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061-430-017
Page 1 of 1 Jones, Karen E From: DSGeneralPlan Sent: Friday, March 23, 2007 11:31 AM To: Jones, Karen E Subject: FW: permits Importance: High This is another one for the Building side, I'm guessing. Thanks, Pat From: Tiffany Montano [mailto:tiffany@tiffanysart.com] Sent: Wednesday, March 21, 2007 10:56 AM To: DSGeneralPlan Subject: permits Importance: High I am in the process of installing PG&E. I was checking something on the permits and find that the permit on my deck was never signed off. Thiswas built by Executive Homes at the same time my house was put in. What do I need to do to get a final on this? It has been 7 years. The permit 00-1385 was issued on 6/26/2000. Tiffany Montano 11997 Oro Quincy Hwy Berry Creek, CA 95916-9780 530-589-4667 http://www.tiffanysart.com http://www.rockinblues.c6m Native American Sovereignty Recognition and Cultural Pride Movement 03/23/2007 N a" BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 11997 OROUINCY HWY Q Owner: Permit No: B06-2804 APN: 061-430-017 MONTANO, DAVID C & TIFF Issued Date: 12/07/2006 By TMP Permit type: MISCELLANEOUS 11997 ORO QUINCY HWY Subtype: Electric Panel BERRY CREEK, CA 95916 Expiration Date: 12/07/2007 Description: SOLAR TO ELECTRIC PANEL (530) 589-4667 Occupancy: Zoning: U Contractor Applicant: Square Footage: OWNER MONTANO, DAVID C & TIFF Building Garage Remdl/Addn 11997 ORO QUINCY HWY BERRY CREEK, CA 95916 Other Porch/Patio Total (530)589-4667 FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1121 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License OWNER / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 12/07/2006 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: 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 Contractors Signature Date WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by E]I ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or ons a hundred dollars ($100) or less.) ❑IAM EXEMPTSection B. & P.C. for this reason: ElI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation law f CaIifomia, and agree that if I should become subject to the workers' X 12/07/2006 compensation pr�visio Section 3700 of the Labor Code, I shall forthwith comply with those Owne ignat a Date pro si k��4,, 12/07/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building SignatU Date WARNING: FAILU TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its , agents and employees from any and all claims and liability for personal AND SHALL SU ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE in' ry, including deathBath,, and property damage caused by, arising out of, or in any way connected with HUNDRED T USAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the ance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or o ancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. u to ante the above mentioned props for inspection purposes. I hereby certify that I am the prop y or m authorized to ac o e property o beha . CONSTRUCTION LENDING AGENCY 12/07/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agent me Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) 67,_ caner El Contractor Q(�. Agent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530)538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors'are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES R NO) 2. ii(HA �VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS PHONE CITY CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: 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 Description: SOLAR TO ELECTRIC PANEL Reference Number: B06-2804 Applicant Name: MONTANO, DAVIDTIFFANY Signature of Property Owner; t Date: 4 —,>— - P BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND- SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.netrdds "PLEASE PRINT CLEARLY" Off/— 430 -Of '7 OWNER INFORMATION Last Name irst Narpgf Mailin gess, QA'd Cc CcJ Address Zip City �2n.,D Fax E-mail APPLICANT INFORMATION CONTRACTOfi Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name 7 Address City State Zip Phone Fax E-mail For office use only: Zoning ,Proerty Address / Flood Zone Cross Stree SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT `.No. 3104 BIN # PROJECT LOCATION AP# 9 �;' 7 '!�Ir ,Proerty Address / City Cross Stree Sheriff WORKER'S COMPENSATION Policy Number. Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Date: LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Livingv Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION r. 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 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMTP Other Date: Total NOTES kESIDENTIAL ( 061-430-017 00-1385 PERMIT N0. -MONTANO; &, DAVE'TIFFANY_ 11997 ORO QUINCY HWY, BC OPEN & COV DECKS/MH SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature I 061-43-0-017 00-1385 -MONTARO, DAVE & TIFFANY 11997,0R0 Q01NC'Y HWY.,-BERRY CR I EEK EXECUTIVE HOMES 2 OPEN DECKS If dl I 061-43-0-017 00-1385 -MONTARO, DAVE & TIFFANY 11997,0R0 Q01NC'Y HWY.,-BERRY CR I EEK EXECUTIVE HOMES 2 OPEN DECKS COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER 061 -43o -n- 17 ZONING U BUILDING PERMIT OWNER 1'I _ TELEPHONE SO. FT. OCC. BUILDING VALUATION 240 16W.00 OWNER'S MAILING ADDRESS FIEWIVE Meg 160 1120.00 CONTRACTOR'S NAME DAVE AIM TIFFANY ?0RANO TELEPHONE Rol -6902 CONTRACTORS MAILING ADDRESS 1Q CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ n LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑� Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 10X24 DECK 10X16 DECI, NOT COVERED Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 RLESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,No" and my license JS, in full force and effect. , License Class 'y7 Lic. No. i ��JS� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty -of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier _. /1%. !, ,_ Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONIS. ( a ACC. BIDS. SO 3.50FT. Na0,n ' MULTI.OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOrruREs 20 @ 1.00 BAL 0 .50 Ex. Occup. oUTLEETS R IESIES D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number ;. INY ,i/V j 0 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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. X%'' �. `1 '""`�- _ Date �_ _ Signature of,Applicant ❑ Owner ❑'Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ :HAZ. D. FEES IMP FLOOD CDFcompensation This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ONJP�.IC,/ of provisions to do work paid. e� ReceiptNo. 294NS/$109110 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V= OK 0 = Not OK = Not Applicable • =Not Ready * MOBILE HOMES Date ' MOBILE HOME UTILITIES,(Plaris) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/O-Concirete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'R. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Bea ms- Rhrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Linino 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 92. 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties -Purl in- Roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Inslld./Drive ] Yes 0 NoMalks ❑ Yes 0 No/Planters O Yes O No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: t17) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT E ELOPMENT SERVICES -BUILDING PIVISION 7 County Center Drive - Oroville, Califorhia, 95965 - Telephone (530) 538- 541 PERMIT RM`IT� NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 061-430-017 ZONING BUILDING PERMIT OWNER PO BOX 331, BERRY CRERK, TELEPHONE 370-0290 SO. FT, OCC. BUILDING VALUATION 240 1680.00 OWNERS MAILING ADDRESS 160 1120.00 CONTRACTOR'S NAME DAVE AND TIFEANY MONTANO TELEPHONE 891-6992 CONTRACTORS MAILING ADDRESS 1171/49 ESPLANADE UJIM CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 15-10 BUILDING ADDRESS - Energy Plan Checking Fee $ PERMIT FEE $ 109.10 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 10X24 DECK 1OX16 DECK, NOT COVERED Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOv' R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license I in f , force and effect./ _ License Class- Lic. No. (OPUS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCSO OR ADONs. ( & ACC. BIDUP. S. 3.5¢FT, NON-RaipT =OUTLET CIRCUEEL @7,50 POWER APPARATUS 8 SINGLE 011rLET CIR. 20 @ 100 EX. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. oFuntis RE,S DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker' compens tibn msLl�ance carrier and policy number are: Carrier .1 evW � r Policy Nurdber (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the woogar�s' compensation provisions of section 3700 of the Labor Code, I shall f fkt rthrXmplyhthose provisions. /�� X Date 6 _ ASign u o pplicant - ❑ Owner MContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee 1 $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF P UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 77 PERMIT EXPIRES ON Date ReceiptNo. 9948, 95) J$109 -110 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTOF Dw,x,F�L&MENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV,AYi`1FORNIA 95965 -TELEPHO II.L'�NE (53 • 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ) D ASSESSOR PARCEL NUMBER: Proposed Building Use: Zi� Building Inspector: Date: At time of permit application, I was advised the following data must be su miffed prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted-------------------------------------------------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ rVkM. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- IWK— Forestry pi California Department of Forestlan approval/fees. --- --------------------------------- ❑ 1 . Flood elevation certificate. ------------p--------------------------------------------------------------------------- Sanitation and�plot plan approval O[,, 0 Health Department. ------------------------------------------- 15. ty of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -• ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0 20. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- ------ 022. Workers' Compensation carrier and policy number. -------------------------------------------------- ------ ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------=------------ ❑ 24. Letter of signature authorization.-------------------------------------------------------- ---------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ---------`-------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. other: ------- Whhyyou issue the ermitrooccess as follows 11 Mail to owner, []Mail to contractor. u Telephone 'W `� and hold for pickup at OZO ffice. ❑ Deliver with inspector. Applicant: Date: (p Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ A*o1lution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date.- Contractor, ate.Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, c3 mail, ❑ Bu' ivision counter, by D t . Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Da . Yellow Copy - Department of Development Services, Building Division. � a 1 TO: FROM: �i SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Plot Plan Anaahad Floor Plan Anaef�pd� nd Sent to B.O. fo dal Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for,�dwelling. Other �O K �`1 �— 1 (n >< t fes,�� Hold final for: Final clearance O.K. for: NOTE: / F6 -F5 ��(=� /� o Environmental Health Specialist Date FROM: STATON CONSTRUCTION PHONE NO. 530 5334675 Mar. 08 2000 03:47PM P2/2 oma/ PU, �0 33/ ; X 11 q9 7 Dlco-c�A NoT T� s� CrtUR6� AND EQUIPMENT L NCS SHALL ®E CLEAR OF ALLEASEMENTI�'� . p16V ` FT. FROM- THE SIDE AICD. A SET BACK Oi. PROPERTY LINES ANO' FROM THE REAR P . FROM.THE ROAD CENTERLINE SHALL. aE CLEA!Qa� 'STRUC1fURES AND EQUIPMENT-EXCF-'� . A . SAVE ®VERHANG. 9661 AVW Q BUTTE COUNT --s, y UILDING DEPART a � cA ; ► -APP tp MOVED ttlfl ! M w �JItJ1S 'N1W,.°l� 'XdW ., I I 1H913H INMNYH,' 17 •; I ¢ _ st 7;Z d. J mF L I c!7 v_ _ 1 I •. n�cv Li l3 1.� w C.3 U O 3 J F-' �1 'xvw .A% Z, Y J W 0 1 Y cc0 O U u� Q J Ci x • a C Z � LL o s Q 0= (, Z U J w mVP V 1�S cci Z, Y J W 0 Z 0 0 Z Q� Q X 'Q 'T I Q DC v W LU a V Y cc0 O U u� Q J =W a C Z � LL o Q 0= (, Z U w mVP 1�S cci C7 ' cc :QO :\ ! w I c lam' S 7 I o m I Q Fw— m U O Z JEC m c LL 8 0� V D U Z 0 0 Z Q� Q X 'Q 'T I Q DC v W LU a V I , s . NOTES if k 1 RESIDENTIAL 061-430; 017 01-1514 MONTANO, DAVID & TIFFANY 11997 ORO QUINCY HWY BRY CRI,,- CONT: RI,CONT: DON SCHRIBNER GARAGE SPECIAL CONDITIONS CHECKED ` BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL,INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 _ JOB FINALED (Date) i Signature • I 'I 4 f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 , PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER „ ZONING It BUILDING PERMIT M-430-017 A TELEPHONE =I �RQS SQ. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS .� - -- ---- Y--°P>t O G 3)0 - BOX 121 RW c a ova CONTRACTOR'S NAME •• ` EMBER TELEPHONE 527 <J • V\f CONTRACTORS MAIUNG ADDRESS ' 7966 Elf -MIN 95-95.2 _ CONSTRUCTION LENDER - 'Fireplace LENDER'S MAILING ADDRESS Total Valuation $K ry1 ARCHITECT OR ENGINEER LICENSE NO. •.� Filing Fee 720.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan CheckingFee $ 212r.. in BUILDINGADORESS n 1IMn Energy Plan Checking Fee $ o $ PERMIT FEE S 4 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE f ,SF ❑ Duplex ❑ Mobilehome ❑/Other f / r I "SPECIFY Each Trap 1 7.00 Solar or heat um water heater 23.00 Water piping . 15.00 Each gas water heater or vent 15.00 "rA f TYPt OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: .aIiZALit f" 70 X 39 s 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V Main ServiceOR A OR LESS 23.00 Z M LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisionsiLof Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. -1 1 i{ �'f TAI License Class � Lic. No. fi Y ` 1 (J OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier 17- /A' I- -e F to Al V Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( 6 ACC. BIDS. SO /� 3.50FOT 47.00 NON-RESID MULTI.,nUr rs @7,50 FOwER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TUREs p � , 00 SAL o .50 FIX1 Ex. Occup.ouTLEEDTSA Ro .DELL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ g0.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= $ Policy Number _Iti ) A / (The above sections need ton be completed if the permit is for work of a valuation of one ,hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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. / t _ Sinature of Applicant - ❑ Owner R Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heig . Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST.TYPE TOTAL FEE $ 70$.13 HAZ. .... - I D. FEES IMP FLOOD CDF . PARCEL pp.ISSUE 1,7D This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have - By _WONJdldlo� PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. U, DateReceiptNo.1 Iate I UGC' �- iiti.l + WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -I. PECTOR G DENRO ,/ = OK 0 =,Not OK z = Not Applicable Not Ready MOBILE HOMES • = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch MISCELLANEOUS Date 3. Sewer; Location -Test -Fall -C/O -Concrete 1. 4. Water; Location -Test -Easement Needed (Sketch) 2. -?V S. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 0. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 4. 7. Well Clearance & Disconnect 5. B. Utility Clearance 6. Carports; Windows -Doors 7. Electric Date rmg.; Sills-Anchors-Studs-Rftrs-Trusses Card B-1 Date Card B-1 Date S' g; Nailing -Veneer -Stucco -Mesh Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Date'ZO 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 1. 7. Water and Sewer Connected -C/O to Grade -HD Approval 2. 8. Gas and Electricity Tagged 3. 9. Tie Downs -Type -Installation Cent. 4. 10. Exits; Insp.-Sketch 5. 11. Cert. of Occupancy 6. 12. Permanent Foundation Only; License Decal 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. -?V Footings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. rmg.; Sills-Anchors-Studs-Rftrs-Trusses S' g; Nailing -Veneer -Stucco -Mesh UWO'Roof7 Shthg-Roofing 11 FSR., Steps -Doors -Landings Braced Wall Panels Date'ZO L Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable • = Not Ready RESIDENTIAL (E Date Underfloor (Plans) OK except #'s Date 1. Zoning-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils-Steel-/ P' Ftg. Depth 5. Stemwalls, Main, Sfeel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel-Wrapped 8. Piers-Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-Regulator-Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance-Material-Support-Ins. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 79. Insulation -Foam -Looked in Attic Date 80. Card B-1 Date Card B-1 Date 81. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent-Access-Combustion Air Baffle 18. Water Pipe; Test & Anchor-Nail Protectidn 19 D.W.V.; Test Fittings & Anchor-Nail Protection 20. Shower Pan; Test, First Floor-Tub Access 21. Test Tub & Shower, Second Floor-Tub Access 22. Gas Pipe; Sixe & Anchors 88. Ventilation Throughout House Date 89. Card B-1 Date Card B-1 Date 90. Card B-1 Date Card B-1 Date 91. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance-Ins. Protection 24. Elec. Receptacles Spacing-Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. Date 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water Date 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Comments at Final: 30. Range Circle / / ga Cu or Al-Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes C) No 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light-Shower Light-Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing jingle & Duplex) ' Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Fallowing Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE -t -OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date / Inspector REV 10k/ t.. COUNTY OF BUTTE BUILDING DIVISION } DEPARTMENT OF DEVELOPMENT SERVICES f ';- 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. c - Y Date'. -- Inspector �X l'�K► REV 10/92 1'; r' Y Date'. -- Inspector �X l'�K► REV 10/92 1'; WAM ) '�I COUNTY OF BUTTE) , , , , , , ::. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Lq OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please eoryiact this office immediately. n- - .,A(I /n - �4i-- A44 IP Q r'Iewnt Vi -R- ' r e-- hn � ' O til ' t7 0 en k r Date ZZQ Inspector REV 10/92 a.t COUNTY OF BUTTE BUILDING DIVISION _.. DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 'r L G OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is '+ completed. .`f you have any questions pertaining to this matter, or need additional explanation, please on act this office immediately. 1.' �r SK - t 2 �wN y :i ti Sw Ja. ' Date/ Inspector ju . REV 10/92 3c�gK1S 3 `57 �, z� . R- SS3 `7 Z zz X-5- e441 1450m6e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED AC r ESSORY BUILDING PN: 0 _0 ONE: / BUILDING PMT. # j, OWNER: -�/`F �%:eJ)j/tJ PHONE:? MAIL ADDRESS: SITE loll ADDRESS: PROPOSED USE: PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE ,PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there.a primary dwelling on the property?Yes: No: 2. Is the structure already built, under construction, or under notice of code violatiori? Yes:. No: 3. Will items produced in this building be offered for sale? _ Yes: No: 0� 4. E Will the public have access to this building? Yes: No: 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: o". Will this building be occupied.at any as a sleeping quarters? Yes: No: ^� !� 7. Will this building be occupied at any time as an eating area?� Yes: No: r 8. Will this building be occupied at any time as a cooking area? Yes: ' No: ° 9. Will this building be occupied at any time as a living area? Yes: No: SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or leach lines? Yes: No: !� 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: T 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: No: 15. Will this building be heated or cooled? Yes: No: 16. Will this building have a water closetttoilet? Yes: No: 17. Will this building have a sink? Yes: No. 18. Will this building have a water heater? / Yes: No: ON 19. What type of floor covering will the building have? 20. What type of wall covering will the building have? ADDITIONAL INFORMATION% �.j I hearby affirm under penalty of perjury the above infromation is true and correct. 1 understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. 11"q /"'o OWN IGNATURE ATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: n DATE: COMMENTS: r ' ------------ 07/17/1998 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. (Rev. 12/96) '1 APPLICATION AND PERMIT 61') � 1 ASSESSOR PARCEL NUMBER ZONING BU I LD I NG P ERM IT TE MONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P-0 BOX 331 BERRY CREEK CONTRACTORS NAME TELEPHONE DON al 1416 8• 527 R 9877.00 rNrN CONTRACTORS MAILING ADDRESS 2-9� CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee 20.00 Permit Fee $162-50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS nTTT Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: —GARAGE 20 X -3-2 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2"oav oA uzss 23.00 ,� LICENSED CONTRACTOR'S DECLARATION 1 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.PO License Class p Lic. No. 3 i:Lf V Z -3 6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 10-A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. 6 ACC. BLAS. SO 3.5QFT. 47.00 =ICESIDT MULTI•0MIET @7,50 APPARATUS 8 SINGLE OUTLET CIR. �(, OCCU OUTLET OR FIXTURES 8 20 @ 1:00 Ex. Occup.. ourLEEDTSA RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 17 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance c rier and policy number are: Carrier iF' G N P Policy Number I a (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' 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 compl with those provisions. t XDate �'" D� 6� AnatSiof Applicant - ❑ Owner tY Contractor ❑ Agent An OSHA permit is required for excava Ions over 60" deep and demolition or construction() of structures over 3 stories in heig MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 708.13 HAZ. D. FEES IMP _ — FLOOD � CDF PARCEL —L 7 H9 � ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate n Q� 1 Qa'. ata Receipt No. d WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK-114SPECTOR G DENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 (Rev.12/96)' APPLICATION AND PERMIT [AS SESSOR PARCEL NUMBER 07 r ZONING!=Z:ze NG BUILDING PERMIT OWNER S 1 1 An /i �i / / )/ Il N�Q�� SC] NAME LENDER'S MAILING ADDRESS ARCHRECT OR ENGINEER ARCW ECT OR ENGINEERS MAILING ADDRESS —7V 71f BUILDING ADDRESS I IDT NO. I SUBDN61DN'SNAME USEOFSTRUCTURE I SF ❑ Duplex ❑ Mobilehome Fireplace Total Valuation b NO. Filin Fee Permit Fee Plan Checkin Fee r Energy Plan Checking Fee `1 11 s50 PERMIT FE PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping TYPE OF WORK Each as wate New ❑ Addition ❑ Remodel ❑ Utilities; ❑ Installation ❑Other Gas piping s ` Building sewer Describe Work:��%a J Mobile Home `-'�/ ELECTRICAL D W 1-0 X17 Tp � ® '}� Main Service f f I Main Service NEW CONST. DR ADDNS. N o NON -REBID. *PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED *RECEIPT NVMSER * TO BE PUT INTO COMPUTER heater or vent m 1 - 5 outlets PERMIT FEE t !RMIT OOOV OR LESS ZOOA OR lES8 200A TO 1000A 7.00 23.00 15.00 15.00 15.00 15.00 020.001 23.00 46.00 3.5QFr. @7.50 Ex. Occup,OUTLET OR F##�21'00 ® 50Ex. Occu . 0� R65.00 Tem orar Service Mobile Home Facilities 20.00 Misc. Wirino — -- NO. 20.00 20.00 20.00 ERMIT FEE t r��MECH&N[C�ALPERMIT Filing Fee 20.00 6.50 ventilation PERMIT FEIE _ Mobile Home Installation Fee S Energy Inspection Fee b iI acD coNST. TrPE TO AL FEE $ HAZ. D. FEES I CDF P EL HDJI.SSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. 54f y, 50 By Date PERMIT EXPIRES ON 35A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE -SO. F7'. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MARINO ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace ARCHITECT OR ENGINEER LICENSE NO. Total Valuation Filing Fee S 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee BUILDING ADDRESS Plan CheckingFee S ' Energy Plan Checking Fee S S PERMIT FEE S $ 3 iJT'IC. SUBG�:510N5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 Describe Work: Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Feel 20.00 Main Service e00v OR LESS 200.OR LESS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWEUJN13OCCUP. So OR ADDNS. ( a eLns. 3.54FT: NEW UUMT. MULTI -OUTLET NON•RESID. RRurw rlRnlm 07.50 EX. OCCU . OUTLET OR F0mJRES 20 W 1'00 BAIL @ .50 EX. OCCU FIXED APPLNS. OR oLm>zs ESIo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S of oD MECHANICAL PERMIT Fling Fee 20.00 VERMIT FEE PAM Heating _ Cooling SRA $ Hood 6.50 SHERIFF $ Ventilation OTHER PERMIT FEE: S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 7MAZ.0. FEES I IMP I FLOOD COF I PARCEL I pD NO ISSUE AMOVNT RECQVEb This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. *RECEIPT NV"E i By Date * TO BC PJT ZNTO COMMM PERMIT EXPIRES ON - - - s`l (Dere) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION ANDPERIIIIIT �f A159$oRMff7 /TIFFANY {f NING BUILDING PERMIT O1/Ntf V ID AND MONTANO IT -M55 SO. FT• OCC. BUIL LUATION 640 U 11 5 0 DPV SBTr.i.i s,s BERRY CREEK 95916 R 022.00 ' R"IMNER gr -1038 c2996RPENNINGTON RD, LIVE OAK 95953 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS - Fireplace Total Valuation 29 542.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 2g .50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan C ckin F $ BUILDING ADDRESS 11997 ORO QUINCY HWY, BERRY CREEK Energy Plan Checking Fee $ PERM6 FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING MIT 'ng Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )1 Other SPECIFY ch Trap 7.00 Solk or heat pump water h ater 23.00 Wate iping 15.00 Each water heater or ve 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UBlities ❑ Installation ❑ Other IN Describe Work: GARAGE 900 A9 Gas pipin stem 1 - 5 ou 15.00 Building sover Mobile Hom IsLAI y@20.00 PERMIT FEE $ ECTRICAL P IT Ming Feel 20.00 Ma' Service zoo OR LES 23.00 LICENSED CONTRACTOR'S DECLARATI N f C I hereby affirm under penalty of perjury that I am licensed and pro islons opter 9 (commencing with Section 7000) of Division 3 of the Busine and Professions C e, and my license is inU11 force and effect. ,� License Class Lic. No. OWNER -BUILDER D CLARATION I hereby affirm under penalty of perjury that I a exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees ith wages as heir sole compensation, will do the work, and the structure is not int nded or off ed for sale. ❑ I, as owner of the property, am exclusively c tracting wi licensed contractors to construct the project. ❑ I am exempt under Sec. Busines and Profe 'ons Code for this reason SATION DEC RATION I hereby affirm under penalty of e of the followi declarations: ❑ I have and will maintain ate of consent self -insure for workers' WORKERS' C\comp compensation, as providesection 3700 Of a Labor Code, for the performance of the work f's permit is issued. I have and will maintain worp sation insurance, s required by Section 3700 of the Labor Code, forrman a of work for whi thispermit is issued. My workers' c mpensationce carr and policy n barare: Carrier Policy Number rk of a valuation of one hundred dollars ($100) or less.) (The above sections need not be completed if the p=thispe ❑ 1 certify that in the performance of the work for whicis issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ° X1 Date 1®� ®" ® Signature of Applicant - ❑ Owner g Contractor ❑ Agent An OSHA permit is required for excava to eep and demolition Or construction ures over 3 stories in heigh Main Service zooA To +000A 46.00 NEW C T. DWELLING OCC OR ADD ( e ACC. BLn . 3.5¢xSO: 35.00 NON.p°,p MULTI.O BRANCH 9MCUITS @7,50 POWER APPARATUS & SING OUTLET CIR. Ex. Occu O OR FIXTURES Bu @';50 Ex. Occu o I DAPPLJvs En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PEIT FEE $ 55.00 MECHANICAL RMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMI FEt $ Mobile Home Installatio ee $ Energy Inspection F $ occ CONST. r 9_E_$__ 4.50 HAZ. D. FEES P D Rfo CDF P C HD ISSUE This permit is hereby Issued under of the Butte County Co d/o indicated above for Ich fees ave By PERMIT EXPIRES ON t a licable provisions esol ' ns to do work en paid. Date I tReceiptNo. .D.S.•B.D. CANARY-ASSE OR PINK -INSPECTOR GOLDENROD-APPLICANTPate) WM ,rk COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4 ' U Center Drive * Oroville, California 95965 * Telephone (530) 538-7541 PERMIT N 7 County 0. (Nev. 12/96) r APP 160 10 NING BUILDING PERMIT ONVID AND Tift �omxo so. Fr. occ. BUq&DING�JVALUATION 640 BR4 OEU 95916 - 352-- 22.00 NER 9050-t38 "09'&I'MAR MN RD, 'LIVE OAK 95953 CONSTRUCTION UENCER Fireplace LENDERS MAILING ADDRESS Total Valuation 29.542.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit.fee $ 2 .50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Chdcking Fee-'- $ BUILDING ADDRESS 11997 ORO QUINCY MY, BERRY CREEK Energy Plan Checking Fee -1 $ PEI3M`fT FEE $ 4 Y,31U LOT NO. SUBDP41SIONS NAME PARCEL MAP MIT_Filjng Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome,111. Other SPECIFY Aph Trap 7.00 Solor heat pui;�p water hlater 23.00 Water piping 15.00 Each s water heater or venk 15.00 TYPE OF WORK New 0 Ad8it& 0 Remodel 0 Utilities 0 Installation 13 Other 01 Describe Work:, GARAr.R.' 4 20X39 Gas pipinNg system i - 5 owflels 15.00. Building so er ---1-5-00- Mobile Home S @20.00 ;7 RMIT FEE kLECTRICAL PE IT k,'AlIng Fee 20.00 MaiService RV OR LESS 23.00 OR ` LESS o ( / 200,t LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed undo pro risions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in 11 force and effect. Class License Lic. No. T4 OWNER -BUILD CLARATION ER D& , exempt from 1 hereby affirm under penalty of perjury that I a the Contractors License Law for the following reason: 0 1, as owner ofthe property, or my employees ithwages as heir sale compensation, I` � 1 a t Tided will doth- work, and the structure is not in I or off ed for sale. 0 1, as owner of the property, am exclusively cc \tracting wi licensed contractors to construct the project. s as f. 0 1 am exempt under Sec. Bu ine and rofeCode for this reason �z WORKERS' COMPENSATION DEC RATION '�ry I hereby affirm under penalty of per) , one of the followl g declarations: r Sur 0 -1 have and will maintain a cert ficate of consent 1R self -insure for workers' - 11 1 compensation, as provided for By section 3700 of e Labor Code, for the ih�performance'of the work for which t permit is Issued. I have and will maintain workers' compensation Insurance, is required by Section 3700ofthe Labor Code, for the performanke of work for whit k this permit is issued. My workers' compensation Insurance carne l:and policy nu ber . are: Carrier a Policy Number- Itimo I itis (T1- above sections need not becompleted ifthe pe itisforw rk of a valuation for ' of one hundred dollars ($100) or less.) �'AM � 0 1 certify that in the performance of the work for which this per is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700- of the Labor Code, I shall forthwith comply with those provisions. 4.4of X �5ZJ�da-t,' &,5- - 0 If SignatureApplicant - OJOwner Contractor 0 Agent An OSHA permit is required for excava201r &over -S " deep and demolition or construction 11 of structures over 3 stories in heigh Main Service ( 200A TO 1000A 46.00 T. DWELLING OCCUP' so. NM.Cor. .&,Acc. BIDS," 3.50 • 0 Fr, MULTI-OVJM NEW BRANCH i;fRcUrTS NON -CO T. @7.50 RES'14D\ POWER APPARATUS I & SINGLErOUTLET CIR. J! 20 @ 1.00 Ex. Occup OR FDMRES BAL @ .50 FIXED APP -O:Z) 5.00 k Ex. Occup. OuTLErS-(RE`&.) \Temporary Service /23.00 obile Home Facilities 20.00 Mobile 11 Misc. Wiring -23.00 4 IF PE FEE $ .55.00 MECHANICAL OtOMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT-FEt $ Mobile Home Installatior)Wee $ Energy Inspection Fee $ Occ CONST. 7PE/ N V t E$ �4.50 f.,±? !9P I FTOD I CDF I PARCel �? HO I ISSUE This permit is hereby issued und"er�p/%pn IgR* ble provisions .a I the Butte County Cod.elacd/�OVResoltltlonq to do work indicated above f�or�116c-h fees, ave,'be-en paid. 77 ate Date PERMIT EXPIRES ON (Date) Receipt CTi t1,DS.4.D. w7eceiptNo. GOLDENROD A CANARY-ASSESVR PINK-1IRSPECTOR WHITE -D -APPLIC NT, (Rev. 12/96) . ,;}'�_ +""."�^'nye@'37FR.�.:..�"'"-„",R"�lft".,,�'°.D�" - _ Cer+�w+.,.Rs,.�•s-....---. ..... _._ •,t,G,OVNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT C� f orae �v *0 N1NO BUILDINGPERMIT °Ll�g1fID APiD TIFF I'iONTANO �1O-�c�S SO. FT. OCC. BUILDING VALUATION 540 11,520.00 s VlZflff,BERR4 CREEK 95916 5 R 18 ,022.00 ° r Sil rtr't�'�NER =��38 "909 RHNNUMN RD, LIVE OAK 95953 CONSTRUCTION LENDER ` Fireplace f LENDER'S MAILING ADDRESS Total Valuatlon $ 29.542.00 ARCHITECT OR ENGINEER LICENSE NO. Fee '$ 20.00 —Fling Permit Fee: - $ 284.50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee ' $ 85.00 BLII1997RESS ORO QUINCY MY, BMY CREEK - Energy Plan -Checking Fee $ PERMIT FEE $ 469.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP —PLUMBING'PERMIT .• "Filing Fee 20.00 Each Trap N % 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY Solar or heat um water heater 23.00 Water'piping 15.00 Each as water heater or vent.-' 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other © Describe Work: I:ARAGE, 20X32 Gas piping system i - 5 outlets 15.00 Building sewer % 15.00 Mobile Home, S G W' @20.00 / PERMIT FEE $ ELECTRICAL PERMIT - Filing Fee 20.00 •OOV OR LESS Main Service /..A 0. LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in II force and effect. s JI . '1 � 6 License Class Lic. No. / (ar �i+ %+ OWNER -BUILDER DECLARATION j 1 hereby affirm under penalty of perjury that I am exempt from�tlia Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees wlth wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively co tracting witlicensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason \ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of 'the Labor Code, for the performance of the work for which this permit Is Issued I have and will maintain workers' compensation lnsurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c mpensation insurance carrier and policy number are: Carrier \ Policy Number _� / I \ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.)occ ❑ 1 certify that in the performance of the work for which this permit)is issued, I shall not employ any person in any manner so as to become subject to workers' 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. • -�- /� ! X �fI►-•'� +�~r l Dete f1- r 6� ” f� _ Signature of Applicant - ❑'Owner 153 Contractor ❑ Agent . An OSHA permit is required for excavatio s over-60".deep and demolition or construction of structures over 3 stories in heigh ;��� Mainl3ervice 200A TO IOOOA 46.00 NEW CONST. DW LINO OCOUP.' OR ADONS. ( a ACC. sin S. SO 3.5¢Fr: • . NEW CO MULTI.OUTLET NpµpESlp) @7.50 POWER APPARATUS � � a SINGLE oun-ET cIR. III Occu �; ° °R spa �� ®Iia FD(ED APPLNS. OR - Ex. Occup. OUTLETS RESID. EA 5.00 ) Temporary Service /23.00 r 1MObile Home Facilities 20.00 !Misc. Wiring / 23.00 PERMIT FEE $ • MECHANICAL ,PERMIT Filing Fee 20.00 Heating Cooling `6.50 Hood Ventilation PERMIT FEt S Mobile Home Installation�Fee $ Energy Inspection Fee $ CONST. TYPE 44 --. TOTAL FEE $ 5.50 HAZ. D. FEES VP •� FLOOD •- CDF pAACEC PD HD ISSUE This permit is hereby Issued under of the Butte County Code -and/or indicated above for which fees have to / By PERMIT EXPIRES ON the:applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo.� + WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT N - c, AS`S SOP_ Ce�E� rTI iT NING BUILDINGPERMIT °N , .. °n �S SQ. FT. OCC. BUILDING VALUATION OI(VNERSWA 'IJESS B CREEK 95916 �� 640 a 11 020.00 352 R 18,022.00 p�(4u CQ�GRKt �iWt f:ISER D�i{ G1 a�t"UUMN RD* LM DAR 95953 CONSTRUCTION LENDER [Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 29 562.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 284.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 1R5.00 11UJrMRE QUilii* BERRY CRFLY Energy Plan Checking Fee $ 39. PERMIT FEE $ u 50 LOT NO. SUBDIVISIONS NAME PARCEL MAP •PLUMBING -PERMIT Filing Fee , 20.00 USEOFSTRUCTURE gq SF ❑ Duplex ❑ Mobilehome Tl Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water,piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other Describe Work: i`WGE 20MZ Gas pipirig system 1 - 5 outlets 15.00 Building sewer % 15.00 Mobile Home, S G W'1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in u11 force and effect. 1 ` �,� License Class Lic. No. + [� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt fromAhe Contractors License Law for the following reason: % , ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Prof scions Code for this reason WORKERS' COMPENSATION DECLARATION "r--- 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of "the Labor Code, for the performance of the work for which this permit Is issued)` 1Y I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c mpensation insurance carrier and policy number are: Carrier Policy Number _ A ri i f 1 (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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. X Date Signature of Applicant - ❑Owner J4 Contractor O Agent • An OSHA permit is required for excavations over�60';deep and demolition or construction of structures over 3 stories in heigh "00 - � Main,Service zooA To ,000A 46.00 NEW CONST. DWEWNO OCCUP. 3.5QSo �• OR ADCDONS. ( MUALCTIC-ou�TLS. NON GUNKT. + @7.50 \ POWER APPARATUS \ a SINGLE OUTLET CIR. EX. OCCU �. ovrLEr OR FIXTURES BAL @ I.00 Ex. Occup. O=rs Ro °ERA. 5.00 Temporary Service '23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S a�• MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. �gq•a(j TOTAL FEE $ .� HAZ. D FEES *P F1POD CDF PARCEL ; HD ISSUE This permit is hereby Issued under the.applicable provisions of the Butte County Code and/or - Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON gra Receipt No. r 1J�-0 I tp 2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '`.d^"ka^S-� -- ,..y.�,� �� '`��� .,�' ?'',.�����,ii",�"f1r r�y,i�•'.1'..`.'"`.''rY-a/�.. ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"ITAPPLICATIONDATA SHEET OWNER: ASSESSOR PARCEL NUMBER: OlU14W, -/I Proposed Building Use: Building Inspector: Date: At time of permit application, was ad ' the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted----------------------------------------------------------------------------- lot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- omplete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- e gineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. gineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- .ergy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. 118. Hazardous Material Form. --------------------------------- 09. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ 01 Fees of $ ^ ----- L� a -c -! 6---------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------- -- ------ ---------------------- 112. California Department of Forestry plan approv S. -� --'1 !' - - o- ------------------ 13. Flood elevation certificate. ------------------- `------------------------------------- ------------------------------- 4. Sanitation and plot plan approN ',•:1h 15. City of Chico plumbing permit. Department. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: . ❑ 18. Contact Land Development about ❑ Improvements, ❑ Draina a, egal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---• ❑ 20. Pre -inspection for required Request to Building Inspector on %2wner-Builder ntractor's license information. (Number, Name Style, Classification). ----------------------------- orkers' Compensation carrier and policy number. ----------------------------------------------------- Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- E124. ------------------------------ ❑24. Letter of signature authorization. ------------------------------ 112 5. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. ------------- 027. Manufactured Home utility clearance. ----- 028. Existing violations and/or expired permits. ❑ 33 . ther: When you is.; T— (Date) 1�q,elephone lU11:J O and hold for pickup at (.1 u U K/Ukoffice. ❑ Deliver with inspector. Applicant: L , Date: �' U —6, 1 Copy -of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ( 2 L_ ❑ Plan Check List 2. Additional items required: �I Contractor esi owner, was advised of the above required data byy�phone, 13 mail, 13 Building Division counter, by Date: JM ontracto owner, was advised of the above required data by ❑ mail, ❑ Building Division counter, byDate: ( =r, designer, owner, was advised of the above required data by hone, ❑mail, 13 Building Division counter, by Date: 11� f designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ''on counter, by Date: Plans reviewed by: Date: Plans approved by: Date: of P Sets of plans on hold in)gPlan Cabinet, ❑ A.P. folder. Note transfer by: Date: – b Yellow Copy - Department of Development Services, Building Division. 1 1�q,elephone lU11:J O and hold for pickup at (.1 u U K/Ukoffice. ❑ Deliver with inspector. Applicant: L , Date: �' U —6, 1 Copy -of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ( 2 L_ ❑ Plan Check List 2. Additional items required: �I Contractor esi owner, was advised of the above required data byy�phone, 13 mail, 13 Building Division counter, by Date: JM ontracto owner, was advised of the above required data by ❑ mail, ❑ Building Division counter, byDate: ( =r, designer, owner, was advised of the above required data by hone, ❑mail, 13 Building Division counter, by Date: 11� f designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ''on counter, by Date: Plans reviewed by: Date: Plans approved by: Date: of P Sets of plans on hold in)gPlan Cabinet, ❑ A.P. folder. Note transfer by: Date: – b Yellow Copy - Department of Development Services, Building Division. T y. KN N .5 I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.N. USE ONLY Plot Plan Attached \Jele:- Floor Plan Attached 6t=s Sent to S.D. 6fW-11 %= ��C1lTG�C�C� i���-r (� ,(1 Lek -- Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Clearance for>�dwelling. Other Private Well — - la _-0 Hold final for: U Final clearance O.K. for: NOTE: 61 Environmental Health Specialist/ Date E.H. USE ONLY i5 Plot Plan Attached Floor Plan Attached Sent to B.D. 6 !�_ TO: Building''Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance forXIIwelling. Other nom �JMDrr1 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 6100 Date NOTES S RESIDENTIAL PERMIT l''061-430-017 PERMIT#00-0330 MONTANO, David-& TiffanyCreed 11� 7 Berry Oro -Quincy Hwy, Y Cont: Executive Homes MH on Perm Fnd (THE -ICD FORM 433A FOR THI-MH CANNOT IBE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'Si II SPECIAL CONDITIONS -1I •k, i} r t JOE r CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER A10 g4C) /Z I V = OK 0 = Not OK - = NotApQpable " = Not Ready RESIDENT4AL (; Date Card B-1 Date Card B-1 Underfloor (Plans) OK except #'s FRAMING (Permit) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 41. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Bearing Walls over Girders & Floor Nailing 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 44. 4. Ftg., Porches & Decks; Soils -Steel-/ / Ftg. Depth Headers & Beams -Size & Bearing 5. Stemwalls, Main; Steel- Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Properly Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14 Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15 Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing MECHANICAL (Permit) OK except #'s 87. 35. A.C. Ducts Insulation & Support 88. 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 91. 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing angle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Properly Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ✓ = OK 0 = Not OK = Not Applicable MOBILE HOMES • = Not Ready - t Date MOBILE HOME UTILITIES (Plans) OK except #'s KiE ing Requirements -Setbacks -Easements Electric Soils; Special MH Support Sketch 8. Sewer; Location -Test -Fall -C/0 -Concrete ater; cation -Test -Easement Needed (Sketch) Siding; Nailing -Veneer -Stucco -Mesh E ricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas; Location -Te t -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft` LPG Well Clearance ect 10. 8. Utility Clearance 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL E INSTALLATION (Plans) OK except #'s 1 ;41ng Requirements -Setbacks -Easements Date Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Pool Structure; Steel -Connections -Thickness Dead Men -Lining 9. Tie Downs -Type -Installation Cert. 4. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal a 142 Datt.4 t and B- Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS . Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 03 _ • r il._ ♦'1a1.. ^ `r' Y' r r -'3i ....---r, r^r..—w. .+.. ` r r ,. -• +/✓4-: r•. q,..,.f 1 COUNTY OF BUTTE a BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICE§ 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the' above address and should be corrected. Please notice this office when correction of work is completed. f you have any questions pertaining to this matter, or need additional explanation, r please contact this office immediately. �, t t�--Aj wliJC �`�J 73' Ci`"!/ AtuflI%E: P REV 1002 ryq . ,. . w Fd �-wr.s..=1c'3r+jroi .t^.s..� __" F'��.. �"�..yRs1i�'+%rC �°I�.^•. - ...r'� t COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SE%VICEST ti 411 Main Street -t Chico, CA • (530) 891-2751 - 7 County Center Drive • OYoville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. < A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is _,,cempleted. If you have any questions pertaining to this matter, or need additional explanation, Date Inspector �� 'V �. REV 10/92 P 3 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT C. 1>_0S n ASSESSOR PARCEL NUMBER 061-430-017 ZONING BUILDING PERMIT OWNID & TIFFANY MONTANO (408)' 568.3319 SO. FT. OCC. BUILDING VALUATION OVVU 1S rT31;S BERRY CREEK, CA 95916 1616 R 87,264. C OR'S NAME �UTIVE HOMES TELEPHONE 891-6992 COTORE MAILING ADDRESS (2 ESPLANADE, CHICO, CA 959 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fills Fee $ 20.00 Permit Fee 585.5/2 $ 297.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS ORO- UINCY HIVY BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ 335.75 LOT NO. SUBDIVISIONSNAME PARCEL P PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )ff Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OthekJo Describe Work: MH ON PERM FND Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home S G W 920.00 PERMIT FEE $ 65.00. ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A oR LESS 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C41 Lic. No. (9 05%3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 11I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insurance carrier and olicy number are: Carrier K. uperic)C cc tions Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. UDS. so 3.50FT; NO"ON.palpT MU LTI.OUTLEr 97,50 POWER APPARATUS aSINGLE OUTLET CIR. . EX. Occup. OUTLET OR FIXTURES .00 BAL @ I. 0 Ex. Occup. OFlUTTED s Rus ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.0 Misc. Wiring 23.00 PERMIT FEE $ 63.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number F)1\1 .3 jAZ-A (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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. X Date 2,- i __ Signa re of Applican - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition o construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE OT L F $ \ 3.75 MAZ. D. FE7 J FLO GD PARC H ISSUE This permit is herey 1 ed under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES O the app (cable provisions Resolutions to do work been paid. % ry Dae l eT 0! DefB Receipt No. 286031/$83.00// WHITE-D.D.S.-B.D. CANARY -ASSESSOR I -INSPE T R O O L NT 4 COUNTY OF BUTTE - DEPARTMENT IOFAVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY -CENTER DRIVE - OROVILLE, CALEFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER:T—�,� O — p / Proposed Building Use: j2d ' _ Building Inspector: Date: .Z / / E'Zo ,& At time of permit application, I was advised the ollowing data must be submitted prior to permit pro essing and/or issuance: Date Received By ❑ 1. All items hav been submitted.------------------------------------------------------------------------------------- Plot pl , 3/sets, signed by the preparer of plans.------------------------------------------------------------ —� 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- J—(—e,6 �. ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. HAzardous Material Form - ------------------------------------------------------------------------------------------ 00Pmanufactured Home data and installation instructions including Tie-Do�-" a t�pw----------- 1---- �U. Fees of $, 39 o.7S 4 —--------------------------------------- ----- ---------------------------- t WA<];Zact fees as shown on the attached schedule. - -- ---- -- �` --- ---------------------------- ` 1i1fornia Department of Forestry plan appro al/fees. -- - ----------------------- ❑ 13. Flo elevation certificate. ------------------------ ----------------------------------------------------------- . Sanitation and plot plan approval Health Department. ------------------------------------------- 1115. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑lanning approval for (A) Use: (B) Parking: --- - ------ -- ----- *ontact Land Development about Improvements, ❑ Drainage, Legal Par, . Encro rr ,achment Permit for driveway (construction approval prior to occupanc)).--- 1-� ---- - `I� / r— ❑20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 13) - -------------------------------------- 0 24 Ldder -------------------------------------❑0dder of signature authorization. -------------------------------------------------------------------------------- Wa2 . Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------d —Sp� ❑26. Letter of intent on building use. ------------------------ : ManufictLgpd Home utility clearance.--------------------------------------------------------------------------- ❑28. Existing vio ions and/or=H. permitts. ------------- - ------------------------------------------------------- LAY - - ❑29. 0433?A, Grant Deed,itle, /Check t�o H.C.D $ .--------------- )-1-06 &M. Other �'�1� G�N��—c.� 1 ------- — f_ When you issue the pernmtt rocess as follows ❑ Mail to owner, ❑Mail to contractor. 6relephone ? ( t — F 1 '2 and hold for pickup at office. ❑ Deliver with inspector. Applicant: it0?t/ Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Dale: 1By: 1. Index permit application for the above items numbered: /U l / a P_ N 2-1�K ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail; o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divis'on counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building D vision. E.H. USE ONLY f Plot Plan Attached Floor Plan Attach—d�_ Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locati n AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance foamwelling. Other s Hold final for: Final clearance O.K. for: (VOTE: Environmental Health SpeAdialist Date 8/96 COUNTY OF AUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER A.P. # PROPOSED BUILDING USE DATE RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $. -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ C2>CHOOL DISTRICT FEES (paid at District Office)�`� 3 SHERIFF FEES (paid at Building Division) esidential ......... x $360.00 =-$ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft: Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) RA FIRE INSPECTION AND PLAN CHECK 9.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87. TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your , project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner �\ 7 (Rev. 2/97) r l BUTTE COUNTY SCHOOLS IMPAGOT FEE-:CtRTIFICATION FORM (One form per Building) JAI, OA�. - - . School District I Building Department No. A.P. Number Oji► 30--0 Jurisdiction: City County Property Owner /- nf-' ni a Y -.o Property Location' — / *-to `' e7 nrn jn Of, /%U t Subdivision Lot No. Residential Development sSq. Footage LA9 I � 10 No of Living Mobile Home Addition/ 'Supplemental to Group ) Units Installation Conversion Permit # '(No foundation inspection)' Commercial/Industrial 1 /` t\ t New Addition ent Representative "' Istrict Identification No. Address) 1 (City) C oor Plans reviewed by School District School District certifies that has complied with the requirements of Resolution No representing f square feet. strict/Reoresentati,Ae Paid by Check # V w' Remarks: Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) I I (A92A. (Phone Number) (State) (Zip Code) D J _� o by payment of $ AB 2926 S FULL MITIG N S 3 ►0 2e�z� Dr �late -01M I. Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Coca Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challerging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA►, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As 110/98)dmm STPTop� CONSTRUCTION R"&C NO. : SM 5334675 Mar. 08 2080 e3.'47PM P2/2 . Lk"' -d ". ` /i/.Q/l -6, Box 321 clevi PO- 0 41- Y-?,O-oj 2 6PAII 9� 13UT, F jib` -?7 0. CAUF. DEPT. ��icns P 13LffM Como VV RUILDING DEPARTMEN A P P R 0 V F jV*T TO Ile MAR 0 9 2000 I county U-k'�';-:i�,,rurivt ri ro' viii ! e. Ca APPROVED Butte County i:nvironmenta 7l Health Date G ALL Ovr- 7 A 5- -30 -PT I AP# I CDF FIRE SAFE REQUIREMENTS 00- 033D &6AA� PERMIT # NAME Under.authority of PRC.4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be*superseded by Butte County local regulations which equal or exceed these standards. Field inspections will' be made by.the Butte *County Building -Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other -appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50'- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1P 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [vv_ 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3- , AP # PERMIT # NAME [!�J 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�y '1273.10 Turnaround. A turnaround shall'be provided at all building sites -on driveways over 300 feet, in length and shall be within 50 feet of the.building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. [X 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [h z] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2.. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements -below. [� 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of road construction �,r f_:ial inspection of a building permit. Page 2 of 3 D33 a /natio AP # PERMIT #. E Other Requirements [ ] if Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves, [ ] if Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on.side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials �l 3 -DC7 j 1455%e�_ Date Signature Page 3 of 3 Y U Owners Name: 2: Assessor's Parcel Number: 3 Installer's Name: 4: Is the site currently under permit? Yes[ J No[V] Permit No. 5: Is the site an existing site? Yes[ ] No (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?' \WD Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome 'site? VO Amperes.. 9. Is the main service remote from therriobilehome site? Yes[ ] No'r, If it is, what is the rating? Amperes. ' 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No�" ] If yes, please identify the load and size: ) The mobile home site: Load- Amperes - b) The main service: Load- Amperes— ¢ 11. Type of gas service at mobilehome site: Natural[ ] Propan-eN.J None[ ] 12. Size of gaffs pipe at the mobilehome . site from the meter or tank: 31 inches. 13. What is the gas pipe length from the meter "or tank to the mobilehome? 3D 14. What is the mobilehome gas demand? Y4P B.T.U.* *(This information is not required' if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 BUS COUN 1-I UIL®0G DEPAREPTO VE 8.5 Mobilehome Manufacturer: I V\) [) C>j Manufacture Year:16?9 9 If other than single wide, furnish Se11 Model Number: Width:Z�,'gl/ (ft.) Length: lei() Tagalong or Expando Size --(ft.) it (ft.) On all mobilehomes manufactured after October 7, . 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ Other: SUPPORTS: Concrete block[N/'] Other: Provide Tie Down Specifications for all Mobilehomes: u Line I 'Line 2 Line 2 Line I Pier Footings Sizes and Location SINGLE NIDE MULTI -WIDE ,ine 1 Line 2 Ane 2 Line 3 Line 2 Line 2 Line 1 'Line 1 Piers: Line .I Openings Size minimum: FVL I xI.1 I. Size minimum: Spacing maximum: ) ` OEach side of openings " From ends-niaximum: I ` oil" with width over: F7` Line 2 Piers: Line 4 Piers: Size nunimum: [ It ] x [L� ). Size minimum: Spacing maximum: Spacing maximum: " From ends -maximum: Frorn ends-maxinium: " Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: p.§ize minimum- 0Z inimum:0 tion (from front): tita}P99j/ 3.4 Feb -25-00 02:55pm From -FLEETWOOD HODS 9093510378 T-106 P.01/01 F-878 4 w N r• a " p � r. jig r r o SC11 L O C I I (P3 3 C4 T ® �t nil M. is Q r ~ ^ s _ mZ ` •— 1�1 � to �r S $ " n - a/' xT ^ r M i m RI 4a j7X co � � OHM d 6� 8n om 6`IA Q o2� r u N -•�. F• � a o s o►. s �r �o a�A N vo � e S ��� �D® Sun POI rite Series • Model 46138 1 3 Bedrooms • 2 Baths - 1,616 Square Feet E3 61'-4" LINEN DOOR PANW T U" f 36" CAR HEIGHT I I LK"N'"!DINING CL. DOOR M AREA LINEN 13ATH:;:: I. Ki HEN, .... . .. . .... I -WER-5 OPT DOOR % --------- --- F (Did OPT. CORNER SAY o0 O2 i BEDROOM 10'-11"XI2'-5" SN/08/OC'r98 *Exterior rendering sbown with optional upgrade porch light OPT: WALK-IN BAYS 1 1 tul -T-1C, 'ER 0417- I . _ �09 )OM W ------ 1 0 BEDROOM 13'-0" .d • LIVING ROOM cl. 23'-5"X13'•0" OPT OW Q lu RECE55ED I ENTRY ENTRANCE OPT wDw OPT'. ANGLED RECE55ED ENTRY SN/08/OC'r98 *Exterior rendering sbown with optional upgrade porch light OPT: WALK-IN BAYS 1 1 The luxurious master suite in this spacious home offers a serene retreat from your busy day. Sink into the luxury of your large oval- tub and treat yourse f to the relaxing bath you deserve. The optional whirlpool tub will massage your tired muscles and your optional walk-in shower is the perfect.wayto-rinse your anxiety down the drain. Treat yourself to the soothing luxury of this spacious master suite. STANDARD Exterior • Embossed hardboard siding built to resist weather damage • Nominal 4:12 roof pitch for an exterior eye -appeal • Composition shingle roof for long-lasting low maintenance performance Front eave for rain protection 90" sidewalls create a more open and airy feeling 2" x 4" exterior wall construction provides a sturdy frame Transverse floors with 2" x 6" floor joists for better support • Inswing entry doors with deadbolt, viewer and knocker for your family's safety • Vista dormer with gable window for architectural dimension • Exterior shutters for a residential look • White frame dual -glaze windows add eye appeal • Removable hitches for ease in set- up Interior Tape and texture finish in all living areas with semi -gloss paint giving you decorative flexibility Softly rounded corners (most outside corners) for a more elegant look Acoustical vaulted ceilings throughout, for a more open and airy feeling Choice of decorative vinyl gypsum wall panels that are easy to clean • Raised panel cabinet doors with brass finish pulls for added elegance • White lined overhead cabinets for easy maintenance %" rebond carpet pad to add longevity to your carpet • No wax Diamondflor vinyl floor covering in all wet areas for longer wear LIVING FEATURES • Ventilated vinyl coated wire shelving, won't collect dust 17 oz. carpet in all living areas for high performance - 100% nylon to prevent fuzing and shedding - Multi -colored dye technique minimizes tracking and spotting - Treated with Scotchgard- for easy cleaning Metal mini -blinds with valances for your privacy (most windows) • Dining room chandelier adding elegance to your formal entertaining • Glass ceiling fixtures illuminate more than acrylic lights • Side-mount. drawer guides for durability Baths • 60" fiberglass oval tub (master bath, most models) • 60" one-piece fiberglass tub shower in guest bath for easy maintenance Easy care laminate countertop with 4" backsplash protects walls from water damage Glamour strip light in both baths •__ Upgrade levy adds elegance to your bath • Moenx single lever faucet for ease of operation Full size mirror in both baths to provide superior imaging • Bank of drawers in each bath for storage of small toiletries • Beveled mirrored recessed medicine cabinets for added elegance • Towel and tissue holders for your convenience • Water saver commodes for added efficiency • Exhaust fans for better air circulation Kitchen • Maytag`"-- appliances give you name brand confidence and hassle -free service, includes: - 30" free standing range - 30" Nutone� power range hood - 19 cu. ft. frost -free refrigerator • Laminate countertop with 4" backsplash protects walls from water damage and makes clean-up easy • Moen18 single lever faucet for ease of operation Garbage disposal for cleaning convenience Pantry enables easy visibility and storage of items (most models) Utility, Safety and Energy Features Porch light at front and rear entry for your safety • Smoke detectors and built-in interior panel box for your safety • 100 AMP electrical panel box to meet your electrical needs • Washer/dryer ready to save you time and money - Shut -off valves at all plumbing fixtures for your convenience • Overhead cabinets with shelf in utility provide storage for washer/dryer supplies • 30 gallon gas water heater provides more hot water • Zone II insulation for energy efficiency, includes white framed aluminum dual glaze windows with R-33-11-22 insulation. The higher the R -value number, the better the resistance and effectiveness of the material. SN/08/FEB99 i . . Environmental Health Issues: Septic Permit Review: Well Permit Review: Land Development Review: Parcel Created by: ❑ Deeds Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Date of Creation: Deed Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation Comments: Legal Access Provided: ❑ No ❑ Yes Legal Access Required: ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes I&Map Date of Recording: Lot: C--- Block: Book: J Page: �_ Conditions That Must be Met Prior to Issuance of Permit: v ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. ❑ Other General Comments: n �3) Com- �LJJ D - +�� i, x 1 S 19J T N 1 t<,rc� 7 I ►� �, � x 1 rc� 1-T Of C: L , cp-L)ts I Q nic,o�.3 2r�i z U P—, N > caos' rzyc3y oAj r .007 6 ,53 ❑ APPROVED CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Permit #: / l )zd Date fL Genera/Information AP#: ' �3 0/7 Owners Name: �� Parcel Acreage: r tog A Q, Owners Address: Building Site Address: 6mee_ztyInformation Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel *Septic & Well ❑ Other Zone District: t/1 Date of Zoning Ordinance: General Plan: Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement Me No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan al No ❑ Yes Violation Area & No ❑ Yes Specific Plan ® No ❑ Yes ❑ Chico ❑ D2N Enterprise Zone &No ❑ Yes, check use Floodplain J1No ❑ Yes Zone: Watershed Protection Zone JjNo ❑ Yes Proposed Use Complies With: 4% General Plan R Zoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: ❑ Cohasset Panel Number: O �jZ� ❑ Accessory Building Use Zoning Code Street & Highways I Fire Prevention Subdivision Ma Front S C' Side '__s J C) Side, street Rear D Heiqht `n STATON CONSTRUCTION P40W NO. : 530 5334675 /Mar. 08 2000 03:47 PM P2/2 VKVi d' ! i P�QA /i �O/1 fG/JrV 33/ T T� Ile N� v c1 ,4.. MAR 0 9 2000 (;ouniy y.-:ixurnvt Orov'slle, Ca 3� APPROVED 4... sod Butte County � rnvironm ntal Health Date Signature �' / • And when. recorded mail to: 2 0 0 0— GD 0 0-7 E&,4 6 Building Division #7 County Center Drive `' ' .Recorded I. REC FEE 7.00 Official Record9�` "J 'CONFORM .00 Oroville, Ca. 95965 County Of BUTTE I CANDACE J. GRUBBS I Recorder • I: ROSEMARY DICKSON•. I Assistant I Maureen 12:19PM 02 -Mar -2009. I Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of:a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property 'rnay be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not lindte'd to herbicides, pesticides, and fertilizers;. and from the pursuit of agricultural operations including, but -*not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: �, ��eF� 02 , A -s S EGD cd� • D,cJ �.�T C� E��-�.J �;ee� c o�-P , " /1 / dzt TTF, o� ii37 l�lc �L9 c /F p11� �R10 Fe 20 14 fie, J ti a.Ps ; Date: %' A;;;E 4-Ny Mo A o State of California County Of <&u , ) On % QQ before me, , personally appeared J .� apersonallc known to me (or proved to me on the basis of atisfactory evidence) to be the person(s) whose names) is/arc subscribed to the within instrument and acknowledged to me that he/she/they executed the same in Iris/her/their authorized capacity(ies), and that by his/her/their signature(s) on (he, instrument, the persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS nay band and official seal. _ WE . AUER Comm. #1178379 NOTARY PUBLIC • CALIFORNIA 0 Signature , Seal: ? ' ` '�' Butte County b M Comm, EX 1101 Aorl1.3, • � 'Comm, # 1178379 A.P.# • �(�t --nt' Ul ►►�� NOTARY PUBLIC •CALIFORNIA ;�r e Butte County My Comm, Expires April 3, 2002 � FILE No.993 03/09 '00 AM 08:43 ID:E(ECUTIVE HOMES FAX:530 891 8753 PAGE 2 FROM STATON CONSTRUCTION PHONE NQ. : 530 5334675 + Mar. 08 2000 03:47PM P2/2 Dave P, o, &,DX 321 Ber,y C.«i r� 9sgi� O �I. y3D-01 s T rSCalic IUB MAR 0 9 2000 County c;0;vrurivt Oroviiie. Ca v"Nf 41 p r4 v� �gv � 3�� °•bar .' 50 �. rr. r) �/ APPROVED Butte County Environm tal Health r Date Signature `— FLEIMOOD.® SunPOlnte Series • Model 46138 3 Bedrooms ► 2 • 1,616 Squa OPT WPW. rwet, 0, g yn EATRANGE OPT. CORNER BAY OPT. ANGLED RECESSED ENTRY w i 0, I { I to Cie 0 I "[xinmror ren�xg shourn mitt optiana- ung, ode ��orcn iigcl Q ca .0M 1 1 e • -1 F eet — OPT. WALK -!N BAY& C= ® cd "-^�U an ai ® � U L LN" 3 ld.�N o I ss SAR i1vo R —' . i I N- .10 DI HNG �P nn viw _ I sue BEDROOM ? BATH' - AREA 11'•5' x 9'-}D" fJ❑ s= I F» rte SoAL•` oR I lo'-�r^ z rz-e• � uzRntr SI I �00 1 1 min 26'•S" I 1 alt' 1 �' `♦ CREDENZA 1 MASTER �cw. I x• 1 �' �' ♦� ------ `•T Q --f ' l 3E�R00 �Z ROOM `� �� LIVINGIL ; BEDROOM � I m•rc•x 13' a' ' \�♦ i i I gym:71 OPT WPW. rwet, 0, g yn EATRANGE OPT. CORNER BAY OPT. ANGLED RECESSED ENTRY w i 0, I { I to Cie 0 I "[xinmror ren�xg shourn mitt optiana- ung, ode ��orcn iigcl Q ca .0M 1 1 e • -1 F eet — OPT. WALK -!N BAY& C= ® cd "-^�U an ai ® � U RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 07 -Jul -2000 2000-0025391 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. TIFFANY STERLING REAL PROPERTY OWNER/LESSOR PO BOX 331 MAILING ADDRESS BERRY CREEK, BUTTE, CA 95916-0331 CITY COUNTY STATE ZIP 11997 ORO-QUINCY HWY . INSTALLATION MAILING ADDRESS. IF DIFFERENT BERRY CREEK, BUTTE, CA 95916 CITY COUNTY STATE ZIP DAVID C. MONTANO & TIFFANY MONTANO UNIT OWNER (if also property owner, write "SAME") PO BOX 331 MAILING ADDRESS BERRY CREEK, BUTTE, CA 95916 CITY CoLwrY 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 00-0330 (530)538-7541 BUILANJrPERMIT N TELEPHONE N MBER 7 SWNATURE OF LOCAL AGW &FICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. FLEETWOOD 2000 SUNPOINTE/461-313 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CALFX08A/B23658ST12 61'4"/60'X'26'8"- RAD1201119/20,11 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 061-430-017 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. #061-430-017 All that certain real property situate in the County of Butte, State of California, described as follows: Parcel 2, as shown on that certain parcel map recorded in the Office of the Recorder of the -County of Butte, State of California, on December 20, 1988, in Book 113 of Maps, at Page 48. RESERVING THEREFROM a 30 foot easement for road and public utility purposes over an existing road. Said location to be surveyed at a later date and deeded by the Grantee herein, upon recordation of that deed the existing road easement is to be eliminated. BUILDING PERMIT NUMBER: 00-0330 ij Address or location of unit:. 11997 ORO=QUINCY HWY, BERRY CREEK, CA 95916 Legal Description of Real Property: A.P. #061-430-017 SEE ATTACHED V .. (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: DAVID C. & TIFFANY MONTANO Owner's address: 'PO BOX 331, BERRY CREEK, CA 95916-0331 INSIGNIA OR HUD NUMBER: RAD1201119/20 SERIAL NUMBER OR V.I.N.: CAFLX08A/B23658ST12 MANUFACTURER'S NAME: FLEETWOOD YEAR: 2000 OFFICIAL APPROVING INSTALLATION: DATE#: CQ PHONE: (530) 538-7541 I L H.C.D. 513C I I r • STATE OF CALIFORNIA NU BER: AND HOUSING AGENCP,,., BUSINESS, TRANSPORTATION '6MMUNITY DEVELOPMENT DEPARTMENT OF HOUSING XND-Z .8648358 DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM NY MANUFACTURER CERTIFICATE OF ORIGIN Fo CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF TRANSPORTABLE SECTIONS 0 SFD (SINGLE FAMILY DWELLING) ❑MUMH (MULTI -UNIT MANUFACTURED HOUSING COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER LICENSE NUMBER: MANUFACTURER NAME: FLEETWOOD HOMES- OF CA. INC. 90005 SUGGESTED RETAIL PRICE: MANUFACTURER ADDRESS: 7007 JURUPA AVE, RIVERSIDE, CA. 92504 J. (Sreet) `City) . i Statej zip) MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: SUNPOINTE *(VV.S) 2000 MODEL 4613B 9/22/99 I NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): DEALER NUMBER OR CALIFSFEREE DESIGNATION: DATE OF TRANSFER: TRAN SECURITY HOME SHOW/NORTH DBA EXECUTIVE . HOMESI 92081 1 9/22/99 i 3042 ESPLANADE CHICO, CA 95973 - INVENTORY CREDITOR ADDRESS: Aor% 10%111klf•� TV 7rf)a') (Street) MANUFACTURER SERIAL NUMBER CAFLX08A 23658-ST1 2 CAFLX08B 23658-ST12 t�ny) HCD INSIGNIA OR HUD LABEL NUMBER LENGTH (INCHES) WIDTH (INCHES) WEIGHT SE2UNDS) SECTION JI -6) RAD. 120111923.6 i36 160 —3 -H -Q- 2 RAD 120112n 79n A 60 22 369 2 TRANSPORTER NAME: mrw "ANNA T141 R -Mr, TRANSPORTER ADDRESS: P. O. BOX 248 MORENO VALLEY, PA 92556-0248 DESTINATION FOR UNIT DESCRIBED ABOVE: I certify under penalty of pal6ry under the laws of the State Of C81110mis that the above facts are true and Conrad. . 9/22/99 at RIVERSIDE RIVERSIDE CALIFORNIA Executed on (Date) - I I j., (City) 11 (County) (State) SIGNATURE OF AUTHORIZED AGENT: AFD:rQKHE P pRr .�HA$.41R [PEA R.QR TRANSFEREE) FORWARD TO THE INVENTORY CREDITOR, UNLESS. THERE. 15 NOIJE, THEN FORW A*6;dF'RE11EASe- STRiBUTIONt ORIGINAL.(PINK)�- - '%. (5) 1) _D4 COPY I (WHITE) FORWARDJO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, OMPANY THE UNIT TO ITS DESTINATION. COPY 2 (YELLOW) ELIVER TO THE TRANSPORTER TO ACC COPY 3 (GOLDENROD) TDO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) Ell „02/18/00 09:20 BIDWELL" TITLE CUSTOMER SCER'VICc 4 530 891 8753 RECORDING REQUESTED BY AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHERWISE SHOWN BELOW, MAIL TAX STATEMENT TO; IIALat f6i=R�� 5TF�4►Nc , STREET P0. 0.,x 6 0? b D AODIIE59 , I d d',# 4 -'I'M city. sTAT . a EIR CDDE � J TITLE owill) be tsGAT>w NO ,•��.,�_ 96-0472011 1 Recorded I Official Records I County of I Butte I Candace J. Qrubb• I Recorder 1 802an 17 -Deo -96 1 NO.820 P003 nee Fee 6.00 Check 6.00 . i PU$L YS i SPACE A13OVE THIS LINE FOn RECORDER'S USE DOCUMENTARY TRANSFER TAX 4 &00 G6 GRANT DEED D computed on full value of properiy conva a or D Computed on full value lees liens end �eve rir n Ixan.a et time of sale. -sigowe-ot't 0111ft Agent Nmmironq Tex Firm Nemo FOR VALUABLE CONSIDERATION, l (peip of which is acknowledged, 1 (We), 7Amd JA' 6E Qgggl! Au — -� /`_ . J r _ » grant RSOA-J all that real property situated in the Cit of I""( OF for In an UrtinC P P y y arporsted area all E County, e?AJ-IF•QRAI/A described as follows linert legal description): INAMF'bi�l,�yNTYI �Y4r TATI) FXRGIC-1- /i7Af or`' .4,6� Cou�7'y to r" �c�-rr'r/ _-7rAr-r of C�,o4�.m�,�..�o, BooK 1/3 v>c /I%►-*3� !Jr- P4/rE fTN RDAD 04AID �G/6�✓I1 a"'- Tye r6kviNG. �,ve �'� cRonT p4 �a �aO �" EAS�/t? rid/Z �E.D EQ A.tl irpos7-1^1G ,�o,�. /4.CaG.S/iio� Ta Coe T/ea �T PuR e�••E� "7%=•.e �_ ''�. C.eFn?��� f{�JSG/N• (�f7?N ,47.EJ�kr� /7Ni7 .RDD 64 7/7- 11 73 �� �•/M/7f�'1&� rTv:. ; ; , •res rJE/:TIJ� . Assessor's parcel No. bl _S,3�a-4/ Executed an - � _ at � r,�j_ G1�1 C�•la yo yo f STATE OF COUNTY Of /yl% �1P�rI QSjPW MoIAS On _-_5g Iterore me, Gro YOM/ ),Lp l a RIG"T TKUMBI-1-1 t ebn.t ��da ^, ('JAM JAW 6W. IIOtAAy VMC -1 personallyapneared_ taI.1 t »at� }e►setretlykvtevnEtQywe ■ �'. lot proved to me onTFe osis o sates actry evidence) ) IO •a pars II •,Voso nametkisla aubseribed to the within inttrllrl+fit and aCknnwledged to me that shalt executed the same aulhwlted t:aptciTyliA and that by Itl`�Iler/II* sitlnaturelKon the Instrument the person or the entit G upon DohAll Of whlCh :h0 pClsOaeled. Executed the instrument. 1r � WITNESS my hand and erlicot seal, 9e ' 300V MA CAPALTI 0 BY SIO.NERISI ....� ICotrrryltiartOliva) is OINDIVIDUALISI Soyp Ci010 iv I OCOAPORATE a+ OFFICERISI ilr,rlar E F MpTAOyl ISEAIJ tbMCptMrtli3�IR i�10� ITnust t3PARTNERIS) Cl L"TEO UIIGENERAt a- /` . !s ORNEIY IN FACT MAIL, TAX /1f-'/yA/e[��'atr'���r _ CTTRUSTEE3S1 STATEMENTS TO: E©. Rj)C, 66.9 91�•iA�/�.';,A!-.9- IIGUAROtAWCONSERVATOR Betme w • .rs. rms ;elm, hit m del blares, and make .•hare�er cnanges are aootool ate and neScasary to wur panrcular i.IOTHER: Irenaeennn Geasuh a lawyer rl you doubt the Ivro+'s fitness to, your purpose and use• wWcolts ,nates no �epresemptmn of warranty. oapress m unplmd, wdh respect Ie tie merinanWbelly or Inness of tnls tone Ie1 an •ntermed SIGNER IS REPRESENTING: use a, pwoose /TaL^. d hrwMY a/ E w wOLCOTT$ FORM 77R • Rev. 3-514b Ipncr, cla%s 3A1 I ((WWn���I�GFANt DEED tj1994 WOLCOTTS FORMS, INC•061 N1�5 39778 9 • SI'A'I'L--' OF CALIPUK111A BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS�t- REGISTRATION AND TITLING PROGRAM sTATEIvzErrT OF FAM NEW UNITS PERMANENT FOUNDATION This unit is a: Mobilehome E-1CommercialCoach ❑ Floating Home ❑ Truck Camper Decal (License) No.(s) I Trade Name I Serial No.(s) I/We, the undersigned, hereby state: THE ABOVE' DESCRIBED UNIT HAS BEEN PLACED ON AN APPROVED FOUNDATION SYSTEM IN ACCORDANCE WITH 18551 OF Tiff HEALTH AND SAF TY CODE d �j Lee-, UWe further agree to indemnify and save harmless the Director of Housing and Community Development, State" of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjurythat the foregoing is true and correct. 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