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061-490-015
Wade Tombaug W/S p i.rd., Creek d err fel , 865 7/ -y9- man le Wade Tombaugh 6/n/!Y W/S pri.rd. ,app.7-/1 m•' .of Fomnan Crk Rd., Berry Creek Area Permit #19 4-77P,E(util.,MH) ELEC. `2 e7 �10�7.4-i,''�,P'o GAS SUPPO T TRUCTURE REQ, il/O COMPACTIN TEST REQ. -ye> Permit #1 65-77P E(utl. , ������� E LBS <. GAS SUPPORT'SfRIJCTURE REQ. COMPACTIN TEST REQ. Ti=�s�z c ontr : Shasta wfirailer ,SalesA Permit #2159-77MHI Issued low contr:E rle Towne, Para ise 6171-77 .Permit #2750-77MHI Iasued (' Permit #6,,1554-78B,E(new pri.det-shop) �t�nct �1l��7 1 61-49-15 1319-`90P . TOMBAUGH, Dena q (� 39 North Fork Rd, Berry-Creek (gas piping/MH) 3 B07-1960 061-490-013 MISCELLANEOUS Electric Panel REPLACE ELEC METER ON POLE 41 NORTHFORK RD TOMBAUGH VICKI A 61-49_.13 & 1S` VICKI. TOMBAUGH; GREENEWALT; • L A,PPL�ICATION, EOR DETERMINATION 12/18/91 , n u Stu,<.x x'482 -_ �3 f � ' ...... . . . . . . . . . . . . . . . . . . . . I . . MWy-.w,`.(♦ A s'.s ice: �"+�L�•Sj•�q � � o y . . . . . . . . . ........... ....... . . ................ ...................... ................ ....♦. ..♦ ♦....... . .. •..................... p� ..... :::::...................:...:;:::: :: ... :.......... . . u1��G ...................... . . . • . . . . • . . . . ` . . . . : . . . . . . . . . . . . . . . . ♦ . . . . ♦ . . . . . . . . . ♦ . . . . . . . . . . cnG.ecn eN 516.F BACK 6.6.80' MISCELLANEOUS STRUCTURES Structure Found. Floor Exterior Roof AREA COMPUTATIONS Main Areas Other Areas -42.0% Interi Date I Appraiser MISCELLANEOUS INFORMATION MARKET DATA to Appraiser ' Remarks I AA (I. -A., — -10443- -282Z — PERMIT DATA OWNER'S BUILR'S NAME NAME Permit No. Date Amount Improvement mm MISCELLANEOUS BUILDING RECORD PARCEL071 SHEET 0 OF -3SHEZ A,4 -V _41,12W-0 X19 #Q!r1RAkV j&67&/3jb i19 -CA" A, i ,It /-V No. Structure Size Found. !;OR it oe W"&# - V V- w - Wall Exterior dwwo- ___V_ V Roof LAS I __r -1 L-./ LL-) r Interior Defoil Second Story Floor or Loft Year Est I Built Life Type Cover 3 4 _� T Cost IdF P 1 Y C27,V -C Woof) Butte County ATSMSOV GA COMPUTA TION Appraiser Blcjg' No _Z -Date Area A, - r- G o'od L,. N. D. Unit- U Cos I I 9 972 6) R. C. N -T co�� t 0 L . N. D, C. .SO.._.._ ZZ; lc� R. 0. lk� L. N. 0. U11"'t Cox,, R. C. P, coct C t _� T Cost 2— AM 001 or 4'94-- Total 1. 1600 Appraiser- Dole _/1 _t . 19 . ..... 19 19 19 No Area Un- S_�2 51 __C 0 lls� L� N, 0. TV;; Cost co-,Gosi % Gon R. C. N. Unit % R. C. Al i i Gele?4i L_ A/. C, Total :F1 ,,-.-Wr -c r, i u r ZONING: UTILITIES—SITE IMPS. Water: Public [J Wel 10 Ditch ❑ NAME— O�r.I7iy���G� (����c NAME PROPERTY LOCATION L V �/ k. IiL i /] J( Book ' Page Block O Parcel Cod< Electricity: Yes ❑ Assessment Year 19 19 19 19 19 19 19 Gas: Public E) LPG❑ None Date 6_ .8 Sanitary Swr.: Public ❑ Indiv.❑ Appraiser �'�7 15 IQ AZ4,1 Storm Swr.: Public ❑ Natural ❑ 160 Use Code XI-4— Street: Conc.❑ Asph•❑ Dirt❑ Gravel 140 Base Year 8 Street Lights: Yes ❑ No ❑ C & G: Yes ❑ No ❑ 124 Transfer Sidewalks: Yes ❑ No ❑ 108 1 Acreage 163 Incomplete P.U. 19 P.U. 19 P.U. 19 P.U. 19 P.U. 19 P.U. 19 P.U. 19 SITE TOPOGRAPHY 167 Building Class /l/� 7o Level ❑ Rolling ❑ 9ther ❑ 168 Bedrooms 3 Slopes Up ❑ Down ❑ S -S ❑ 169 Baths 2� At F-1 Above E3 Below El Grade .170 Effective Year 7 - View ❑ Of: 171 Area of Residence 1640 REMARKS 172 Land Type Lot(:) Homesite❑ Lot❑ Homesite❑ Lot❑ Homesite❑ Lot❑ Homesite❑ Lot❑ Homesite❑ Lot❑ Homesite❑ Lot[-] Homesite[ 173 Car Shelter Yes B' No ❑ . Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No. ❑ Yes ❑ No ❑ 174 • Pool Yes No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Transfer Base Year 1/ Appraisal Date i,--)-2R_Ra IMPROVEMENT SUMMARY e \:� Building Record ® Building Record i fl%TO v� Misc. Record Total Improvements MARKET DATA Comparable 1 Comparable 2 Comparable 3 List Price Sale Date Sale Price TOTAL PROPERTY APPRAISAL Land Improvements 29 20 Total Property 29 200 R..v i —4 1/Al �// q mvufa_L-t Iv .. ut✓ frtLt`✓tt11v n� �,vt�✓ is N a m c �/,_b,�t.4.,6, L)�rL�- y,ck•i A•Mail Address NAHUL NU. SITUS__ '' MODEL TYPE Single Wide �J Expando [—(Kouble Wide ([�og Triple Wide _ Other QUALITY CLASS 7j6 YEAR. BUILT _7� ROOMS Descrip- tion FLOOR NO. OF MAT'L PLB• No. FIXT'S DESCRIPTION .KITCHEN FEATURES Cabinets L. MANUF. �i _ lWa�� Counters L Remarks EXTERIOR ROOF STYLE SKIRTING Entry Garb. Dis . Dishwosher Hood Fan Alum. Panels Arched Alum. Panels Range -Oven Compactor Microwovo Masonite Panels Flat Alum. Shiplop Living Alum. Shiplop Siding able Masonite Dining SPECIAL INTERIOR FEATURES Decorative Stone Cut Up Fiberglass Family Ff Other Pitch: M H Brick'.or Stone Great Rm. Bor—Wet, Dry Hutch Book Case Exp, Fasteners O'Hang Ft. Other Den Fireplace Coth. Ceiling Extra Both WINDOWS ROOF COVER HEATING Minimum Golv.'Iron orced Air Bedroom C-..3 SPECIAL EXTERIOR FEATURES Troct Size Enameled Steel Downflow Dress Rm. Window Awnings Shutters Shake Roof Picture spholt Sh91. Up(low Bay Compo. Wall or Floor Both v Mal Slid Doors Gravel, Rock Other Bath i MOBILE HOME RATING (E.G.A.F.P,) Lin, Ft. Other Set-up for A/C Both % INSULATION FOUNDATION COOLING Quality I Condition oco, Appearance Confort— F loor R• Permanent Refrig. H.P. Kitchen J Wolls R• Piers Heat Pump Bonus Rm. PARK RATING (E:G.A.F.P.) Ceiling R• Tie Downs-7Thru Wall Utility Evop. Cool Overall Location General App noronce RecreationOveroI Facilities Qualit, TOTALS SUB -TOTAL R.C.N. Deduct (Singlewi& s) TOTAL R.C.N. Q .11 'F -ASD AH 520•F FRONT 6,6.60 • • F E E T MAIN IMP. r_vinw•,,:a:w Evop. Cooler Mal SUB -TOTAL R.C.N. Deduct (Singlewi& s) TOTAL R.C.N. Q .11 'F -ASD AH 520•F FRONT 6,6.60 i roe w ,,M eotirAy ASSgQ-� LAND VALUE COMPUTATION ASSMT. TRANSFER I LOT H/S NO. VALUE TOTAL BASE YEAR I EXTENDED I (SPLIT) % I VALUE I TAXABLE YEAR BASE YEAR VALUE ACRES PER VALUE EXT.% VALUE RETAINED ADDED VALUE COMMENTS X EXISTING X [BASE YEAR% X RETAINED TRANS. DATE X -- X X VALUE X ol X TRANS. PARTIAL OWNERSHIP CHANGE EXISTING EXISTING [BASE YEAR% RETAINED TRANS. DATE % TRANS. ADD R.V. TAXABL BASE YEAR VALUE EXT. % RETAINED VALUE VALUE TRANS. VALUE TO T.V. VALUE LAND COMPUTATIONS X X = X — LAND IMPROVEMENT COMPUTATIONS X X = X = IMPS. TRANSACTION RECORD DATE IND. PRICE CONF. PRICE SELLER BUYER T. LIST.- • CODE %APP. COMMENTS 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: 41 NORTHFORK RD Owner: Permit NO: B07-1960 APN: 061-490-013 TOMBAUGH VICKI A Issued Date: 09/14/2007 By KCG Permit type: MISCELLANEOUS 6316 GASKINS ROAD Subtype: Electric Panel JACKSONVILLE, FL 32244 Expiration Date: 09/13/2008 Description: REPLACE ELEC METER ON POLE Occupancy: Zoning: U Contractor Applicant: - Square Footage: DENA NEVA Building Garage Remdl/Addn 39 NORTHFORK RD BERRY CREEK, CA 95916 Other Porch/Patio Total (530) 589-0872 FEE INFORMATION DBE Single Phase Service-Resid $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4645 LICENSE_ D 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 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 1 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 Contractor's 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 09/14/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; se check one of the following: Contractor's Signature Date AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE 41, COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I 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.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ 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 once hundred dollars ($100) orFe—ss . ElI AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 6SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' 09/14/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. 09/14/2007 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 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte Coun ty, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) t is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Pro own or am aulh iz to act on the property owner's behalf. ' Q 9/14/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [ N]—Print Date the performance of the work for which this permit is issued. (3097 civ, code) �,0gent ElOwner El Contractor OR. [ for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER NORMA 4 Last Na _11 O Stag . U' LT F' N me IC Mailing ess # t/ 4r /G _/J . Ci Yr l_ 1� StatelJl:/Tr Zip "l i P 5': 0 G —Q� � Z Fax E-mail e a . rv- APPLICANT INFORMATION CONTRACTOR Name Address Address Stag . U' LT City Ph State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address Address Stag . U' LT City Ph State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name � V� Address Ci r � Stag . U' LT ZipRs�I Ph Fax E-mail A'hP_L/6L GLV, e APPL/ ANT SIGNATURE X 42L�_ L'LLV212 - AP# Property City PERMIT NO. PROJECT LOCATION BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ.Type Const. SSP 14 07 00:106 Butte County Department of Development Services TIM SNELLIM, DIRECTOR] PETECALARCO, ASSISTANTDIRECI'OR- 7 County Center Drive Oroville, CA 95965 (530).S39-7601 Telephone (530) 538-2140 Fax www.-buttecounty.net1dds OWNER -BUILDER. INFORMATION - P•2 An application fora bssildiag IlMlit hai been iubmimd in your name acting yourr_If as the builder of the property unprovamenta t1eclftod. For your pmtection you should be aware that as "owner -builders you are the responsible party of record on such a Vomit. Building pemtiis we not rtgoired to be signed by property owners unless they acro pusvnally perSisming their own work. If your work: is being performed by someone other rhstnYourself; You may protect youtsel€f w possible liability if ibat person applies for the prorwr ncrroil in his or bet name. Contractors are required by law to be li=b--od.andbondcd by ttu State ofCalifotnia end to have a business lioease from rhe city or taunly. They are also fcquM by law to put their lioemaa number on all persalts rot ,01ch may 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 ud protection' 0 If you employ or otherwise anpat any persons other then your immediate family, and (he work (including histaials sod odter costs) is 5500 or moss for the entire project and such persons arc not ficcosed as contrattm or subcontractors, then you mgy be an employe. ® if you an an empluya, you must tcgistet with the state and foderal government as an employer and you are subject to several obligations including state and federal ineotne tax witlthotding, federal coeial security taxes, workers/ compensation insutanoe, disability insw uuee coca, and unemployment compensation wnuibutions. a 'Them maybe Mantiet risks to you ff you do not carry.ciut-these obligations, 'anC.ncue:riike.eca:aapaclaily aureus wtth.respoct to workers' compensation mausmaee. a For more specific infoutntaien about your obligations undo fedeW law, consul the linemal Revenue Service (std, if you wish, the U.S. Small business Administralioa). For more specific information about your obligations mtda sur law, eomaet the Department of Benefit Peymenu and the Division of Industrial Accidents. It tltc etrotture is intin4ed Yo( Wc, property owners who are nor licenced conuactors an alloyed to perform their work personally or through thier own employees. witlimit a livcm connecter or subaonttaGWr, only under limited conditions. A ftequalt practice of unlicensed pon0tas ptufcering to be oonnactor is to secure an "ownerbuildor' building pwmi% erroneously implying that the pmPertYawant'is� providing his or her own labor and material personally. Building pomits aro not required to be signed by pmpetey owners unlims they dei puf9ftiog rheic own worts personally., Information about licenced bmtta000rs may be obtained by eontac iogto Contractors' Smite Uccose Hearts auwmatod tetephone infvrmwitxr system at 1-SOV-321- �Mg (27 52) or by amusing drier website at www.CSLB.c&gov. PLEASE COMPLETE MID RETURN THE (ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUIVOING PERMIT WILL NOT HE ISSUED UNTILL TRB VERIFICATION IS RETURNED. OWNTR BUILDER VUTAICA 1014 PLEASE COMPLETG f RIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA -(SENATE BILL NO. Bal EFFECTIVE -JULY.. 1,. 1980). NO BUILDING P`ERMif-*1LL B5 LSSUED UNTIL THIS VERIFICATION is RECEIVPD. �ct. l PERSONALLY TO eKOVIDE TM.MAIOR.LABOkAND.iWATERtAIS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPRovrmENT (�`FF"NO) A2. 1(HAVPJHA ) SIGNfib AN AY ICArTiON FOR. A BUILbiNc,.YERMRFOR TwE PROPOSEELWORK_ 3. 1 HAVE CONTRACTED WITH IME, FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME' Apoltltiss CITY_ PHONE COMMACT+ORS LICENSE NO. - 4. 1 O 4.1 PLAN TO PROVIDE PORT10NS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON •f0 COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CTTV PHONE CONTRACTORS UCENSE NO S. I WILL PROVIDE SOME OF THE. WORK Btlr f NAVE CONTRACTED:(HIRFn THF. FOIJDWINQPERSONS. TO PROVIDE THE. WORK INDICATED: I&11E ADDRESS. PkLONN TYPE OF WORK Description:. REPLACE E1.1(rC.1V1lZTER_0Ir1.P0LE.. Reference NuMber: 807-1960 Applicant Name: DENA NEVA, Owners Name: TOMBA H YJC AP k : 061490-013 Signature of Property Owner: ll: add- Date: 0�- Vt_d� w- v C\A-k, BUTTE COUNTY SEP 2007 DEVELOPMENT SE,RViCES a is P ill D �� i i . .`. IJ . A '_ VV = t 'ri- >..L hJ DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 . J 17 1992 RONALD D.McELROY January + Deputy Director Vicki Tombaugh Greenewalt RE: AP 61-49-13'& 15 as one parcel 3808 Wilson Street CERTIFICATE OF COMPLIANCE Anchorage, AK 99503 Dear Ms. Greenewalt: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public.Works in the office of the Butte County Recorder on January 7, 1992. The Recorder's Serial Number is: 92-00646. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works Stuart Edell Assistant Director SE/ds attachment cc: Building Department Environmental Health Department Dave E'Well, 32 Little Croft, Oroville, CA 95965 U 6 92-000646 1 Total f` Recorded I Official Records I County of I Butte RETURN TO- Candace J. Grubbs I Public Works Recorder I Land Development Section 1:23pm 7 -Jan -92 I PUBL CERTIFICATE OF COMPLIANCE Issued to: Vicki Tombaugh Greenewalt 3808 Wilson Street Anchorage, AK 99503 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: on George Cameron Drive approx. 1200 ft. west of Foreman Creek Road. Berry Creek area. 2. Assessor's Parcel Number: AP 61-49-13 and 15 as one parcel X Description : All that certain property located in the County of Butte, State of California, more particularly described as follows: The South half of the North half of the Southwest quarter of the Northeast quarter of Section 18, Township 20 North, Range 5 East, M.D.B. & M. TOGETHER WITH. rights-of-way of record recorded in Book 2737 of Butte County Official Records at Page 550. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-166 and Government Code, Section 66499.35 (b), to protect the public health and public safety: NONE 1 H County of Butte Subdivision Violation Committee .00 1 END OF DOCUMENT END OF DOCUMENT 7 COUNTY CENTER DRIVE- OROVILLE, CALIFORNI-A 95965 Telephone: (916) 538-7681 ;MN -At TDD. Wi=t-Pnv December 18, 1991 Deputy Director Vicki Tombaugh Greenewalt RE: AP 61-49-13 and 15 AS ONE PARCEL 3808 Wilson St. APP. FOR DETERMINATION Anchorage, AK 99503 Dear Ms. Greenewalt: At the regular meeting of the Butte County Subdivision Violation Committee meeting held on December 18, 1991, the committee granted a Certificate of Compliance for the above -referenced property. There are no conditions. There is a fifteen -day appeal period before this Certificate can be recorded unless you sign and return the enclosed waiver waiving your right to .appeal the committee's decision. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works t Joh Mendonsa Asl stant Director JM/ds' attachment cc: Planning -Department Environmental Health Department (1"*lding Department Dave E'Well, 32 Little Croft, Oroville, CA 95966 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with therequirements of the California Administrative Code Title 25 Ch ter unde,rr,,,,ppermit number v2%'S:b--77 for the following location: W�� ia?( kl] AP, .7 w. n FF FoAxgoAW CXjEis< ,eP -n/La Owner Owner's Address 'RE). Y?6XX-� 0" v/ L i—c Mobilehome Mfg. rl–�;E7—W–� b�Mp Year Insignia No. a ��L• o.0 SYerial AJ&. 7)�? b�4 It is hereby ceertfie for 7 cupancy at the above described location and may be occupied. Direct of P blit Works �- Date / By THIS CERTIFICATE IS VOID WHEN MOBILEHO E IS LOCATED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVJLLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY Thie mobilehome has been installed in accordance with the requirements Cf the California Administrative Code Title 25 Chapter�5� under ermit num`be,av7«�SD -72 for the following location: WYrie( k /2,-E .7 v. o rr' l`aCF,w.¢A/ Ce-EEX' oeP. ©R. �0 Owner--e)AaDe T Qi> 2 34u6 f/ Owner's Address RICK �" J.'_� oleo a/ L L 11, �Mobilehome Mfg. �/� �('%rGLtX� �y5]/� Year�7 Insignia No.CAL IWZJ b�5erial o.C�AltI 3om77-'2/6 4 It is hereby certified for ccupancy at the above described location and may be occupied. Director of Public Works/ Date 62—/ By t Y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED -� 7 DiE10l� ` 1 � PERMIT NO. 964-77P,E PERMIT EXPIRES f OWNER Wade Tombaugh CONTR. owner LOCATION (A.P. 71-08-82 W/S pri:rd.,app.7/10 mi.off Foreman Creek Rd., Berry Creek Area i , i i, 7 4 A I i- a f Temp. Power Pole Called PG&E _ Temp. Elec. Serv._ Called PG&E _ Temp. Gas Serv. _ Called PG&E _ VFJOB `/ 7 INALED lo (Da ) All ( ignature) DATE 0 REMARKS OR CORRECTIONS 5T �a D/Z� f oo A W/--40 7b CdUlc- .; Nb s u (NOTE: An entry must be made on this form each time you visit the job site.) IL - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ^ BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ack FlitewaII SO'N Piping.:*. For4 ParApets 111 Floor Mallk Bldg. Rest om Finish 2n loor Fo tins Windo 3rd k0or Stem all Siding To out Slab Roof SheaNing Water PI i 1 Piers Roofing Sewer :E Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport Footings V Prov. for physical handica ed Conformance of ex. structure V Appliances Gas Piping &Test Temp. Ga§ Slab A Final Sanitation Patio N F/REPXACE Final 'e Footin s Footing ECTRIC L Masonr Walls Throat Rough Relnf. Steel Final Fixtures Bond Bea FIRE SPRINKLEFX Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Gird. Fj4lt Prot. Scr ch Heati ServI96 B n Coo ng T mp. Pole nish Dtits nder round I erior Lath entilation Permanent oor Closer Inal Final MOBILEHOME UTILITIES ----------------- Elec- Service Elec. Pedestal .;;06 (� •• O Water Piping — 1 Sewer Gas Piping E ME INSTALLATION - - - - - - - - - - - - • - Support Elec. Continuity Water Piping Drainage r Gas Piping- A DATE 0 REMARKS OR CORRECTIONS 5T �a D/Z� f oo A W/--40 7b CdUlc- .; Nb s u (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large eno<<.glt to provide ,adequate :amperage to mobilehome (must equal 'rating of mobilehome (aith a ::;in:irtum of lamp) and other facilities on lot, i.e., water pumps, garap,t, cabn.na,` etc.? Yes! No 1;. Is ther--� proper clearances around panels? Yes_ No_ %� n i 4 o C. Is power supply cord or feeder assembly properly fused. Yes_ 1\ D. IS -continuity test satisfactory as per the following procedure? Yes_ No_ �j De -energize electrical wiring, syste:ii of the mobilehome at the pedestal.' 12-1-�Make sure that tlhe power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. 4 Connect one l -:ad of a test instrun?ent to the mobilehome grounding conductor and L. apply tiie ULu.er .Lead to each roue "'e hurt Siipp"Y coII' ctor, iliuliiulYtg Yi Lral. 4! All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, -w.--iter line), including fixtures and appliances, shall be tested for continuity from such equipment- and the grounding conductor. -:Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te;u shall then be made between the grounding electrode and the chassis of the ` �:i0bilehome. Upon_ sansfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. I job card signed by health Department for water and sanitation? evo ything okay, sign off card and t.a; services. f ' NOBILN;Mi-TE DATA Manufacturer and/or Namestyle Length &D Width a vehicle Serial No. State Identification N\O. C411 O 4 CA4 61-1-41?�9 i ;,61,itional Information or Cornments: . 'M0BJJ,f.'li02'j-1 DVSIALLATION INSPECTION CHECK LIST 1. Is the mobilehome loc;�itcd wi.Lli cquired separation from lot lines and buildings and general].% conform to plot plan? Ycs No ?. Does the m bil.ehome have require.cl clearances above ground? (Sec.5085) Yeses No 3. Are footin,s and supports properly sized, spaced and braced as approved plans? (Note possible variation at spring shackles.) (Sec. 82 & 5083) Yes No 4. Is the mobile e level.? (Sec. 5088) Yes_ No 5. If more han a•single unit, are crossover connections properly installed? (Sec: 5088) Yes No 5, Water. A. Is flex`�econnector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes 4– o flow - If coach is not State of California approved, does station have backflow device an pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye o B. Does it have minimum z;properly PP" per foot slope and is itsupported? Yes— No— C. o — _ C. Are any leaks detected in drainage system after running 3-ga s of water through each fixture including washing machine standpipe? Yes No D, oach is not State of California approved, does station have required trap and vent? s No 8. Gas Piping and. Gas Vents A. Connector - is mobilehome connected to the gas sUpply/Adith an approved 3/4" minimum mobilehome cZes ector not more than 6 ft, long? Noty. All piping is to be at least as large as the 'lehome gas line inlet without re c_tions other than the mobilehome connector. B. Test OK as per followingocedure? Yes_ _ 1. Open all appliance conne or valves. 2. Shut off appliance burner and ilo valves. 3. Air test with manometer to 10"- ter column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrate in tent pound increments. Test for 10 min, without drop. 4. Connect: gas meter to m(,ehome with connect soapy water. / C. Are all appliance vents /operly installed? Yes turn. on gas, test connections with No 1� COUNTY OF BOTTE ' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 ~ Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner E 0 if 5A 0614 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor 15A 2 L£ 0 touc MailingAddress_Q3, ofI)em— /-%l/ �A t�D! 54eTele 77 Building Address u/-:::- P, ,,,, PJ. A^,p A. P. NO %-o S - 6 Z+ Zoning & Planning Fees W. Fire Dept. Fire Zone Use Permit EQA I Parking Parcel Parcel Ma 60' R/W Im rovements Plans Declarati n p p Bldg. Plans Recd AT Parcel proval Plafrr pproval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER r e 1t I on i _i Single Family ❑ Duplex ❑ Mobil Home [4 Others ❑ Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 6000 OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE FEE I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X g4.,4&- glib&.A, Date - Signature oof/Pererrmitee or Agent Receipt No. ' 4 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 'SOO-.0 TOTAL PERMIT FEE Is —�o lorl, This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU IC WORKS By ate (o J3' 7 7 B ding permit expires Date G�/ 3— 7� NEW OR ADD NST ( ACCLBLDGS. OCCUP. &) 22sq tt NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON•RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ' y Ex. Occup(OUTLETS OR FIXTURES) BAL21 Ex. Occup. (OUT ETS PIRESID.)R EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 2-2 S 7 95 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee, , $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X g4.,4&- glib&.A, Date - Signature oof/Pererrmitee or Agent Receipt No. ' 4 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 'SOO-.0 TOTAL PERMIT FEE Is —�o lorl, This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU IC WORKS By ate (o J3' 7 7 B ding permit expires Date G�/ 3— 7� COUNTY OF BUTTE �— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT g6vY, - 7 7 nu uwiicc ic)n o0U11LQL1VV0 UI 1110 %�UUllly UI OUIIC lU CIIICI UPUII Ulu above-mentioned property for inspection purposes. X ZDate 7 Signature off Permitee or Agent Receipt No. I66 !99 9- White-D.P.W-- Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date y= �-�7 -7 Building permit expires Date L( " Z - 7jr BUILDING Owner Mailing Address ,5 3 ' SQ. FT. OCC. BUILDING VALUATION � Tee one Fireplace Contractor to e4 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Tlephone No. e Permit Fee $ Building Address S /K„ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 YfCf -o r JKOLC!! u, r Each Trap 1.50 &Lou�• ' Repair drainage or vent piping 1.50 Water piping 1.50 0.00 n 1c IV Each gas water heater or vent 1.50 A. P. No. -- �— �y ZZ ng Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. . Sa i Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration,P Parcel Ma 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd or I val Plans pproval Permit Fee $ $ OZ NEW ❑ ADDITI IES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '3," Main service 600V OR LESS 5.00 100 AMP OR LESS !� Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home R Others ❑ ER 600V Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OCCUP. &) 20syft NEW CONST. WELINGOR ADDNS. ( DACCLBLDGS. NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL 20-109 Ex. Occup. (FIXED OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 44; $'G WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability JL for Workmen's Compensation. T have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this Jai permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above 1.4�PrGj'C9t information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TO AL PERMIT F E $ l� nu uwiicc ic)n o0U11LQL1VV0 UI 1110 %�UUllly UI OUIIC lU CIIICI UPUII Ulu above-mentioned property for inspection purposes. X ZDate 7 Signature off Permitee or Agent Receipt No. I66 !99 9- White-D.P.W-- Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date y= �-�7 -7 Building permit expires Date L( " Z - 7jr U DECLARATION REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume,oo/c A2o,6 y , Page Official Records of Butte County, (AP# 7/ - 08 - G1Z ) , I am requesting permission to build or install an additional living unit on this property. I will not divide the aforementioned property for sale, lease," rent, or financing unless all applicable land division laws and map requirements are com- plied with. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed use of. the additional living unit is and that further. I shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on or adjacent to said improvement without fully complying with the applicable laws and ordinances, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte .__,_ _ 340< Vz� L REcnrDS BUTTE ciJUNYY`r:r;�l�. Owner �?� 3 33 Address LOUISE COUNT E FEE NOT COMPARED WIT}{ Date - - - ORIGINAL DOCUMENT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - STATE OF CALIFORNIA ) ss COUNTY OF Butte 1 On this 22nd day of April 1977 , before me, the undersigned a Notary Public in and for the County of Butte State of California, residing therein, duly commis- sioned and sworn, personally appeared Wade L. Tombaugh & Vicki A. Tombaugh : known to me to be the person whose names are subscribed to the within instrument and acknowledged to me that t he Y executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my, official seal in the County of Butte the day and year in this certificate first above written. S96-1275 a MILDRED L BR"L NOTARY PUBLIC — CALIFORMA ` PRLNCLPAL OFFXX IN aU`TTE COUNTY otary Public � My Commksion 6wirOs J* "1 1979 M �, '' �'�,i� . � �=�� 4� ��.. �.� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under ermit numbea for the following location: W/� I R� Owner `;Au G� Owner's Address 427,33 /j%%7a(-'Z4L 141/5 447—/ d2tO,. Mobilehome Mfg.84T)m0/Z Ori Model _00-1 Year Insignia No. C, 4 L Oy S3�% 9 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Date Direct r of ublic Wor d *K I I &_ '/ By THIS CERTIFICATE IS VOID WHEN MOBILE OM S RELOCATED N. • COUNTY OF BUTTE ti DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE,;CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the; California Administrative Code, Title 25, Chapter 5, under ermit number 77 for the following location: 1, OFF Owner's Atldress X 7.33 IV1?.4�-IIUL .4ME- APP— I 40e�-& .Mobilehome Mfg. b*?0/e 1E, Model 13 Year ' Insignia No.0' ►q' C)L� SJ % / -^s 'Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date , "` By � THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED ' 19 5-77P,E PERMIT NO. �.� • � PERMIT EXPIRES —a T 1OWNER Wade Tombaugh CONTR. Owur } LOCATION (A.P. 71-08-82 W/S pri.rd.,app.7/10 mi.off Foreman Creek Rd., Berry Creek Area i s } a t 1 t a 3 • s Temp. Power Pole r Called PG&E Temp. Elec. Serv. i Called PG&E /0 Temp. Gas Serv. Called PG&E JOB FINALED i (De) -VC4 (Signature) M COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se back Newall Ski PliAn For s PAvets 1 t Floor _ MaN, Bldg. Rest om Finish 2n Floor ; Fo tins Windo 3rdNoor' Sterkyal I Siding To out `` Slab Roof Sheaking Water PiI Piers Roofing Sewer Garage Fdn. Vents Fixtures, Footincis Garage Vents Water Htr.,' Stemwa l l Insulation Heaters Slab pehysical Appliances Carport handicar Conformance of ex. Gas PI in 8 Tegt ' Footings V structure Temp. Gas Slab A Final A Sanitation Patio F REP ACE Final . Footin s Footing : •• EifECTRICXL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Bea IRE SPRINKt FFk Motors FramingTest Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. F It Prot. Scraj4h Heatl Servigif Brq4n Coo ng T p. Pole nish D is nder round Ilerior Lath Antilation 2sPermanent or Closer 40(OBILEHOME anal Inal UTILITIES ------------------ Elec_ Service clo Elec. Pedestal Water Piping Q — Sewer .5 Qp �/L�iG% Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - SupportS Elec. Continuity ' i 277 Water Piping G Drainage Gas Piping �! DATE REMARKS OR CORRECTIONS S F aa- 0 2 O "50 a A W '(50 Fb2`..I`l6 �A S -vosu R G!fb• .004,P M (NOTE: An entry must be made on this form each time you visit the job site.) f,i0131.! 110L1.13 INS`LALLAT'LON INSPECTION CHECK LIST l.. Is the mobilehomG loc.�jtcd 1,7 -h . quired separation from lot lines and buildings and generall.y conform to plot plan? Yes _ No_ '. Doe:; t}1 E'. mnbil.ehome have requircid clearances above ground? (Sec.5085) Yes JNo 3. Are footint,s and supports properly..sized, spaced, and braced as �W' prove.d plans? (Note possible variation at spring shackles.) (Sec. 5 2 & 5083) Yes_ __ 4. Is the mobilehome level.? (Sec. 5088) Ye.s No more than a single unit, are crossover connections properly installed? (Sec. 5088) t'�-*Yes No S. Water. A. Is flexib connector of adequate, size and properly installed (1/2" ID min.)? (Sec. 5566) B. .Test Does water piping withstand working pressure or 50 lbs, air test? Yes C-- o_ C low - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes L140 B. Does it have minimum ," per footslope and is it properly supported? Yes"�- o 'C. Are any leaks detected in drainage system after running 3- llons of water through each fixture including washing machine standpipe? Yes No D, coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connect r - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehom connector not more than 6 ft, long? Note: All pi.pin a-t�Fie at least as large as th mobilehome'agas line inlet .without ,reductions r than the mobilehome connector. Ye No B. Test OK as per follo "ng procedure? Yes o 1. Open all appliance nnector valve y 2. Shut off appliance burner pilot val'ves:' ` ' j .., " 3. Air test with manome* to 1011-1"" 0"-1 water column, or test with slope gauge (minimum 6oz.-maximum 8 oz calibrated in to h pound increments. Test for 10 min. without drop. 4. Connect s meter to mr,bilehorae with connector, urn. on gas, test connections with soap anter. C. Are X11 appliance vents properly installed? Yes No 9. Electrical A. Is seivice large eno<<glk to provide radequat_e amperage to mobilel-iome (must equal rating of mobilehome (Ath a. a;inu:um of 1 amp) and other facilities on lot, i.e., water pumps, 1;axa-e, cabana, et:c.. Yes. No proper clearances around panels? Yes � No 1; , is then ;'L � P — C. Is power supply cord or feeder assembly properly fused? Ye _ No ' u D. (;/continuity test satisfactory as per file following procedure? Yes2 No re? _ ,j De-energize electrical wiring, systeri of the mobilehome at the pedestal. lL. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3 Switch all breakers and switches in the mobilehome to the "on" position. 4�onnect one l^ad of a test instrument to the mobilehome grounding conductor and / ,_., supply ,. , cJ- Ly LL' UiI a.�a.0 %G eauI UUu .��i1uiue Sli it CGriuuCtGr, Ilii iiulllg 1ie�l�rat. _ A11 nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from �such-eyuipment and the grounding conductor. �. Upon completion of. the above procedure, the power supply cord or feeder assembly conductors shall. be connected to the site service equipment. A further continuity to:;t shall then be made between the grounding electrode and the chassis of the nobilehome: Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. ;.ti, Ts job card signed by L'ealth Department for water and sanitation? 1.1.. If everything of ay, sign off card and ta; services. MOB LEi OMIE DATA Manufacturer and/or Namestyle Ler.gth C> co Widt1, l �- Vehicle Serial No. State Identification No. l,drtim tional Inforation or Comments: COVNTY.OF•BUTTE — DEPARTMENT OF PUBLIC WORKS A County Center Drive — Oroville, California 95965 Telephone: 534-4541 V-77 APPLICATION AND PERMIT outilurlfu fepreSerllitllVeS ui ure i,uunly vi nuua lu @tiler upon ine above-mentioned property for inspection purposes. X Date Signature o Permitee or Agent Receipt No.�y�� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS By Date Kiling permit expires Date BUILDING . Owner SQ. FT. OCC. BUILDING VALUATION Air Mailing Address Telephone No. Fireplace Contractor A Total Valuation Mailing Address G 0' Permit Fee Plan Checking Fee &/or Penalty Tel p, -2No: 0 Permit Fee f'/ Building Address �!f� O 064 PLUMBING No. @ FEE FILING FEE $3.00 7PERMIT U �j�' Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 8p A. P. o. 2— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Vs W Ssftkeiion Fire Dept. Fire Zone Use.Pennit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. ns Recd Parcel proval Plans/Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER J ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 - Light fixturesb 2 10 Receps., switches & fix outlets 20 jV 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style ) 49: 4C�/--z � ,�/� Sr Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump . Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.7— 9A52 4;Classification '° C Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Imfail I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ✓��i6� TOTAL PERMIT FEE $ outilurlfu fepreSerllitllVeS ui ure i,uunly vi nuua lu @tiler upon ine above-mentioned property for inspection purposes. X Date Signature o Permitee or Agent Receipt No.�y�� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS By Date Kiling permit expires Date ppp/pp, COUNTY OF„ BUTTE'— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - UroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1VN� o` •�4 LDate -2 2 Signature of Permitee ooy nt /� Receipt No. C3 - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS By Date q- 7-5-7 B ' ding permit expires Date Y-72-7� BUILDING Owner_ SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address � _hone Fireplace Contractor 04 Total Valuation L41014 Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address S' 91 U PLUMBING No. @ FEE PERMIT FILING FEE $3.00 'j,cm Each Trap 1.50 i Repair drainage or vent piping 1.50 Water piping 1.50 / a,(,�i Ver ach gas water heater or vent 1.50 A. P. No. - 0 r 2 14 a g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeW. S i ion Fire Dept. It Fire Zone Use Permit Building sewer 5.00 EQA PPark ng la' Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Pa prow Plan Epproval Permit Fee $.•0,e7 $2 C71 NEW �ADDIT_103 ILITIES R OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service V OR i00 AMP ORSLESS 5.00 i Main service EA. ADD -L 100 AMP 2.50 , Main service OVER 600V100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home �. Others ❑ Main service EA. ADD•L 100 AMP 1.00 OR ADDNSNEW // CONST. ACCLBLDGS.LING CCUP. &) 20syft NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea ' NEW CONSTR. POWER APPARATUS & NON.RESID. (POWER OUTLET CIR. CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@25a BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 's-25 $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this vet permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby I TOTAL PERMIT F E $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1VN� o` •�4 LDate -2 2 Signature of Permitee ooy nt /� Receipt No. C3 - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS By Date q- 7-5-7 B ' ding permit expires Date Y-72-7� BUTTE COUNTY DEPARTMENT OF PUBLIC,WORKS 7 County Center Drive, Oroville, CA. + PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 'v '�1 M 13 A U 2. Installer's name: �� 'L EB( /Ak) 3. Is the site currently under permit? Yes /)K/ No (If yes, furnish permit number 7 if -gr OR Is the site an existing site? Yes / / No (If -yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes .1�r/ No (If no, clarify ) ,. 5. What is the mobilehome electrical rating? ----------------------- A-0 Amps 6. What is the mobilehome site service rating? --------------------- 2-9) p Amps 7. What,is'ethe mobilehome site circuit breaker rating? ------------- Amps 8. I'sj ther,6-,any other electric load to be served by the mobilehome sitefser�vic'?-------------------------------------------------- Yes / / No {If ye's identify the load and size: W—t4 cc- (Load) �.CD (Amps) 9. What i's the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural sE-f - LPG--/--/ 11. What is the gas pipe length from meter=or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) t_ MOBILEHOME SUPPORT DATA Mobilehome Mfr. • - Setup Model No. 7� O i Year Width 2-4 (ft.) Length 4 D (ft.) oExpand& Size /0 ft.x Z-0 ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on .file with the County of Butte). S7inle Footings- (check. one) a Center Support Locations Center.Support Footing Sizes (in.) zn. in.) din. pressure treated or C'005- (in.)(in.), C.Xj�J (in.) (in.) D ZZ 2- '� 30, lop ln. in.) . /2x30 (in.)(in.) IL 2 Z 4 *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Typical Support Lx D Footing Size in.)(in.) r7___ Max. Pier �r' Spacing ft.) in. Max. Overhang J1, —5- t in. ) BUTTE COUNTY - OUILDING DEPaARTWW APPROVED / / 1. Wood either pressure treated or fdn. grade. ,L1 2. Concrete pad. 3. Other,: specify Supports (check one) 1. Concrete block `Q 2. Concrete piers I 3. Steel piers / / 4. Other, specify Typical Support Lx D Footing Size in.)(in.) r7___ Max. Pier �r' Spacing ft.) in. Max. Overhang J1, —5- t in. ) BUTTE COUNTY - OUILDING DEPaARTWW APPROVED o{ �lansl and s0ecificeltions Mt1ST b� -- - - ����- - -- - - T�is. se _ it is unlawful #o ! _,' - - - - - job lI times- and -� -* kept -on the j MOR any ch2mges or.alteratiOPS.on same without _ -•--} -,} + :� - ---- , - - � " MOwriten permission from the Department of F of -Butte - 7 Wdrks; �Co+ °. /f/� f - - -�� - v - -- -he $_ icigrSet6oc haft be 5 jfjrom f ; --- --- --- --- -- -- - - - . - - -- -- :id- e property line-and�50"ftp "#i or -'F -- ` - centerline of flie road�serrriitti a 114JA4�' - - - - V - - IngireNOTE: ' A11-lvldfe ia!M \'!or'-manshi pShall Be _in_ --- _N� mum -of a 2 f#. eave o T--,\ - -Accord ce W 'ii ��g s` ed food Practices and - -out-of-all easernen#s. = ---, - - . -�- of *-quality prescrn d fsr-".� Speci#ied use in the --- - --t-- _�Jnifoccn_E 4.di ng, Plui' ibing- iviechunict�l toctes and - py�1��75G- the, Npfign' L_Electric Code -- - ---- -- - 111 7 00 utility con �ionsshall - - %- - u Toca}ed WA -m Tutsi e e ,rear .moi M. T �4 permit wilLbe iEc}t:ied fohome—t---�_ -- -' -. - _ __ - -- - - - ----- instaugtion rct sec, ikon p# e mo i e ofb� orae i. �N �-- o --- '--��uleh � i -un -the -left -f r-oa:f�-d-F-iire-m T"�a-� _ _ _. - -•- { - - i - -� � -- --- _ - - --�_ -_. _-_. _- _.. Vj a 10g,t �' �rt "_t-` -- i-------cw��rSt -- - �- - -- - --- -- --fl119� 4L y'—_ LJNf CAR-- - - - - - - - ----_ - -- o0 0LZ T. rN —•� ° - _- --•- ----- A' R�rmit_ytil£ beer iced -for - - -- �+�- : s �r�x.=� :�. �~t,i' } :��5� - - ► - - -- _ - -- - - intaUation of _th s e9mu -thy- - ---- -- - , -- - --- - - +e-obile-f31-Kffn?} - rf(. BUT'T'E COMM— -- - . __ i Septic iysfem and lo_cat_ion of BUILDINb DEPARTMENT - - - - - - -- } ---- - - - ,- ` to 6e as per' \ - - - - ; - _ -- - - --- -----. -- . ------ ���;�-401*6.�ents:oun�' Hea_. lfh- Dipt:.R� ,, _APP V quiremnD__� _ -�' - � � -' - ----•-� _ }.. - _--_.- _ _ � Y Thi _.C� ~ _ �_ _ -• - .-._ _ ..- ._ -.--_. _ _ T -� � �`I% y` - i � ay BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner-' s name:, 2. Installer's name: 3. Is the site currently under permit? j�es 7 NQ� (If yes, furnish permit number �! ) OR Is the site an existing site? Yes / /' No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes .//_ No ( If no, clarify ) site service? ___________________________________________________ yes / / No 5. What is the mobilehome electrical rating? _______________________ Amps What is the mobilehome site gas pipe size? ---------------------- (in.) 10. 6. What is the mobilehome site service rating? _____________________ Amps 7. What is the mobilehome site circuit breaker rating? _____________ Amps 8. rddd by the mobilehome Is there any other electric lddd� tq/�e/sV / site service? ___________________________________________________ yes / / No (If yes, identify the load and size: (Load) (Amps) 9, What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas ser``ice?._____________________________ Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ______________________________ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 4 \ ii MOBILEHOMESUPPORT DATA , Mobil ehome Mfr. �r 1poe 4,00,p k- Setup .Model No. Year Width (ft.) Length (ft.) Expando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). Center Suppor ooting Size (in.) in.) (i .� (in. (in.) - S *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) 1. Wood either pressure treated or fdn. grade. f 2. Concrete pad. 3. Other, specify ! Supports (check one) J / 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support in;)-(iri )Footing Size r !Max. Pier ( ) fn;l) Spacing { j# j Max. `-. J Overhang (in.) BUTTE COUNTY BUILDING DEPARTMENT ,APPROVE® CLAIMANT: rY J3td& i OROVILLE, CALIFORNIA GENERAL CLAIM Mr. & Mrs. Wade Tombaugh ADDRESS: 2733 Mitchell Ave., Apt. #1 CITY & STATE: Oroville, CA. 95965 IMPORTANT: DATE OF CLAIM: April 21, 1977 S ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Not going to build new residence. arm , , , - ecei.p - AP 71-08-82) Building permit fee ----- $133.00 Retain of fee ------- Amount of refund due ------------ $ 88.67 Plumbing permit fee ----- $ 25.50 - Retain = n e ------ 3.00 Amount of refund due ------------ $ 22.50 Electrical permit fee --- $ 31.25 Retain i ing fee 3.00 Amount of refund due ------------ $ 28.25 Mechanical permit fee --- $ 12.50 Retain g tee ------- Amount of refund due ------------ 9.50 TOTAL REFUND DUE ---------------- $148.92 $148 92 TOTAL $148192 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation 0 or Specific Board Approval 0 (Check one) for the same. Dated this, .21st April ........................... day of ........ ..... ..... 19.... 77... et ........................Oroville ...... Cellf. ..... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM ............................... :........................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. F , (x INSTRUCTIONS -16 CLAIMANTS All claims against the county' must be itemized, giving dates and character of service rendered or work, performed, quantities, de- scription and unit prices of articles furnished or .delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval- the Department head will forward claim to County Auditor for -payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for. approval immediately upon completion of services requested'or.material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroJill'e, California 95965 n/ �� •' Telephone: 534-4541 Qy/L/^ APPLICATION AND PERMIT •�r•_"•�••�•+ .. �.. vow ny v. uuaac w cnaci upull Lim above-mentioned property for inspection purposes. X iL Date Signature of Permitee or A7nt Receipt No. ��� 95(/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _DIRECMOR OF PUBLIC WORKS BY-=-� Date Building permit expires Date BUILDING Owner ADAte SQ. FT. OCC. BUILDING VALUATION Mailing Address 60 MAbILL"I" Z Is �� Tele hon NiN+ n LK V= Fireplace / 750' 00Contractor Ga 3Z ✓CZs. ,^,a Jg a IDrfd- ✓AA- mT10A> Zy 00 Mai I i ng Address Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ / 3-9. 00 O� �, / Building Address 14 -5 O� P C m PLUMBING No.1 @ FEE PERMIT FILING FEE 1$3.00. 3,00 �/�'. 'J O F• Each Trap 1.50 2-1,00 �C G p I' /`e+ Repair drainage or vent piping 1.50 Water piping 1.50 1.60 LSA i -k- Each gas water heater or vent 1.50 A. P. No. 71— 0F - ZN Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F41s V .S��ons Fire Dept. Fire Zone Use Permit Building sewer j 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W P Im rovements P Lawn sprinkler system 2.00 Bldg. PIns Rec'd arc A prova,F Plansproval Permit Fee $ 23- 6 0 $ Z NEW JS ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Main service 8000 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Famil y Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER sooV 25.00 too AMP OR Main service EA. ADD'L 100 AMP 1,00 0 AM NEW CONST. DWELING 0 OR ADDNS. ( ACCLBLDGs.0JY114) 20sgft ,Z NEW CO, MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@ � BAL�1 Ex. Occu FIXED APPLNS' OR P•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 21 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 342 $ 2S WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued_ I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 3.00 Heating Cooling o i 7.6 .4 O Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ L; •Z 1 •�r•_"•�••�•+ .. �.. vow ny v. uuaac w cnaci upull Lim above-mentioned property for inspection purposes. X iL Date Signature of Permitee or A7nt Receipt No. ��� 95(/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _DIRECMOR OF PUBLIC WORKS BY-=-� Date Building permit expires Date 6154-78B,E y 1`'PERMIT NO. k PERMIT EXPIRES D T— tOWNER Wade Tombaugh 4C0NTR. owner LOCATION (A.P. 71-08-82 W/S pri.rd.,app.7/10 mi.off Foreman Creek Rd. Berry Creek C y e X ' Ft rX 7 n j! 4 Temp. Power Pole Cal�d PG&E _ TempElec. Serv.. Called PG&E _ Te p. Gas Serv. _ Called or_a.F JOB FINALED nal meso WCHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final l MOBILEHOME UTILITIES ----- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE - REMARKS OR CORRECTIONS - (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �-- BUILDING INSPEQTIONxRECORD �----� BUILDING_ BUILDING'(Cont'd) PLUMBING Setback Firewall Soil Piping Forms zParapets 1st Floor Main Bldg,4 Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall y Siding To out Slab Roof Sheathin Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall11 % 1 Garage Vents Insulation Water Htr. Heaters Slab /QAlQ Carport Po Footings %1 a Prov. for physically handica ed Conformance of ex. structure i Appliances Gas Piping & Temp. Gas st Slab Final i "� a _ Sanitation Patio FIREPLA E Final Footings Footin ELECTRICAL Masonry Wails Throat Rou h— Reinf. Steel Final Fixtures Bond BeamFI E S INKLERS Motors �--� Framing Test Water Htr. �a nal meso WCHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final l MOBILEHOME UTILITIES ----- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE - REMARKS OR CORRECTIONS - (NOTE: An entry must be made on this form each time you visit the job site.) YH fE — DEPARTMENT OF PUBLIC WOR S •enter Drive - Oroville, California 95965 1, * Telephone: 4534-454M // •// `/ APPLICATION AND PERMIT authuti Le FePfeSefl tall VeS UT ine County of Butte to enter upon the above-mentioned property for inspection purposes. X &4&d&Zk &&"tDate Signature of Perrmit8,39:x e[[e or Age t Rereint Nn_ / OJO �/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee d. DIRECTOR F PU LIC WORKS By Date 1'0 - Z4-7e5p RI-i'ding permit expires Date / o-2-L%?g BUILDING Owner AJqJP..>E QA4 8,40,5/f•— SO. FT. OCC. BUILDING VALUATION o ,T 2 0 Mailing Address 933-6 /19" s� l _OVI L.L_E C'sfi 95 96 5 lygVne �_15/,? Contractor Mailing Address Fireplace Total Valuation o Telephone No. Permit Fee Bpd Building Address W A Pl-/r im i A -pp, �10 41. Plan Checking Fee&/or Penalty Permit Fee OG O d,rF fwaowlw PEEK. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Bc-"-y �j��/L i4�C "- Repair drainage or vent piping 1.50 A. P. No. vv 71_ 08-8� Zoni & P an 4_ning Water piping 1.50 Each gas water heater or vent 1.50 Ufs- �Fire Dept. Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI , s RecdParcel ApEroval Pla s oval Lawn sprinkler system 2.00 NEW LBJ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @' FEE PERMIT FILING FEE $3.00 cOv Single Family ❑ Duplex ❑ Mobil Home ❑ Others 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 E! Iff S � Main service OVER soov 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMPP4` 1.00 NEW CONST * DWELING OR ADDNS. C ACCLBLDGS.0 V / 20 Sq ft O CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS &, NON.RESID. \SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTIIRES BAL@100 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 19 I am exempt from the Contractors License Laws of the State of Califomie. Permit Fee $ 0 $ ( WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. %I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTALPERMIT FEE $' authuti Le FePfeSefl tall VeS UT ine County of Butte to enter upon the above-mentioned property for inspection purposes. X &4&d&Zk &&"tDate Signature of Perrmit8,39:x e[[e or Age t Rereint Nn_ / OJO �/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee d. DIRECTOR F PU LIC WORKS By Date 1'0 - Z4-7e5p RI-i'ding permit expires Date / o-2-L%?g �r-''w>r�:�`';�}��ir:Y��`�?!1!`1�'��: t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. t 7 County Center Drive - Oroville, Cialifbrriia'95965 - Telephone: 916/538-7541 1 APPLICATION AND PERMIT I AS ESSOR PARCEL NUMBER - 61-49-15 ZONING jj 1 BUILDING PERMIT OWNER DENA TOMBAUGH TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 41 North Fork Rd., Berry Creek, CA 95916 A CONTRACTOR'S NAME Owner TELEPONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN I Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ,- Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. t ' Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS s Penalty $ BUILDING ADDRESS 39 North Fork Rd., Berry Creek Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 y. � Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAROL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeP Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W. 10.00e j TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [2 Installation❑ Describe work: Gas Ptning 'y —r J- Other'[] _ - N Permit Fee $ 2.5,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 f' 1 Main service eoov OR LESS 00 AMP OR LESS it, 10..00 Main servicerEA-ADD•L 100 -AMP 2.50 ' CONTRACTORS LICENSE LAW f (j I declare under penalty of perjury (check one): i t ❑ I am licensed under provisions of'Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ' Classification ) f [�, es the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intendedtor offered for sale. (Sec. 7044) ! ❑ I, as .the owner, am exclusively contracting with licensed contract-. ors. (Sec. 7044) _ 1 ❑ I ani exempt under Sec. Business and Professions Code for this reason NEW CONST: DWELLING oCCUP:g` OR AD DNS. ACC. BLDGS. f besq ft NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRCUITS) 2,50 ea POWER AP¢ARATUS IN SINGLE OUTLET CIR. ) L Ex. Occup( OUTLETS OR FIXTURES BAL@30 FIXED EX..00CUp. OUTLETS P(RESID )REA.) 2.00 '' Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed. on file with the County of'Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must'forthwith comply with such provisions or this permit shall be deemed revoked.- MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee,, $ Contractor I certify that I have read this application ana-itate that the above information, is correct. I agree to comply to all County Ordinances and'State Laws relating to building construction, and hereby authorize representatives of the Countyot' Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against. all liabilities, judgments, costs, and expenses which may in any way accrue against s id Count y in�consequeng of the granting of 'his permit. / 2 X a4' , �' 1` � le, �' " Signature of Applicant — Owner - oniract ? ' Agent El e An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile'Home Installation Fee $ , Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 25.00 HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees n DIS C OR OF 0 41C Y� P MIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate "2 /X4/ �+ r ILA Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS tr 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 ERlott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE vy► L,, CA OWNER t PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office /immediately. 0 11 Date .� U Inspector K, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califotnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. T:u9-90 ASSESSOR PARCEL NUMBER 61-49-15 ZONING U BUILDING PERMIT OWNER DENA TOMBAUGH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 41 North Fork Rd., Berry Creek CA 95916 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ 1Q,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 39 North Fork Rd., Berry Creek Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W10.00.2 TYPE OF WORK New F] Addition❑ Remodel❑ Utilities[ Installation❑ Other ❑ Describe work: (ac Piping _ MTN Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS .100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& N( AMULTI-OUTLET ) , 2/z0sgft NEW CONSTR. NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ourL OUTLETS OR FIXTURES 2ALP 30 .200030 qt FIXED AP Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department r a Certificate of Workmen's Compensation Insurance or a Certificate _91,gonsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id ount in�onsequen of the anting o his permit. X � �� � Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25.00 HAz CUA PARK SCHL ILD PAR PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIVR OF IC WORKS p� yAQ_ ate v P MIT EXPIRES Date Signature of Applicant — Owner ontract` Agent ❑ An OSHA permit is required for excavations over 5'0' deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. WNITE-D.P.W.. YELLOW -ASSESSOR! PINK -INSPECTOR, COLDENROD-APPLICANT N COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has' been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement {yes or no) 2. (have/have not) signed an app ication for a building permit for the proposed W9. 3. I have contracted with the following person (firm) to provide the proposed construction Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: /Prope Socia _.-Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.