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058-330-011
058-33-0-011 93-3746 P; E` MELBOURN, ROBERT 3728HOFFMANRD, OROVILLE CONTR: TED BIGELOW//° /9 qHU ELECTRIC'0 ..A 1'n GAS LINE. COMPACTION -TEST REQ /p/ SUPPORT STRUCT REQ 058-330-011 7Y MELBOURN, BOB & DIANA _ 2y�9 f CONT:,SIERRA.MOBILE '3728 HOFFMAN,OROVILLE ,DECK __.&OT/MH .058-330-011 -0098MHI MELBOURN ",BOB & DIANA CONT: EXECUTIVE HOMES -_3728 HOFFMAN RD., OROViLLE/jo� INSTALL MOBILEHOME 058-330-011 PERMIT#94-1756 MELBOURN, BOB & DIANA 3728 HOFFMAN RD., CONCOW CONT: SIERRA MOBILEHOME SERVICE NEW AWNING/MH a RESIDENTIAL 058-330-011 PERMIT#94-1756 MELBOURN, BOB_& DIANA 3728 HOFFMAN RD., CONCOW CONT: SIERRA-MOBILEHOME SERVICE � NEW AWNING/MH JOB FINALED (Date) _ k Signature V=OK O = Not OK NotReadyab)e MOBILE HOMES' Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Locatlon-Teat-Fall-C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / PV ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect S. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plane) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakere-Clearances S. Drain; MH Test -Fell -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 z MISCELLANEOUS Date/Initial DE COVERS CARPORU, GARAGES Plane OK except #'s Z9RK9 Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joists-Decking-Bracing-Stairs-Ralls 4. Wood Awn.; Posts-Beams-Rftrs: Connectore Sh�g: Bracing 4J*' -Alum. Awn.; Columns-Connectione-Splice-Decal-Enclosures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Slls-Anchors-Studs-Rftrs-Trueses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Ro hthg-Roofing velit.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.; Enclosures; Conduit Entries-Terminals-Llsted 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Teat -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not -Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped B. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall Protection 18., D.W.V.; Test -fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Puri in -roof Brec-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/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: JCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95,965 - Telephone (916) 538-7541 PERMIT NO, APPLICATION AND PERMIT g - %�i76- ASSESSOR PARCEL NUMBER 058-330-011 ZONING FR10 BUILDING PERMIT OWNER BOB & DIANA MELBOURN TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3728 HOFFMAN RD OROVILLE, 95966 378 C 4,914.00 CONTRACTOR'S NAME SIERRA MOBIOLE HOME SERV. TELEPHNE 877-8575 CONTRACTOR'S MAILING ADDRESS 8965 SKYWAY PARADISE, 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 46.80 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3728 HOFFMAN RD PERMIT FEE $ 138.80 CONCOW PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ 'Mobilehome L Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition IAX Remodel ❑ Utilities ❑ Installation ElOther ❑ Describe Work: AWNING PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV ORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO I000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLOS. ) S0 3.50 FT,, CONTRACTORS LICENSE LAW ec I dunder penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. 6 3 g 6 Classification 'N ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON -REBID. ( SRACIRCUITS ) @7.50 ( POWERAPPARATUS ) 8 SINGLE OUTLET CR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1:00 50 Ex. Occup.FIXED APPWS. OR I OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O Tie -permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidHAZ. County in"�consequence of the granting of this permit. q X L (.0 — -6 Joe_a� Date Signature of Applicant - ❑ Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ D. FEE IMP � Flo COF PARCEL PD HD This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY PERMITEXPIRESON Q% !Date provisions to do work paid. Date ` //�`` h flo �7 / J ReceiptNo. 163280 WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT / COUNTYOF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 a PERMIT APPLICATION DATA SHEET OWNER IU I �IJO �f r AJ). N9. 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 BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .:. . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by Ca' ornia Engineer. ......... , ..... . 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit....................................�.... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . Pre4nspect'ion request Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ................................. Plan check list. ....... .............................. ....... S 34. Wh n you issue the permit, process as follows: Mail to ,o��((ner. Mail to contractor. Telephone - and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant lJ'r���. _� Date G� �� 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 1. Index permit for above items No. _ 2. Additional items required: it issuance: (Circle new item not checked above). Coctor designer, owner, was advised of above required data by phone _ mail Counter by��Date 110 Con or, designer, owner a advised of above required data by _ phone _ mail Counter y Date Plans checked by /% Date Plans approved by� Dated 3 Sets of plans on hold in File cabinet AP folder Er Copy - Department of Public Works 11 Phil Him Alluolml soll to To-., Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 9Worn 3 1,2g, Owner Location AP# Plan Approved for: Sewage Disposal Watcr Supply: Public Private Well ",r,1= . Othcr 1, laXd Jnr% 13 Hold final for: Final clearance O.K. for: f►1 L-nvironmen 8/92 Health Specialist Date BOB & DIANA MELBOURN 3728 HOFFMAN RD OROVILLE, CA 95966 butte Count BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538.7541 FAX: 1916) 538-2140 6/16/95 RE: Building Permit # 94-1756 Expiration Date: 6/30/95 A. P. # 058-330-011 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. gg] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 RESIDENTIAL 058-330-011 MELBOURN, BOB.& DIANA CONT: SIERRA MOBILE 3728 HOFFMAN, OROVILLE DECK & CARPORT/MH 009 JOB FINALED (Date) Signature V=OK O = Not OK = Not Ready Applicable MOBILE HOMES t ' Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line . 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test-Crossovere-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 8. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DE COVERS CARPORTS GARAGES Plana OK except #'a riing Requirements -Setbacks -Easements ngs; Soils -Size -Depth -Spacing -Connectors -Steel . Deck,; Gridere and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftm. Connectors Sht .-Rfg.-Bracing lura. Awn.; Columns-Connectione-Splice-Decal-Enclosures & Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nall Ing -Veneer -Stucco -Mesh 10. Ro f!Shthg-Roofing Ext.; Steps -Doors -Landings t Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.;Enclosures; Conduit Entries -Terminals -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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL°(Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / /' Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd./ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nati Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wails Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Puri In -roof Bmc-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 -Wells -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Mal ight Protection -Lendings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Welke ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace :Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND 4PERMIT d ASS PARCEL NUMBER ZONING BUILDING PERMI OWNER BOB & DIANA MEL -BOURN TELEPHONE SO. FT. OCC. BUILDING V UA ON 412 9,616-00 OWNER'S MAILING ADDRESS 3728 111-IFFMAN 79 904-00 CONTRACTOR'S NAME SIERRA MC)BILF TELEPHONE 877--575 CONTRACTOR'S MAILING ADDRESS 8965 SX)�141AY Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee S 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3728 HOFFMAN PERMIT FEE $ OROVILLE, CA 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome IAX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New O Addition OX]Bemodel ElUtilities ❑ Installation O Other ❑ Describework: BUILD REDWOOD DECK & ALUM, CARPORT DECK 6 X 12 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 60'v OR LESS Main Service ( 00AORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 CARPORT 12 X 36 NEW OCC OR ADDNST' ( DW & ACCLLINGBLOSUP ) 3.50 F°; NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I decI nder penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code 7 an my license is in full force an effect. License No. I / o J e (- Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. Occup. FIXED APPLNS. OR p' (O UTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ T�hh*s-h�ermit is for $100.00 (valuation) or less. shave placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �}l Q�,�,_ 6 9Date G i Y Signature of Applicant - Owner ❑ Contractor O Agent IOf An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ G j `168 G 'V TOTAL FEE $ sn H� D. FEES IMP _ FLOOD ' CDF PARCEL PD ^ HD — ISS 1 This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC/WORKS BY Z ate z S5 9 PERMIT EXPIRES ON too' rel Receipt WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVEt:OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLWE; CA 'IF0 NIA 95965 -TELEPHONE (916) 538-7541 PERM ITAPPLICATION DATA SHEET OWNER M -C V elt/ Proposed Building Use Building Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted ........................ . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ........................ 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $........................................ . 11. Impact fees as shown on attached schedule. ............................. . -12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. . . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. ,, Preansped� ion requ- 20. Pre -inspection for required. .. to Building Inepector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . Y 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ............................. , .......... . 29. Documentation of legal access . ..................... :............... .. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ..................................................... 33. O 34. Wh 6u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 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: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Contractor, designer, owner, was advised of above required data by _ phone _ mail Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Counter by _ Date' CourAter by _ Date Date RESIDENTIAL ' 058-33-0-011 93-3746 PE'. MELBOURN, ROBERT 3728 HOFFMAN RD, OROVILLE CONTR: TED BIGELOW MHU JOB FINALED (Date) Signature V=OK O = Not OK NotReady b'e MOBILE HOMES Date/Initials MOIIILE HOME UTILITIES (Plans) OK exceot #'a I.1: honing Requirements -Setbacks -Easements 'Soils; Special MH Support Sketch t8' SgWer, Location -Teat -Fell -C/O Concrete 4 ater; Location -Teat -Easement Needed (Sketch) 5. F,lectricity; Location-Clearences-Grnd-/ /Amp -Concrete t! Gas; Location -Teat -Wrap /% "ft. ,/,- /"Net. or/' P'L"ft. LPG ell Clearance & Disconnect Utility Clearance ] Date/Initials MOB HOME INSTALLATION Plana OK except #'a . Z ng Requirements -Setbacks Easements Footings; Size-Spacing-Marrie e -Line 3.. Gas; MH Test -Demand -V e— Hector �ectricity; MH Teat -Crossovers -Breakers -Clearances LA,,0rein; MH Test -Fall -Flex Connector A VK l ter; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval gas and Electricity Tagged Insp: Sketch Cert. of Occupancy z 7 9'6 ; 87 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Poeta-Beams-Rftre :Connectors Shthg: Rfg.-Bracing S. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 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 V=OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Neil Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors _Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66., Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comnwnts at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (r APPLICATION 'AND PERMIT -��- ASSESSOR PARCEL NUMBER 58-33-11 ZONING FR10 BUILDING PERMIT OWNER BOB & DIANA MELBOURN TELEPHONE 921-9160 SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4415 BOLLENBACHER AVE SACRAMENTO CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3728 HOFFMAN RD PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex IJMobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel 1:1Utilities ElInstallation IN Other 1:1Contractor Describe Work: MHI PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 M1411 #93-3746 Main Service ( B00V OR LESS ) 2ODA OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC P. OR ADONS. ( & ACC. BLOS. ) $O, 3.5C FT. CONTRACTORS LICENSE LAW( I dec a under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Cod f� and my ligense is in full force and ect. License No. 'Classification (% ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Ex. Occu FIXED OR p' ( OUTLETS fRESIDRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): eis permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili Kis, jud ents, costs, and expenses which may in any way accrue against said Coun y in co seq Rce of the granting of this permit. Date Signatu a of Applicant - ❑ Owner Contractor ❑ Agent An OSH permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ- D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR QE D11R1 1C WORKS By a �7; 4� PERMIT EXPIRES ON J IDetel Receipt 195904 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • srx .. -.- - .•. r -..-ter.--. ..�.��. �r -� r T�V11r��cR�,, ;,; ;.-.}��,w„r,��t ., a �l ,p�."'^.',h�'�-�+'`�F �r^'°••dV' COUNTYOF BUTTE - DEPARTMENT4,DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 60A � t`J 1,0 no Ire IL, U r k,7 A. P. o. OS 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 BY 1, All items have been submitted . ............:.......................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... AoFees of $........................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit ............. . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. o B.° o�ad;� i (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. 22. Certificate of•Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization . ......:................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ................................................... . 33. •34. When you issue the a it, p ocess as follows: Mail to owner. ner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other , T-1, Parcel Creation Acreage Applica Date 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: ( ircl newit e not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required dat;fby _ phone _ mail Contractor, designer, owner, was advised of above required data by _ phone _ mail Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works Counter by _ Date by _ Date Date COUNTY OF BUTTE - DEPARTMENT'OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER © n Q /G l C� ((19L{ r %i A. P.* # PROPOSED BUILDING USE DATE / %/ 9 REC. # DATE REC 1. SCHOOL ............. L DISTRICT dat District Office).......... .�G 00 52. SHERIFF FEES . (paid at Building Department) -Residential ...... �x =$ u 2-17- / UL amt. Commercial (sqft) x =$ -- 3. URBAN AREA FEES sq.ft. amt. (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHE 89.00... .. (paid at Building Department) 7. OTR 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE �v� r� �'�� i �f r��' p+fd�l'�i$'4t:+'t��:1`I4S�t4'Yl'y:"�'.�;.,s.�..��^'�'",�--7'�*�'L^"","a.'j-y5:..r•'*'9'="'t i ^"�.:+,�•q'slrims�f "' F' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) i School District v ✓ o a,#, , O Y) / r Building Department No. A.P. Number '�—Q�f Jurisdiction 0 City [ County Property Owner. ,CJ ), /"/ / o u r Property Location/Address 1,10 fttn g n Rd o ro v Subdivison Lot No. Residential Development 0rV1 Sq. Footage 8- JVC No. of Living M I Addition (Group R) Units, Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Identification No.` Q /( ,(� (� 9 1l I 7. O �'1� 1���UY School District certifies that IJD C �fl V (Applica t) 17 (Street Address) : (Phone Number) (City) R (State) (Zip Code) has complied with the requirements of Resolution No. IDAU by paymentof $ representing G D� �� �"' School District Paid by Check Number Bank Number Paid by Cash tiSq--1-�b t II Q� Date Remarks: E%5(,1rD+n) If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkt (4/92) •,d;1y, MOBILEHOME INSTA_LATION ACCEPTANCE COUNTY OF -BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA195965 — TELEPHONE: (916) 538-7541 PERMIT N0. 9L�Q' U Address or location of mobi lehome '57 Zy (A O �Cytc1- n / � CY -, O✓u Owner's name Owner's addre Insignia or hud number 11 4 r / 682 786 6 2- % Ri 7 Manufacturer's name � f (��/ ��]�f Serial number of V.I.N. 1 + L f - 1 ! ��i 7 U S Year of manufacture C// i"?is !�- ,r %�/t I. el ficial,"Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. 1HIS FORM SHALL NOT BE USED WHEN"THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. � "05 -F -33_6-c)// II,j�5138 White - Owner, Yellow - Installer, Pick - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- 1 ERMIT N APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-330-011 ZONING FR -10 BUILWG PERMIT r OWNER Robert Melbourn TELEPHONE SQ. FT. OCC. BUILDING VALUATI N OWNER'S MAILING ADDRESS 4415 Bollen Bacher Ave., Sacramento 95838 CONTRACTOR'S NAME Ted Bigelow I TELEPHONE 5339187 CONTRACTOR'S MAILING ADDR 50 Robinson, Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 23.00 ,37Z f HOffman Rd., Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehomeb Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 60.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CX Installation ❑ Other ❑ Describe Work: MM (2 Bedroom) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO I000A ) 46.00 NEW CONST. DWELLING OR ADDNS. ( & ACC. BLDS. ) OR SO, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) )6-I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effe t. ^ G,'1S/O�i 3 Classification .✓ 4 License No. `� � - ,l ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) - @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 1.00 Ex. Occup- ( FIXED APPLNS. OR OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. �Lhave placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju ents, costs, and expenses which may in any way accrue against said County in con ce of the gra this permit. 9 X Date//—/ � ^ /2 Signature of Applicant - ❑ O r ontractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE I TOTAL F $166.00 HAZ- D. FEES IMP FL COF -� PA CE PD HD UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have TOR OF PUBLIC By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. WORKS Date s (Dared Receipt No. 153724 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A �'n.,a..��� j'.'7�i'."1./t,�,,"^,�'v`^''�'`�`1ti��rK'.'„i'i�' � y�R'"y'r`"y�`��,.,,yY.,'b7�a'?:"Y✓ n( -'1F^p .•:. . COUNTYOFBUTTE,-,DEPARTMENTOFD EVE4LOPMENTSERVICES- ULDINGDIVISION -7 COUNTY CENTERDRIVE - OROVILLE, CANIA95965 -TELEPHONE (91638-7541 PERMIT PPL ICATION DATASHEET Vt OWNER C'C�'�`CT e pv�� A. . No. Proposed Building Use M 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 BY 1, All items have been submitted. .................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form . .................... ' .............. ` .. ......... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ............. .... u ................. . Impact fees as shown -on attached schedule. . 1 California Department of Forestry plan approvalWa � l ��`_z9 �3 . . 13. Flood elevation letter (100 year flood) by Califorineer.................. . ` 1 Sanitation and plot plan approval 0���« Q Health Department. �....... ..� 15. City of Chico plumbing permit . ....................... ............ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . Ci19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. oB�ild 9 �speao (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . ..... :.................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ Recorded copy of Agricultural Acknowledgement Statement . ..............! ... 25. Letter of signature authorization . ........................................ 26.Copy of recorded deed of parcel creation and 60 right of way to a public road. .. . 27.. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance. . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. .... .............................. . 32. Plan check list. ...... ......... .... . . . .I . . . . . . . . . . . . . . . . . . . . . . . . . . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. V Telephone -i/87 and hold for pickup at D/ao 0, //-t office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 9 3 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 iss ncircle ' w item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advisedlof above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised ;of above required data by _ phone _ mail Counter by _ Date 1 Plans checked by ;7� Date //-30 Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 7 County Center Drive, Oroville Gk 95965 Phone.: 916-538-7541 RE: 1. A. Pi . # 058-330-011 With reference to the above subject: Attached ' is : Application for permit Bui 1 ding Plans Engineered Calculations Owner -Builder Verification Fm DATE 11-23-93 Mobilehome Utilities Installation Sheet _jrlobilehane Installation -Information Sheet Typical Plan Sheet List of Codes Enforced MWe need the following information prior to permit processing and/or issuance Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. CcnVlete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehone data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City. of Chico plumbing permit. Plot plan and business license approval frau City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workmans Compensation Insurance. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right.of way to a public road. Letter of intent on building use. .Mobi 1 ehcme utility c 1 earance . '�_ pocumentation of legal access. 37.Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. I�y y3 Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. 0 Other: Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. DP:ahb Yours v , David Purvis Manager, Buildina Insmection �-::unt j CenCe L;; -' Ve, �ZQV111e l: -A USybS Phcne: 916-538-7541 RE: DATE: # _r/9� A.P. Wit� reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans _riobilehcme Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes Enforced We need the following information prior to permit processing and/or issuance Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, sided by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehcme data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City. of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Work ams Compensation Insurance. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehone utility clearance. Dvctmientation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. F1 Other: Should you have any questions concerning the above, please contact of this office. Yours v , David Purvis Manager, Building Inspection COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 t_ 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 Y; CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r el/ / / ,.'�L m2 c, ins' 7 i e- LL c i _>a �3 Date -2-4-Ai Inspector REV 10/92 1 ... .. • .. . .. . aCOUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES _ 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 r CORRECTION NOTICE u tr LA—r- V\, 7��'6ci& e OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. n / 1 m14 t1 t VfPu- Iitu S t� S z v /wJ o�^ r Grs 5 cz v P / ee? 6", I r'- d W 11 T 1z ✓t 4 t--)" r� c v ; 11)/11rc e Date /O / Inspector REV 10/92 149 41 t 3Lif-a0uNno:) R 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 RE: DATE: 11-23-93 A.P. #058-330-011 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans _klobilehane Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes Enforced Mrwe need the following information prior to permit processing and/or issuance Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on. plans. Hazardous Material Form E7Lergy Design Ccapliance and supporting documentation."- -- Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehcme data and manufacturer's installation instructions, 2 sets. Fees of $ J. payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City.of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name'Style, Class) or exemption statement. Certificate of Workman Compensation Insurance. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. x`X*-Aa ocumentation of legal access. Existing violations/expired permits resolved. Plan check list data and revisions. ' sets of plans in accordance with changes marked in red. n Other: Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. DP:ahb Yours v , David Purvis'`" Manager, Building Inspection COUNTY OF BUTTE DEC 13 1993 Land Development -sec. r YF RECORDING REQUE. TED BY 86-24 21 8.+^� ^.i BUTTE C".i'!T"' + t: a..•.l BUTTE COUNTY TMLE CD AND WHEN RECORDED MAIL TO JUL 29 k1i 11: 13 NAME a H.R. Melbourn r 'ELEANOR N. vC `ttit 1 ADDRe9 4415 Bollen Bacher Ave. CLERK-RcCORDcR FEE SITTE ~_ ';; Sacramento, CA 95838 tt Title Order No-� - Escrow No pag:N SPACE ABOVE THIS LINE FOR RECORDER'S USE ,y MAIL TAX aTATEMENTS TO Documentary transfer tax $...3&..5G ............... > NAME ' : *' Computed on full value of property conveyed, or full less liens ;r • Computed on value and encumbrances ,� spa , ,•� >, ; yremaining thereon at time of sales ......Butte .Count} • Title . Company-. 4n ' Signature of declarant or agent determining tax—firm name Inbibibua l Oraut ;Deeb WESTERN TITLE FORM NO. 104 FOR VALUE RECEIVED, WILLIAM L. EDWARDS and MARGARET E. EDWARDS, husband and wife HARRISON ROBERT MELBOURN and DIANA CAROL MELBOURN, husband and wife, as GRANT to Joint Tenants, as to an undivided 1/2 interest, and ANDREW LINN LITZ' and MARIETTA BROWN LITZ, husband and wife as Joint Tenants, as to an undivided 1/2 interest. all that real property situate in the County of Butte , State of California, described as follows: DESCRIPTION ATTACIiED HERETO AS EXHIBIT 'A' AND MADE A PART HEREOF. Dated July 2, 1986 WILLIAM L. EDWARDS ,P,AR E. EI)WARDS STATE OF CALIFORNIA county or , Butte 1 u on - July 2, ,14 86, before me, the undersigned, a Notary Public is and for said Stare, personally appeared William L. Edwards and Margaret E. Edwards personally known to me or proved to we On the basis of satisfactory evidence to be the person S;whose names are subscribed. to the -within 'Instrument, and acknowledged to me that the yexeatted it FOR NOTARY SEAL OR STAMP m o: F;CWL SEAL -¢ PO LLY MACK ® NOTARYPU6LIC-CALif OFINIA Kw Pnncipai Olt:ce 1.. LLI E Cmtn!y My Commission Expires May 27. 19&3 ..;�., i' f •i - - i! f } ry y-l.•,�.' I4�( ° i . �i i C%: "•. f .• �R`t�'TT, . .. .. .. ... .... ...: :. ... .. ...:.:....:...: .�'•1..0 ^CJs,.' "t�•i':W� -. t`f%. . _ �•:...:: .. ..... _ .. ...... _ . ..... ...:..:�-.., ...:..... . . ....... ... ''•i? • :i - h`e: �:? ... ..r..:..i!1. ...... ....t.. :�7y.:N r•_..n .. t c.::. ...7. � ..........._.-. �#..,.-.:.._:...�. s'� ..:.. ..I ...# .r. _ .....#._._...---•----#.-:�:...._....< ','•;.k%Z Sc rN� _.. yrr qtr 1, tai �'I 1 I � •iT i � � i u J � "A"?/Ay 4 "^ 1 5 t r .% i f` r ;''! ••W !;� � � v ; � - Irl ;�Ac�':�. •. 4. a ;a.• 1' . �''' I•ti v;lt �+- •�I SYS; ���• � •�� •"•> ��°y' `'!, . • •+..���{,_ '�:� »' t. WESTERN TITLE � I;iia: �f'k'!'-, WESTERN INSURANCE COMPANY 3 aINSURANCE COMPANY : +, grant lweeb ' ' ��+> � `•' I � r � ` t ��<f # r PLACER COUNTY ! ALAMEDA COUNTY ti d*^ <,��. �, 1 21021 Corsair Boulevard • Hayward, CA 94545 1�1, 5 C X120 Center Street Auburn, CA 95603 F�yRLlx sf) „}.• 'r 7' 1",•'Y AMADOR COUNTY ' u' I i„ , 'il' PLUMAS COUNTY,?` S` }' S j;'+• 45 Summit Street - Jackson, CA 95642 • .,.*Court and Jackson Streets - Ouincy, CA 95971 BUTTE COUNTY TITLE COMPANY hl` riga: �',1, +� ,� ', +. ;+ I t,, carp it • SACRAMENTO. COUNTY T 1909 Bird Street Oroville, CA 95965 3' I : t}; x�: g19 Eighth Street Sacramento, CA 95814 7II COLUSA COUNTY �^I 4+", xx+ •�.. T '•�' rl' � '- ;+i; }^ r�. `'•;"�•'ir1, •SAN BENITO COUNTY 250 Fifth Street _ Colusa, CA 95932 s +' 318 Filth Street •Hollister, CA 95023 CONTRA COSTA COUNTY'' 1401 N. BroadwayWalnut Creek, CA 94596 �> 1'y' r + SAN FRANCISCO COUNTY +''i�''100 Mission Street - San Francisco, CA 94105 x Y. DEL NORTE COUNTY TITLE CO. Il�ti,•,.. ! !. ,i v�1 SAN JOAOUIN COUNTY 501 'H' Street -Crescent City. CA 95531 146 W. Yokuts Avenue •Stockton• CA 95201 w'-r Vit, �',• I EL DORADO COUNTY 0l 573 Main Street Placerville, CA 95667 }� �?'iD 't SAN MATEO COUNTY " Middlefield Road -Redwood City. CA 94063 FRESNO COUNTY I ,SANTA CLARA COUNTY 191 W. Shaw Avenue, Suite 205 -Fresno, CA 93704 + I a �''' �"' �++ , • ,I � '�; 5.i }+•' 32001 Gateway Place. No. 195 East •San Jose. CA 95110 GLENN COUNTY TITLE COMPANY i a t ;d 250 W. Sycamore Street Willows, CA 95988 ['t,"ck ' a "' SANTA CRUZ COUNTY s , 1Ami 115 Cooper Street - Santa Cruz. CA 95060! HUMBOLDT COUNTY '' 404'H' Street - Eureka, CA 95501 f-' 1 r' '1 �` ' ,r SHASTA COUNTY %r}' 8fi i�r1 t?i ' • 1505 Court Street _ Redding. CA 96001 , +• t I ' //? t' :"� KINGS COUNTY TITLE COMPANY p 109 W. Eighth Street - Hanford, CA 93230 r: 4`'= SOLANO COUNTY LAKE COUNTY TITLE COMPANY } ,.'Fr ilk+ 825 Webster Street - Fairfield. CA 94533 180 Third Street Lakeport, CA 95453 SONOMA COUNTY ;•° LASSEN COUNTY ' + i.;� I,,. 610 Seventh Street Santa Rosa, CA 95401 ` I L: 145 S. Lassen Street - Susanville, CA 96130 l I tri STANISLAUS COUNTY ; MADERA COUNTY 826 Twelfth Street Modesto. CA 95354 i, 126 N. 'B' Street - Madera, CA 93637 > r • f'' .,,; I ,, h, s �.•, BUTTER COUNTY BUTTE COUNTY 11;1 !+SI' TITLE COMPANY MARIN COUNTY ,?, x 512 Second Street •Yuba City, CA 95991 }+ v1401 Fifth Avenue - San Rafael, CA 94901 j :>I 'I '! I > TEHAMA COUNTY'' MENDOCINO COUNTY �}, k"'' 705 Jefferson Street -Red Bluff. CA 96080 1909 Bird Street r+}•'<� a'• ; of 101 N. State Street •Ukiah, CA 95482 ar P. O. Box 051 m �� 1 �;'' 3 ` TRINITY COUNTY' 14, Oroville, CA 95965 I , MERCED COUNTY I ? + J%' 223 Main Street - Weaverville, CA 96093 533-5511 ?r li} 602 W. 20th Street - Merced, CA 95340 5 ; . MODOC COUNTY TITLE CO. i1 ;�' TULARE COUNTY r.• ;, I ;• ;' 1616 W. Mineral King Avenue •Visalia. CA 93291 194 E. Sixth Street 108 E. Modoc Street - Alluras, CA 96101 P. O. Box 883 I'`o,'i TUOLUMNE COUNTY t• Chico, CA 95920 MONTEREY COUNTY I k. i CA 93901 165 S. Washington Street Sonora, CA 95370 ? ?!y 343-3716 I'y} i'{! 118 W. Gabilan Street - Salinas, �n;5 fyl 1 APA COUNTY I.J !j YOLO COUNTY N fi ;l Second and Court Streets Woodland, CA 95695 �,l ti' �::; I•^ �:,{: 707 Randolph Street • Napa, CA 94558 6402 Skyway YUBA COUNTY 1 P. O. Box "E" NEVADA COUNTY c I I 120 Fifth Street - Marysville, CA 95(01 r Paradise, CA 95969 j >r Church and Neal Streets - Grass Valley, CA 95945 877-6268 I-Al!,,86-24218 4�:. ^ —y1i1 that certitfn rent property it tltr. rottnty or lhttte, Stitte of California, ' described as follows: r po r ion of the- Northwest quarter of Section 10 and a portion of the Seuth- West arter of Section 3, Township 22 ;forth, Range 4 East M.D.B.& descri ed as follows: '-_7Cnmmencing at the quarter corner common to said Sections 3 and 10; thence along the north and South centerline of said Section 3, North 00 12' East 30 feet to the centerline of a 60.foot road eas-ement; thence along said road centerline, North, 89° 54' West 173.65 feet to the Northwest corner of that ;certain_ parcel ef. land described in Deed to Joseph F. Vielbig, Jr. et ux, dated"October,, Z2 1964_'and recorded Novembr1r•• 4; 1964 in Bonk. 1344 of µofficial; Rec6tds", ..at-pcge 183; thence continuing along -said read centerline., North �89° X541. West 338.35 feet and North 760 45' 30" Vest 14.39 feet to the true point of beginning for the parcel of land described 'herein; thence frc.�. said true point of beginning, leaving said road centerli.np, South 10 49' 23" West 1338.96 feet to a point which bears the following fcur-ccursps and .distances from the Southeast corner of the Northwest quarter of said Section 10; (1) North along, the East line*of said Northwest quarter 1740 feet; (2) North 760 17' 57" West 178.24 feet; (3) .South 30 13' 03" West 316.00 feet and (4) So�.th 620 19! 03" West 396 -00 -feet; -thence Nnrth 696 22' 57" West 140.43 feet to tho Westerly line of the Easterly 660' feet of the Northwe: gtiartpr of said Se..ction 10; thence along the Westerly line of said r.asterl.y 660 feet, North 10 49' 23" East -1256.43 feet to -the Southwesterly corner of. the Easterly 660 feet of the Southwest quarter of said Section 3; thence along the Westerly linc- of said Easterly 660 feet Nr.rth 00 12' East 80.66 foet to the centerline of aforementioned .60 foot road easement; thence along said toad centerline, South 360 31' 30" East 24.30 feet and South 760 45' 301" Fast 122.61 feet to the true point of beginiaing. ' TOGETHER WITH a non-exclusive easement for road purposes and public utility ur-pcses . over- a.. strip of land '30., feet in width lying Westerly of and adjacent to the above described parcel of land. ALSO TOGETHER WITH a nen-exclusive easement for road purposes and public utility purposes.over a strip of land 60 feet in width lying 30 feet on each side of the following describer] centerline: Beginning at the Nerthwpsterly' corner of the above described parcel of land; thence South 360 31' 30" Enst 24.30 feet; thence South760 45' 30" East, 137.00 Pet and South 890 54' East 512 feet to a point on the East line of the Southwest quarter of said Secticn 3, said point -being North 00-12' East, 30 feet from- the South quarter corr.pr of said Section 3 and the end of said linea EXCEPTING THEREFROM all that portion thereof lying within said parcel of land- above andabove described. ALSO TOGETHER WITH a non-exclusive easement for road purposes and public utility purposes over a strip of land 60.00 feet in width, the South line of said easement being described as follows: Beginning at the quarter corner common to Sections 3 and 10; thence running Easterly along the South line of that certain property conveyed to L. A. Schager, et ux, by 'Deed datded July 8, 1955 and recorded July- 12, 1955 a distance of 720.00 feet; thence North 11 32' East along the South line of said L. A. Schager property, a distance of 147.00 fest; thence continuing along said South "Line, North 56018' East, ?74.00 feet, South 68 28' East, 445.54 feet to the Northwest corner of that certain property described in Deed to F. S. Marshall, dated October 301 1.942 and recorded December 3, . 942 in Book 305 of Official Records, at page 473, records of Butte County, California; thence along the Northerly line of said F. S. Marshall property, Easterly to the West line of Oroville-Concow Road and the end of said line. END OF DOCUMENT AA, . *'*&}UGWd0I8A8Q pug -1 0661 C i 030 3JIn® 4 AINnOJ + + PRELIMINAR ���NrY Ti T ?p Butte County + AFFILIATED WITH WESTERN PARADISE OFFICE: OROVILLE 6,402 Skyway, Paradise, Calif. P.O. Box 877-6268 1909 Bird St., Or 533-55 DIRECT ALL CORRESPONDENCE TO: WILLIAM L. EDWARDS + + In response to your application for a C0.%1PA:NY hereby reports that it is prepared to is California Land Title Association Standard Coverag + and the estate or interest therein hereinafter set fo reason of any defect, lien or encumbrance not shown from coverage pursuant.to the printed Schedules. Con This report land any supplements or of facilitating the issuance of a policy of title iris sired that liability be assumed prior to the issuance ,i should be requested. + Dated at 8:00 a.m. on . June 12, 1986 The estate or interest in the land described herein a + A Fee Title to said estate or interest at the date hereof is :WILLIAM L. EDWARDS and MARGARET * Joint Tenants At the date hereof exceptions to c elusions contained in said policy form would be as Title TITLE OFFICE: urance vested overage shown Y REPORT COMPLETE TITLE PLANT COMPC ll l �% ESTABLISHED INSURANCE COMPANY ✓ 1877 + CHICO OFFICE: 851 194 E. 6th Street, Chico, Calif. oville, Calif. 343-3716 it + Your No. Our No. 24724 P12969 PM Last insured: over 2 years policy of title insurance. BUTTE COUNTY TITLE sue, or cause to be issued, as of the date hereof, a e form Policy of Title Insurance describing the land rth. insuring against loss which may be sustained by + or referred to as an Exception herein or not excluded ditions and Stipulations of said policy form. amendments thereto) is issued solely for the purpose and no liability is assumed hereby. If it is de - of a policy of title insurance, a Binder or Commitment + 626� 1 ice President nd which is covered by this report is: in: E. EDWARDS, husband and wife, as 4 in addition to the printed exceptions and ex - on the following pages. 5cc 6pl Order No. 24724 P12969 SUBJECT TO: 1. County and Special taxes for the fiscal year 1986-87, including possible personal property tax, now a lien, but not yet due or payable. 2. The lien of supplemental taxes, if any, assessed pursuant to the provisions of Chapter 3.5 (commencing with Section 75) of the Revenue and Taxation Code of the State of California. 3. Rights of the County of Butte, and/or others, and/or easements .affecting portions of the property herein described lving within the boundaries of roads. 4. Easement for road and public utility purposes, as described in Deed from Henry. J. Hoffman, et ux, to Ozella Roach, a married woman, recorded August 19, 1964 in Book 1331 of Official Records, at page 4, records of Butte County, California, and as contained in other instruments of record. Affects the Westerly 30 feet of the land herein described. 5. Non -Exclusive Easement for road and public utility purposes over the West and North 30 feet and over an existing road, all as reserved by Fisci Bros. Inc., recorded August 4, 1966, in Book 1438 of Official Records, at page 282, records of Butte County, California. NOTE:County and Special taxes for the fiscal year 1985-86. Assessment No. 58450 First installment . $36.24, paid Second installment : $36.24, paid Ld 7,242; Rate 1.001. AP no. 058-33-0-011-0; CA 110-03 Order No. 24724 _ 12969 DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: ,1 portion of the Northwest quarter of Section 10 and a portion of the South- West quarter of Section 3, Township 22 North, Range 4 East M.D.B.& M, described as follows: Commencing at the quarter corner common to said Sections 3 and 10; thence along the North and South centerline of said Secticn 3, North 00 12' East 30 feet to the centerline of a 60 foot road easement; thence along said road centerline, North, 890 54' West 173.65 feet to the Northwest corner of that certain parcel of land described in Dee.] to Joseph F. Vielbig, Jr. et ux, dated October 22 196 ► and recorded November 4, 1.964 in Bonk 1344 of Official Records, at page 183; thence continuing along said road centerline, North 890 54' West 338.35 feet and North 760 45'.30"West 14.39 feet th the true point of beginning for the parcel. of land described herein; thence froT said true point of beginning, leaving said road centerline, South 10 49' 23" West 1338.96 feet to a point which -bears the following four courses and .distances from the Southeast corner of the Northwest quarter of said Section. 10; (1) North along. the East line'of said Northwest quarter 174-0 feet; (2) North 760 17' 57" West 178.24 feet; (3) -South 30 13' 03" West 316.0.3 feet and (4) So,.th 620 19! 03" West 396.00 -feet; thence North 690 22' 57" West 140.43 feet to tho Westerly ling of the Easterly 660'fcet of the Northwer- guartPr of said Se..ction 10; thence along the Westerly Line of said r..asterly 660 feet, North 10 49' 23" Fast 1256.43 feet to the Southwesterly corner of. the Easterly 660 feet of the Southwest quarter of said Section 3; thence along the Westerly line of said Easterly 660 feet c'orth 00 12' East 80.66 feet to the centerline of aforementioned 60 foot roar] easement; thence along said 'road centerline, South 360 31' 30" East 24.30 Beet and South 760 45' 3.)" Fast 122.61 feet to the true point of beginning. TOGETHER WITH. 'a non-exclusive easement for road purposes and public utility purposes over a strip of land*30 feet in width lying Westerly of and adjacent to the above described parcel of land. ALSO TOGETHER WITH a non-exclusive easement for road purposes and public utility purposes.over a strip of land 60 feet in width lying 30 feet on each side of the following described centerline: Beginning at the Northwesterly' corner of the above described parcel of land; thence South 360 31' 30" East 24.30 feet; thence South760 45' 30" East, 137.00 Pet and South 890 54' East 512 feet to a point on the East line of the Southwest quarter of said Section 3, said point -being North 00- 12' East, 30 feet from- the South quarter corn. --r of said Section 3 and the end of said line. EXCEPTING THEREFROM all that portion thereof lying withi'h said parcel of land above described. r ny /! 5cc 6p1 Order No. 24724 P12969 DESCRIPTION: (continued) i ALSO TOGETHER WITH a non-exclusive easement for road purposes and public utility Purposes over a strip of land 60.00 feet in width, the South line of said easement being described as follows: Beginning at the quarter corner common to Sections 3 and 10; thence running Easterly along the South line of that certain property conveyed to L. A. -Schager, et ux, by Deed dated July 8, 1955 and recorded July 12,'1955 a distance of 720.00 feet; thence ° North 11 32' East along the South line of said L. A. Schager property, a distance of 147.00 fest; thence continuing along said South line, North 56° 18' East, 774.00 feet, South 68 28' East, 445.54 feet to the Northwest corner of that certain property described in Deed to F. S. Marshall, dated October 30, 1942 and recorded December 3, 1942 in Book 305 of Official Records, at page 473, records of Butte County, California; thence along .the Northerly line of said F. S. Marshall property, Easterly to the West line of Oroville-Concow Road and the end of said line. "` INTY OF BUTTE DEC 13 1993 t.,ai to Development'8ee. DIANA baBOB-MELBOURN # JF VENUE,4415 BOLLENBACNERQSACRAMENTO, CA. 958312113c� W cbl�o� In i t n r Y � J . r • ^ TO: ' Building Department FROM: Environmental Hcalth SUBJECT: Sanitation Clearance Y6 t A'l & -j ✓' V, Owner Location Plan Approved for: Sewage Disposal _'x_ Water Supply: I'L11)liC Clearance for,�?—bcdroom mobile home. Othcr Hold final for: Final clearance O.K. for: NOTE: Environmental ealth Specialist 8/92 li.l1. � .I.1• Hot Phin Attached View Him AMushed� Scut lu B.D. Private Well ✓ LarlST�n� Date AN� Tr l E-* R, lip Ava 0 DINING AREA 3RD BEDROOM 14'-4" X 9-4" OPT. BEDROOM OFT .1 FIREPLACE BY FLEETWCOD® SC/17/JUN93 . . CI' -4" 4 I_ t ..... SHELF o MITY BATH BEDROOM DAR 13'-4" X 10'-4"f T- m _KITCHEN LINEN _ -44-L J p ------------- LINEN L________ ----t<. MASTER LIVING ROOM f3EVROOML -T 23-6"X12�6" WALK-INI : :: opr. CLOSET: ENTERTAINMENT jjCENrER I II om WDW /,0011 Ava 0 DINING AREA 3RD BEDROOM 14'-4" X 9-4" OPT. BEDROOM OFT .1 FIREPLACE BY FLEETWCOD® SC/17/JUN93 . . A; STANDARD FEATURES 20 Ib. roof load R-19, R-7, R-7 insulation Fixed eaves on B -half oily on 24' wides Fixed eaves all around on 26' wides 2 x 3 interior walls Integrated window dormer in living room Massive 2 x 8 floor joists Upgrade exterior with roughsawn trim 2 x 8 eave facia trim Tile kitchen backsplash Tile bath back splash - both baths Recessed medicine cabinet in both baths Mirror with clips in both baths Tile trim around tubs and showers Hollowcore wardrobe doors Inswing front door Inside electrical panel box 100 amp service Tape and texture throughout (except closets) Brocade ceiling Drawer over doors in kitchen Water shutoff valves Mortizer type hinges on passage doors Rear overhang on 26' wide homes Tape and texture window sills Crown molding on kitchen overhead cabinets 15 cu. ft., double door, frost -free refrigerator Utility shelf over washer and dryer 4/12 roof pitch and high volume ceiling Mini blinds with valance 30 gal. gas water heater Standard furnace (size ) Removable hitch SERIES A Single lever kitchen faucet Single lever bath faucets 19 cu. ft., double door, frost -free refrigerator Porcelain bath lavys Cottage inswing rear door White baseboards 60" 1 piece tub/shower in guest bath *Wire for air or *17 x 14 roof vent Overhead utility cabinet Brass light kit Chandelier *Wire for electric dryer or *Plumb for gas dryer Plumb and wire for washer Raised panel cabinet doors SERIES B Single lever kitchen faucet Single lever bath faucets 19 cu. ft., double door, frost -free refrigerator Porcelain bath lavys Note that square footage is measured from exterior wall,to exterior wall, and is an approximate figure. Length indicated in floor plans is floor length only. Renderings and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal. Ask your retailer for specifics.(Add four feet to arrive at transportable length.) PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. Our Customer Commitment: We will provide defect -free products and services. Cottage inswing rear door White baseboard 60" 1 piece tub/shower in guest bath *Wire for air or *17 x 14 roof vent Overhead utility cabinet Brass light kit Chandelier *Wire for electric dryer or *Plumb for gas dryer Plumb and wire for washer Raised panel cabinet doors Colonist raised panel passage doors Crescent window in front door Linoleum in entry Wood window sills *Recessed fluorescent lights or *Track lights Drawers in master bath Series "B" upgrade drapes Deluxe free-standing gas range Rebond carpet pad Knockdown ceiling Rounded interior wall corners *Select either/or OTHER OPTIONS AND FEATURES MAYBE AVAILABLE. BE SURE TO ASK YOUR RETAILER. 90KCKfK BY FLEETWGi7D® Stone Creek Homes are built by: FLEETWOOD HOMES OF CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 18 N. County Rd. 101, P.O. Box 1308 Woodland, California 95776 (916) 662-3223 sG17/JUN93 iFLE ! �1D® i PCV BY:XEROX TELECOPIER 7010 :11-16-93 IVOV 16 9: 03AM : 93 10:[1Af9 AT&T FAX 9015PF CCITT 63-) 5165332623:14 ? _ P.2 V ro � 11 nn� cx� C k I i APPROVED �N n Butte County Environmental Health ', �, `A / LA -- - - at-- ._.. D ►G----' T � �- - ;�` _fir,, �. � . ------ Sig re �- A '4 a 94-000874 94-00087494-000874 4 O Wift000 a74, Ei - ev Fee 9. bo • I. Curet* .. 9.00 0 Recorded 1 n 4 ficial Records 1 V -County of Buttes � { O% C ndlice J. Grubb a S t Recorftr f, 0 921940 9 -Jon -94 !, PUSL 2 [� AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT el;;ttion 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning,. and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All tilat real.:property:.situate in. the County of Butte, State of California, described as follows: Date: PROPERTY OWNERS: State ofhi Yny'k. ) On this the LL%ld day of /�/oUi/Y)( .� , .19_x, before me, the SS. undersigned Notary Public, personally appeared County of _) mdbouln CV)d �Ianc. C Md b(fufn onGc� Personally known to me. K.Proved to me on the basis of satisfactory evidence. to be the person whose name(s) v_ subscribed to the within instrd ent and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF., I hereunto set my hand and official seal. U M-... . Casondra K. Sykosky ' COmm. N969267 e �sd., NOTARY PUULIC CALIFORNIA// Present A.P. No. nITAMENTOCoINTY TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit -e neexel/ has been issued for the above property. si ature date OWNER ,& PERMIT MH UTIL.CLEARA EDA �D INSPECTOR I GAS Support Struc. Compaction Test Re . ELECTRIC rvice Other Load Type Pipe Size Length YESI NO YES NO _ze zoQ4 2A �i P L.. P �i1 � ' I 1 47,+ By:xEROx TELECCP 2Al-I IER ?010 ;11-16-93 9: a' CCITT 034 3165332623:4*2 G. NOV 16 10:01AM AT&T FAX 9015PF 0 CD 0,4 -0) If 04 :13 -33 C, tj c: iZ N1. c+ rr, nc. cl) 0 > CD im ME si m m run, C) m CL a MP > co EU CD. jot, o� CD 0 \�7111 V\ td LA M-` AV cri 0 o co r• rt ..zys c 1 _ tF' •� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's.Name: 2. Installer's Name:-- 3. ame:-3. Is the site currently under permit? Yes No ,1 3 -3;7 (If yes, furnish permit number ) 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 No (If * no, clarify 5. What is the mobilehome electrical -rating? --------------- \ Amps - 6. What is the mobilehome site service rating? -------------- Z� Amps 7. What is the mobilehome site circuit breaker rating? ----- -- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- yes No (If yes, identify -the load and size: (Load) A (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or,tank.to .the - mobilehome?•------------------------=-------------------- -.... .- (ft.-)_ * 12.-. What *is the mobilehome gas' -demand? ---==- - = --------------- (BTU)' --- Y j*(This "infor'mation not required:'if -pipe aength less -,-.than 6:3ft )on natural gas -or less than •50 4t. �on :LPG:) y<:1z.ew l tr r Y' •' -.... p�. .-- .. r; TYri nry.-. .,• -.,: i.�t�i—/ mil. '� .i �9,C 1 •-_r-..�_y,wv..�.••,,. /.i.:. MOBILEHOME SUPPORT DATA ' If other.- than.. single. wide, --Mobilehome Mfr:' `.tet T ``►��� furnish.Setup Model No. 5�1.-ZL- ..Year �9 � Width'ZS (ft-..) Box . Lengthb� �o�` (ft.) . Tagalong or Expando Size _1Z)1 ft. x ft. :On -all mobilehomes manufactured'after'•October'7;''1973,� furnish manufacturer's installation manual and structural`'•setup sheet -s" (if` not-on`file•= with'- the County. of Butte).— FOOTINGS "FOOTINGS (check- one3f7-.J, 1 -:"Wood- pressure' treated- or foundation-grade'.a2-.- Other. .(specify) SUPPORTS ' (che.ck' one01".'•- Concrete block.�2. Other-. (specify) "` Pier Footing Sizes and Locations SINGLE -WIDE M111.TT-YTIIR Main Beams � ine27ne T_ Main Beams ne Tag or Triple Line 1—Piers:- Line 1 Openings.• SizMin. --- ------ ----- M $k n rkSize-Min- ----------- Spag-ax---------- ,- Each Side of Openings From„Ends-Max.------- �_ �� With Width Over --------- Line 2 Piers: Size -Min. -- -------- Spacing-Max ----------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Pierer (Under Bearing Wall Only) Size -Min .------------------ rrx rr Spacing -Max.______________• , n From Ends -Max -------------- ,- e=riga: _.. . Size -Min .------------ rk. n Spacing -Max.--------- , h From Ends -Max-------- Line 5 Roof loads: _ Size -Min ---------=--- location (From Front) Line 5 Piers: (Under Bearing Walls On y Size -Min-------------- __- Spacing -Max------ •_ o From Ends -Max -------------- r_ n -_ r_ n r a r � n •_ u 7 u 'Y4Y•--• •.....--f-„,�a�.,4c_ __ .�'!' .t.^ t N l �, Y�[]C C il'* '1” T r Aw or 01/25/93 10:08 FLEETWOOD HOMES WOODLAND CA -► 1 891 8753. E l PbF ROOF LOAD SEE P RIMETER PIERING -- - crE ••OTE rrOU,REI'EkTSTABLE SEE IR!ATIN'G LINT PIERI140 TAf.E-•...... w •. i FRONT OF SEE PERIMETER UNIT PIERING REGUIREMENIS TABLE I'TE SEE i~:E RING KM A14D PIER LORD CRPACITY D%k%?1t4GS FOR REOU1RE41,ENTSIf VAIN I FAIL SUPPORT CAPACITY AND FOOTING SIZE. EOam CC��=.:�'✓E 1';�11• F.OI.DS!✓E 1';t;:• J h►! E•' S i NT 10 T ::'2 C '1'- EIF,!f�4,• rt tLODR r o5T s A7 aE. . CI SE0:•.•;ciL V614EN E S —L% L ' uI'.'•E r.;..0::: AQ Mom f F.Ds:T Ot • �lttlh'G llh'E PIERING Tt.BLE• ' F ::E 1w.• .' �::'►G:t'I:'.S IA:TIRIFO:1 R1fRp!:� 15T1►►Tf�.:pF VXT ?t,pl�:tfR.DA i:;T JF�1''1E�,O�, 41131INTERID; EIK117ERIp6 IEtRI';t,;L . t F31! F05T PJST i."r51 MA LOA.D C4Pt',(ITY 1N 145• J�� 7 Aft M-NIN.JW. C%tt FIECE F:�DTu:D %XIE /2 / Z. y/>t y 2�1 yaC20 X / 1 . M:.ice:•;,; i,�.a C ' ox 6l G c�2wa,ci .uo.p�2"ALC-1 oS•� F''t �sr� 1; E,TE: f vo;irk s'IES based o -j 1GWPS= S1; Dtarir,; VLIJE,11901.1 condition: dif;et see t *Tiet Load C! PE WY WE V. itY+ V the ROTE TE:hN1m, Irtis1E1liEipn:1'sEnUM 1Dt method Ot— PERIMETER PIERING REOUIRIMEN•tB'EABtE EOam CC��=.:�'✓E 1';�11• F.OI.DS!✓E 1';t;:• J h►! E•' S i NT 10 T ::'2 C '1'- EIF,!f�4,• rt tLODR r o5T s A7 aE. . CI SE0:•.•;ciL V614EN E S —L% L ' uI'.'•E r.;..0::: AQ Mom f F.Ds:T Ot •