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058-550-034
- - '--- - ---- --- | / ' � �. � ] ! ' . " � , \ / - `---- ' ------- - ----------`ROSEankee Hill Circle, Yankee HillrELEC 2 —ooGAS ICSUPPORT STR URE RE58 5garage58-55-24,-341Issu058-550-034 06-0931ROSE, MARVIN11125 YANKEE VisCont: SIERRA MMH PERM FND (E " ' ^ � .-'--_.__'---- -, �' �.; 4 �' RECORDING REQUESTED BY: 2006-0022609- 09 Recorded I REC FEE 10.00 Official Records I County of I CONFORMB COPY 1.00 Butte I MOM J. 6RLIBBS I AND WHEN RECORDED MAIL TO: County Clerk-Recorderl I CW BUTTE COUNTY BUILDING DIVISION 010:49PA 03 -May -2"6 I Page 1 of 2 7 COUNTY CENTER DRIVE VIII'III�'ll"IIII'�II�II'III�I�I OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,I 021 INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MARVIN P. AND SUSAN J. ROSE REAL PROPERTY OWNER/LESSOR 11125 YANKEE VISTA CIRCLE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0931 (530) 538-7541 BUILDI G PERMIT N0. TELEPHONE NUMBER 41 �n �— -o W SIGN URE 0 LOCAL V NCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD HOMES INC. 1987 3442L MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMUNUMBER CAFLJI7A/B08375SW 44 X 24 RAD413993/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 058-550-034 HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. 91-29039 'L G. Knox to Rose All that. certain real property situate in the County of Butte, State of California, described as follows: A portion of Parcel 4 as shown on that certain Parcel Map filed in the office of the Recorder of the County of Butte, State of California, on August 28, 1985 in Book 99 of Parcel Maps at Pages 76 and 77 and more particularly described as follows: BEGIPNING :it the Northwest corner of said Parcel 4, thence South 01" 41' 33" East, 411.29 flet to the angle point in the Southerly line of said Parcel 4, thence South 610 04' 21" Wesv. 136.23 feet to a point in the West line of said Parcel 4: said point bears -North 33° 33' 19" West, 50.00 feet from the Sov.thwest corner of said Parcel 4, thence along the West line of said Parcel 4, North 330 33' 19" West, 110.60 feet and North 23` 36' 39" East, 420.00 feet to the POINT OF BEGINNING and containing 1.02 Acres, more or less. ' The purpose of this deed is to effect a Boundary Line Modifi- cation as approved by the Butte County Advisory Agency on June 26, 1984. This parcel is to be combined with and become a part of the parcel owned by Marvin P. Rose and Susan J. Rose, husband and wife as Joint Tenants as recorded under Butte County, Cali- fornia Recorder's Serial Number 87-20189 and no new parcels are being created. C3, LAND S�q p L.S. 3346 , i qlF OF CAO . Z_11S Gi1ClJ. r/39/ q 'Z W RECORDING REQUESTED BY: ° AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 3 -May -2006 2006-0022609- Has 006-0022609Has not been compared vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MARVIN P. AND SUSAN J. ROSE REAL PROPERTY OWNER/LESSOR 11125 YANKEE VISTA CIRCLE �ililsl��� � axX OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP ° 06-0931 (530) 538-7541 BUILD G PERMIT N0. TELEPHONE NUMBER ` SIGN417UM 0 LOCAL CY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD HOMES INC. 1987 3442L MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER CAFLJ17A/B08375SW 44 X 24 RAD413993/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL pFsc'wn ASSESSOR'S PARCEL NUMBER 058-550-034 SEE ATTACHED HCD FORM 433(A) REV. 8/91 91-29039 G. Knox to Rose All that certain real property situate in the County of Butte, State of California, described as follows: A portion of Parcel 4 as shown on that certain Parcel Map filed in the Office of the Recorder of the County of Butte, State of California, on August 28, 1985 in Book 99 of Parcel Maps at Pages 76 and 77 and more particularly described as follows: BEGIPNING -,t the Northwest corner of said Parcel 4, thence SoLth 01" 41' 33" East, 411.29 feet to the angle point in the Southerly line of said Parcel 4, thence South 61° 04' 21" 1.Wes,c. 136.23 feet to a point in the West line of said Parcel 4: said point bears North 330 33' 19" West, 50.00 feet from the Sov.thwest corner of- said Parcel 4, thence along the West line of said Parcel 4, North 330 33' 19" West, 110.60 feet and North 230 36' 39" East, .420.00 feet to the POINT OF BEGINNING and containing 1.02 Acres, more or less. The purpose of this deed is to effect a Boundary Line Modifi- cation as approved by the Butte County Advisory Agency on June 26, 1989. This parcel is to be combined with and become a part of the parcel owned by Marvin P. Rose and Susan J. Rose, husband and wife as Joint Tenants as recorded under Butte County, Cali- fornia Recorder's Serial Number 87-20189 and no new parcels are being created. 90-2267/1211 3827 EXPLANATION AMOUNT SIERRA MOBILE SERVICE 19587 SIERRA FOUNDATION H16B LIC NO 470386 466 CIRCLE DR 530-534-0599 OROVILLE, CA 95966 PAY p sewn 0a AMOUNT �Aas� t00 DOLLARS LJ oma, o�me ° OF MEDICARE CHECK DATE TO THE ORDER OF. GROSS INC. TAX SOC. SEC. ST. TAX TAX NUMBER 513166 DFD08o 84 DESCRIPTION US BANK ��c. 7� ��'"�' NP AUTHORIZED SIGNATURE 11°01958711' 1:1211226761: IS 340140392511' BUILDING PERMITS NUMBER: 06-0931 Address or location of unit: 11125 YANKEE VISTA CIRCLE, OROVILLE CA 95966 Legal Description of Real Property: 058-550-034 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system _.-... ..._.__........ _.._.._._.._......._....__. __..._.._.._ ._ _.._.._....__._ ..... _ ... _...._ ...... _. _.... - - _ ... _ ............ ..... pursuant to Health and Safety Code Section 18551. Owner's name: MARVIN P. AND SUSAN J. ROSE Owner's address: 11125 YANKEE VISTA CIRCLE, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAFLJ17A/B08375SW SERIAL NUMBER OR V.I.N.: RAD413993/4 MANUFACTURER'S NAME: FLEETWOOD HOMES INC. YEAR: 1987 OFFICIAL APPROVING INSTALLATION: pill - DATE: PHONE: (530) 538-7541 H.C.D. 513C FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-0931 Address or location of unit: 11125 YANKEE VISTA CIRCLE, OROVILLE CA 95966 Legal Description of Real Property: 058-550-034 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MARVIN P. AND SUSAN J. ROSE Owner's address: 11125 YANKEE VISTA CIRCLE, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAFLJI7A/B08375SW SERIAL NUMBER OR V.I.N.: RAD413993/4 MANUFACTURER'S NAME: FLEETWOOD HOMES INC. YEAR: 1987 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C 9I-29039 G. Knox to Rose All that. certain real property situate in the County of Butte, State of California, described as follows: A portion of Parcel 4 as shown on that certain Parcel Map filed in the Office of the Recorder of the County of Butte, State of California, on August 28, 1985 in Book 99 of Parcel Naps at Pages 76 and 77 and more particularly described as follows: BEGIPNING -it the Northwest corner of said Parcel 4, thence Sotth 010 41' 33" East, 411.29 feet to the angle point in the Southerly line of said Parcel 41 thence South 61° 04' 21" West. 136.23 feet to a point in the West line of said Parcel 4; said point bears North 33° 33' 19" West, 50.00 feet from -the -S-or.t-nwest corner- .of_.sa.i.d_.Parcel.. 4.,.._thence along the West line of said Parcel 4, North 33° 33' 19" West, 110.60 feet" and North 230 36' 39" Eabt, 420.00 feet to the POINT OF BEGINNING and containing 1.02 Acres, more or less. The purpose of this deed is to effect a Boundary Line Modifi- cation as approved by the Butte County Advisory Agency on June 26, 1989. This parcel is to be combined with and become a part of the parcel owned by Marvin P. Rose and Susan J. Rose, husband and wife as Joint Tenants as recorded under Butte County, Cali- fornia Recorder's Serial Number 87-20189 and no new parcels are being created. SEp ;.ANO SSR 0?1 O ' p L.S. 3346 , i ��/ JrglF ; of cauE \. � S 3 3 11 � G ? Butte County Department of Development Services. N O T E S 7 County Center Drive, Oroville, CA 95965 530 538-7601 vnvw.buttEcounhy nevdds eurrE / para j RESIDENTIAL APN: —'058-550-034 06-09_31�� Owner. _+. ROSE, MARVIN _ 11125 YANKEE VISTA, OROVILLE Site Address: Cont: SIERRA MOBILE SRV i ContractorIt PERM FND (EX) Type of Permit: SPECIAL CONDITIONS CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMrr CONDITIONS ❑ SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMrT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE DATE JOB FINALED- SIGNATURE: vV ccl = OK o = Not OK- MANUFACTURED HOMES MISCELLANEOUS DATE ERMANENT FOUNDATION SOFT -SET ljooZoning-Setbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUC10-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Dlrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrnrs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr 1£ Sewer Connected -/O to Grade 1G and Electricity Tagged 1 Downs Foundation ❑ 1i; Exits 15 C of Occupancy 1 HUD labeUlnsignia Numbers Serial Numbers r l i DATE D E C K S'C O V E R S'C A R P O R T S 'GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carpgrts; Wndws-Doors 7 Electric _ 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof•, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability. 3 Pool Structure; Steel-Dnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-DFl 6 Elec Enctsrs; Conduit Entries Terminals-1.isted 7 Elec Bonding; Metal w15-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool lghtg Boices-EnclsrsTnlboards-lnsulfi to Main Conduit 9 Health Dept ApprA 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 EncLsr, Fencing -Alarms 13 Bonding, Diving board or Slide dr 0`� dr da r �---- Pool Drawing = OK = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dplh 54 Wtr Pipe; Test & Anchr-Nail Prtcin 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth• 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub•Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 64 Hold Downs and Special Anchrs 59 Fire Sprinkler- Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test lie i.t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgmd DATE MECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 GirdersSills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16• Insulation 64 Furnace -Vent Acc-Comb Air RtrntVent t IS Outlet 65 Attic Acc & Pltfrm if Furnace in attic 41 o`4 DATE JFR.AMING 17 Sills Proper Materials & Anchrs DATE FINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage- abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GR & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFl Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting DoorsSH.1 Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking CImc. 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn- LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Lottn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFQ Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Geitings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration -Walls Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No o,' o o,• 0�s` 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-GImc to Opngs DATE ELECTRICAL 90 Wtr Well, Dscnnck Elec, Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgrnd 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-G/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz [ICU or ❑ AL 98 Address Posted AC Wire Sz ga ❑ CU or ❑ AL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or ❑AL 'Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnrs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr u -Spa Lt 52 Smoke Detector Y. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. V70'rez License Cl ss: Licensee Number: Date: Z (0 Contractor: 111•-d� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: PERMIT NU. BP060931 Issued Date: 04/26/2006 APN: 058-550-034-000 Site Address: 11125 YANKEE VISTA CIR CON Map Index: Description: EX MH ON PERM FND Owner: ROSE MARVIN P & SUSAN J 11125 YANKEE VISTA CIR OROVILLE, CA 95965 Applicant: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 Contractor: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 License #: 470386 Architect: Engineer: Carrier: STA rF Fy N D otal Square Ft: 0 S.F. Policy#: yRS7 Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of.Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: - 440 Applicant: WARNING: Failure to • secure workers' compensation coverage is unlawful, and, shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the. cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees..) - , i-�•-� (�; �� (L l.. -' C. CONSTRUCTION LENDING AGENCY This permit Is I hereby affirm that there Is a construction lending agency for the Resolutions4i performance of the work for which this permit is Issued (Sec 3097 Civ.) . By. Name: PERMIT Address: under the applicable provisions of the Butte County Code and/or rte,d above for which fees have been paid. ( _ Date: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes Print Name: i E f Signature: Dale: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �o�stNc 9ti Division of Codes and Standards O Q®®ru Z ' rq �" w � le Title Search c��0 Date Printed: 04/20/2006 DE9� Decal #: LAL3265 Manufacturer: 09534 FLEETWOOD HOMES INC Tradename: SANDALWOOD Model: 3442L Manufactured Date: 10/08/1987 Registration Exp: First Sold On: 10/23/1987 Serial Number CAFLJ17AO8375SW CAFLJ17BO8375SW Registered Owner: HUD Label / Insignia RAD413993 RAD413994 Use Code: SFD Original Price Code: AFX Rating Year: Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ELT Exemption: NONE Length Width 44' 12' 44' 12' MARVIN P ROSE SUSAN J ROSE (Joint Tenants with Right of Survivorship) 1125 YANKEE VISTA CIR OROVILLE, CA 95965 Last Title Date: 11/13/1987 Last Reg Card: 11/13/1987 Sale/Transfer Info: Price $25,729.00 Transferred on 10/23/1987 Situs Address: 1125 YANKEE VISTA CIR OROVILLE, CA 95965 Situs County: BUTTE Legal Owner: CONSECO FINANCE SERVICING CORP 350 UNIVERSITY AVE STE 107 PO BOX 255524 SACRAMENTO, CA 95865 Lien Perfected On: 10/30/1987 10:55:00 Title Searches: FIDELITY NATL TITLE CO 6141 CENTER ST PARADISE, CA 95969 Title File No: 308887 -WB * * * END OF TITLE SEARCH a 1 ec. Ser. No, %,' S � I -- �, n.. G1-70189 V 7 '1 t',i�.P�In`c-/�1� r� is a rr•r y / y SEE :D-Iml \• ,r�L'ob�t'r KNOX and KNOX � ,4 S.L-6 or`f 2981 O.k. 395 \\ J,y £- V70.0 a Zee' S[c..✓o• v Ir fie\ ">• ,eG L - /19,4t, �ar off, Ta ��% o�rro.,,.,o,•,r.L \, \ �, /rS.4Z G� r I LI • Lx7 x � . �� R• 38'00 r.� e•a•sr', 1' 1 L • SS. to G. KNOX to / o �� KNOX and KNOX ���,•\ 1 z•zOa oo ti l �.N,7c / \�R . -40 �p<F.� � �- � �. S•jlr Cot . f1• \\� S� 3Y -- SCALE r . 200• \ A.P. 58-55-C7, 24 and 25 BASIS OF BEARING The East line of the SouthweSt quarter of Section 34 shown as North 000 09' 28" West on 37 PM 35. Prepaarr�Ed by: boroon L. Shields S. 3346 D O SEp LAND S1. 0 0 r) �—� 0 * c} L.S. 3346 ZCn Uv D �s ! �l\F OF CAUE���! c• I 1 .. z ;,sires 6/30/'�:� This plat reflects a Boundary Line Modification as approved by the Butte County Advisory Agency on June 26, 1989, William Cheff .E. 14225 Butte County Director of Public Works BOUNDARY LINE MODIFICATION FOR: ROSE AND KNOX Parcel 3 of 87 PM 35 and Parcels 3 and 4 of 99 PM 76, Southwest quarter of Section 34, Township 22 North, Range 4 East, M.D.B. 8 M., Butte County, California. SIERRA WEST SURVEYING 5437 Black Olive %rive Piradlse, CA 959:? 1916) 877-625., -aesrr: 9 I -29035 re. a.•.��. ..esms.�w�r•�*vs.s+.w•..m�a�— ■ate wn+ .+..r�.�amvrei.r I� •G. KNOX to KNOX and KNOX 7, 33FAe / 1 ' ,• 0 I 1 ec. Ser. No, %,' S � I -- �, n.. G1-70189 V 7 '1 t',i�.P�In`c-/�1� r� is a rr•r y / y SEE :D-Iml \• ,r�L'ob�t'r KNOX and KNOX � ,4 S.L-6 or`f 2981 O.k. 395 \\ J,y £- V70.0 a Zee' S[c..✓o• v Ir fie\ ">• ,eG L - /19,4t, �ar off, Ta ��% o�rro.,,.,o,•,r.L \, \ �, /rS.4Z G� r I LI • Lx7 x � . �� R• 38'00 r.� e•a•sr', 1' 1 L • SS. to G. KNOX to / o �� KNOX and KNOX ���,•\ 1 z•zOa oo ti l �.N,7c / \�R . -40 �p<F.� � �- � �. S•jlr Cot . f1• \\� S� 3Y -- SCALE r . 200• \ A.P. 58-55-C7, 24 and 25 BASIS OF BEARING The East line of the SouthweSt quarter of Section 34 shown as North 000 09' 28" West on 37 PM 35. Prepaarr�Ed by: boroon L. Shields S. 3346 D O SEp LAND S1. 0 0 r) �—� 0 * c} L.S. 3346 ZCn Uv D �s ! �l\F OF CAUE���! c• I 1 .. z ;,sires 6/30/'�:� This plat reflects a Boundary Line Modification as approved by the Butte County Advisory Agency on June 26, 1989, William Cheff .E. 14225 Butte County Director of Public Works BOUNDARY LINE MODIFICATION FOR: ROSE AND KNOX Parcel 3 of 87 PM 35 and Parcels 3 and 4 of 99 PM 76, Southwest quarter of Section 34, Township 22 North, Range 4 East, M.D.B. 8 M., Butte County, California. SIERRA WEST SURVEYING 5437 Black Olive %rive Piradlse, CA 959:? 1916) 877-625., BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT Bp060931 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 b. t,. nunuing rermn u i-io-uv py LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/26/2006 APN: 058-550-034-000 the Business and Professions Code, and my license is in full force and effect.f7o�by� License Cl ss: Licensee Number: / Site Address: 11125 YANKEE VISTA CIR CON Date: (O Contractor: /Ctt�-� Map Index: Description: EX MH ON PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ROSE MARVI N P & SUSAN J to its issuance, also requires the applicant for such permit to file a 11125 YANKEE VISTA CIR signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an Applicant: SIERRA MOBILE SERVICE owner of property who builds or improves thereon, and who does BILL REID such work himself or herself or through his or her own employees, 466 CIRCLE DRIVE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of 530-534-0599 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: SIERRA MOBILE SERVICE and who contracts for such projects with a contractor(s) licensed BILL REID pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-0599 Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: ST'H T -F FON 'ti otal Square Ft: 0 S.F. Policy #: VS -7 Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of.Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Y,// 57 b 6 Applicant: / WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. + C-6 �i CONSTRUCTION LENDING AGENCY This permit applicable provisions of the Butte Counly Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutions for which fees have been paid. ��indica ( • -16 • Q performance . By: Date: Name: U PERMIT EXPIRE ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: f l E (� Signature: _T Z6 Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor b. t,. nunuing rermn u i-io-uv py BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SU13MITTAL 24 HOUR INSPECTION# ROVILLER 30 5 8 7636 NTS ( ) CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ UIRED AT TIME OF APPLIC,4 TION **PLEASE PRINT CLEARLY** APPLICANT NAME Name Address City La�� State � Phone S 3 tax 4� OS -G 6 E-mail 40101 It- AA1r el1—. _ X For office use Zoning OCC, o Subdivision Nam Planner OVER FOR SUBMITTAI RFfll iiPr=itnrr,tTo PERMIT NO. Q�-bq& P BIN # LOCATION AP# 8S8 $.Su 03 ie :Plopel:,�Adress City ///�S y�9Nxcc vrsr OJ�o�+r�ts Cross Street Policy Number WORKER'S COMPENSATION Yzs� Carrier if hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Address Description or Scope of Work: C��i•-�- .�,�n >•r�z. Nom Sq. Footage O Proposed Change of Occupancy (Note previous use). EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be ran,,;—A REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the Permit and no construction work has been done. Filing fees, plan check fees for work plan cbecked and other department costs are not refundable. I Received by: * Amount S'q"/ • qy gld 9 SRAReceipt #:4f5 0) '7 2—Sheriff ���� SMTP Date: '241— Other ACOUNTY OFBUTTE-DEPARTMENT OF DEVELOPMENT SERVICES -BUIL 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: M710\''' ASSESSOR PARCEL NUMBER Proposed Building Use: / / } �,(,/y, ��� ��/� p Permit Technician: Date: �✓�/_� Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ,i- 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate, ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, ID) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. b 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ �y11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 1118. Erosion Control Plan Required........................................................................ ` ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. O 20. City of Chico Plumbing permit .......................................... ❑ 21. Site plan and business license approval from the City of Biggs .............................. t+ Cl 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. -Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... Cl26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. J% Legal description,ZM.H. Title, title search, registration or MCO ...................:..... ❑ 36. Other: ❑ 37. Other: When issued Telephone, !y -20s('% and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: P;,a :n-�n Date:X1./_2 `%�� 1. Index permit apphc tion for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, If counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑'counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by:Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: (O Note transfer by: Date: Yellow: Building Division KlBuildinglPlan Check/Data Sheets/data sheet page 2 9.27.05 01/11/2006 12:02 916-374-0150 WESTLAND PAGE 01 M2 Foundation System Installation instructions for- California for Ground & Concrete SystOms HUD Wind Zone lP 15 PSF Wind Load Seismic 4 By Tie Down Engineering �( 0 Xi2 Concrete System Engineer Approval BUTTE COUNTY4WxQM �� BUILDING DIVISI N T`°''SYSUM 1Wh APPROVED A"WOV " moo osmmm mom REqummom or �?H,lOAf�S� i'1'A181JpIV8 ASO �BG�LA'liQi� &ANw � � A11O STI11Mt0i \ -e_u `st M Pawl of 8 . 9tf •V NESTEMID D BY 9 1- 2 9 0 3 9 -3 ., .VF..LEY TITLE .i - Esc -ow No. 104802-2DH WHEN RECORDED MAIL TO: I 91-029035 r Rec Fare 9.00 1 Check 9.00 Recnrded I Official Records I County of 1 Butte I MARVIN $ SUSAN ROSE Candace J. Grubbs I Recorder I 'c 8:02am 17 -Jul -91 I FM :3 0 BUTTE COUNTY PUBLIC WORKS COUNTY CENTER DRIVE 0 R O V I L L E, CA 95965 SPS ABOVE THIS LINE FOR acconoERS ue: MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX X C ripulad on the consideration a value or property, oonveyK OR InmeComputed on the consideration or value less fens ar encumbrances remaining at Ilme of oak. MARVLN 8 SUSAN ROSE 2270 TOMLIN WAY SAN JOSE, CA 95133 APNY: 58-55-25 The underslrIned Qrantnr decfarea Signature of peclamt Of Agent detenrMing tax - Fum Name GRANT DEED FOR A VALUABLE CONSIDERATION, racelpt of which Is hereby acknowledged, GARRISON C. KNO),, A MARRIED MAN AS HIS SOLE AND SEPARATE PROPERTY heroby GRANT(S) to X MARVIN P. ROSE AND SUSAN J. ROSE, HUSBAND AND WIFE, AS JOINT TENANTS the real property In the UNINCORPORATED AREA OF County of BUTTE State of CalNomla, described as SEE LEGAL ATTACHED AND PLAT EXHIBIT "B" ATTACHED Dated March 1.1; 991 ) STATE OF CAUt�ORNIA )as. COUNTY OF t me, l 1 C G r' 1/2 personally appeared personally known to me (or proved to me on tush of salbfadory evidence) to be the parson(s) whose name(se subscribed to the vAhln Instrumont and acknowledged to me Iha sheythey executed the same In his/her/their authorized rapadly(les►, nd that by hle/her/thelr signatures) on the Instrument the peirm(s) or the entity upon behall of which the persons) acted, executed the Instrument WITNESS my hand and official seal. Signature_ GARAISO �2 . rs 77, ,f PERMIT NO. 2808-87B.E PERMIT EXPIRES OWNER MARVIN gn.sp CONTR. (iwnPr ASSESSOR PARCEL 58-55-946 LOCATION Y -q U k- P P Vi. -,t -a Circle, Yan ee H OFFICE COPY Address jjj Temp. Power F, r. E y Date y ELECTRIC Called PGI Metter By Da Temp. Elec. Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0=Not OK �= Not Applicable dyable MOBILE HOMES MISCELLANEOUS - Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s . 1. Zoning Requirements -Setbacks -Easements Zoning Requir ments-Setbacks-Easements 2. Soils; Special MH Support -Sketch footings; S s-S&e-Deglh--$pacigg'tonn rs-St 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'l- ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. . 6. Carports; Window -Doors / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 7. Elec. 8. F g ills- chor Studs-Rftrs s . Siding; Nai ing- eneer-Stucco-Mesh Card -131 Date Card -131 Date 91IT Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Dateg Card -131 Date ,- 2. Footings; Size -Spacing -Marriage Line Card -B Dates Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding•; Metal w/5' -Circulating Equip. -Heater Card -B1 Date Card -B1 Date 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Encl osu res- Panel boards- Ins. to Main in Conduit Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date = OK 0 =NotOK RESIDENTIAL (Single and Duplex) - =Not j`Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test, 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 1.53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins.' 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -Bt Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -131 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes,& No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes 13 No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -61 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -61 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -81 Date Card -131 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C'alifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ,>,PERMIT y0� ASSESSOR CEL NUMBER (Jj/ —5 ZONI� BUILDING PERMIT OWNER LEPHO E SQ. FT, OCC. BUILDING VALUATION OWN CJ'3�1LAING ADORE CONTRAoCTOO✓RR1'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP -7�>+ Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomex Other If Se'ECI FY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WOR New 0 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ` License No. Classification ts—I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR. '/zOsgft OR AODNS. ACC. BLOGS. NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS POWER APPARATUS &) SINGLE OUTLET CIR. / ExOCCUp\OUTLETS OR FIXTURES 20®@300 . eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 Count in consequence of the granting of this permit. X�� TIL a/, 1. � ��L�GI L_ / Date Signature of Applicant – Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST*TYPEJ JX:Ilt,A71ZL] PO I ND SSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIREC R OF PUBLIC By l- PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat - 2 L _Yir r ^�_ Receipt No. WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD-APPL I CANT e4f/ +- . J TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Oa►ner Location AP# Plan Approved for: Sewage Disposal Water Supply !_ Hold final for: Water Supply Final clearance O.K. for: Water Supply _ Clearance for ^ —_ bedroom mobile home. Other NOTE * * * Sanitarian Da tie µ;2.i' ....ti.ya.,. ry..ta.iyljt''., .tr'''fia....i;:�„ y`Sri �•.. v f.o ,:q. �w^,.t..y,�.rt.1.. '• t •' ,.tart + v , _ •rV, ,: COUNTY OF BUTTE - DEPARTMENT OF`tPUBLIC WORKS - BUILDING DIVISION 7'COUNTY CENTER DRIVE - OROVILL4jQrAbIF@RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPIL•IGATION DATA SHEET / ' Permit No./ OWNER A. P �No. S�� Proposed Building Use Building Inspector --I i1 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. a 4. Complete engineered plans and calcs, with wet signature on plans. ` 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid'' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . ..t . . 9. Letter of signature authori ation., . . . . . . . eK10. Sanitation approval from /% 61 r�J Health -Dept. 4 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . \ Pre-Inspec. request to (Date) 17. Pre -Inspection for_ _ _ _ .._ __ _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval froM city of_ 21. 22, When, you issue the permit, process as follows: Telephone and hold forpicku�atffice, Other 2 �' Mail to contractor_ _Deliver w/inspector. Applicant��% C/- (fL-✓ Date Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. — 2. Additional items required: —_—_— (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised ct above required data by—phone—mail founter by date Plans checked by Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder COUNTY OF BUTTE -Department of Public Works 7 County Center Drive,.Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An "owner -builder" building permit has been applied,~ in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will. be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) V-<5 2. I (have/have not) 1]AJ 2, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: .Name -- -- -- Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N ASSESSOR RCEL^USS ^ Zj BUILDING PERMIT OWNER �Y 0 TELEPHONE SO. FT. OCC, BUILDING VAL' ATION OWNER'S M ING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO.. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 . USE OF STRUCTURE SF[] Duplex[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: D(i ex � �-� � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with WflgeS as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) -❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N)/z¢sgft OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUIT POWER APPARATUS e� SINGLE OUTLET CIR. Ex. OCCup�OUTLETS OR FIXTURES 20050! eAL03o FIXED APPLES. OR Ex. Occup. OUTLETS (RESI D.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ OD Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 XsinsCountyon uence of the granting of this permit. G} �s--.s7 of Applicant — Own45 Contractor❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storriiess in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ " occUP. CONST.TYPL SCHOOL FLOOD PARCEL P11 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC B PERMIT EXPIRES Date the applicaDate resolutiSignature fees have b7paid. WORKS ate I- C2 ��// Receipt No. �!J J _ � WHITE-D.'.W.. YELLOW-ASOC850R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE —Department of Public Works 7 County Center Drive, Oroville., CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: 'An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit, No building permit will.be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) _ qLe,_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date -&-% NOTE: This Owner -Builder Verification is sent to you as required by Sect;.ons 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 e� Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. PERMIT N0. Year of manufacture tial Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORK&, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 536-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ERMIT OWNER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector---7,�� � Date 1 1 I a8o8-`b'� I PERMIT NO. - PERMIT EXPIRES —*z,9 OWNER MARVIN.RQSR CONTR. s1d� ASSESSOR PARCEL LOCATION I1 2- yaP 00 Vistg Circle, Yan,UeeHi OFFICE COPY I Address I Temp. Power GAS Meter By Called PC ELECTRI Date I Meter By Da-�= Temp. Elec. S Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature 6AL. -OK. 0 = Not OK =-Not Readyable MOBILE HOMES MISCELLANEOUS Date M LE HOME UTILITIES (Plans) OK except #'s Date. DECKS,COVERS,CARPORTS,GARAGES, (PlansJOK except #'s ning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements ils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 43"Sewer; Location -Test -Fall -C/0 -Concrete . 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ter; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ctricity; Location-Clearances-Grnd.-/ / Amp -Concrete Ga Location-Test-Wra�' / "ft. / /"Nat. or432'L"ft./ /' PG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Utility Clearance % 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Dat —Mrd -Bl rd -B1 Date 10. Roof; Shthg-Roofing Card -B1 , Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MO ILEHOME INSTALLATION (Plans) OK except #'s ning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date F tings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 68'Gas;' MH Test -Demand -Valve -Connector ctricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s Djain; MH Test -Fall -Flex Connector 1. Setbacks -Easements LSI pWter; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability �T Water and Sewer Connected -C/0 to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness- Dead Men -Lining and Electricity Tagged Ar'E ' s; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Encl osu res -Panel boards- Ins. to Main in Conduit Card -B1 Date d f' rd -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK 0=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date U DERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material=Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card-B1i Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -61 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -61 Date Card -B1 Date 67: Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s - 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. &Mech. Equip. Listed for Location 28. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Cu or AlAl 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/0 to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -81 Date Card -B1 Date , Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -131 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) ►1 1 � COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WOR PERMIT N0. 7 County Center Drive - Oroviile, California 95965 - Telephone: 91 538-7541 APPLICATION AND PERMIT --'V Jv SSESSOR P R -CEL N �'/ a(/ r 7 Z°"' BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S (LING ADDR ISS CONTR AC TOnO<R/'ISyDNAME �( TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1iQ-W- LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 9! 17 fo Water piping 5.00 Each qas water heater or vent 5.00 - USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesInstallation❑ Other ❑ Describe work: 6-6 /� �G • ' Permit Fee $ 1-0771 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ACO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification -I, as the owner, or my employees with wages as_ their sole compen- sation, will do the work, and the structure. is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.II) OR ACDNS. 1 ACC. BLDGS. '/z2sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS B� SINGLE OUTLET CIR. Ex, OCCUp(OUTLETS OR FIXTURES 20050Q BAL°3° FIXED APPLNS.'OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15:00 Permit Fee $ • SZI Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a,Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 said County in cons uence of the granting of this permit. % X v! Date �`a �� �7 Signature of Applicant - Owner Contractor ❑ Agent ❑ ) An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.T7P_EJ p IV, PARCE 'XVI ISSU This permit is hereby issued under sions he Butte County -Code and/or work in ate ab a for which 1 E TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date VQG 8 Receipt No. ,WHITE-D.P.W.. YELLOW-ASBES�, PINK -INSPECTOR. GOLDENROD-APDLI CANTPINK-INe�TOR. GOLDENROD -APPLICANT TO Building DeparZment FROM: Environmental Health SUBJECT: Sanitation Clearance /C V` Owner Location AP# Plan Approved for: Sewage Disposal Hold final for: Final clearance O.K. for: Clearance for �bedroo mobile home. Other NOTE *** �aniLarian Water Supply Water Supply Water Supply /7A- -2 . Da '&-- l..i ..- :ra'. .. r r . -. 7 rj rte',.. i± •�.. t � �.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION r 7 COUNTY CENTER DRIVE - OROVILLE�CA� °95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. r / OWNERS l%,(ifiLY//� `S� A. P. No. Sly' S Sr a Y Proposed Building Use�!%��� Building Inspector c Date /1/6��f -7z -, / At time of •permitapplication, I was advised�the. fol lowing data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED All items have been submitte _._. Plot plans in duplicate./ riplicate,�.gned by preparer of plans. . 3. Complete plans in duplicate/ replicate, signed by preparer of plans. 4. Complete engineered and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7"'Statement of Intent for Non -Heated and AC Buildings, 8. Fees of $ . . . . . .. Letter of signature authorizati - 10. Sanitation approval from �� V./ Health Dept. • 1 Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ). f• _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-InPre request to (Date) GU-17 Pre -Inspection for Required. Building In, Recorded copy of Agricultural Acknowledgment Statement. 4 �71 riri , veway Permit. 2Q. Plot plan approval from city of 21. 22. When you -issue the permit, process as f�hold , Mail to contractor. Telephone a pickup �Olffice, Deliver w/inspector. Other Appl ican i%� �'^ Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submittedri r t it issuance: (Circle new item not checked above). 1. Index permit for above items No. 4 2. Additional items required: 4 Contractor, designer, owner, was advised of above required data by_phone_mael—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by4 Sets of plans on hold in Copy—DPW Ov Plans approved by Date /,�* —LL7 File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916.538=754'1 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. I (have/have not) `,4 v v signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed - construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner��- Social Security Number Date aI$� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. &eturb to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT r FOR RESIDENTIAL, DEVELOPMENT RECORDED BUTTE COUNTY - OFFICIAL RECORDIS 3Y Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 87--35002 The property described herein is adjacent to land or included 1981 SEP 25 I.: S within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from CAP�DAC J.CRUDBS the use of agricultural chemicals, including, but not limited to herbicide PRH and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary.farm operations. All that real property situate in the County of Butte, State of California, described as follows: x Date: (r -a5— S— :F- 7 PROPERTY OWNERS: M t#a-v tv/0 R o.s G State of t� 1 �� ) On this the day of 191 , before �I ) SS. me, the undersigned Notary Public,;/"personally appeared County ofl2%2) p _ d'a- «- y L.GQ�t. <1�L �� lee - 9 Personally known to me. / / Proved to me on the basis of satisfactory evidence. OFFICIAL SEAL to be the person(s) whose iiame(s) Com_ subscribed to KWOKKIT TSUI the within instrument and acknowledged thatcic • NOTARY PUBLIC -CALIFORNIA executed the same for the purposes therein contain gd. Y ' SANTA CLARA COUNTY My Comm. Expires May 25,1991 IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. -6 '�-_ J t r EX4IIBIT ."A" The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel 3, as siio,::n on that certain Parcel Map entitled, "The S.W. 1/4 of Sec:tion.3-?, 1'. 22 N., R. 4 E., M.D. B. & M.", s. id Parcel r1rip was filed in the Office of th:-� of the County of Butte, State of California, on t,u:!..st 25, 1985 in Book 99 of Maps, at pages 76 and 77. PESE'E;VING THEREFROM 'a 60 foot non-exclusive easement for ingress and egress arld public utilities over Yankee Vista Circle as shown on said Hap. PARCEL B: A 60 foot non-exclusive easement for ingress and egress over Parcels 1, 2 and 4, and shown as Yankee Vista Drive and Yankee Vista Circle, as shorn on that certain Parcel Map entitled, "The S.W. 1/4 of Section 34, T. 22N.►�"` R. 4E., M.D.B. & M." said Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, on AuyusL 25, 1985, in Book 99 o.f Maps, at pages 76 and 77. " PARCEL C: A Right of I;ay for road and public utilities purposes over Parcels 1, 3 and 4, and shown on Phantom Drive, as shown on that certain Parcel r•1•.p entitled, "A portion of the South 1/2 of the S. W. 1/4 of Sec. 34, T. 22 N., R. 4E., M.D.R. & M." , said Parcel Map was filed in the office of the Recorder of the County of Butte, State.of California, on Jzinuary 13, 1982, in Book 87 of Maps, at gages 35 and 36. distrinco of 15.51 PARCEL D: A Right of I.7ay for road and public utilities easement over the following described property: BLIr,,,3 a portion of Parcels 2 and 3, as shown on that cei l ain Parcel '11Pfor Roy E. Bechhold, a portion of the South half of the South:•:cst c1u,-irtcr of Section 34, Township 22 North, Range 4 East, M.D.B. & M., which Map was filed in the Office of the Recorder of the County of Butte, State of California, on January 13, 1982, in Book 87 of Maps, at p..rges 35 and 36, and more particularly described as follows: BEGINNING at thpSoutheast corner of said Parcel 2 in th'� centerline of Yankee Vista RO;id; thence along said centerline and the South line of said Parcel 2, South 840 51' 15" West, 42.85 feet; thence leaving said line North 50 08' 45" I -lest, 30.00 feet; thence North 840 51' 15" East, 22.43 feet; thence along the arc of a 20.00 foot radius curve concave to the Ttorl_ht; ,st through a central angle of 440 26' 15" an arc distrinco of 15.51 feet; t11-2nc C t:or th 400 25' 00" East, 201.45 fc^t; th-�t,l:_e along the arc of. Y� 1 20.00 foot radius curve concave to the Northwest through a central angle of 44° 24' 55" , an arc distance of 15.50 feet-; thence along the arc of a 50.00 foot radius curve concave to the Northeast through a central angle of 2680 49' 50" an arc distance of 234.60 feet; thence along the arc of a 20.00 foot radius curve concave to. the Southeast through a central angle of 44° 24' 55" an arc distance of. 15.50 feet; thence South 40° 25' 00" , �,iest, feet; thence along the arc of a 20.00 foot radius curve .66.65 concave to the Northeast through a central angle of 127° 58' 47", an arc distance of 44.67 feet; thence South 2° 26113" West, 30.00 feet to a point on the South line of the aforesaid Parcel 3, in the centerline of Yankee Vista Road, said -point being on the arc of a 121..95 foot radius curve concave' to the Southeast, a tangent at said point bears North 870 33' 47" Tdcst, thence Westerly along the arc of said curve and said centerline 1. 1, a.central angle of 30° 04'23" an arc distance of 64.01 feet; the-nce along the arc of a 200.00 foot radius curve concave to .the horth4:est through a central angle of 22° 29' 257, an arc distance of 78.51 feet to the point of -beginning. END OF DOCUMENT AP # SY`SJ —02. T, OWNER PERMTT NSI UT IL . CLEARANCE DATE /V -47Y7 INSPECTOR ELECTRIC GAS Support Struc. Compactior Test Re . Service Size OtherPipe Load �T a Size Length YES N01 YES NO 16- 31y 3.2 x `� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CW*ifornia 25965 - Telephone 916/534-4541 APPLICATION AND PERMIT ` PJERMIT 0. ASSESSOR PAR E: NUMBE — , �- ZONING BUILDING PERMIT OWNER 2i1Z N TELEPHO SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS l 6 ad -e • ?_09T RACT R'S NAM E J TELEPHONE 3 CTR CTOR S MAILING ADDRE S &-r T C Fireplace CON RUCTION LENDER UN N N Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 6 Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USEOUCTURE SF ❑ Duplex❑ Mobilehom,e Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remod`el ❑ Utilities ❑ Installation Other ❑ Describe work: � I Z'? Af cs`M 1/aJC . Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare u r penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full) force and effect. License No. 36 / �� Classification l�� �_ El 1, as the owneGl or my employees with wages as their sole compen- sation, will do;tbe work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am*exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.a OR ADDNS. C ACC. BLDGS. , /20sq it NEW CONSTR ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 5ALO 30 eAL030 FIXED APPLNS R Ex. Occup. OUTLETS (RESID.)EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C.. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again id ounty in conseque a of the granting of this permit. Date Ignature of Applican Owner F1 Contractor °fl�Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OcCUP. CONST.T7 I I F LO Of R15PD ND Is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC r By r PE20K 11XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —1 Receipt No. WHITE-O.P.W., YELLOW-ASSCSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 3 * 'O f. t Jf:. ;,,;,^-.�' �` "y,. -.i` . .: r-3'' ` "�rf�`i . �''�Ci.lt. +'+�, '..'-".+1a. �' .;-' _ i' T... ♦ . ,,..� �- _ N .. A _� . t �' e i' • x �r' -. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION E MFORt+IIK 95965 TE P 7 COUNTY CENTER DRIVE - OROVILL L 4 H. LE HONE. 916/538 7541 I PERMIT APPLICATION DATA SHEET-, Permit No. OWNER Jearvtklos C-,- A. P. No. ' Proposed Building Use 411# Building Inspector Date At time o/permit application, I was advised the following data must be submitted prior to permit processing and/or' suance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 9 2. Plot plans in duplicate/triplicate, signed by preparer of plans, _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . _:_/ . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) —14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) -.-._15. Improvements may be required. , . . . . . . . . . . 16. Mobilehome Installation Data. . • . . . . . . . . . 17. Pre -Ins -Inspection for ---_ __. _. _._.__ _ Required. Pre-Inspec. request to (Date) p --- q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. __20. Plot plan approval from city of -- 21. — — 22. — — — -- r/' you issue the per it/g6cess cess as follows: Mail �t owner, Mail to contractor. P /m / P �L_L Telephone i'�4 and hold for pickup a ,office, Deliver w/Inspector. Other — --- Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit i 1. Index permit for above items No. 2. Additional items required: ..q6 (Circle item not checked above). Contractor, designer, owner, was advised of above required data by—phone---nail_counter by date Contractor, designer, owner, was advised c? above required data by—phone —ma il_counter b date �r Plans checked by Date Plans approved by V Date '1 Sets of plans on hold in File cabinet AP folder Copy—DPW a MOBILEHOME SUPPORT DATA If other -than single wide, Mobilehome Mfr.,�_�`�.. rc� furnish •Setup Model No. ��/ /�—L year Width (ft.) Box Length *(ft.)' Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) Wood -pressure treated or foundation grade. 2. SUPPORTS (check one)®1 Concrete block.2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line Main Beams — — — — — — — — — — — ..F -Line 4 Tag or Triple -- -- — -- — ..� Line 4 Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min.------------ 12 NW" Spacing -Max.--------- S It. le to From Ends -Max -------- / or t- 0 to Line 3 Roof Loads: Size -Min. -----------.- Location (From Front) Line 4 Piers: Line 1 Openinea: Other (specify) Size -Min- ------------------ „x „ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- , n Spacing -Max.-______________ From Ends -Max .------------- M "M��CM Size -Min .------------ . Spacing -Max.--------- ,- n From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Size -Min .------------------ . x ., Spacing -Max.------ u From Ends -Max -------------- BUTTE COUNTY Z��i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: /%%A,41 I J,% 206 cy- 2 . Installer's Name: G?)9T�� /("� L1 Q.✓2. T1C,f�l� 3. Is the site currently under permit? Yes No (If yes, furnish permit number 2$07-17 ) OR Is the site an existing site? . Yes F] No F-1 (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 ZET'o, No 1-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- % ® Amps 6. What is the mobilehome site service rating? ------------ C�Q © Amps 7. What is the mobilehome site circuit breaker rating? ----- /OZ2 Amps 8. Is there any other electric load to be served by the --_ ---- a mobilehome site service? ----------------------- - - s No (If yes, identify the load and size: (Loa (Amps) 9. What is the mobilehome site gas pipe size? --------------- 10. What is the type of gas service? --=---------------- Natural _ (in.) LPG '� 11. What is the gas pipe length from meter or tank to t mobilehome?----------=----------------------------j- 2-L (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than -50 ft. on LPG.) (BTU) s and sF ' 1'p- G .� This set of plan q,�k eta U S ��• kept on the job at all time, make any changes or alte out written permission frc G� CC ACJ S GJ County of I i Public Works, o�- !"o SG/9lc. .�JtA6N F P M71*11 P()�k� �cificati^ns MUST b and it is unlawful t•^ 3tions on same with - n the Department of -2 •66 �o A setbac of 5 property ines antOM,tb of 50ft4[om the roar, centerli� shall b � ear of structure or equi ,rent except for a 2 ft. eave o erha �1 . CC#V- a4o( t Aft l - rea �l1 °O' ehov �°�®� ns shall b:� v:� ..���� M° Utilit connect, le�me, either 4 ft. the mo ` �'' direct y behind o, wii.in the rot h�alfro the roadside (Nfvt . h t W4 -v--- -2.66 - \ rill ,horr�J�•t, Y �- /P. 1 i�5 J' a,oB —Ail MateriaLs. -&<o- & orkmanship Shall Be ir• pccordance,with Recog nized Good Practices a— of a quality prescribed for nthe & Specified Uniform Building,-nISe'n t'. Plumbing and the -- ice': J OCUWY BUILDING DEPARTMENT APPROVED 01 17 3378=�'j% ray Lq ' a DOUBLE WIDE PIERING NORKSHEEr D� �,Tjp�, PO�r 1ST Il�l'I£RIOR # A41L, PSF ROOF LOAD PLANT MAR )DEL: AT FRONT POST POST POST 2'-8" MAX. ,_0n 8'-0"0. 300 REAR OVERHANG MAX. 2: (TYP) < EE MATING LINE PIERING TABLE I ,yzb x —41- — — 4 ooTn�c SIZE DUBSx 3o ay.� a yX 3o a y � 36 ;,3.& z 3v pyx 30 Iosrs�M o' . 3� r 4" 3Z, , 44- -ROnI'•r I!E' MR MAIN RAIL SUPPORT FOC)TING SIZES. ' a MATING LUX PIERS TABLE . D� �,Tjp�, PO�r 1ST Il�l'I£RIOR ?rID INI�RIOR 3RD INTERIOR 4TH OR POST 5TH IMMUOR POST�� MAR ST LOCATIONS AT FRONT POST POST POST ER LOAD IN I8s 300 48W57(00 2: 1PACITY 24x i s �x ,yzb x ooTn�c SIZE DUBSx 3o ay.� a yX 3o a y � 36 ;,3.& z 3v pyx 30 Iosrs�M o' . 3� r 4" 3Z, , 44- -ROnI'•r MES: .Footing sizes based on 1000PSF soil bearing value. If soil conditions differ -see the Technical Installation Manual for method of calculation piecing plan drawing or the Home ' a 5�ta� i Coo �\ in < c I C7 � o4 z w (Zo5f J15TA C## -CLE 9 s y (Ps y ;2 It INE U fL)LtoVj& jjg),,(jZ N NO Kralaii fun 1181TOW. Gilt bulft Ing 11y, cull'iflit DNA 1� by O'lor! . , . ill .. I f - " SAW JUA), lic 4:14di Clio '1106 211 m Is wif Igo TOP 9144 W W f. M111,11111,11tilsf,womi I1'LVIhG NWIRI'jill'IN RAII Me r"OV fill 14 '1 MUM a 1,11hilwou'. '011, flu I — . 11 f! 1. (Jffi. �01111 flowhit LS p A N f I OV'Pu4it-Whiv, sph UNAI(ellIG wo to 11) 1:4 1 It II&L"All brainvia In 111 Ill 111,1116141 t:, 1111fiv] obvi-1,14, 1, 1 1 Of 1W MIA of: VLA I I .1 hit .1 111 f"k 1 /2 14 w PRO `PAJ� p " I �jj lie 41dj 114