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058-280-016
58-28-16 tL'-'.�nlontz W/S @ en -No pri.dr.,app.400'S.of Ishi Trail,app.3/110 mi.E.of Concow Rd.,Concow Permit #26724bV(n ii.det. arage) Per t#1395-82B(lst renew� 58-28-16 1/2672-81) 1 ' � 58-28-16 [LEON CLONTZ54 .Is. i -Trail, Concow -- PErmit#2936-89P,E til, MH) /a2 I ELEC . �-00 GAS L-- a SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. Permit#3180-89MHI Issued 2 L - 1 58-28-16 I 185.-90B CLONTZ, Leon .x Q f 4054 Ishi Trail, Concow (MH COV.. & OPEN DECKS) B07-0712 058-280-016 RESIDENTIAL ,SFD-Mobile Home RET EX MH EX SITE PERM FNDN 4054 ISHI TR Fj jjj� CLONTZ, TRUST r t -- s I � � � � RECORDING REQUESTED BY: `er vt AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 e007-001 SOSe Recorded I REC FEE I& M Official Records I County of I CONFOM B COPY 1.00 Butte I CANDACE J. 6RUBBS I County Clerk-Recorderl 1 I LV 09:20AA 19 -Apr -2067 I Page 1 of 2 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. CLONTZ, TRUST BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 4054 ISHI TRAIL 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95965 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 4054 ISHI TR B07-0712 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT NO BUILDING PE3MIJ . TELEPHONE NUMBER OROVILLE BUTTE CA 95965 18 0-7 CITY COUNTY STATE ZIP SIGNAt9RE O&LOCAL AGENCY OYFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY UNIT DESCRIPTION FAR WEST MANUFACTURER'S NAME STATE ZIP 1989 4010 DATE OF MANUFACTURE MODEL NAME/NUMBER 4394A/B 45 X 24 RAD523094/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 058-280-016 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. or 1% 86-08366 ATTACHMENT "A" Lot 4, as shown 0111 that curtain Ameuded Parcai Hap 01• a 1101•lion of Lite Southwest quarter of SerliOn 11. 'I'own:1111ip 7.2 North. R;ml;c 4 li.u;t, which Atnendrd I'arecl Map was fi.lu.l in the <.fiir.• of lite Recorder of the County of 1111"0, State of California, OR Decrmhct 311, 197:1 in Book 0 of Parcel Maps, aL palte 78. I'Ut:[i'I'Illilt WITH it ril;hl of way for road and utility purposes over n strip of land 00 feet in wldth, lying 30 feet on each side of the following described line; Commencing at the Ilost quarter corner of said Section 11, Township 22 North, Range 4 Fust, II.I),If. F 11.; thence alanil the Wc-st line of said Sectlon, South 00° 59' 15" East, 664.)3 fret La a polut at the Northwest earner or rh^ South half of the North half of the Suulhwest quarter of said Section 11, ter line of a t)nid polo[ also being on the cen- 6U font oa rd casement; thence slang the North line of the South half of the North half of tLe Southwest' quarter of srfid.Srcricr) 11 and nlon, snid center line of cold road casemonL, 501101 89° 32' 13" Eait'o 1068.44 feet to a point at the Northeast corner of Lite land described -in the deed.from Kennon Henrd to W. Howard Farmer, d;lted June 17, 1967 and recorded June 22, 1967 in Book 1475 of Official Recordh, at page 569, records of Rutte County, California, said point being the true point ;f beginning for said '[nu; thence from sold point of beginning, leaving said road c mro: l ina, South 00 7 47 141?st a.lon^ Lite fast line or s;►irl farmer pruperly, a distao:-:c c+i 463.33 feet to a point and the and of said line. EXCEPPING THEREFROM all that portion lying wlLhin the boundaries of the above desc- rtbed pruuerty. ALSO TUGG7IIISIt WITH n non-exclusive casea,ent to be used in common with others, for read purposes nod public utility purposes over a strip of land 60 feet in width. lying 30 feet on oath stldr of a center line, described as follows: iU Commencing at Lite WQst quarter corner of S,!ctiun 11, Tuwnr;hip 22 Norlh, Range 4 Gast, M.U.B. S 11.; thelleo along; lite West line of said Section, South UO° 59' 15 Cc Cast, 6164.53 feet; thcm:L, North 820 15' 2R ° Went, 449.85 feet to a puint on t e y center line of the Cunr:n11w Road, said point being; the true point of beginning or T snid center line; thence leaving said true pulot of beginning, nlunr the center i -W Ilnc of sald 60 foot catiemcnt. SOUL11 82° 15' 28" East, 449.R5 feet; thence So th C.il 8'1* 32' 13" I?at[, 17]!1.44 Ceet to lite eml of sold center line. co END, OE DOCUtvAR is ' RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 19 -Apr -2007 2007-0019092 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. CLONTZ, TRUST BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 4054 ISHI TRAIL 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95965 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 4054 ISHI TR B07-0712 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PE Mlj NO TELEPHONE NUMBER OROVILLE BUTTE CA 95965 -7 CITY COUNTY STATE ZIP SIGNAtME OC40CAL AGENCY OfFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION FAR WEST 1989 , 4010 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 4394A/B 45 X 24 RAD523094/5 SERIAL NUMBER(S) LENGTH X WIDTH TNS1GNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 058-280-016 HCD FORM 433(A) REV 8/91 WHITE— County Recorder CANARY — HCD PINK—Applicant GOLDENROD — Bui]'ding Dept. 0 k':".",•C:1� Lot 4, as tihnwn oU that curtain Amended Parcrl Phil of n 1•nt•llon oft S quarl'er of Section 11. 'Town:;hip 2?. North, Itanl;c+ 4 Ii,Itnt, which AInrUJoheI'Southwest w."A fl.lod In rhe c;ffice of the Recorder of the County of 711. yIlutte. SCntc Of California. ,=:: is 'i?•x "It Ueecowher 211, 197:1 in Book SR of I �a e. ,Kul , r ct 'PI:I 1 pagepage Ia1:1!1'IiPat WI'I'll it richt of way fur road and utility purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described line: Commencing at the ("Jest rI onrter corner of sail Section 11, Township 22 North. Range 4 ! ! ,,. Fast, Il.h.i). h )I.; thence alon; the west line of said Section. South 00° 59' 15" rn, s}Fu� East, 664.)3 feet ton polar at the Northwest corner of tli^ South half of the North 'r;•..� half of the Southwest quarter of said Section 11, nrtid point .Ilso being on the can- ter line of a GU font 1•clad casement; thence along the North line of tho South half r „+ of the North h:11f of cl•e.Southwcst quarter of sn'id�retioii 11 and along said center title of ani.d rc�acl essenlent, South 81° 32' ,13 fsast ��` a 10.6.44 Fcat co a poise at the „�, Northeast corner of UIa land described •_in.tlia_diad__f".r-om-Acnnnn"Henrd-"tort;: -Hov`a�--- . . �a,:inF t•. aCC-a- JU�e" 13— 1967 and recorded June 22, 1967 in Ilonh 1475 of official ? RecordK, at page 569, records of Butte County, California, Raid Point being the JiQ.;g;r•� s. true point �f beginning for said IIIW; thence from said point of baglnatng, leaving said road c„nra;• 1'fnc South r0° ,ru art ' 1 27' 41" lJcst along lhn Cast 1 1 P y, n dista+:••e •.ii Ir• in_ of sold +,3.33 f_•ot to a point and Iarm_r R`.�..'..• . tha end of said J [le. P:RCEP'fINC 111CREFROM all that portion lying within the i ribed pruuerty. boundaries of 010 above dese- Ljt ALSO purposes and n non_exclus1%'a casement to be used in common with others. for road purposes nrlJ pt+bllc. Utility purposes over n strip of land 60 feet in width, lying 30 feet on each r+(de of a center line, desr.ribed ns fullown: Commencing at llle WoFt quarter corner. of Sectiun 11, Tuwnnllip 22 Norlh. Itnn East, M.O.B. 5 PI. ; tiwcnrc along; LIM (Jest 1 ine of said Section. South 00° 59'e15 East. Gline foot; thence North 82° 15' 28 "!+'ant, 449.85 feet to a pulnt on t a center line of the Benno" Rued, said point being the [rue palet of be);inntug or Raid center line; tllencc leaving: snid trwo pc)(nt of beglnning. alunJ rhe center Ilnc of said GO font casement, South 8. 15 28" East, 449.115 feet; thence So th 8'7° 12' 13" IinKt, 1'318.44 feet to the tend of Knid center Ilse. co 06366 ATTACHMENT "A" k':".",•C:1� Lot 4, as tihnwn oU that curtain Amended Parcrl Phil of n 1•nt•llon oft S quarl'er of Section 11. 'Town:;hip 2?. North, Itanl;c+ 4 Ii,Itnt, which AInrUJoheI'Southwest w."A fl.lod In rhe c;ffice of the Recorder of the County of 711. yIlutte. SCntc Of California. ,=:: is 'i?•x "It Ueecowher 211, 197:1 in Book SR of I �a e. ,Kul , r ct 'PI:I 1 pagepage Ia1:1!1'IiPat WI'I'll it richt of way fur road and utility purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described line: Commencing at the ("Jest rI onrter corner of sail Section 11, Township 22 North. Range 4 ! ! ,,. Fast, Il.h.i). h )I.; thence alon; the west line of said Section. South 00° 59' 15" rn, s}Fu� East, 664.)3 feet ton polar at the Northwest corner of tli^ South half of the North 'r;•..� half of the Southwest quarter of said Section 11, nrtid point .Ilso being on the can- ter line of a GU font 1•clad casement; thence along the North line of tho South half r „+ of the North h:11f of cl•e.Southwcst quarter of sn'id�retioii 11 and along said center title of ani.d rc�acl essenlent, South 81° 32' ,13 fsast ��` a 10.6.44 Fcat co a poise at the „�, Northeast corner of UIa land described •_in.tlia_diad__f".r-om-Acnnnn"Henrd-"tort;: -Hov`a�--- . . �a,:inF t•. aCC-a- JU�e" 13— 1967 and recorded June 22, 1967 in Ilonh 1475 of official ? RecordK, at page 569, records of Butte County, California, Raid Point being the JiQ.;g;r•� s. true point �f beginning for said IIIW; thence from said point of baglnatng, leaving said road c„nra;• 1'fnc South r0° ,ru art ' 1 27' 41" lJcst along lhn Cast 1 1 P y, n dista+:••e •.ii Ir• in_ of sold +,3.33 f_•ot to a point and Iarm_r R`.�..'..• . tha end of said J [le. P:RCEP'fINC 111CREFROM all that portion lying within the i ribed pruuerty. boundaries of 010 above dese- Ljt ALSO purposes and n non_exclus1%'a casement to be used in common with others. for road purposes nrlJ pt+bllc. Utility purposes over n strip of land 60 feet in width, lying 30 feet on each r+(de of a center line, desr.ribed ns fullown: Commencing at llle WoFt quarter corner. of Sectiun 11, Tuwnnllip 22 Norlh. Itnn East, M.O.B. 5 PI. ; tiwcnrc along; LIM (Jest 1 ine of said Section. South 00° 59'e15 East. Gline foot; thence North 82° 15' 28 "!+'ant, 449.85 feet to a pulnt on t a center line of the Benno" Rued, said point being the [rue palet of be);inntug or Raid center line; tllencc leaving: snid trwo pc)(nt of beglnning. alunJ rhe center Ilnc of said GO font casement, South 8. 15 28" East, 449.115 feet; thence So th 8'7° 12' 13" IinKt, 1'318.44 feet to the tend of Knid center Ilse. co FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B07-0712 Address or location of unit: 4054 ISHI TR CONCOW CA Legal Description of Real Property: 058-280-016 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: CLONTZ, TRUST Owner's address:4054 ISHI TRAIL OROVILLE CA 95965 INSIGNIA OR HUD NUMBER:RAD523094/5 SERIAL NUMBER OR V.I.N.: 4394A/B MANUFACTURER'S NAME: FAR WEST YEAR: 1989 OFFICIAL APPROVING INSTALLATION: T�XL� DATE: 9- /1 J d 7 PHONE: (530) 538-7541 H.C.D. 513 EXPLANATION AMOUNT SIERRA MOBILE SERVICE SIERRA FOUNDATION LIC NO 470386 466 CIRCLE DR 530-534-0599 OROVILLE, CA 95966 PAY AMOUNT -� �/I D o 90-2267/12113627 H16B ,� saaann Iaturea :_. DOLLARS I LJ maaooa.bub Daw back. MEDICARE CHECK TAX _I 1 1 $ � � i � O J 1 DATE TO THE ORDER OF GROSS INC. TAX SOC. SEC. ST. TAX NUMBER LiDF0090 54 US BANK I I uwtnir wn I Z V M, AUTHORIZED SIGNATURE 00L9883111 1:1112111L226761: L5340140392SO BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 3 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2.140 Website: www.buttecounty.net/dds Permit No: B07-0712 Issued: 04/04/2007 Address: 4054 ISHI TR Area: CONCOW Owner: CLONTZ, TRUST APN: 058-280-016 Applicant: SIERRA MOBILE SERVIMap Page: Permit Type: SFD-Mobile Home RET Description: EX MH EX SITE PERM FNDN Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type 1VR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Inspection Type 1 NR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: FAR WEST Date of Manufacture: 1989 Model Name/Number: 4010 Serial Numbers: 4394AB Length x Width: 45 X 24 Insignia: RAD523094/5 ` Finals y Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final 777 **PROJECT FINAL 801 -rrolecc rinai is a %-ernucate of occupancy for (umaennal unlyy PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSYJANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy i J 03.!30/2007 14:04 FIDELITY TITLE OROVILLE 4 5340700 $PATE Of 6ALIFtiR1Y14.6USINEW, TRANSPOWATrON AND HOUSING AGEtmy DEPARTMENT Of HOUSING AND COMMUNITY DEVELOPMENT DIVNIM of COLI®a 9nd Stand& -ft A� Title Search Date Printed: 03/30/2007 bt Decal #: LAN6428 MMU&C=er:90091 Use Code: SFD FAR NEST Ii>�1 Traden$ritc: Original. Price Code; ALM FAR WEST Model: Rating year; 4010 Manufactured Tate: 11/15/1989 Tax Type: 1PT Registratior. Exp: Last ILT Amount: First Sold On: Date 1LT Fee Paid 01/101990, ILT Exemption; NONL Serial :umber HUD Label / insigsti Length Width 4394BRAD523094 45' 12' � 4394E 1RAA523il9S 45' 12` Regis -cared Owner: Lr,OM M CLONTZ LUISA'A CLONTZ Trustees 3611 VA,NCOLrVER Wy CONCORD, CA 94520 Laot Title Date; 01128/1991 I Last Reg Card: 01/28/1991 -Sale/Transfer Info; price $41,530,00 Transferred on 01/16/1990 Siris Address: 40541SF1i TRr OROVILLE. CA 95966 i � Sim County: BUTTE T1LLe S4ars}ll'�5: FIDELITY NATIONAL TITLE 455 ORO DAM BLVD SUITS A OROVILLE, CA 95965 Tide File No: 109359 *" END OF TTTLF, SEARCH NO.829 P02 ram* Itreat ddreas uty a tta.e tame I Wretss e�Y�h, �• �• j �r a hate .f 1 t.. • I i -T .. " . RECORDING REQUESTED Q'- 6.O IN OFFICIAL 6 CORDS y :IF PuTtE 000NTY.CALIFORNIA AT THE REOCEST OF ATTORNEY AND WHEN RECORDED MAUL TO I9vb W 18 PM 2; 24 .1•aw Offices Of ' kONALD C. SOLON 2200 Powell Street, S'lite. 1.3) Emeryville, Cat,,nrnia 94608 L MAIL TAX NMATEMENT TO r -� MR. & MRS. LEON M. CLONTZ 3611 Vdncouv-r Way Concord, CA 94520 L -- - J ELEANOR M. UELKER' CLERK -RECORDER FEE 86" 83h( H&-j"r$ •.) F -/h SPACE ABOVE THIS LINE FOR RECORDER'S USE agee Individual Grant Deed (Excluded from Reappraisal Under Proposition 13 Le.. Calif. Const Art 13A41 at The undersigned grantor(s) declare(s): Documentary transfer tax is $ NONE ARTAis conveyance Is to a trust ( LEON M. CLONTZ and LUISA B. CLONTZ and Is exempt (Settlor and Mustee)] which Is not pursuant to a salt O This conveyance Is from joint tenancy to community property which is not pursuant to a salt and Is exempt. LEON M. CLONTZ and LUISA B. CLONTZ, husband and wife, as joint terants, herebygrantato LEON M. CLONTZ and LUISA B. CLONTZ, Trustees, CLONTZ 'FRUST, U/D/T dated alto/h On following described County of Butte , WIste of California FOR DESCRIPTION SEE EXHIBIT "A" ATTACHED HERETO. NOTE TO ASSESSOR: This is a transfer to DMM ;1117 A,,&k 9 e6 W revocable trust only O community property only Under Rev. d Tax Code Section 02, R does not constitute a "change of ownership" Thus, no re-evaluation is to be made as a result of this deed. Dal ed: — *7- 1/0 11, L �• STATE OF CALIFORNIA LEON M. CLONTZ COUNTY OF--Laa_ Ce 1v SS. On--��% �Ui before me,theundersig7md,aNotaryPubl1 In and for sold ��yatepe rally B C1.ONTZ appe/ared1—V-ft ry- �'ltaq t A•.j /.•V.•ll� . personally known to me or proved to me on the basis of $&Us- factory evidence to be the person whose nam&4 01•PidAL SCAL subscri ed to the vdlhin Instrument and acknowiidged that executed the same. �, GIiVnLU C. SOLO'N •`� NOR,,�Uniror CAW ANNA N,sAh V617NESS my hand a_n�d official seal Y. M/ �q^^• E.pn., 0" w. wee (This area Iw oficW mD TRIO Order No._ _. Escrow or Loan No. --� MAIL TAX STATEMENTS AS DIRECTED ABOVE ' C ,,1• re� c%q 86-08366 ATTACHMENT "A" [.or. 4, as shown on duct curtain Amendod P;Irccl Map of a 1•nrLlon of lire Southwest quarCer c+C 1,ec't ion 1 1 , 'I',+wn::Irlp 7.2 North. It:urgc 4 liat(t, which Arnentird Parcel Hap was fL.It-d in tine offiro of the Recorder of the County of Ilut•te, State of California, on t)e(xurhrr '211, 197:1 in (took 48 of Pare.el Mills, at page 78. '1OGETIll'it WITH it richt of way for road and utility purposes over n strip of land 60 feet in width, lying 30 feet on each side of the following described line: Commencing at the hest goarter corner of said Section 11, Township 22 North, Range 4 !wast, N.D.11. & 11.; th.in(•c aImwl; the west line of said Section, South 00' 59' 15" East, 664..)3 feet to it point at the Northwest corner of th^ South half of the North half of the Southwest quarter of said Section 11, paid point also being on the cen- ter line of a 6U foot rand casement; thence 41101111; the North .line of the South half of the North half "f tloc Southwest: quarter of sif•!d. Secthcni 11 and along snld center Ilse of Said r(+ad easement, South Hd° 32' 13" Ra.t!•101.8.44 feet to a point at the Northensc corner of the Land described in the deed from Kennon Ilenrd to li. Howard Farmer, dated June 13, 1967 rind recorded June 22, 1967 in (look 1475 of Official Records• at page 569, records of Butte County, California, said point being the true point ;C beginning for said line; th.nr.o from said point of beginning, leaving said road c+cora: III,(:, South 00° 37' 47" !Jest .loll^ l'he East line of Sabi Farmer property, a discac:•:c .if 463.33 fret to a pu'lnt and the end of said flue. EXCEPTING 'I'IIIiREFI20P1 all that portion 1y1111, within the boundaries of the above desc- ribed pruucrty. ALSO T0GLC111=1t 141.111 n non-eacluslt•c casement to be used in comrnon with others. for road purposes and public: utility purposes over n strip of land 60 feet in width, lying 30 feet on each :ride Of a center line, described as follows: iV Commencing at the west quarter corner of S.:ctiun 11, Township 22 North, Iran+ H7 East, M.U.B. 5 H. ; tht:nr. along; the: west 1 ine of said 5cetiun, Saulh ()()° 59014 GO East, 664.53 fret; thence North 82° 15' 28 " west, 449.85 feet to a point on t. e center line of the Cunro(d Ituad, said point being; the true point Of beginning or T , said center line; thence. leaving said true point of beginning, alum the center F- Ilnc of said 6O foot casement, Suuth 82° .15' 28" East, 449.85 feet; thence So th C.1 896 32' 13" East, 13111.44 feet to the cod of s;wlcl center line. n END. of OOCUMT .!�• ��t," A .�. �1-+, tib�'I`, ,.i+ �' 7���';i��+. ink,* y.• yi t ._ i"/ �!� �+7� .'JNi�� t 5�,�1� S �': �_ � , .. �z�.1{`A1+i h %?it�j1�+�7c�Ji,���7F� . `^ ��C{tt\k Y� w -.A' v , ;•.'4a ��i��,y���!'';`7�'RF � !�y.�"fSl� � i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4054 ISHI TR Owner: Permit NO: B07-0712 APN: 058-280-016 CLONTZ, TRUST Issued Date: 04/04/2007 By KEJ Permit type: RESIDENTIAL 4054 ISHI TRAIL Subtype: SFD-Mobile Home RET OROVILLE, CA 95965 Expiration Date: 04/03/2008 Description: EX MH EX SITE PERM FNDN Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE & SUPPLY SIERRA MOBILE SERVICE & Building Garage Remdl/Addn 466 CIRCLE DRIVE 466 CIRCLE DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 (530)534-0599 (530)534-0599 Other 1 Porch/Patio Total FEE INFORMATION DBF MH Plan Check $219.96 DBMSC Mobile Home $329.94 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B2510 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 04/04/2007 penalty [$500); Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). F__ IZIAVE-AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund policy Number: 046-0004257 Exp. Date:01/0112008 ContractorLicense Law.). 's (This section need not be completed if the permit is for on. hundred ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 04/04/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X X,04/04/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on pe property ownf.sj� behalf. CONSTRUCTION LENDING AGENCY E+ D /�d� 04/04/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ontractor OR Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip a ' - ° ei3T�'F BUTTE COUNTY ° DEPARTNIENT OF DEVELOPMENT SERVICES PERMIT _o BUILDING PERMIT APPLICATION NO. 3 �_ _ ° A.ND SU131\TITTAL REQUIREIN,IENTS 6-61 \'a °C mei _� o T HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 391-2334 BP OFFICE #: (530) 538-7541 �(f NA FEE J3�ILL BE REQUIRED AT TIME OF APPLIC4TION BIN # **PLEASE PRINT CLEARLY** Last Name Address `I t Eq 15 City Phone E-mail "/NER t Name Slate t � Zp 95-ti�S Fax CONTRACTOR Name Ste_ Address City State �Zip Phone s y pS9 9 Fax E-mail Lic. # �763 yE Class ARCHITECT/ENGINEER Name Address City Stale Zip Phone Fax E-mailStale License Number APPLICANT NAME Name _ Address City C K JLez Stale �_ Zp Phone 1-3 q OSS G Fax E-mail APPLICANT SIGNATURE X For office use only: / Zoning Flood Zona Occ: SR4 Yes No Type Const. Subdivision Name Map Book I Page Lot # Planner Dale Approved: 0VER FOR SUBI_MMTTaI RFnlltt?Fnnr=r,rrc LOCATION AP# Properly Address City c(v.S'y I e Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee 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 cbccked and other department costs are not refundable. Received by: Amount Bldg SRA Receipt #: Sheriff SMIP Date: Other T5Nr TKNt, W a �tT4/hL S t-af SNAi'f of PES z K a-l'e`is p4 0 r",� e Q�t OE�K 8' 701 TRvsT Ll IS M z It Fl I C0Ncnw CSR 9Sg6G 058 �.$o ot6 ffL �G Zor Da � 9 nor �Ia-' Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Ground System Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOMEIMOBILE HOME FOUNDATION SYSTEM HBALTHAND SAFETY CODE, SECTION 18551 APPROVED WWBCT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY 01413SIONS OR DEVIATION FROM REQUIREMENTS OF APPL1CABL8 STATE LAWS ANQ REGULATIONS Shen of Califomia ftw aft of RouWaS Md Commaaitr Davdapmaat OF COBS AND STANDARN Page 1 of 8 0 0 0 0 X� Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone I, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. �� ®V `<1 <<� * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weather ng shaflhav/ �aJL resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 ►. o IF—A 11111L�pO i ,. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10 Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) end °f J -Bolt Nut Washer Strut (flag end) `1 I -Beam Figure 2 Vl Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. L.- T z� /I Y- z.. r�E 'DOWN. ENGINEERING 11 Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems L.— Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems` 63' - 80' 4 Xi2 Systems "2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems EXAN 677 2. Page 4 of 8 0 0 0 0 1. 2. 3. 4. 5. 91 Fi Installation of Xi2 Concrete Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Build pier according to State, Local or Home Manufacturers guidelines. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through A bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. o, Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5, 1/2" x 2-1/2" bolt/nut provided. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes F in the lateral strut so that the two tubes Clre connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite en*tb ete brack t. 10. Pull the frame bracket clamp with fastened strut outward to remove any slac 11. Tighten all nuts and bolts on system._2 L r 111e.,' Page 5 of 8 CTZE; DOWN, ENGINEERING 11 LD 0 0 O Xi2 Lateral' Concrete Systems Part#59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part#59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. /Nut & Washer Figure 1 i Beam Clamp Bracket J -Bolt Lateral Xi2 Installation Placement Longitudinal Strut Concrete Longitudinal Hardware Kit End o f Nome �o .1, ... ... 2. � .....:.........:........ Page 6 of 8 TIE DOWN ENGINEERING e 5901 Wheaton Drive www.tiedown.com o (404) 344-0000,, FAX (404) 34 of / l 0 c C C Longitudinal A, _x. Q eam �i 4 k T iF Xi2 Installation Placement Longitudinal Strut Concrete Longitudinal Hardware Kit End o f Nome �o .1, ... ... 2. � .....:.........:........ Page 6 of 8 TIE DOWN ENGINEERING e 5901 Wheaton Drive www.tiedown.com o (404) 344-0000,, FAX (404) 34 of / l 0 c C C Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete 3 4 s Z E a t Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems E Page of 8 • TIE DOWN ENGINEERING ; • �: Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2. 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/203 Grade 5 zinc 1 10826 Carriage Bolt 112-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 TIE DOWN ENGINEERING PERMIT NO. PERMIT EXPIRES i y d OWNER LEON .CLONTZ CONTR. owner ASSESSOR PARCEL 58-28-16 MyJ LOCATION 4054 Ishi Trail, Concow Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED ate) Signat { y Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED ate) Signat COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Driv(% Orovi Ile — Phone: 538-7541, 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE r r; 3� �ovy OWNER — PERMIT N 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 _ s • = OK 0 = Not OK MOBILE HOMES ' = Not Ready MOBILE MISCELLANEOUS Date MO HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s &e'Zo_pKg Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements of , ,pecial MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel e ; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails a Location -Test- Ease men t Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ricity; Location-Clearances-Grnd.-/ / Amp -Concrete Gas; Location -T raq,/ /"L"ft. /�F"NaE. or� "L"f/'LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors tility Clearance T Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B Date Card -81 Date 10. Roof; Shthg-Roofing Card -81 Da Card -131 Date 11. Ext.; Steps -Doors -Landings Date M0_I3fCEH0ME INSTALLATION (Plans) OK except #'s . Z g Requirements -Setbacks -Easements Card -B1 Date Card -81 Date F ings; Size -Spacing -Marriage Line Card -131 Date Card -81 Date G H Test -Demand -Valve -Connector . I -ricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s . Dr ' ; MH Test -Fall -Flex Connector 1. Setbacks -Easements MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability . and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness- Dead Men -Lining . as and Electricity Tagged Ins Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 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 Card -131 ate and -61 Date Card -B Date Card -131 Date "` 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date = VK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready ' Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Fig. De 3. Ftg., Garage; Soils -Steel-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air- Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -61 Date Card -B1 Date Card -131 Date Card -131 Date i Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 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-Mech. Equip. 32. Clothes Closet Liqht-Shower Liqht-Spa Light Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -81 Date Card -61 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Date 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 T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68.Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 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-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -81 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVI LLE, CALIFORNIA' -534-4541 Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. (Official Approving Installation) Year of manufacture (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. r COUNTY OF BUTTE -_DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,"California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �PERAdIT N Q. , qlx ASSESSOR P EL NU G tj BUILDING PERMIT owNe�l� ! TELEPHONESQ. LL L9/5 FT. OCC.1 BUILDING VALU ON OWNER'S MAILING ADDRESS i COvim. gjV ebiffg9b �4,o CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAI NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Js Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ J -- ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ON CG UJ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomki Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S GJWJ 10.00e TYPE OF WORK New ❑ Addition❑ Remodel tilities ❑ Installationk Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification P-1. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR AODNS. ( ACC. BLDGS. , iosgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 200500 BAL030 Ex. Occup. OUTLETS (RESID )ED APPLNS.REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab flies, judgments, costs, and expenses which may in any way accrue again aid Count in co s ence granting of this permi . X e�Q Date v L Signature of Applicant — Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ o� HAz —� CUA '� PARK — SCHL "~ FLD PAR PDF Iss This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees D R TO F PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ��/ — Receipt No. WNITC-D.P.W., TELLOW-A58[830R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY.OF BUTTE = Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 " OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building .permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materi is for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for.the proposed work. 3. I have contra construction: Name Address Phone with the following person (firm) to Contractors License No. �. posed 4. I plan to provide portions of this work, but_I—have hired the following person to coordinate, super , and ro--wid- t e major work: Name Address Phone Co tors License No. 5. I will provide some of the work but I have c persons to provide the work indicated: Name Address . City ted (hired) the following Phone ,of Work Signed: Property Owner Social Securit Nber Date - 2 / - $'q 7 - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. pr. �,�11.t`�j``ti�.�f:�ai+�f�w..rY���'(� �"'x"*ire•�r,.TM•'•"�^�t�l�.,.K,'��Sx�»;�r-.ir,,7'�(}r'�k,R�r,�'1'��;'t�%�;~•:r^�''.%•�+^�,t"R:v-tiM`` �,v 'T 3"'! -COUNTY OF BUTTE - DEPART�IIIEWT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNERC/4/� Proposed Building Use Building Inspector_, Permit No. A. P. Da At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ....... . 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4."Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation .2 dopctEo 'instructions :..................................................... . I 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 13. School District fees paid .............. 14. Sanitation approval from Health Department 5 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17 Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) . Contractor's license information (No., Name Style, Classifications ... 2. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone '. i and hold for pickup at office. Deliver w/inspector. Copy of plans sent Health Dept., ,Fire Dept., Other Date The following data must be'submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additiona-Ijtems required: Contractor, designer, owner, was advised of above required data by_phone_—maiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by � Date Sets of plans on hold in . File cabinet AP folder Copy—DPW a• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, ,taliforniq 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NU BER ZONING BUILDING PERMIT OWNER- TELEPHONE SQ. FT. OCC. BUILDING VALUATIO, OW R'S MAIL NG ADDRESS U i! CA 945?21) CONTRACTOR'S NAME 'TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADOREU_ �� ^ f,//�/ fjJar �j•..,L f`i%if 4�f�ij��'/, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 0 /cZ"� Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home 10.00ea TYPE OF WORK New❑ Addition❑ Remodel Utilities Installation[] Other[] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification �� Ltd' I� as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OC "'.1) , �z2sgft New DCONSTR� A UC•TI OUTLET NO N.RES,D BRANC CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. OccU OUTLETS OR FIXTURES 20@sot P eALO 30 FIXED EX. Occup. OUTLETS PR (RESID ) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee e ; WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. II shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee : Contractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil' '• s, judgments, costs, expan as which may in any way accrue against 'd County�conseque the nting of this permi •. X .This Signature of Applicant — Owner Con rector ❑ Agent [:1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TTP6 SCHOOL ._ I F7[PA:K PD _ ND 1�9u permit is hereby issued under sions of the Butte County Code and/or indicated above for which IR TOR F PUBLIC BYZ2l PERMIT EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS Q Date ` `// /— Receipt No. �± �T G q WNITE-O.P.W., YELLOW -Ase R C3 O, PINK -INSPECTOR, GOLDENROD -APPLICANT z COUNTY OF BUTTE - DEPARTMENcT. WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No OWNER _,,A.LPNo. Proposed Building Use Building In At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ............. ..................... Plot plans in duplicate/triplicate, signed by prepiarer of plans........ Complete plans in duplicate/triplicate, signed by preparer of plans .. Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form .......................................... Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings ' Engineered truss details and layout in duplicate (required prior to plan the&) Mobilehome installation data including manufacturer's installation > instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ............................. t......... 12. Park fees paid .................................................... 13. chool District fees paid, ... _ 14. Sanitation approval from it Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior,to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner 11) ..... . Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 2. 3. 4. 5. 6. 7. 8. 9. 26. 27. When you issue the permit, process as follows Mai I to owner. -Mail to con rac or .#C0 CA Telephone and hold for pickup at office. Deliver w/inspe Other !� _ if Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai I —counter Sets of plans on hold in .File cabinet AP folder Copy—DPW by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Z2C_� Date ' TO Buifdinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal _ Water Supply . Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for .2—bedroom obile home. Other NOTE *** Sanitarian ate �ft'.'R5i to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RF,SIDFNTIAL DEVELOPMENT Sccti.on 26-8.1 of: Che Butte County. Code requires this acknowledgement. be recorded' SEP ' J 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 incon- veniences or discomfort arising from the a9 -033642Y 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 esLabl.ished ;igr.iciiI Lural. zones which have as a priority use for productive agricultural purposes, ;111(1 rrvidcui;; within sai.d zones and on adjacent property should be prepared to accept such inc �invc iiicnrr or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California i��, described ;is follows: Date: 5� I/ PR RTY OWNERS: State of. �) SS. County of ) On this the k day ofnally before mc•, the undersigned Notary Public, pe soappeared 4 -CO el AA Personally known to me. roved to me on the basis of satisfactory evidence. ■■■■■■■■■■■■■■■■■■■■■■/■t>♦ be the person(s) whose name(s) GLA_._ SANDRA LEE SEAMAN s:bscribed to the within instrument and acknowledged LhaL __ -® NOTARY PUBLIC CALIFORNIA e■ecuted the same for the purposes therein con to i.ne<i . I N W I Nl:ti� Butte County WIEREOF, I hereunto set my hand and Official seal. My Commission Expires JAN. 19, 1982 ; Present A. P.. No. v� Notary ub is ATTACHMENT "A" ENP OE DOCUMENT j /.�•. '(gasp•%?e: y.:•. ••yy�w:. %.ti Y1. Pi �:i i, C°M•:� :,C,'ff:Ca:t,'. yi: r�•' •�, i�•�:•r'J;t:J` �;•:'i h� �i. L'" :'•tfl t:�:: i..t %•�•,.?�':;'%' �.• ';1: ., r •'t.� G„ it .. .�^,,,-r.-t':�:;=':i.•,a•.:. 1.nt 4, an shown un Thar certain Amended I'arcol Plap of n portion of the Southwest quarter of Section 11 , TownsIttp 22 Nnrllt, Itanl;e 4 I:a;tt, which Ann sided Parcel Plap was fl.ic•d in the orrice• of the Recorder of the County of Ilutte, State of California, "n Det-omher 20, 197:1 •(n Book 49 of Pare..cl Maps, al pay;e 711. :..60 fut;l"I'tllat 141111 it ril;ht or way cur road and utility purposes over n strip of land feet in width, lying 30 feet on each side of the following described line: Commencing nt the blest quarter corner of Bald Section 11, Township 22 North, Range " 4 Bast, PI.1). l[..ff I1.; thence along; the wort line of said Sectlon, South 00" 59' 15" Enst, 664.53 feet to n poLtct -it the Northwest corner of the South half of the North -:•: half of the Southwest quarter of said Section 11, said point also being on the i,;:"''"' . `'' con- ter line or a hU font pond casement; thence nlnng the North line of the South half rn.. r; oC the North hal f of tlK1 Southwest: quarter of sri•id• Srctfonil 11 and ,lolls-, said center line of said road casement, Smith 89" 32' 13" East 1048.44 feet to a at point the Norticenst corner of lite land described in the Gleed from Kention 1(enrd to 14. llownrd Fnrmer,,dated. June 13, 1967 and recorded 'June 22, 1967 in Hoole 1475 of Official .-Records, at page 569, records of Butte County, California, said point being the true point of begintijag, for said llna; titollce front said pnint of beginning, leaving 'l I�;'.property,' sn.Id read crntcc line. Soutlt 00" 27' 47" West ,.lone, the fast line of Ram farmer _. ' •,c 11stan.to .If 463.» tear. to n point and the end of sold lLne. ' •t'ibed I''rINC THEREFROM all that portion lyltt,; within the boundaries of the above desc- property. "•.' •` ALSO TUCETIIER WITH n non-exclusive ca:cement to be used in common with others, for rnnd purposes and publ[c utility purposes over n strip of land 60 feet in width, -, '� feet :lying.30 on (!.jell n[do of n center line, described an follows: � . iV "'; ..Commencing ' at Lite West quarter corner of Section 11, Tuwnslti , 22 North, bra I 1t;.ml;c 4 C' East,' H..D.B. S M.; thent:o nluny; lite west line of said Sectic,n, South (10" 59' 15 CC East'; 064.53 feet; thence, Nnrth 82" 15' 2,`t " West, 44'),85 feet to a point on't. a ccloter line of the Cunc:nw Ituncl, said point being; clic true point of: bey;inning or ,;; snid center line; thence leaving; said true point of beg [till lug;. aluoy; the cent •r F^� Iine of said GU fo.,t en,cment,•Suuth 82" 1.5' 28" East. 449.85 feet; thence So th C't 32' 13" Inst, 13111.44 feet to rhe end of said crater line. Q3 ENP OE DOCUMENT j /.�•. '(gasp•%?e: y.:•. ••yy�w:. %.ti Y1. Pi �:i i, C°M•:� :,C,'ff:Ca:t,'. yi: r�•' •�, i�•�:•r'J;t:J` �;•:'i h� �i. L'" :'•tfl t:�:: i..t %•�•,.?�':;'%' �.• ';1: ., r •'t.� G„ it .. .�^,,,-r.-t':�:;=':i.•,a•.:. COUNTY OF. BUTTE..- Department.of Public, Works 7 County Center Drive,.Oroville, CA 95965 Phone: 916-538-7541' OWNER-BUILDER.VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for.in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NameAddress City City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security tuber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 64 � Of IDO�� VC Ctoo iro -AC-N Tm%SS. Et CNI oP Okoda as Ok e c\e NCP e. e �o?e -"' \Z, (§1 1 e C6\eo, �3 0 \e 4�C, . SRP LAll1 714 fir- V �� r A setback of fro m! the pror—tv 1*.,i--s and a setback of: it. ;-omt!i,-,r-ad cenierlin.- Elha!l be clear of st-uctures or equipment except o. a 21 ft. e2ve cverh3ng. M Wim. ayf�t` CCO S Ices 0 L\ (;Oaes `Aecllwm tA 0. Ito Su iT it CO I y C/C)/v e - Pr o 0 Oj Uj 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 u No U �L (If yes, furnish permit number ,2�/.3 � _ ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes •a No (If no, clarify 5. What is the mobilehome electrical rating? ---------------° /0 D Amps 6. What is the mobilehome site service rating? ------------- Z D D Amps 7. What is the.mobilehome site circuit breaker rating? ---- / CJ O Amps 8. Is there any other electric load to be served by the mobilehome site service? --------- ------ - ----------- ---- Yes a No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3�i/ (in.) type g ------------- ---- 10. What is the t e of as service? -- Natural � LPG 11. What is the gas pipe length from meter or tank to the mobilehome?-------------------------------- f (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.) MOBILEHOME SUPPORT DATA If other than single wide,k4' Mobilehome Mfr..�fGl/ES' furnish Setup Model No. Year Width -(ft.) Box Length_,2(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)© 1. Wood -pressure treated or foundation grade. 1:1 2. Other (specify) SUPPORTS (check one)E91. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: Size -Min. ------------ „x „ SpacJng-Max---------- From -•-------From Ends -Max. ------- line 2 Piers: Size -Min. ------------ gn Spacing-Max.---------From Ends -Max.------- line 3 Roof loads: Size -Mid. ------------ ,x 30 " 3( "x d" Location (From Front) - c �L) _s— Line 4 Piero: Size -Min .----- Spacing -Max.--------- From Ends -Max .------- Line S Roof Loads: Lice 1 Openings: Size -Min- ------------------ ,k „ Each Side of openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ ,x , u Spacing -Max---------------- From Ends -Max.------------- �- n g S Piers: kunaer nearing waaas vnay) Size -Min ------------------- „x „ Spacing -Max.--------------- From Ends -Max .------------- Size -Min. ------------ „x „x ,k E Location (Flom Front) r E:R— — 9 W ED 1 1 1 :5 Ft• P- CD 1 } Rloom 55am 'UPPCMY CATI A• ' a R,> . Pa disr, F T asr LW 4r. MQDC31_ . IroC,A`1"1GN�, CrA.t71�G11"Y, �i�,M�+�,O '14 Moo Wit I 1 .?-4xn'� `•-' 24.4'1 i3 f Q - 202 c' . 3922 I�t3 �2�Z. 7 IZ � h/lpp 4 2A -1`a �� 15L 24x 4-7 f5ro -v5T. /12-6 5 5 5 4 S a I 70 � ! liAo(mv- 2A -I a' 1Ai•5'l IBJ+ '� �+.So' + ,24*g8-�o 2e�tg22 �I c) 54 777 U 1• /�r�clr , 7-i1• �:,' Q' i �`• �" I t,��• 111 �y".�.1, ii �n� �+� 5 1 O �b Z I L k i .1 ,94 74Y-44-) 2b 213 P - : 89-33642 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT e"i ¢ FOR RESIDENTIAL DEVELOPMENT of . _ i Sect.i.on 26-8. 1. of the Butte County. Code requires this acknowledgement be recorded prior to issuance of a building permit. All that real property situate in the County of Butte, State of Cali.for.n:ia, described ;i.,-; f ol.lows : Mi I=01 Date: S&Z PR RTY OWNERS: State of. �) �) SS . County of ) On this the t& 5W day of 19 �`7 before mc, the undersigned Notary Public, personally appeared pL�O r M . C/ 4 Z ` 14,sc /3uer-4 Coa.Z F] Personally known to me. Fc4troved to me on the basis of satisfactory evidence. ■■■■�■■■■/■/■■■/■/■/■////tom be the person(s) whose name(s) 45LA-�___ ■ sabscribed to the within instrument and acknowledged Lhat. _ ■ SANDRA LEE SEAMAN NOTARY PUBLIC -CALIFORNIA / e■ecuted the same for the purposes therein contained. _.1.N WI NI?ti_ ■ �Bi Butte County WIEREOF, I hereunto set my hand and official. seal. / My Commission Expires JAN. 18, 1992 Present A.P. No. Notary ub is The property described herein is adjacent @9-033642 � R e c Fee 7.00 to land or :included within' an area zoned I Check 7.00 .for agricultural purposes, and residents ( Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the r County of I PARTY SHOWN use of agricultural chemicals, including, I Butte but not limited to herbicides, pesticides, j Candace J. Grubbs I and fe-rtilizers; and from the pursuit I Recorder I of agricultural operations including, ` 11:29am 5 -Sep -89 RB 2 but not limited to cultivation, plowing, _ spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLabl:ished ;IgricuI- Lural. zones which have as a priority use for productive agricultural. purposes, ;ind rc ;icicnl;: within said zones and on adjacent property should be prepared to accept such i nc c�nvc n i c. nc e or disconf:orm from normal, necessary farm operations. All that real property situate in the County of Butte, State of Cali.for.n:ia, described ;i.,-; f ol.lows : Mi I=01 Date: S&Z PR RTY OWNERS: State of. �) �) SS . County of ) On this the t& 5W day of 19 �`7 before mc, the undersigned Notary Public, personally appeared pL�O r M . C/ 4 Z ` 14,sc /3uer-4 Coa.Z F] Personally known to me. Fc4troved to me on the basis of satisfactory evidence. ■■■■�■■■■/■/■■■/■/■/■////tom be the person(s) whose name(s) 45LA-�___ ■ sabscribed to the within instrument and acknowledged Lhat. _ ■ SANDRA LEE SEAMAN NOTARY PUBLIC -CALIFORNIA / e■ecuted the same for the purposes therein contained. _.1.N WI NI?ti_ ■ �Bi Butte County WIEREOF, I hereunto set my hand and official. seal. / My Commission Expires JAN. 18, 1992 Present A.P. No. Notary ub is 89-33642 j Q8:6:-08366 l , ATTACHMENT "A" Lot 4, as R1101411 on tlmV certain Amendod farce! tlnp of n portion of the Southwest quarter of Section 11, Township 22 North, It:mg;e 4 iso;:t, wi(ich Allll'n(I(`d Parcel Plap was fl.lcd in tile (iffier of the Recorder of the County of Butte, Strata Of California, "n Devolilhcr 20, .197:1 •11, 8((uic 48 of. 11arr.(!1 PL•ips, rat page 711, 'I'clGl:'1HER WITH a right or way fur road and utility purposes over a strip of land 00 feet in width, lying, 30 feet on each side of tl(e following described line: Commencing nt the i•lost (I(iarter corner of said Section 11, Tormship 22 North, Range 4 East, tI.I),Il. ,f( if.: thence along; the Wast linc of said Section. South 00° 59, 15" " East, 664.53 feat to n paint at the Northwest corner of the South hnlf of the North half of the Southwest quarter of said Section 11, said point also being on the cen— ter line of a 60 font rand casement; thence nlnng, the North line of the South half of the North hal f of OW 50(IC111409t quarter of s&1d• Sacti'cKr ll and along•, said center line of said toad casement, South 89° 32' 13" 1048.44 feet to a point at the Northenst corner of the land described in the deect from Kennon heard to W. !toward rnrmer, dated. June 13, 1967 and recorded 'June 22, 1967 in Book 1475 of Official Records, at page 509, records of Butte County, California, said point being the ',true•point of be};ronin;; for said lino, throne+ from said point of beginning, leaving sn.id road canter line, Soot;; 00° 27' 47" Wost n.lon^ the East line of sai(I farmer •::property, -.1 distance of 463.33 feet:• ton point and the end of said line. E\Ci i,rINC 1'IIEREFRON all that portion lyin„ within the b ribed property. oundaries of the above desc— ALSO TUCET11131t 141.1'11 n non—exclusive casement to be uned in common with others, for Mid purposes and public" nti.lity purposes over n strip of land 60 feet in width, .lying 30 feet on each aide of a center 1.1ne, dcsc.ribcd an follows: , Commencing at Lhe west quarter corner of S(!ct.tun 1.1, Tuwnshlp 22 North, Range 4 East, M.1).B. 5 t1. ; tha1100 nlong; Lhe West 1 Inc of said Stiction, Saul'h (l(1° 59' 15 last, fiG4.53 fact; thence North 82° 15' 28 " west, 449,85 feet to a point on't. e center line of the Cun(:(nW I1oad, Haid point being; the true p(,irnt of beg;itill rlip, or snid center line; thence Leaving; said true polnt of beg inning;, along; the cell t�r line of said 60 fait casement, -South 82° .1.5' 28" Enst, 449.85 feet; thence So th 89' 32' 13" Inst, 13111.44 feet to the cod of said crater .1 isle. ENP OF DOCUMENT is END OF DOCUMENT' J ,.. ., , (,.r.i, ; r�1:1�. � 'p,y.&,;,' ,d;R�ir�sw,' ,',.•t.. (�f �.. �,�.Fn..• ��.: "Illlf.:�'ly.:`.•:`' ".`i.. ";•`ti ".•rC.tti+ 4s i;;, .,t� Em -4 UTIL.CLEARANCE ELECTRIC GAS Support Struc. Compaction Test Re . ervice ize Other Load Type Pipe Size Length YESJ NO YES NO RESIDENTIAL 58 8- �6 1185-90B CLONTZ, Leon 4054 Ishi Trail, Concbw (MH COV. & OPEN DECKS) Q-to JOB FINALE Signature J=OK O = Not OK - =Not Applicable ' =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /' L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKP/,COVERS, CARPORTS, GARAGES, (Plans)OK except #'s A,ellontg,Requirements-Setbacks-Easements ootin , Soils -Size -Depth -Spacing -Connectors -Steel cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5_.A1wn-Xwn.; Columns -Connections -Splice -Decal -Enclosures A—Cacpoge -Windows-Doors Z-'rrmg; Sils-Anchors-Studs-Rftrs-Trusses 9. -Siding;.Diafling-Veneer-Stucco-Mesh 1Lt2y Ffiig-Roofing 1 t.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 V Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Fig., 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. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-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 -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps . 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) 1, V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS R 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE W NO .AA f ASSESSOR PARCEL NUMBER 58-28-16 ZONING FR9 BUILDING PERMIT OWNER Leon ClontG TELEPHONE 532-0406 SO. FT. OCC. BUILDING VALUATION 32 cov 320 OWNER'S ADDRE55(415)685-3322 3611 Vancouver Way, Concord, CA 94520 425 open 2125 C ONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is 2 5 Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 38.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 19.25 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4054 Ishi Trail Concow Permit fee $ 67.75 PLUMBING PERMIT Filing Fee 10:00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME i-vil o .S PARCEL MAP O� 7�J Water Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home TTSFG W 0.00e TYPE OF WORK New ❑ Addition [jj Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Coy R Open De _ks _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.E OR A.D.S. C ACC. BLOGs. ) 2/z¢sgft NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. p OUTLETS OR FIXTURES Ex. Occup( 20 a 50C BAL®30 FIXED APLNS.License EX. OCCup. OUTLETS PIRESID IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �If Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ties, judgments, co ts, and a penses which may in any way accrue agains id Count in cons q ce of g of this permi X Date �� Signature of Applicant — Owner ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 67.75 HAz CUA PARKSCHL -- FLD -- PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR F PUBLIC BY PERM( EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 64110 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR - PARCEL NUMBER / ZO/NIIN/C��/ / BUILDING PERMIT WN ER o t �s -- - a� TELEPHONE -00 co SO. FT. OCC. BUILDING VALUATION O ER'S M (INESS G ADDRESS G(lec onC-0P Cif! (?Y, o ll �/La h COU - En J — CQ TRACTOR'5NAME , TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO STRUCTION LENDER UNKNOWN Total Valuation 4 IS— Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �- D t Trei Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 O >1 CQ Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USEOFSTRUCTURE SF ❑ Duplex[]Mobilehome�I Other `� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ( Remodel ❑ Utilities ❑ Instal latipQ, ❑ qther ❑ Describe work: b tJ �' �� C,in Ct Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 01 L 100 AMP ORSLESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty Of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, DIV. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.B OR ADDNS. ( ACC. BLDGS. 21h dsq ft NEW CONSTR MULT'-OUTLETNON' BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS h\ SINGLE OUTLET CIR. I Ex. Occup( OR FIXTURES 20050C 0AL030 FIXED PLNS Ex. OCCup. OUTLE TS PIR E SID )RE A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith. comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs,.and expenses which may in any way accrue against said County in consequence of the granting of this permit. XTh;s Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- Jon of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE h n TOTAL FEE $ ALSCHL HAZ CUA PARK I FLo I PAR Po Ho ISSUE permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. = WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, r.OLOENROO-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER ✓l A 00n 12- A. P..No. _C� 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: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ....................... .......................... 13.chool Digyrict fees paid .............. �1 ,i4. Sanitation approval from f`D V j I I & Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for requiredPre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. 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 prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone—nail counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by / `" I Date Sets of plans on" hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance (.)Owner Location AP# Plan Approved for: Sewage Disposal ._ak" Water Supply 4!�:-N_ Hold final for.:. Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other �` -""� (U e "XZy� —Lo R%3,,,g7 NOTE re Sanitarian Date I "I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit willbeissued 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) I (have/ -Dave not) cw-.e-- 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 Contractors License No. 4. I plan to provide portions of this work, -but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: - Property Owner Social Secu ity umber &- Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted -to issue the permit. z,, ccun 11 • ate, r r 1 e i /De-acv j A BUTTE COUNTY BUILDING DEPARTMENT APPROVED. ,i A setback of eft. from the i prem=t;; Imes and a setback i of ft. f. -cm t;ie r -ad centerline she!I be clear of st; uctures or e: ui gent except r or a 2 ft. e2ve cverhang. .i r o! . �T—Al Materic.•!s V'Jorl;r ,^ns!:ia S!�r.!I Be in icor r;ce • - ,;:e i;� The a C cly pre,cr R 1 �. gip. �.ias::.�/ Codes sand ke N ' ional Leciricd Go er �N k` 1�Jof P. t kr CY�rI~ Ca co rij THE DOW CHEMICAL COMPANY . e p�rC- %3ifC/c : - poor Top iI to'be 36 ii C 1rete rails to 6 in. apwt. MU Mw —..Z...._ MIn. Au„ _ Run measured toe e0 tW, gh IA-` fie" max. tolerance between . largest & smallest riWnm. ' She PS -- BUTTE COUNTY BUILDING DEPARTMENT A P P R_ Q_ V E_ Q__._ _ I 1 � IK BUTTE COUNTY 'BUILDING DEPARTMENT. �,• ,, _ _ � _ Max: A P: P R, 0 V _E Q Rise -- : Min. Run Run. measuredtoe ff t. to4m to o x \ -- 9 N C7y-;4j- 0 I 31 s'0 .1E 31I� '?3H5 'CIN e0f 133rens kNVdWO:) IVDIW3HD MOQ3H1: 99 za 'v's n NI 031N1tld . 0010'3 Wa0!-IX30151 on .1 • .STOCK 'FO R. C-4100 .. , .• PRINTED IN U.S.A. Rz-ae THE DOW CHEMICAL COMPANY -= SUBJECT �dtuood Qec.� or �.� Io�rLZ #05941 S�► �MFt rOt/i JOB NO., SHEET FILE t 91' IDAi- 0, 7 RuAl ;Ovt-.r'1 R.Ad flIeW z.2 Or& z4sS,:77ea�pr/ 1?v4-[A5f Pier 'el rA , .3 (v A14X plev 7' ,cEPil� TOP rail to be 36 in. high with in- tefinediate rails to be not over 6 in. apart. C-YP) A. -BUTTE COUNTY ^ - BUILDING- DEPARTMENT - __ A_P"P.R0VEQ koMt WP -11 DQ 9,I.� / - a� 1 _J ♦ -..ztj I i _ z.2 Or& z4sS,:77ea�pr/ 1?v4-[A5f Pier 'el rA , .3 (v A14X plev 7' ,cEPil� TOP rail to be 36 in. high with in- tefinediate rails to be not over 6 in. apart. C-YP) A. -BUTTE COUNTY ^ - BUILDING- DEPARTMENT - __ A_P"P.R0VEQ koMt WP -11 DQ 9,I.� / - a� 'PRINT IN U.S.A.THE DOW CHEMICAL COMPANY F - PRINTED IN .5.4. R<•88 - SUBJECT ,* at 40 A w t �W &- .w JOB N0. S"EE7 �FI_E BY 1 ;,,TE .. ski x G - -- 6 Top rail to be 36 In. high with In- temnediate rails to be not over 6 in. aDart. y l l . `prpvioe adequate oraciny. r Ile peck ✓.�►�twr I = 3. tr AI A isuTtE COUNTY BUILDING DEPARTN eNf APPR0V,-E 7�a SPECIAL ROOF COVERING REOUIREGI, . ,t --r, `/ >< Y • y t ,AAe- :I 57 j Lode S/(j1.0�1 , �s l Ci `nF/r n/o3.1vr Or T to d /(gyp'iGr' g � T r 1 � 1- �=-x-'='x=3=a BUTTE COUNTY P BUILDING DEPARTMENT SJ�y �o�r-(�,� APPROVED F3 A C -k 1'o 1' C 4Io— Each Small Square Equals 3 Inches M, le Womb GRID SHEET DIVISION OF MEDFORD CORPORATION SPACE X FOR f ' 10 A" UNITS REQUIRED % - ADDRESS SOS y -- 5 4 T 4285 PWWO adequate c- F - 1i(o -C'lv- c�E � 9�2 6't y� �osTC�s Nal Gam£ 4 .BUTTE COUNTY Cgefe BUILDING DEPARTMFlo-•' �3 ick f�G r c /_ oY' �ch Mall ua q Is 3 p��hes� 6� /f . GRID SHEET Y Ir/ � DIVISION MEDF RD CORPORATION N /Jn bo ke 1140het L,�% - / SPACE X OR G�2— UNITS REQUIRED A41ADDRESS MOSS% 5 r `�- 4285 i 1 l 1 I PWWO adequate c- F - 1i(o -C'lv- c�E � 9�2 6't y� �osTC�s Nal Gam£ 4 .BUTTE COUNTY Cgefe BUILDING DEPARTMFlo-•' �3 ick f�G r c /_ oY' �ch Mall ua q Is 3 p��hes� 6� /f . GRID SHEET Y Ir/ � DIVISION MEDF RD CORPORATION N /Jn bo ke 1140het L,�% - / SPACE X OR G�2— UNITS REQUIRED A41ADDRESS MOSS% 5 r `�- 4285 t 2672 Q 7 V PERMIT NO. PERMIT EXPIRES OWNER Leon Clontz CONTR. Owner 7 ASSESSOR PARCEL 58-28.'16 LOCATION W/S end of pr' r.,a .400'S.of Ishi Tr app.3/10 mi.E.of oncow Rd., Concow irz . r ♦ t Temp. Power Pole Called PG&E Temp. Elec. Service 'g Z Called PG&E d i Temp. Gas Service Cal led PG&E JOB FINAL Signature J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready a MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test-Regulator-Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date a a I = OK = Not OK 1 = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) , Date UN RF OOR Plans OK exce t#'s Date FRAMING ntinued 1 ning requirement -Setbacks -Easements 487.1rr-oparty Line Firewall & Openings 2. Ftg., Main; Soils -Steel -Elect Grnd.- / /" Ftg. Depth 49 xt. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / /" Ftg. Depth&lcQSrWidi'h- Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51 y ood on Roof Overhang -Attic Vents -Rafter Outriggers 5. St mwalls, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer 6PStemwalls, Garage; Steel-Blockouts-Wrapped-Slab 3. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -B Card All Date Card -BI Date Date Card -BI Date 004 -g4 Card -BI Date Card -BI Date Card- Date Card -BI Date Date FINAL ns) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Pe mit) OK cept q's xt. Steps -Door & Sidelight Protection -Landings 57. 11Smoke Detector _ 14. Water Ht.; nt-A ess-Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; tes!A Anchors -Nail Protection 16. D.W.V.; Test ttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; est, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub S ower, 2nd Floor -Tub Access�I/E9ec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pi ; Siz & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Pate Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI D Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date E Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. 69. 70. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location Fixture & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights &Switches at Doors ze Boxes & No. of Conductors -Stapled 7L-oBlec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral CYes El No 75. Following instld.: Drive es [:)No; Walks }'Yes El No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76 Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 7 , A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. U. -Water Well; Disconnect, Electrical, Plumbing 80 Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82 Glass Protection Date MECHANICAL (Permit) 0 except q's 83.1 _ Corrections from Previous Inspections 4. Gas st-Meters Tagged; Gas -EI ric 31. A.C. Ducts; `sulat' n & Support :!;;p 8 iter &Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; ExA@usfabove Insulation 89,_Eaergy Compliance Certificate -Other Certificates _ _33. Condensate Dr i & Overflow; Size & Grade 34. Furnace -Vent; ccess-Comb. Air -Return Air Vent -115V outlet 35. Attic Access NVIatform if Furnace in Attic - - rd -BI Date d -BI Date Card -BI _ _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Plans) OK except p's Comments at Final: Sil ; Proper Material & Anchors a Is; Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ _e_aring Walls over Girders & Floor Nailing in a s (rat proof) _40 ops;ur Ceilings -Stairs -Chases -Tub _ 4 42_ 4 eider & Beam -size--& Bearing _ Han - t Caps -Anchors -_Connectors_ ng. Joist-_Rf_tr_. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. _ Type A Flue -Fireplace Throat - _ cress; ize & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions ction Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORREC;ION NOTICE BUILDING OR PROPERTY ADtiRESS 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. T", r' % -,Z� ti J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR PERMIT 7 County Center Drive - Oroville, Califprnia_95965 - Telephone 916/5Z45 / �� 5� --APPLICATION AND PERMIT, � J ASS ESSORsPAYRCEL NU CR ZONING $ — Z BUILDING PERMIT OW�`1Ej / � IF � TELEPHONE LCj��I�//V /V �/S / �EPHO 3 (09"AszO SO..FT. OCC. BUILDING VALUATION 3eii S V I �Ur� war &iycP,� � T CONTRACTOR'S NAME Z ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee 01 $ 10.00 LENDER'S MAILING ADDRESS Permit Fee Z $.2404d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $'30-00 BUIL 1 G AD SS,,,, p YOv PLUMBING PERMIT Filing Fee 10.00 L - r -7/O M/ • C - 6/___Each Trap 2.00 Repair drainage or vent piping 5.00 &IjalA) &A)a � Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other % �// ' �C� �i�r 4 SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Iallation❑ Other Describe work: A 4,54It. ���� 8� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST *DWELING OR ADONS. (ACCLBLDGS.CCUP.pI� 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTR. /POWER APPARATUS D\ NON-RESID. (SINGLE OUTLET CIR. EX. OCCUR(OUTLETS OR FIXTURES BAL01 IXED APPLNS, OR Ex. Occup.(oUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgm nts, co ts, and expenses which may in any way accrue again aid County ns ence of the granting of this permit. X Date �Zr y Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct-TOk ion of structures over 3 storiesin height.Receipt Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 30- 00 occUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This mit is hereby issued under sio o the Butte County Code and/or w k Wi ve for which OF PUBLIC By PERMIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date Z� 7-17—&-3- No. �LU WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I I COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califgrn'ia 95965 - Telephone 916/534-4541 �(0�7���1 w 10.r PE -APPLICATION AND RMIT // ASSESSOR PARCCEELCNUMBER Z°"I" S �i Q � / . 7 OWN C7 I—a A / /1 WA)T ��� /E�S� °L ZZ CESS / (O BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION/j r, ✓ v OWNER'S AILI 3&/ 44� �� l"eD, CONTRACTOR'S NAME TELEPHONE , CONTRACTOR'S MAILING KIDDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ OD Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , Oiq ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ - 00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS . Permit fee $ Ila.9� BUIL ING A KESS �i(/D OF %moi Z»/ ✓�. �Q�% L�p d .s o� PLUMBING PERMIT F i ling n Fee 10.00 9 ,$/4-/ T)eW/L '311,0 "/L � _ O F Each Trap 2.00 Repair drainage or vent piping 5.00 n/C060 ". W/Lji�n Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ OtherP�/ D� / C1 ���iL SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New [V Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.0f0� Main service 00100 ORORLESS5.00 5. OV Main service EA. ADD'L 100 AMP Cj0 2.50NEW OR ADDNST (ACCLBLDGELING OC U 20 sq it CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. / License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, the owner, am exclusively contracting with licensed contract- ors.. ( (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTNON.RESIDCONSR BRANCH CIRCUI TS -OUTL T 2.50 ea NEW CONSTR (POWER APPARATUS a NON -RES,D, (SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES 50@25 IxeD APP LN S. OR Ex. Occup.(OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 W&_1-1-- Ta _"/0 00 Permit Fee $ 0 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate t of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ' ies, judgments, sts, and expenses which may in any way accrue agains s id County i que of the granting of this permit. X Date 7 � Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for ex :44ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ X00, f OCCUR. GROUP ,( /�� �`" TYPE OF CONST. _ N PARCEL v PD N SSU (� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for. which DIRECT OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date7,1 •— �7 ?-/,iP/�� Receipt No. 3 2 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT