00 23.00 46.00 SCL 3.5¢ @7.50 Ex Occu . OUTLEr OR FDm1RES Total Valuation is LICENSE NO. Flirt Fee $ Temporary Service Permit Fee $ Mobile Home Facilities Plan Checking Fee $ I Energy Plan Checking Fee $ ventilation $ PERMIT FEE $ PARCEL MAP PLUMBING PERMIT Mobile Home Installation Fee Each Trap Energy Inspection Fee Solar or heat pump water heater =0 Water piping DPaFy Each gas water heater or vent NAZ Gas piping system 1 - 5 outlets ❑ Other ❑ Building sewer PARCEL Mobile Home IS G W l _ PERMIT FEE $ .PERMIT FEE PAID $ / SRA $ SHERIFF $ OTHER $ $ $ AMOUNT RECEIVED $ `{J� 01 DATE RECEIVED t) 69 RECEIPT ## Main Service 200A OR L—M Main Service ( 200A TO 1000A NEW CONST. DWalm OCCUI OR ADDNS. &A CC. BLDS. /20.00 iling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 ,g Fee 20.00 23.00 46.00 SCL 3.5¢ @7.50 Ex Occu . OUTLEr OR FDm1RES eAL @ .50 Ex OccuLmEns6NLi °ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 nir—,. MA— 23.00 PERMIT FEE S MECHANICAL PERMIT Ffing Fee 20.00 Heating Cooling Hood 6.50 ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ =0 CONST. TYPE TOTAL FEE $ NAZ 0. FEES IMP FLDOD CDF PARCEL This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) O.B.- I 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 01 I personally plan to provide te major labor and materials for construction of thero osed P P p=Operty ' provement : NO 13 I HAVE NOT ❑ girgried an application for a building permit for the proposed work.. I have con ted with the following person (firm) to provide the proposed construction: AME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: 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 IGNED: PROPERTYOW U;5 DATE NOTE. This Owner -Builder Yer*ation is required by Section 19831 and 19832 of the California Health and Safety Code. This veraftcation must be completed and returned to our ojfwe before we are permitted to issue the permit OVER O.B.-1 OWNER BUIt.DER INFORMATION Dear Property Owner. An application for a budding 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 pmwnally pig their own worL 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 wow with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the womic (including materials and other costs) is 1300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks far you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific Wbr ation about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou 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 struchre 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" budding Permit, erroneously implying that the property owner is providing his or her own labor and material personally. Budding permits are not required to be signed by property ovrners unless they are performing their own work personally. Information about licensed cooftactors 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 matt=. The building permit will not be issued until the verification is returned. ly AA Mic 1 C. V' iia, C.B.O. er, Building Inspection NOTE: 7kts Ownff-Buflder &formadwn is required by Section 19830 of the California Health and Safety Codes OVER a S'9 -moo - 6 -14 -- REQUEST FOR,IINSPECTION Location: ` J�� 3 OV 40YU • Permit No.y ✓— 3 "-� & 7 Owner:/ S Contractor: Call L] Phone: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H PRE - Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Pipingffest Main Service Corrections Pe enewal Stucco Brown Temp. Gas Underground Final Verify Utili i Woodstove Sewer Piping Well Circuit Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Final Final Final Corrections Ready for Final Inspec. on: Date: Comment: PRE-1Nsm. CT. I , OWNER: J LOCATION: cz� ucl, CONTRACTOR: �'I� ; t A PRE-INSPETION DATE TO INSPECTOR Ib Building Description: Electric: Gas: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant DATE: % C) ' 30 - O �5 AP. ZONING: PERMIT HLSTORY:( ) NONE k)AS FOLLOWS: BUILDING INSPECTOR'S REPORT Yes . No Electric currently On Off Condition of Electric Natural Propane None Obvious Problems: Sanitation: Currently On Off Plumbing Working Well Working Potable Water Obvious SewageProblems ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector._ Date___L Sketch buildings on reverse and indicate location on property. •J`F� 1 COUNT( OF BUTTE - DEPARTMENT OF DEVELOPMENT SER;ICES - BUILDING DIVISION ER No. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 4 (Rev. APPLICATION AND PERMIT zo BU(LD[NGPERMIT ,45SESSORPARCFINUMBEAJ,Y.1n � OWNER TELEPHO�NyE(In SQ, FT. O% -C. BUILDING VALUATION 6 a C ��a �� O S NAILING S (, /�� A � U s 1HON^/�� Cp RS RIGGING ADDRESS S,3 LEN I)ER•S MALING ADDRESS Fireplace Total Valuation $ LICENSE NO. Firing Fee $ 20.00 AACHRECT OR ENGINEER . U Permit Fee • -- ARc,mEcr oR QIGtNmts wwNG ADOREss pian Checking Fee $ U Energy Plan Checking Fee $ B,NGDwGADDREss�. PERMIT FEE $ PARCEL MAP PLUMBING PERMIT Firing Fee 20.00 LDTND. SU$DNLSIDNS NAME Each Trap7.00 USEOFSTRUCTURE Solar or heat um water heater 23.00 Water piping 15.00 SF ❑ Duplex E3Mobllehome 13 other SPEC" Each gas water heater or vent 15.00 TYPE OF WORK Gas piping m 1 - 5 outlets 15.00 Now ❑. Addition ❑ Remodel E3 UMes stallation C3 C3 In Other E3 Building sewer S G W 15.00 020.00 Mobile Home Describe Work PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service mous 23.00 Main Service zooA TO 10WA 46.00 NEw CONST. DWELLING OCDUP. 3.50M OR ADDNS. ( & ACC. SMS. MLILTFD ND 4MC Cmm" @7.50 FEE PAID $ PDwo'APPARATUS GIF DUREr .PERMIT, Ex. Occup. @ .50 Ex. Occu unErs IEs D. EA 5.00 SRA$ � Temporary Service 3.00 Mobile Home Facilities 20.0 Wirt 23.00 SHERIFF $ " PESMIT FEE 3 MECHANICAL PERMIT Firing Fee 20.00 Heating, ATH ER Caolina AMOUNT RECEIVED $ DATE RECEIVED ww�Fil�4 .� PERMIT FEN: S Mobile Home Installation Fee $ Energy Inspection Fee $ Gc CONST. TYPE TOTAL FEE $ HAZ I Q FEES IMP CDFPARCEL PD ISSUE This permit is hereby issued under the appricable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON s (��p te '. ��� cab'' C; vis �r2� o X209 RESIDENTIAL BUILDING RECORD ADDRESS I y - - - - - - - •-^-•• .....y.c� uunners �;, FOUNDATION Adobe DESCRIPTION OF BUILDING LASS°@ SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF LIGHTING AIR CONDITION Floor -lois 1: Light ;t frame_ _ _ Stucco on 110 1 Pitch Wl/ln 9 Heolinq Coolie Reinforced Sub - Slondord f Goble 4 PLUMBING K T. Bed Conduit ROOMS forced lean/ RCH/TECTURE Stondord_ — Sheolhin _ 9 r Sidin Hip /4 "t =. .•'•• r5..�•;>t/ BX. Fiol—_— Coble Grovily Humid A// Slone Above-Stondord Concrefe Bock Shed FIXiUreS Wo//Uni/ Stories ricr ry w Specio/ _ ad e. T a a cul Up Few Cheap EnI Ho// 'Sin /e FOUNDATION Adobe Shakes nil osl Cos/ V9. Metlium MonSpecio/ Floor Unil zoneUnil Living Dining Double ---- --- 't Concrele Floor -lois 1: B.$B. T.ga Gullers Centro/•• Duplex Reinforced /it r 'x. _ PLUMBING Bed Aporlmenl ' Brick 2"d: 'X Brick Shing/e Poor oo Gd "t =. .•'•• r5..�•;>t/ Bed Fiol—_— Wood y Sub Floor Slone Shoke Oi/Burner Courl Piers _— WINDOWS rile Fixtures Fole/ _ I D.H. Casement Ti/e Trim NoterHeoier M.-B.T.U. ..____ _ lnsuloledCeilings x .Slee/,Sash A I Comoosition d,d—h�- n-1 ,.e U:7its I Light IHeovy I I Insuloled Walls Ih I Screer CONSTRUCTION RECORD EFFEC. APPR.FAqe Permit YEAR YEAR 'Vo. For Amoun j Do AL /, GOOD I RATING (E, G, A, F, P "Ch79 Table % Cond. Arch. Func. Con- Stora eSpac A t t c Plan form. uoh'd loss Fl. I No. a.j PARCEL -'� _ - T - SHEET OF' r SHEETS I BATH DETAIL /Wish �I COMPUTATION Appraiser a Dote '- 7; %- . (�ni•1 Unit Areo Cost Cost sODa ZX? ell os/ Cost F1c�S1S1�e- Unit ost Cos/ nil osl Cos/ Unit cost Cos nil nil Unit Cost sl CostCost Cost -_ OFFICE COPY I +� Address I GAS I Meter By- Date I RIC A5 OF: ASD 4 y loZ fc G .1 dFa. - TOTAL NORMAL % GOOD -- �•-.; s5—JCS �G, d'�57, IFS F F!- -OI It/ •. .. — R. C. L. N. D. Ame) AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 21 -Nov -2003 2003-0082394 Has not been compared with original. BUTTE COUNTY RECORDER 'AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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, descri' 6`67 A-- rA-C-flz -4 D&S L J DateZ/� PROPERTY OWNERS: ' ': ag�� GE01r.E A. vJ9VFWEYS State of CalifoRia ) County of ) - -/ p . ieiore me, personally appeared 6e e.ry,� `¢ r-e,,AC A,"..e_ bar n..� $44 J-44--f-yr personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Is[ar�.subscribed to the within instrument and acknowledged to me that he/si e tfiDe �:*xecuted the same in his/he flie�-Authorized capacity(ies), and that by his/he0df'Egignature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS m d and offici seal. C. WILDER Signature Seal: N COMM. # 1296628 NOTARY PUBLIC -CALIFORNIA Q COUNTY OF BUTTE W AR Comm. Expires March B. 2005 This set of plans and.fpecificryt;,,ns h�iIST be . kept on the i��, at r'll +imps and 4 is unlawful to rllcdce any'changes or nitPrn+;ons on same without Written permission from the Department of Public Works, County of Butte. NOTE:—All Materials & Work,rnanship Shhll Be Fn Accordance with R!roanized Good Practices and I of a quality prescril pd for the Specified use in the Uniform Buildinq, Plurnkinq & Machanical Codes and the National Electrical Code s \ � Cpm/GD. G�� z�g• . ' A se ck of 5 ft. from the `J op rty lines and a setback of 5 ft, from the road centc Hine shall be clear of Y�trucures or equipment except lit S. Ali �vr.;Er IRE %1....--`)til' connections shall be within IV -21 -`W1�c .2 -- f _ 4 ft f the mobilehome, either &odire cly behind or within the.rear Moe,,y, i �o ____�lalf of the roadside (left) of tha A . permit will berequired for the installation of the mobilehorne. 4z qt - 80.. BUTTE COUNTY BUILDING DE?ARTM A �P'P R 0 vIlt . -D /1/1. 5 ` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS `T 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This .mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number " O for the following location: Owner 1!5� 76, Owner's Address r Mobilehome Mfg. ���• Model Year Insignia No. Serial No. 3 It is hereby certified for occupancy at the above described location and may be occupied. DirectC-'o>blic Works Date 'l --% S`� 5� By,!_"�- THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 429-80P,E f PERMIT NO. -s PERMIT EXPIRES ./ s ov • Y 1 ;OWNER K. M. Alexander CONTR. owner 58-22-25 .�ILOCATION (A.P. ) SIS Concow Rd., app.800'NE of Kirby Creek Rd., Comco 5 X Temp. Powe,�Pole Called PG&E f Temp. El:ec. Serv. Called PG&E $ -N - %--® oKiel em/Gas Serv. � Called PG&E OB ' FINALEtnature t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the C 1'f rnia Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address / t Mobilehome Mfg. /7�jy�� Model Year Insignia No. —�+ Serial No. 3 TA 7 It is hereby certified for occupancy at the above described location and may be occupied. —! Direct�r of Public Works— - Date '�—_/ 5"� gC5 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. Ma Bldg. F tin s Ste wall Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footings sorry Wall! Reinf. Stee COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - BUILDING INSPECTION RECORD n BUILDING BUILDING (Cont'd) PLUMBING FI wall Soil iping Par ets 1st loor Restr m Finish 2nd F or Windowk 3rd Flo Siding To out Roof Shea ng Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for ph sicall handica .1 Conformance of ex. structure A Appliances Gas Pi in &Test Temp. Gas Final f X Sanitation FIREP CE Final Footing Throat ,P 'I Rough Final ' Fixtures Stucco — Final 4 Sublia=elfk Mesh A , VW MECHANICAL Grd. Ful. Prot. Scr h i H ealing Servi e B n ling T P. Pole nish tsV oder round In rior Lath tilation Permanent or Closer l inal MOBILEHOME UTILITIES ---------------- Elec. Service /� Jba Elec. Pedestal �- Water Piping ` ^ G zy Sewer �` Gas Piping G BI E OME INSTALLATION ........-... uppo�t _ g0 Elec. Continuity . Water Piping _ Drainage Gas Piping DATE REMARKS OR CORRECTIONS "Pip 3 3 rc e3� (NOTE: An entry must be made on this form each time you visit the job site.) IIIIIIIIIIIIIIIIM ®® �S211 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS { 695 Oleander Avenue, Chico Phone 343-4211, Ext. 70 7 County Center'Drive, Oroville = Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ' � L Inspector Date i 9. Electrical A. Is service large enough to provide adequate amperage -to mobil.e��ome.(mst equal rating of mobilehome with a minimum of" 00 -amp) and other facilities Un lot, i.e., water pumps, garage, cabana, etc.?Yes_ No_ - / B. Is there proper clearances around panel s?" Ye sV No_ t C. Is power supply cord or feeder assembl"' roperly fused? .Yes_ZNo_ _� D. Is continuity test satisfactory as per the following procedure. Yes ' 1. De -energize electrical wiring system -of the mobilehome at the pedestal. 2. Make sure that the. power supply cord or,feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S-. All non-current, carrying metal parts .of the mobilehome (aluminum siding, gas line, water line), including fixtures andtappliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the'grounding electrode and the chassis of the mobilehome. Upon satisfactory, completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If'everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle 1 2 Length �e -1 Width {- Vehicle Serial No. T42 State Identification No. Additional Information or Comments: I MOBILEH ME./INSTALLATION INSPECTION_ CHECK LIST , 1. Is the mobilehome locatedwit required separation from lot lines and buildings and generally conform to plot plan? Yes No r. 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No '3. Are footings and supports properly sized, spaced, and bre approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5081cYes No 4. Is the mobilehome level? (Sec. 5088) Yes-zwo_ 5.If mor /than a single unit, are crossover connections properly installed? (Sec. 5088) Yes7No� 6. Water A. Is fle ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No_ B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No_ C. Backflow - If coach is not State/,Of California approved, does station have backflow device and pressure -relief valve? Yes o_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at eachZN Yes , Nc B. Does it have minimum k" per foot slope and is it properly supported? Yeso_ C. Are any leaks detected in drainage system after running��llons of water through each fixture including washing machine standpipe? Yes_ No D. If co 'is not State of California approved, does station have required trap and vent? Yes 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobil ome gas line inlet without reductions other than the mobilehome connector. Yes ZNoO B. Test OK as per following procedure? Yes_ ZNo 1, Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes . No_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 (%/S Telephone: 534-4541 • APPLICATION AND PERMIT / — IV116ri -0 VI 111Q I�UUllly V11 UUll6 tV GIIU71 UIJvn LIIV above-mentioned property for inspection purposes. �r �✓v �" "ate Signature of Permi a or g nt Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS B Date —S 2-0 wilding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 'P. ID. 13OX 237E (L"r - QZoVt�_ CA -6 %-{4:P5 Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 5 5 GQ COW Fz�- A9P. P I an Checking Fee &/or Penalty Permit Fee 5001 k) G 1:�.1 V_sY PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , 00 Each Trap 1.50 Coi�% Repair drainage or vent piping 1.50 A. P. No. ✓ —22'Z✓ R� Zoning & Planning Water piping -� 10.00 Each gas water heater or vent 1.50 F" s C. S n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 469- (�.pp EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W P improvements P Each additional outlet 30 1lding sewer •5-90 10.00 Bldg. Plas Recd Parcelroval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ 33.00 $oc; ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3:00 Main service 600V OR LESS `5 T �� 100 AMP OR LESS .00 7 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 2, a Main service OVER eooV 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ! DWELLING OCCUP. 4) :20 sq ft OR ADDNS. l ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CO 1 T BRANCH CIRCUITS) 2.50ea NEW CONSTR. BRANCHMULTI-OCIRCUITS) NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. 50@ EX. Occuo(OUTLETS OR FIXT"RES) BAL Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ( .Gp License No. Classification Misc. Wiring � rd L- RP 6.25 N P --o I hl -P 1• e n I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed'on file with the County of Butte a certificate of Workmen's Compensation Insurance. le ccertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 Heating, Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $, 2�j, rsc TOTAL PERMIT FEE Is B 5c — IV116ri -0 VI 111Q I�UUllly V11 UUll6 tV GIIU71 UIJvn LIIV above-mentioned property for inspection purposes. �r �✓v �" "ate Signature of Permi a or g nt Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS B Date —S 2-0 wilding permit expires Date MOBILEHOME SUPPORT DATA If other than.sing1d viide, ZQ7 Mobilehomg Mfr. CXfurnish Setup Model No. Ye$r Z Width (ft.) Box Length64'0 (ft.) Tagalong or Expando Sizeft. x (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation .manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front ofr; mobilehome unless otherwise specified. - - Footings (check one) Single 1. Wood either pressure treated or foundation grade. x 'D 2. Other (specify) enter sup rt Center uppoLt locations footin sizes Supports.(check one) 1: Concrete block. (� ❑ 2. Other (specify) L_ x (ft.)(in.) (i .) (in.) E -Tagalong or Expando,' % show support details. (ft.)(in.) in.) (in.) (ft.)(' .) (in.) n.) ( .) (in.) (in,) (in.) k1f center piers are other than drawn above, draw in -locations, spacing, and dimensions. / xjp -- Typical Support (in.) (in.) Footing Size I - -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang I V I (ft.)(in.) .BUTTE COUNTI BUILDING DEPARTMEN_! APPROVED c � r ! jBUTTE COUNTY DEPARTMENT OF PUBLIC WO� 7 County Center Drive Oroville CA. PHONE: 534-4541 0 MOBILEHOME INSTALLATION.SHEET 1. Owner's name: /L C 1 / q ALS x ,*,ND C� 2. Installer's name: /y ca LN V l U.Aao l /7u Com' � I 3. Is the site curr4y under permit? Yes No (If yes, furnish permit number ) - , OR Is the site an existing site? Yes (If yes, furnish two (2) plot plans.) 4. Will the mobilehobe located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify 5. What is the mobilehome electrical rating? -----------------------"® Amps 6. What is the mobilehome site service rating? ------------------=-- a Amps 7. What is the mobilehome site circuit breaker rating? -------- ----- l7 eO Amps 8. Is there any other electric load to be served by the mobilehome siteservice?---------------Oo-- �---------------------------- Yes /-/ No (If yes, identify the load and size: / /l� (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas servics - ------------------------Natural LPGA 11. What is the gas pipe length from meter or tank to the mobilehome? ------- �. 12. What is the mobilehome gas demand? ----------------------- (BTU) (This information not receireX if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) PLAN 1tEVISION Please complete the following information in order to process your submittal. If this form is not complete, corse and legible. it may cause a'delay in processing. Owner's Name: Received By: -��- _Date • _ 2 / A.P. R: Permit if: _3Time: -s e ContactPhoneNumber. Purpose of submittal: O Permit Application Data Item ❑ Engineering ❑ Plan Revision ■ Requested. or CorrectionNotice 9/R�uestcd By Plaa!s E* xaminer -Examinees Name: --- • ■ Other If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plz review. If engineering is involved in this revision, the engineer must put his requirements on these drawings an( stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings_must clearly sbo When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: ❑ Call and hold for pickup at the ❑ Chico Office O OrovWe Office 0 Deliver with next inspection Revised Plan Check Fee: D 546.00 Receipt 1: O Additional Fees Not Require( .Additional fees may be due based upon complexity and time involved to process this submittal Additional Fees: Receipt I. Nov 12 03 09:54a November 12, 2003 George and Diana Jeffreys 3830 Camelot Lane Oroville, CA 95969 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 058-220-025 Building Permit Number: 03-3367 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. P.1 STRUCTURAL COMMENTS: I . Provide shear wall nailing adequate to resist the shear forces shown in the structural calculations and specify shear wall construction requirements in the calculations. 2. Provide 3x minimum framing at locations where allowable shears exceed 350 If it 'TEE sKeaz accordance with CBC Table 23 -II -I-1 footnote 3. p x-13 w��� SGHEO 3. The structural calculations specify 5/8" diameter anchor bolts and the plans show 1/z" diameter anchor bolts. Please revise -to match. - CAtcs. Have lief" c#4At+46D To vL' 4. Please provide anchor bolt spacing on the plans as specified in the structural calculations. ser 514Ear� 5. Provide page 2 details as referenced in the shear wall schedule on the plans.— FOVA/DArT,KE ON `^TALL SGHGD 6. Please reference shear transfer detail to the transverse walls. Detail 2/FP is keyed to the N ,.0 t" longitudinal walls but not the transverse walls. REF Ar71E,, Mor -f if you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 P.M. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Please refer to your Data Sheet for remaining no check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Martha Christy Philo Hunt, P.E. Plans Examiner Plan Check Engineer cc: Donald Russell, P.E. Bill Kirby loft November 12, 2003 George and Diana Jeffreys 3830 Camelot Lane. Oroville, CA 95969 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 058-220-025 Building Permit Number: 03-3367 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. STRUCTURAL COMMENTS: Provide shear wall nailing adequate to resist the shear forces shown in the structural and specify shear wall construction requirements in the calculations. /calculations rovide 3x minimum framing at locations where allowable shears exceed 350 plf in accordance with CBC Table 23 -II -I-1 footnote 3. The structural calculations specify 5/8" diameter anchor bolts and the plans show 1/2" / diameter anchor bolts. Please revise to match. VPlease provide anchor bolt spacing on the plans as specified in the structural calculations. Provide page 2 details as referenced in the shear wall schedule on the plans. 6,/Please reference shear transfer detail to the transverse walls. Detail 2/FP is keyed to the longitudinal walls but not the transverse walls. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) , The counter staff will answer any questions concerning the Data Sheet. Martha Christy Philo Hunt, P.E. Plans Examiner Plan Check Engineer cc: Donald Russell, P.E. Bill Kirby 1 of 1 December 13, 1988 Judy D. Beabout 13338 Concow Rd. Oroville, CA 95965 RE: Building Violations A.P. #: 58-22-25 13338 Concow Rd., Oroville Dear Ms. Beabout: This is, a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows:. Constructed two cabanas adjacent to your mobilehome. Since permits and inspections are required for the above work, please contact this office within ten days of' the date of this letter, submit two 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. This field authorization' cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations., fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Jim Glander or Bob Reith of this office. JFG:ahb cc: Assessor Building Inspector Yours very truly, William Cheff Director of Public Works Original donw tv J. F. Gkmdvi J.F. Glander Chief Building Inspector �� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ti 196 Memorial Way, Chico — Phone:'891-2751 rr 7 County Center Drive, Oroville — Phone: 538-7541 747 EIIiott,Road, Paradise — Phone: 872-6307 CO'RECTION N OT1C.E- C PE 'A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector �/ / Date (SPA0105) ASSESSORS SECURED MASTER PROPERTY.DETAIL (PAGE 1 OF 2) 11-09-88 11:16 PARCEL b 58-22-0-025-0 ST ACT TRA 110-03 USE RMN2X ZONING CODE FR5 NAME BEABOUT JUDY D SS GEN PLAN ZONE CONF Y C/O AC ZONING YR STRT 13338 CONCOW RD MISC CODE 00 PROP MISC _ CITY OROVILLE CA ZIP 95965-0000 SITUS CONCOW RD RECORDER # 86-04011 TAX DELINQ 87-50438 = _- PENAL FLAG 0_% VALUES 88-89 _- ASSESSORS ROLL AUDITORS ROLL ASSESSORS MPR LAND 20,808_ 86 BS.YR 20,400_ .. BSYR IMP 8,323_ 8,160_ T/V PERS *GROSS 29,131_ 28,560_ MISC EX 00 CODE 00 CODE .. CODE HO EX 00 YEAR .. YEAR BUS INV. ** NET 29,131_ C 28,560_ r TROUT l� I\ E� BR�iI ie.� ` PLAN 14 D ❑P _ BAT 0 r 4` tj $ N - ;, BATH 1 r O DINING W/I t i LINEN i 1. �: _ BEF67- 1 i r AJAR LIVTNG R004 t i CAM*ET X iL z — i UTA. ra • t i '� I 1 9X4 _! 3X5 - 3x5 — —_-- _-------------------- ---- --.-- 561 f-Ct - 4 ---= — _---fie Ty 31 I CONCOW ROAD , I � , b � � 1 I S - - - - - - - - - - - - - - - - - I � I I i I I 1 I I I I I I 4:12 WELL SHED I , i I PfTCHTYP. PROPOSEDHOUSE 40'-W I I 4:12 I PRCHTYP. I I 1 , J L--- - --- - - - -- ---- - cv 1 I I O 1 I I I 3aa I N I I CN , OC I 3— � I I C,4 r y I I � I PARCEL 25 ' ! 13338 CONCOW RD. I I ; I I I I - I ----------------------------------------------------- J I i 1 1 1 260.00' 4 12 III I ,6 9 O O I O I O I O 13338 CONCOW RD. --1----1- - - - - - - - - - - - - - VICINITY MAP N.T.S. ti LINE SCHEDULE mwpu ) - 0unostF .-.ms .ms of-PRP6o nws8 --------OwsEta¢x .-ol-v,omnY,,w ' ol-nens,a muo 630899.2945 5308994688 FA% sOg�sl0rm0es(�p,®4up.c4m COPYRIGHT 2001 SIERRA DESIGN GROIP ALL RIGHTS RESERVED. NO PARTS IA4Y BE REPRODUCED WIIHOM 7M WR8T1F11 PMSSSION OF SIERRA DESIGN GROLD. SERENITY HOMES 2490 BRUIT RD.. W CO. CA 95926 PHONE (53Q) 5666480 FAX (530) 5666492 JEFFREYS RESIDENCE 13338 CONCOW ROAD ORL)VILLE, CA 95965 APNO058.220-M ROOF LL: ROOF OL' DRAWING NOTES/REVI 05/16A13-9TE PLAN DATE SCALE 09/16103 WT5 SHEET TITLE SITE PLAN SHEET NUMBER SP u CONCOW ROAD -�---------- ----- --- i b T �- S / I 4 I ------------------ - I ' I I , I , I 4:12 WELL SHED I I PITCH TYP. PROPOSED HOIAE ' aad i I :7 1 42 PTTCH TYPI I . ' I I t � N NI j + I N , o ' j Wil- �ri i N i I S 7 I , I I I I I , I � I ' PARCEL 25 i I 13338 CONCOW RD. I ' I I I � I I I' I , I , ----------------------------------------------- 260.00' ---------------------.-----------------------260.00' 29 ;- V/00LA ----'---SA �4 DRAWING NOTES/REVI 77��------- 09M603 -SITE PLAN .---OCUP DATE sr - G09/16/03 09/16/03wl to O_ / LINE SCHEDULE (sImp N) 6ES - SITE PLAN 9-DTIES OWiWSIY}ME ' "--- OWRP9D NDa6E -------- OLSEiantx 01-vluNmww _---.—_ - 5308932965 530899-0688FAX m-aensla c,wo t9�I sdq@%b�laf�'9P-P— �.— 10 _—.—.—_—. COPYRIGM 2001 SIERRA OF -SIGN GROLP O.—. O ALL RIGHTS RESERVED. NO PARTS MAY --i---=---I--- T- ---�— — — OE REPROOUCED WITMDUfTM WRITTEN PEFUSSION OF SIERRA DESIGN GROtP. PREPARED FOR 2T i 25 ---�� ,� CON�W I j. j ROAD —_ ----J SERENITY HOMES j 2490 OI'd RD., MCO, CA 95928 Oj 4 I (D I O , '-13338 CONCOW RD. O PHONE 1530)56&9480 FAX (530)5588682 — — —I— — — — L — —L--- --•-------•------------- VICINITY MAP N.T.S. JEFFREYS RESIDENCE 13335 CONCOW ROAD OROVItLE. CA 89960 APNa05&220825 ' ROOF LL: - ROOF DL: app ' �4 DRAWING NOTES/REVI jff�4 09M603 -SITE PLAN DATE sr - G09/16/03 09/16/03wl SHEET TITLE LINE SCHEDULE (sImp N) 6ES - SITE PLAN 9-DTIES OWiWSIY}ME ' "--- OWRP9D NDa6E -------- OLSEiantx 01-vluNmww SHEET NU MBEF sp' m-aensla c,wo RELWAIPT 13CATC 'VRAGEIND.11V . (JA READY .70 rn XR L000l- IAECZE& A U. BATH -2 L r' j LINEN ROCA, � I l._ 1 d 00 CD Alm -4 t id F9 01 A X Cl 141 tal to M Cl d u 000000t, fill I p; . O -Are -t mccc., � � 1 rue �ov� :i � _ •. • r 0 OW —.0m OW J .V