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HomeMy WebLinkAbout061-520-0099 'moll Elmon Fisher -'�� —�,� .. Q S App. 1/3 mi. off E/S of Old Bloomer Mt. Rd. , Bkkt y� R -=W VFIOu II E Permit �� 09-76P,E(_ i1. ,MH)__--------_- _ ELEC . - e� S' q0 GAS SUPP RT STRUCTURE REQ, 4U1,0 COMPACTION TEST REQ. Permit #1097-7 I Issued -- NEW OWNER MA� OMB SIS pri dr, 3/10 mi E Bloomer Back Rd, app 22 mi NW Oro Quincy Rd, Berry Creek Permit#76-8 ,E(ne p/r�i. detached garage) j'not contr e. Permit #696-82B,EE(new�cabanaM l contr: Sierra Mobile SerV , Paradise Permit #766-82BLnew awing/,1rII^ — 1 P� 061-520-009 05-3062 GLASSGOW, GERALD & NANCI 181 LA SATA LN, BERRY CREEK Cont: OWNER ELEC SERV ^ �'� •%� J FGLASSGOW 520-009 06-0949 LA SATA LN, BERRY CREEK : LIFETIME EXTERIORS MH PERM FND (EX) 0 r�r c rRECCU•RDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0024532 Recorded 1 Official Records I County of I Butte I CFS ME J. GRUbBS I County Clerk-Recorderl I 1 02:50PM 12 -May -2" 1 REC FEE 10.00 LWORMED CORY 1.00 DD Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GERALD AND NANCI GLASSGOW REAL PROPERTY OWNEWLESSOR PO BOX 303 MAILING ADDRESS , BERRY CREEK BUTTE -CA 95916 CITY COUNTY STATE ZIP 181 LA SATA LN. INSTALLATION MAILING ADDRESS, IF DIFFERENT BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAI LING ADDRESS SAME . CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE SILVERCREST MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0949 (530) 538-7541 BUILDfN PE IT N0. TELEPHONE NUMBER 'c> SIGNATURE AL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1976 SILVERCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER WS 1526A/B 34'X 24' 248889/246840 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 061-520-009 I HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. I rl A.P.N.: 061-520-009-000 Grant Deed - continued File No.:0403-1994535 (KB) Date: 08/02/2005 BEGINNING AT A POINT ON THE CENTERLINE OF PONDEROSA WAY, SAID POINT LYING SOUTH 31 DEG. 01' 08" EAST, A DISTANCE OF 674.82 FEET FROM THE SOUTH QUARTER CORNER OF SECTION 30, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., AS PER THE R.O.S. RECORDED IN BOOK 33 OF MAPS, AT PAGE 67; THENCE FROM THE SAID POINT OF BEGINNING SOUTH 89 DEG. 54' 41" EAST, A DISTANCE OF 1172.62 FEET; THENCE NORTH 0 DEG. 40' 05" WEST, A DISTANCE OF 577.84 FEET; THENCE NORTH 50 DEG. 45' 06" EAST, A DISTANCE OF 503.39 FEET; THENCE ALONG A CURVE TO THE LEFT, HAVING A RADIUS OF 300.00 FEET, THROUGH A CENTRAL ANGLE OF 67 DEG. 22' 41" AN ARC DISTANCE OF 352.79 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 50 DEG. 4S' 06" EAST; THENCE NORTH 16 DEG. 37'3S- EAST, A DISTANCE OF 102.87 FEET; THENCE SOUTH 69 DEG. 04' S9" EAST, A DISTANCE OF 186.11 FEET; THENCE ALONG A CURVE TO THE LEFT, HAVING A RADIUS OF 100.00 FEET, THROUGH A CENTRAL ANGLE OF 32 DEG. 20' 16", AN ARC DISTANCE OF 56.44 FEET, SAID CURVE HAVING A TANGENT BEARING OF SOUTH 69 DEG. 04- S9- EAST; THENCE NORTH 78 DEG. 34' 45" EAST, A DISTANCE OF 29.92 FEET; THENCE ALONG A CURVE TO THE RIGHT, HAVING A RADIUS OF 200.00 FEET THROUGH A CENTRAL ANGLE OF 56 DEG. 02' 24" AN ARC DISTANCE OF 195.62 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 78 DEG. 34' 45" EAST; THENCE SOUTH 45 DEG. 22' Sl" EAST, A DISTANCE OF 54.86 FEET; THENCE NORTH 61 DEG. 52' 19" EAST, A DISTANCE OF 37.02 FEET; THENCE ALONG A CURVE TO THE RIGHT, HAVING A RADIUS OF 100.00 FEET, THROUGH A CENTRAL ANGLE OF 52 DEG. 57'30" AN ARC DISTANCE OF 92.43 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 61 DEG. 52'19- EAST; THENCE SOUTH 65 DEG. 10' 11" EAST, A DISTANCE OF 91.37 FEET; THENCE ALONG A CURVE TO THE LEFT HAVING A RADIUS OF 162.66 FEET, THROUGH A CENTRAL ANGLE OF 75 DEG. 34' 59" AN ARC DISTANCE OF 214.58 FEET, SAID CURVE HAVING A TANGENT BEARING OF SOUTH 65 DEG. 10' 11" EAST; THENCE NORTH 39 DEG. 14' 50" EAST, A DISTANCE OF 89.46 FEET; THENCE ALONG A CURVE TO THE LEFT HAVING A RADIUS OF 325 FEET THROUGH A CENTRAL ANGLE OF. 25 DEG. 43'45n AN ARC DISTANCE OF 145.94 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 39 DEG. 14' S0" EAST; THENCE NORTH 13 DEG. 31' 05" EAST, A DISTANCE OF 181.99 FEET; THENCE ALONG A CURVE TO THE RIGHT HAVING A RADIUS OF 375.00 FEET, THROUGH A CENTRAL ANGLE OF 35 DEG. 01' 30" AN ARC DISTANCE OF 229.24 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 13 DEG. 31'05w EAST; THENCE NORTH 48 DEG. 32'35" EAST, A DISTANCE OF 55.42 FEET; THENCE ALONG A CURVE TO THE LEFT, HAVING A RADIUS OF 300.00 FEET, THROUGH A CENTRAL ANGLE OF 14 DEG. 43'30" AN ARC DISTANCE HAVING A RADIUS OF 100.00 FEET, THROUGH _ A CENTRAL ANGLE OF 88 DEG. 09'38" AN ARC LENGTH OF 153.87 FEET, SAID CURVE HAVING A TANGENT BEARING"OF SOUTH 61 DEG. 54' 25" EAST; THENCE NORTH 26 DEG:15'" 13" EAST, A DISTANCE OF 200 FEET, MORE OR LESS, TO A POINT ON THE CENTERLINE OF BLOOMER MOUNTAIN ROAD; THENCE NORTHERLY AND NORTHWESTERLY ALONG THE EXISTING CENTERLINE OF BLOOMER MOUNTAIN ROAD TO THE POINT THAT SAID ROAD LEAVES SECTION 29. PARCEL IV: A RIGHT OF WAY OVER THAT PORTION OF THE SOUTH 60 FEET OF THE NORTH HALF OF THE NORTH HALF SOF THE NORTHWEST QUARTER OF SECTION 29, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., LYING EASTERLY OF THE OLD BLOOMER MOUNTAIN ROAD. PARCEL V: A RIGHT OF WAY OVER THAT PORTION OF THE OLD BLOOMER MOUNTAIN ROAD LYING WITHIN SECTION 29, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M. Pale 2 of 3 I -1 4 RECORDING REQUESTED BY: F ' AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 12 -May -2006 2006-0024532 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. GERALD AND NANCI GLASSGOW BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNERILESSOR PO BOX 303 MAILING ADDRESS BERRY CREEK BUTTE CA 95916 CITY. COUNTY STATE ZIP 181 LA SATA IN. OROVILLE BUTTE CA INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") DATE SAME MAILING ADDRESS CITY COUNTY • STATE ZIP UNIT DESCRIPTION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE SILVERCREST MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0949 (530) 538-7541 BUILDPE N0. TELEPHONE NUMBER AL SIGNATURE AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1976 SILVERCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER WS 1526A/B 34'X 24' 248889/246840 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNLVLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 061-520-009 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. FOUNDATION SYSTEM CERTIFICATE OF .00CUPANCY BUILDING PERMITS NUMBER: 06-0949 Address or location of unit: 181 LA SATA LN., BERRY CREEK CA 95916 Legal Description of Real Property: 061-520-009 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: GERALD AND NANCI GLASSGOW Owner's address: PO BOX 303 BERRY CREEK, CA 95916 INSIGNIA OR HUD NUMBER: 248889/246840 SERIAL NUMBER OR V.I.N.: WS1526A/B MANUFACTURER'S NAME: UNKNOWN YEAR: 1976 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C Z A.P.N.: 061-520-009-000 Grant Deed - continued File No.:0403-1994535 (KE) Date: 08/02/2005 BEGINNING AT A POINT ON THE CENTERLINE OF PONDEROSA WAY, SAID POINT LYING SOUTH 31 DEG. 01' 08" EAST, A DISTANCE OF 674.82 FEET FROM THE SOUTH QUARTER CORNER OF SECTION 30, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., AS PER THE R.O.S. RECORDED IN BOOK 33 OF MAPS, AT PAGE 67; THENCE FROM THE SAID POINT OF BEGINNING SOUTH 89 DEG. 54' 41" EAST, A DISTANCE OF 1172.62 FEET; THENCE NORTH 0 DEG. 40'05w WEST, A DISTANCE OF 577.84 FEET; THENCE NORTH 50 DEG. 45' 06" EAST, A DISTANCE OF 503.39 FEET; THENCE ALONG A CURVE TO THE LEFT, HAVING A RADIUS OF 300.00 FEET, THROUGH A CENTRAL ANGLE OF 67 DEG. 22' 41" AN ARC DISTANCE OF 352.79 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 50 DEG. 45' 06" EAST; .THENCE NORTH 16 DEG. 37'35- EAST, A DISTANCE OF 102.87 FEET; THENCE SOUTH 69 DEG. 04' 59" EAST, A DISTANCE OF 186.11 FEET; THENCE ALONG A CURVE TO THE LEFT, HAVING A RADIUS OF 100.00 FEET, THROUGH A CENTRAL ANGLE OF 32 DEG. 20' 16", AN ARC DISTANCE OF 56.44 FEET, SAID CURVE HAVING A TANGENT BEARING OF SOUTH 69 DEG. 04- 59- EAST; THENCE NORTH 78 DEG. 34' 45" EAST, A DISTANCE OF 29.92 FEET; THENCE ALONG A CURVE TO THE RIGHT, HAVING A RADIUS OF 200.00 FEET THROUGH A CENTRAL ANGLE OF 56 DEG. 02' 24" AN ARC DISTANCE OF 195.62 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 78 DEG. 34' 45" EAST; THENCE SOUTH 45 DEG. 22' 51" EAST, A DISTANCE OF 54.86 FEET; THENCE NORTH 61 DEG. S2' 19" EAST, A DISTANCE OF 37.02 FEET; THENCE ALONG A CURVE TO THE RIGHT, HAVING A RADIUS OF 100.00 FEET, THROUGH A CENTRAL ANGLE OF 52 DEG. 57'30" AN ARC DISTANCE OF 92.43 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 61 DEG. 52' 19" EAST; THENCE SOUTH 65 DEG. 10' 11" EAST, A DISTANCE OF 91.37 FEET; THENCE ALONG A CURVE TO THE LEFT HAVING A RADIUS OF 162.66 FEET, THROUGH A CENTRAL ANGLE OF 75 DEG. 34' 59" AN ARC DISTANCE OF 214.58 FEET, SAID CURVE HAVING A TANGENT BEARING OF SOUTH 65 DEG. 10' 11" EAST; THENCE NORTH 39 DEG. 14' S0" EAST, A DISTANCE OF 89.46 FEET; THENCE ALONG A CURVE TO THE LEFT HAVING A RADIUS OF 325 FEET THROUGH A CENTRAL ANGLE OF. 25 DEG. 43'45" AN ARC DISTANCE OF 145.94 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 39 DEG. 14' SO" EAST; THENCE NORTH 13 DEG. 31' 05" EAST, A DISTANCE OF 181.99 FEET; THENCE ALONG A CURVE TO THE RIGHT HAVING A RADIUS OF 375.00 FEET, THROUGH A CENTRAL ANGLE OF 35 DEG. Ol' 30" AN ARC DISTANCE OF 229.24 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 13 DEG. 31' 05" EAST; THENCE NORTH 48 DEG. 32' 35" EAST, A DISTANCE OF 55.42 FEET,' THENCE ALONG A CURVE TO THE LEFT, HAVING A RADIUS OF 300.00 FEET, THROUGH A CENTRAL ANGLE OF 14 DEG. 43' 30" AN ARC DISTANCE HAVING A RADIUS OF 100.00 FEET, THROUGH A CENTRAL ANGLE OF 88 DEG. 09'38n AN ARC LENGTH OF 153.87 FEET, SAID CURVE HAVING A TANGENT BEARING OF SOUTH 61 DEG. 54'25u EAST; THENCE NORTH 26 DEG. 1S' 13" EAST, A DISTANCE OF 200 FEET, MORE OR LESS, TO A POINT ON THE CENTERLINE OF BLOOMER MOUNTAIN ROAD; THENCE NORTHERLY AND NORTHWESTERLY ALONG THE EC STING CENTERLINE OF BLOOMER MOUNTAIN ROAD TO THE POINT THAT SAID ROAD LEAVES SECTION 29. PARCEL IV: A RIGHT OF WAY OVER THAT PORTION OF THE SOUTH 60 FEET OF THE NORTH HALF OF THE NORTH HALF,OF THE NORTHWEST QUARTER OF SECTION 29, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., LYING EASTERLY OF THE OLD BLOOMER MOUNTAIN ROAD. . PARCEL V: A RIGHT OF WAY OVER THAT PORTION OF THE OLD BLOOMER MOUNTAIN ROAD LYING WITHIN SECTION 29, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M. / "2od3 I STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ,.� CERTIFICATE OF TITLE ManufacturPri 14nmr . AY Y I =00=0 GERALD L GLASSGOW BERRY CREEK, CA 9591 -_ Y*#Ec U Registered GERALD L, NANCI GUI Joint Ten# BERRY„ EEK, CA ! Situsd ress 181 TA LN BERR�1, REEK, CA wo T OF IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 4115909 09262005- 483 ... v.,u, acv. LAAii YO Manufacturer ID/Name Trade Name SIWERCREST Model DOM 00/00/1976 DFS 11/11/1976 RY Exp. Date Serial Number WS1526A WS15268 Label/insignia Number 248889 246840 Weight Length 34' 34' Width 12' 12' SPC SCC 04 Exempt Use SFD Type LPT Issued Total Fees Paid Sep 26, 2005 $148.00 AY Y I =00=0 GERALD L GLASSGOW BERRY CREEK, CA 9591 -_ Y*#Ec U Registered GERALD L, NANCI GUI Joint Ten# BERRY„ EEK, CA ! Situsd ress 181 TA LN BERR�1, REEK, CA wo T OF IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 4115909 09262005- 483 RECORDING REQUESTED BY Mid Valley Title & Escrow Company ` AND WHEN RECORDED MAIL TO: GERALD L GLASSGOW and NANCI GLASSGOW 181 LaSata lane Berry Creek, CA 95916 A.P.N.: 061-520-009-000 2005-0049336 Recorded I RET FEE 13,0 Official Records I TAX 165.18 County of I am= d. efiRl= I County Clea-Reco►dwi I I IP 99:ABIM &6AR-?i106 I Page 1 of 3 N=w "b Una rbr Rrrmrd@v Um only File No.: 0403-199453S (KB) GRAFT DEED /W, 60 0 rI r KIC The Undersigned Grantor(s) Dedare(s): DOCUMENTARY TRANSFER TAX y 1 : CITY TRANSFER TAX $0.00, SURVEY MONUMENT FEE $ ( X ] computed an the oonstderation or U value of property carmW4 OR [ ] computed an the aonsideratlon or fu1 vahre less value of Nene aWar enaumtxances remaining at time of sale+ ( X ] urrncorporated area: [ ] CRY of t3rrnY Cmok. and . FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Christopher R. Manes and Tanya K. Manes, husband and wife as joint tenants hereby GRANTS to GERALD L GLASSGOW and NANCI GLASSGOW, husband and wife as joint tenants the following described property In the UNINCORPORATED AREA of Berry Creek, County of Butte, State Of California: PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON 3ULY 8, 1975, IN BOOK 53 OF MAPS, AT PAGE(S) 1 AND 2. A 60 FOOT NON-EXCLUSIVE EASEMENT OVER THE SOUTHERLY 60 FEET OF PARCELS 2 AND 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON 3ULY 8, 1975, IN BOOK 53 OF MAPS, AT PAGE(S)1 AND 2. PARCEL III: A 60 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES ALONG AN ,EXISTING ROADWAY. BEING A PORTION OF SECTIONS 29,30 AND 31, TOWNSHIP 21 NORTH, RANGE S EAST, M.D.B. A M., AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: rgcV�y' • w, +-520-009-000 A.P.N.: 061 Dated: as MI Christopher R. anes Grant Deed - Continued File No.:0403.1994535 (KB) Date: 08/02/2005 U' I Tanya K• nes } STATE OF )SS. COUNTY OF before personally On k n(s) whose me, Aft evidence) to be perso aPPea or roves to me on the bass of satlsfacfiory a that heJshe/they thesame the personalty known to me ( P s the instrument the Person(s) within Instrument and acknowled9 name(s) Is/are subscribed to the les and that his/her/their signature( ) In his/her/tlheii�fwhich the�pr'r`•A` n(S) aid, exewtLd the instrument - entity Po This area for oR9dal ao"I SW/ WrMESS my hand and official seal. My COMMISSion Expires: Notary Phone:....�y cr � � of Prindpal Place of Business: oma,�� Notary Name: 3 4 g00~i.__ County Notary Registration. Number - -- ----- --- _. - - -- - --- ---- - - -- --- — - - - -- - __.�_.__ OrRFt-CIAL 8EJ►L DEBORAH TORRIE_ :NOTA 0MMISON NO.MYCOMION EXPIRES OCT. U, 2005 page 3 of 3 MAR 16 2006 Date: the This is to certify tofficeth this a true purple seal of thisthe copy of the with office. County Clerk Re Cana nteClerk-Recorder . Grubbs Butte ou y Deputy By: 0 NOTES -- i Butte County Department of Development Services. murrf nREa 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vyww.buttecountynetidds `c°uNry APN: RESIDENTIAL Permit No. Owner. 061-520-009 05� 3062 f Site Address: GLASSGOW, GERALD & NANCI ; j 181 LA SATA LN, BERRY CREEK Contractor. I Cont-. OWNER i ELEC SERV Type of Perm 4 t 1 SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: CHECKED BY . BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO53062 24 HOUR INSPECTION #: (630) 638-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 638-7641 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/15/2005 APN: 061-520-009-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 181 LA SATA LN BCK Date: contractor: Map Index: I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ELECTRICAL SERVICE CHANGE Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: GLASSGOW, GERALD & NANCI to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PO BOX 303 7000) of Division 3 of the Business and Professions Code) or that he or BERRY CREEK, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95916 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 589-4148 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: GLASSGOW, GERALD & NANCI such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PO BOX 303 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of BERRY CREEK, CA sale.). 95916 ® I, as owner of the property, am exclusively contracting with (530) 589-4148 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 of lh Business and Pro Bions Code ��01, Date: - /� 6 Owner: 9.��`� ,-- 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 License #: Labor Code, for the performance of the work for which this permit Is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any mariner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those g vq r/\) provisions. Date: � l-7 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. - -- ^ - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu11 to do ork indicat d abo a for which fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) = I • _ Date: Name: By: (� - 15` C rA Address: PERMIT EXPIRES ON: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official forth or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned properly for inspection purposes. Print Name: C�Gli�G(rJ � �=TG.r�d'�' �O�*-� Signature: �� C!�••��/J . r - Date: XOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 = OK o = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn'Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub.Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test O° p1 0 0 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr SoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic mac` �c DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frpic Ties or Type A Flue-Frpic Throat Clrnc 72 Elec Trim & Subpnl, Breaker Sis & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insulin -Walls -Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 09P a 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑ CU or 1:1 AL 99 Fire Sprinkler 48 Range Circ ga ❑CU or DAL Oven Circ ya ❑ CU or ❑AL Insulated Neutral ❑Yes ❑ No e e 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector =OK o = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET I Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test -Crossovers -Breakers -CIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers°e DATE ID E C K S`C O V E R S -C A R P O R T S eG A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams-Rftrs-C nn ctrs -S hth g Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rfbrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls s`s` DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp wl5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide °ee °ee 0 Ise e Pool Drawing 1 Butte County Department of Development Services - s�T>c aacw E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vnvw-04ttecounty netii{s RES I DENTIAL APN: Permit No. Owner. x 061-520-009 06-0949 GLASSGOW — -- — Site Address: 1181 LA SATA LN, BERRY CREEK 1—MH C6nt'-LIFETIME-EXTERIORS F Contractor. �PERM FND (EX) j` Type of Pernit - 3 ;7 �4 t' I r' { D//2- SPECIAL /z SPECIAL CONDITIONS CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS O SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE y C ZL\ lsZ-(L 13- ISZ. L DATE JOB FINALED: SIGNATURE: �� = OK Not OK _ RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning Setbacks -Easements -Flood -Slope S3 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg (Plain; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Fig Garage; Soils-Steel-Elec Grnd Ftg Opth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth ' 56 Shwr Pan-. Test First flr-Tub Acc. 1 5 Stemwalls Main; Steel-Blockouts Wrapped 57 Test Tub & Shwr, 2nd fir - Tub•Acc 6 Stemwalts Garage; Steel-Blockouts-Wrapped 58 Gas Pipe- Sz & Anchrs 1 63 Hold Downs and Special Anchrs 59 Fire Sprinkler-, Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1-t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE MECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insulin & Support 14 Girders-Sills-Anchr Bolts Joists-Vnts-Crippies 62 Vent Fan, Exhaust abv Insulin 15 Acc &.Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16,Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 0.4* 0��c r `mac DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Wafts over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage- abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFl & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFl Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Cimc 72 Elec True & Subpnl, Breaker S7s & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cirnc 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm4 ise-Run-Landing-Fre Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir' 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass Prtctn-SkyLts-Pias tic 81 Plmb; Elec & Mech Eqp Listed for Lottn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insults -Walls -Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration -Walls Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Dmge Planters DYes FIN. s`S °�• m °�• o� 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb DATE JELECTRICAL 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd . 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctss 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga 0 C or DAL 98 Address Posted _ AC Wire Sz ga DCU or DAL 99 Fire Sprinkler 48 Range Circ ga DCU or DAL 'Oven Circ ga D CU or D AL InsWated Neutral DYes DNo ar 0�: or m 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector . =OK o = Not OK MANUFACTURED HOMES r DATE " PERMANENT FOUNDATION " SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUC/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-DIrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -/0 to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers 2yLocl0. MISCELLANEOUS DECKS'C0VERS'CARP0RTS `GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-OpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-DuardlHandrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carpqrts; Wndws-Doors 7 Electric 8 Frmg; Sills=Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -landings 12 Braced Wall pnls 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Dnnctns-Thickness Dead Men -Lining 4 Elec RcptclslLting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-EnclsrsTrilboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide r s' dr o' o` Pool Drawing BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT *NO. BP060949 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 04/27/2006 APN: 061-520-009-000 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. 7 License Class : C4� License Number: 86S Site Address: 181 LA SATA LN BCK Date: `T ,1 `2 -t� Contractor: L-tF g,r, ,� Map Index: Description: EX MH EX SITE PERM FNDN (816) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code:Any city or county which requires a Owner: GLASSGOW, GERALD AND NANCI permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of PO BOX 303 the Contractor's State License Law (Chapter 9 commencing with Section BERRY CREEK, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95916 violation of Section 7031.5 by any applicant for a permit subjects the 530-589-4148 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: LIFETIME EXTERIORS owner of property who builds or' improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 80 GALAXY AVENUE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of 530-228-3421 sale.). ❑ I, as owned of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: LIFETIME EXTERIORS and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 80 GALAXY AVENUE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 Date: Owner: 530-228-3421 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 746808 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: --- 2 I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' '-� compensation provisions of Section 3700 of the Labor Code, I shall •) �IJJ forthwithi� comply with those provisions. D J7 I /yy� lJ Date: �i1 ` ` '50ilJ _T Applicant: -re q-25- 0 WARNING: (r.1 to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resiolplorls to do work ind'called a ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) J BY Date: Name:— PERMIT EXPIRES ON: Address: Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I'have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo es. Print Name: �6�G�- ���Signature: I Date: ❑ Owner 0-C-o-ritractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND- SUBMITTAL REQUIREMENTS. 24 HOUR INSPECTIONII: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE 9: (530) 538-7541 A FEE I-VILL BE REQUIRED AT TIME OFAPPLICATION ` Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY' CONTRACTOR OWNER INFORMATION Last Nam LAISIS Gd(� irs�N�am: � AddressQ9 1 Q 13v City Fax Stated Phre Fax' E-mail a CONTRACTOR Name �-t Name Address 6t � G�nt-.� v� • Cityut LkE State_ Zip Phone D 5 � _ �� Fax 5 Lic. # Class �7 APPLICANT SIGNATURE X For o ice use only: ARCHITECT/ENGINEER Name Flood Zone Address g� City No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For o ice use only: APPLICANT INFORMATION Name Flood Zone Address g� City Op�e(!(LLQ No StateC� Zpfs Z Phone Book Fax E-mail Planner APPLICANT SIGNATURE X For o ice use only: Zoning AP# &/, — Flood Zone Property Address Ist SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. L�p o�T./ BP BIN # Description or Scope of Work: _T,,U 57 AL 0,,AJjL-"'r do ircrN 5TH /TSS Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. Amount: tp)- [ () Bldg SRA Receipt #/� :, � Sheriff 44� 6SMIP Date: Other v I " Total 4__ Done 1 of 7 RFV R -17-n5 PROJECT LOCATION AP# &/, — — Property Address Ist LA 54_11A_ LAI. City 0,kt Cross Street 3c 10- Pd. WORKER'S COMPENSAT40N Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: _T,,U 57 AL 0,,AJjL-"'r do ircrN 5TH /TSS Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. Amount: tp)- [ () Bldg SRA Receipt #/� :, � Sheriff 44� 6SMIP Date: Other v I " Total 4__ Done 1 of 7 RFV R -17-n5 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl- ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioners office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractors license information. (Number, Name Style, Classification). ❑ 7. Workers Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. . If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSW1LDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE; DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: VYY ASSESSOR PARCEL NUMBER l C Proposed Building.Use: : (IJ1C �)q�@., p,Q�(�n Permit Technician: Date: I;ems required in order to apply for a. permit. All box s MUST be chec -ed OR marked NA in order apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, Q Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required..............................::........................................ . ❑ 19: Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. 0 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits.. ­­­* ........ ­*­ .... ­­­ ... ; ................ ❑ 34. Deed Restriction.......................................................................................... 11, 35.1 Legal description -l` M.H_Title, title search, registration or MCO ......................... ❑ 36. -Fther: ❑ 37. Other: When issued Telephone M`8' __� `ra I and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. ( / Applicant: - I \%1 l� U P Date: `I" lication f 1. Index permit application the above items numbered: Plan Check Letter 2. Additional items required �r, designer, owner, was advised of the above data by phone, ❑ mail, C3 counter, by K6 + U4 . Date: Cori rac or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ co r, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Concrete System Engineer Approval State Approval UW1UFACTURED HOME/MOIIILE HOME FOUNDATION SYSTEM t1 "TH AND SAFETY CODE. SECTION 15331 APPROVED -- - - - 8V9=T7OCORRECTIONSw0TED--- - -- AMOVAL DOLS NOT AUTHOR= OR APPROVE ANY SUMONS OIL DIMATION FROM REQUIREMENTS OF APPLICAMN STATE LAWS AND REGULATIONS ftft of Catifomis D'4@dN§ft Old mW Cammaaft DaMopnwd /-, Qi CWU AND STA1 VM= . , BUTTE COUNTY Vheaton Drive • Atlanta GA, 30336 TIE 17. r1O -Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems �- HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95 minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. •— Maximum pier -height -is 48" pier. *Except for_single..sections..36°'.__— • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (2(r - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. ®*1L,� * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to we OL ng sh P alrha4a � resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating.... Page 2 of 8 0 0 Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) 8. Attach tlerend of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) J -Bolt Nut & Washer 1-3/4" tube QS Lateral Struts Strut (flag end) H = .M_ 1-1/2" Tube •4-#12x1" Tek Screws 1 -Beam 1 Figure 2 U -Bok & mountings • Figure 1 Bracket rn d of Nome Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided, Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. &,—T51/Y-2- Ct%tw�' DOWN ENGINEERING m 0 s 0 Xi2 Ground Parts -Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 21 -beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems" 63' - 80' 4 Xi2 Systems •2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80'' ! p5 Xi2 Systems , J ll`f. i tr����� Page 4 of 8 Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the.'home using the chart provided. .: f 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"k 3" deep holes in the concrete using holes in galvanized bracket as., a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchorsR provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, y _tighten__wedge/anchor bolt securing bracket to the concrete. d 5.' Attach the .end of the smaller tube to the bracket mountdd-6h the pad; using the— .grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the « J„bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1” tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end,:tar`�at. = nrrp te brac I. 10. Pull the frame bracket clamp with fastened strut outward to remove any slac r �'r/a5 cI 11. Tighten all nuts and bolts on system.5 Page 5 of 8 r fE DOWN ENGINEERING • Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length . Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & Washer' Figure 1 Beam Clamp ..� Bracket J -Bolt Lone Xi2 Installation Placement •Beam Longitudinal Strut Y Xi2 Concrete %8 FnQ °f I 0 0 ; q_t ®: o a o •m Concrete Longitudinal Hardware Kit 0 0� IN Clip A-k- I1Y-2. lllil���. Page 6 of 8 m 0 Li 0 I I p 0 Offset Placement Diagram_ s represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems" 63' - 80' 4 Xi2 Systems •2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 0 �i 0 11 o 0 Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 59272-2 Beam Clamp Top Flange Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 10646Y Hex Nut 1/2-13 Grade 5 zinc Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 10801 Grade 5 zinc 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange - -- --4---10926-- 59272-1 --Carriage Bolt -1/2-12- x-1.-1/4----- -1-1/4-----full 2- 59272-2-- fullthread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631 Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 10530 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 59272-1 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2- 59272-2-- Beam Clamp Top -Flange-- - - - - - .- 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc M3:B> «Y_z. Page 8 of 8 0 0 0 0 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs). is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o 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 under state law, contact the Department of Benefit 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 their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing 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 required 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 in your community or at 1020 N Street; Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, A)6zg�te� Scott Rutherford ' Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary. delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [ ] NO X]. 2. I HAVE [>e] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: 7GlvY 4 r<izaek ADDRESS: fi'Ea �3Lr/�F _ ex PHONE: - CONTRACTOR'S 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: NAME: ADDRESS: .PHONE: CONTRACTOR'S LICENSE NO: I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: // .5 -- NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 SUBMITTAL & PERMIT REQUIREMENTS . The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of,these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ' ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. -❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ ~ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued,' and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs.are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\131dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR NSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name C Z -A f 6 4/ 44J-7 First -Name E e Address' v /��X- 3 6-13 City /3R7 �� State City PhoneS'- 9-4°�y Fax E-mail APPLICANT INFORMATION CONTRACTOR Name --r a'y City Address Zip City Fax State Zip Phone Sql- gr - 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 Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X '4'/z z For office use only: Zoning Property Address / 4d T Flood Zone Cross Street fav SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgADPISubRgmts.doc PERMIT NO. BP : BIN # PROJECT LOCATION Property Address / 4d T City HiQ C,tE_7< Cross Street fav WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be Page 1 of 2 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. 00 Received by:.�,6, Amount: Bldg 1, SRA �� Receipt #: 05�� Sheriff SMIP Date: R—I S-QCj V Other Total REV 8-12-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO53062 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/15/2005 APN: 061-520-009-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 181 LA SATA LN BCK Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt. from the Description: ELECTRICAL SERVICE CHANGE Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: GLASSGOW, GERALD & NANCI to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PO BOX 303 7000) of Division 3 of the Business and Professions Code) or that he or BERRY CREEK, CA, she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95916 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 589-4148 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: GLASSGOW, GERALD &NANCI such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PO BOX 303 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of BERRY CREEK, CA sale.). 95916 ® 1, as owner of the property, am exclusively contracting with (530) 589-4148 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ lam Exempt under Article 3 of lh Business and Pro sions Code Date:r — Q Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, 1 shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those rv,) provisions. Date: rr Applicant: r WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. _ CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolut' to do ork indical d abo a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) _ By: Date: Name: yy �` PERMIT EXPIRES ON: 1 1 _ 15— of A Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O, Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter .er upon the above mentioned property for inspection purposes Print Name: (79 944 f9 A/ Q,41'1 6Ow Signature: �. Date: ,Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 i i� RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: GERALD L GLASSGOW and NANa GLASSGOW 181 LaSata Lane "Creek, CA 95916 4)2ole- A.P.N.: 061-520-009-000 2005-0049336 Retarded I REC FEE 13.08 .. OfficciiaalltReccords i TAX 165.88 of Butte I CAt M J. GRM I County Clerk-Recarderi 1 89:88Rl1 m Rug -2086 I Page 1 of 3 11111111111111111111 11111111111111 Above This Lino fbr Recorder's Use Only File No.: 0403-1994535 (KB) GRAFT DEED /W'00 of frr xx The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX S 1 : CUTY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ ( X computed on ft consideration or full value of property conveyed, OR j computed on the consideration or full value less value of liens andVor encumbrances remaining at time of sale, X unincorporated area; [) City of Berry Creek, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Christopher R. Manes and Tanya K. Manes, husband and wife as joint tenants hereby GRANTS to GERALD L. GLASSGOW and NANCI GLASSGOW, husband and wife as joint tenants the following described property In the UNINCORPORATED AREA of Berry Creek, County of Butte, State of California: PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON 3ULY 8, 1975, IN BOOK 53 OF MAPS, AT PAGE(S) 1 AND 2. PARCEL II: A 60 FOOT NON-EXCLUSIVE EASEMENT OVER THE SOUTHERLY 60 FEET OF PARCELS 2 AND 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON 3ULY 8, 1975, IN BOOK 53 OF MAPS, AT PAGE(S) 1 AND 2. PARCEL III: A 60 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES ALONG AN EXISTING ROADWAY. BEING A PORTION OF SECTIONS 29,30 AND 31, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: Mail Tax Statements To: SAME AS ABOVE 3 A.P.N.: 061-520-009-000 Grant Deed - continued File No.:0403-1994535 (KB) Date: 08/02/2005 BEGINNING AT A POINT ON THE CENTERLINE OF PONDEROSA WAY, SAID POINT LYING SOUTH 31 DEG. 01'08- EAST, A DISTANCE OF 674.82 FEET FROM THE SOUTH QUARTER CORNER OF SECTION 30, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., AS PER THE R.O.S. RECORDED IN BOOK 33 OF MAPS, AT PAGE 67; THENCE FROM THE SAID POINT OF BEGINNING SOUTH 89 DEG. 54' 41" EAST, A DISTANCE OF 1172.62 FEET; THENCE NORTH 0 DEG. 40' 05" WEST, A DISTANCE OF 577.84 FEET; THENCE NORTH 50 DEG. 45'06- EAST, A DISTANCE OF 503.39 FEET; THENCE ALONG A CURVE TO THE LEFT, HAVING A RADIUS OF 300.00 FEET, THROUGH A CENTRAL ANGLE OF 67 DEG. 22' 41" AN ARC DISTANCE OF 352.79 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 50 DEG. 45' 06" EAST; THENCE NORTH 16 DEG. 37'35" EAST, A DISTANCE OF 102.87 FEET; THENCE SOUTH 69 DEG. 04' 59" EAST, A DISTANCE OF 186.11 FEET; THENCE ALONG A CURVE TO THE LEFT, HAVING A RADIUS OF 100.00 FEET, THROUGH A CENTRAL ANGLE OF 32 DEG. 20' 16", AN ARC DISTANCE OF 56.44 FEET, SAID CURVE HAVING A TANGENT BEARING OF SOUTH 69 DEG. 04' 59" EAST; THENCE NORTH 78 DEG. 34'45- EAST, A DISTANCE OF 29.92 FEET; THENCE ALONG A CURVE TO THE RIGHT, HAVING A RADIUS OF 200.00 FEET THROUGH A CENTRAL ANGLE OF 56 DEG. 02' 24" AN ARC DISTANCE OF 195.62 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 78 DEG. 34' 45" EAST; THENCE SOUTH 45 DEG. 22' 51" EAST, A DISTANCE OF 54.86 FEET; THENCE NORTH 61 DEG. 52' 19" EAST, A DISTANCE OF 37.02 FEET; THENCE ALONG A CURVE TO THE RIGHT, HAVING A RADIUS OF 100.00 FEET, THROUGH A CENTRAL ANGLE OF 52 DEG. 57'30n AN ARC DISTANCE OF 92.43 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 61 DEG. 52'19" EAST; THENCE SOUTH 65 DEG. 10' 11- EAST, A DISTANCE OF 91.37 FEET, THENCE ALONG A CURVE TO THE LEFT HAVING A RADIUS OF 162.66 FEET, THROUGH A CENTRAL ANGLE OF 75 DEG. 34' 59" AN ARC DISTANCE OF 214.58 FEET, SAID CURVE HAVING A TANGENT BEARING OF SOUTH 65 DEG. 10' 11- EAST; THENCE NORTH 39 DEG. 14' SO" EAST, A DISTANCE OF 89.46 FEET, THENCE ALONG A CURVE TO THE LEFT HAVING A RADIUS OF 325 FEET THROUGH A CENTRAL ANGLE OF 25 DEG. 43'45n AN ARC DISTANCE OF 145.94 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 39 DEG. 14' SO" EAST; THENCE NORTH 13 DEG. 31' 05" EAST, A DISTANCE OF 181.99 FEET; THENCE ALONG A CURVE TO THE RIGHT HAVING A RADIUS OF 375.00 FEET, THROUGH A CENTRAL ANGLE OF 35 DEG. 01' 30" AN ARC DISTANCE OF 229.24 FEET, SAID CURVE HAVING A TANGENT BEARING OF NORTH 13 DEG. 31' 05" EAST,' THENCE NORTH 48 DEG. 32'35' EAST, A DISTANCE OF 55.42 FEET; THENCE ALONG A CURVE TO THE LEFT, HAVING A RADIUS OF 300.00 FEET, THROUGH A CENTRAL ANGLE OF 14 DEG. 43'30" AN ARC DISTANCE HAVING A RADIUS OF 100.00 FEET, THROUGH A CENTRAL ANGLE OF 88 DEG. 09' 38" AN ARC LENGTH OF 153.87 FEET, SAID CURVE HAVING A TANGENT BEARING OF SOUTH 61 DEG. 54' 25" EAST; THENCE NORTH 26 DEG. 15' 13" EAST, A DISTANCE OF 200 FEET, MORE OR LESS, TO A POINT ON THE CENTERLINE OF BLOOMER MOUNTAIN ROAD; THENCE NORTHERLY AND NORTHWESTERLY ALONG THE EXISTING CENTERLINE OF BLOOMER MOUNTAIN ROAD TO THE POINT THAT SAID ROAD LEAVES SECTION 29. PARCEL IV: A RIGHT OF WAY OVER THAT PORTION OF THE SOUTH 60 FEET OF THE NORTH HALF OF THE NORTH HALF OF THE NORTHWEST QUARTER OF SECTION 29, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., LYING EASTERLY OF THE OLD BLOOMER MOUNTAIN ROAD. PARCEL V: A RIGHT OF WAY OVER THAT PORTION OF THE OLD BLOOMER MOUNTAIN ROAD LYING WITHIN SECTION 29, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M. Page 2 of 3 A.P.N.: 061-520-009-000 Grant Deed - continued File No.:0403-1994535 (KB) Date: 08/02/2005 Dated: 08102/2005 Christopher R. Manes Tanya K. 61anes STATE OF �� } ) ss. COUNTY OF �. } On k ' ^ before me, r ` ja personally appeared _ ani personally known to me (or proved bo me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(les) and that his/her/their slgnature(s) on the Instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. ' sign J, My Commission Expires: Gad- I `i, .200 Notary Name: _t Aoraik lorr; Notary Registration Number: 3 4 700"1 Th/s area for of tial notana/seal Notary Phone: / - ? 7 - 6ff County of Principal Place of Business:e►. cel DEBORAH ORRIE NOTARY PUBLIC - OREGON MY COMMiSS ON E pIROESNOCO,'34gpp2005 1 Page 3 of 3 r \ I • PERMIT NO. 335-82B �f J �J PERMIT EXPIRES 02 40 OWNER Max Newcomb CONTR. Harrell Wilson, Oroville ASSESSOR PARCEL 62-07-393 LOCATION S/S pri.dr.,app.3/10 mi.E.of Bloomer Back Rd., app.2'k mi.NW of Oro Quincy Rd., Berry Creek t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) i• Signature J = OK 0 = Not OK _ - Not Applicable MOBILEROMES MISCELLANEOUS = Not Ready _. Date MOBILEHOME UTILITIES (Plans) OK except q's Date LEC KS COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Zonin Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete JZY4 7"-3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5.'1VMM--AWh.; Columns—Connections—Splice=Decal—Enclosures . 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6r-Gerperts; Windows—Doors 7. Utility Clearance Card -BI Date Card -BI Date Card -Be ate Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except it's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4• Elec.; Receptacles and Lighting: Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s _Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer _ 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size - _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive [:]Yes F) No; Walks E] Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Date Card -BI Date MECHANICAL (Perrr,it) OK except H's 82. 83. Glass Protection Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _-_ 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date --- Card -BI _ Date _-_ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date _ FRAMING(Plans) OK except #'s 36. _Si IIs; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) Comments at Final: 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purii -Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) OROVILLE; CALIFORNIA GENERAL CLAIM CLAIMANT: narreiL wiison I 7;4 ADDRESS: 1126 Montgomery Street at1jJ�' • - Oroville CA 95965 !viV 1;; CITY &STATE: � IMPORTANT: March 9, .1982 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE.SI.DE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT 3/9/82 Contractor not going to build deck (Building Permit #335 -82B -- Receipt - a e -- 62-07-393) Building Permit Fee Paid ------------------ $54.25 Retain Plan Checking Fee ------- $14..25 Retain Filing Fee-------------- $10.00 Amount Retained ----------------- .. REFUND DUE -------------------------------- $29.50 $29 50 TOTAL $29150 I, the undersigned, declare under penalty of perjury that the services or articles claimed hav ee perfo ed or el' eyed, and that this claim is true and correct as stated. Dated this 7!�' de of ///�/j/� 19 at ('�J,�tV J Calif. .............:C................... y ...1..:.tl/1�,`. ..t...... .1.�. .\./.I..Y.....LlIGJ .... ....................... y1 _ ignature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles, specified abo ve been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval 0 (Check o the some. Dated this.......... ................. day of N!kr..C'.h.......... 19A$,2,, at Oroy,;rlle_,,, Ce Department Head or Authorized Deputy Dept. Exp. �J �• 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. INSTRUCTIONS to 'CLAIMANTS All claims against the county must. be itemized, giving dates and character of service rendered. -or. work 'pe'rformed;' '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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS, PERMIT NO. 7 County Center Drive - Oroville Califorh_ia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT r� ASSESSOR PARCEL NUMBER 4L ZONING BUILDING PERMIT OWNER. MAY A;Ck)�n ,� 6 TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - 1,41E JC— S,.._.I— 4— - 1 5;t)A LEONE/r/ 33 P.✓ W , r CONTRACTOR'S MAILING ADDRESS _ 117& /Lr1'0A)_r4;0"E4 / �}f217v/LZ C;, Fireplace CONSTRUCTION LENDER r UNKNOWN Total Valuation $ .,CXi• Q f3 Filing Fee $ 10.00 LENDER'S MAILING ADDRE4tellIVI-,, SS Permit Fee $ 9!f'1 0 �• ARCHITECT OR ENGINE ,�^']�" .9�JER'S' , LTAIN LICENSE NO. Plan Checking Fee $ A/ 75— Penalty Permit fee $ $ ,5 y. 2.5 ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS �0 tit�r/�/� �S P�''. /4f �s PLUMBING PERMIT Filing Fee 10.00 Okf- Each Trap 2.00 Repair drainage or vent piping 5.00 F Water piping LOT NO. Lf SUBDIVISION NAME 1 PARCEL MAP eS3^G / Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑LJ-"Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition 0,- 1Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: �/�zc-grr) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.E11 OR ADDNS. ACC. BLDGS. / 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ©—I am licensed under provisions of Chapt. 9, Div. 3 of the Businesss0 and Professions Code and my license is in full orce and effect. License No:'��►.S�i7.`a �% Classification «/ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale: (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) k t ❑ I am exempt under S'ec. , Business and Professions Code for this reason NEW CONSTR TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS e NON.RESID. (SINGLE OUTLET CIR. @ 2sm Ex. OCCup( S OR FIXTURES BAL@1 OFIXED PR Ex. Occup.(UTLETS (RESID )EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. awl have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities,,. judgments, costs, and expenses which may in any way accrue against said County in" consequence of the granting of this permit. X �/ �Date 2.—!1� � � Signature of Applicant — Owner ❑ Contractor "s Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST, ~ PARCEL PD I HD,1 Y 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. DIRECTOR OF PUBLIC WORKS ' By 7.7 --^— Date y PEPIT EXPIRES Date J Receipt No. 89 WHITE-D.P.W., YELLOW -ASST SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,i 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 permit number// % 7 for the following location: 41)-.I) -P.;' to f Owner — r. n_ /— / lam%/z-•�' �J Owner's Address N1 Mobilehome Mfg. S %�JG/T'�-G S Model 5� Z Year Insignia No. ?A h'R9^2-1169¢0 Serial No. A It is hereby certified for occupancy at the above described location and may be occupied. "^_ Director of Public Works Date P- 2 7- 7L By l THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED GO +uti1.,MH 1096-76P,E .� PERMIT NO. .. PERMIT EXPIRES OWNER Elmon Fisher CONTR. owner LOCATION (A.P. 62-07-393 App. 1/3 mi. off E/S of Old Bloomer Mr.Rd. • r r i 1 { r _ e t r. i • j ' Temp. Po r Pole Calle PG&E { Temp. lec. Serv._ — P i C led PG&E Z %- Te Gas Serv. Called PG&E /� h/ OB Q INALED !�. 34 7� 8 -2- 7-74. (Date) (Sig ature) s MOBILEHOME INSTALLATION. INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No , 2. 'Does' the mobilehome have required clearances above ground? (Sec. 5085) YesNo 3. Are footings and supports properly sized, spaced, and braced asp approved plans? (Note possible variation at spring shackles,) '(Sec, 5082 & 5083) Yes 11 No 4. Is the mobilehome level? (Sec. 5088) Yes 4_�No 5. I,f more .than a single unit, are crossover connections properly installed? (Sec. 5088) Yesr,-�No 6. Water A. Is flexible connector of adequate size and properly installed (.1/2"' ID min.)? (Sec. 5566) Yes --;to B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yeso C. Backflow - If coach is not State of Californiaproved, 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 0, --No B. Does it have minimum 4" per foot slope and is it properly supported? Yes�-No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No 1— D.- If coach is not State of California approved, does station have required trap and vent? Yes No D 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobileho a connector not more than 6 ft. long? Note: 'A piping is to be at least as large as t mobilehome gas line iiilet without reduc ns other than the mobilehome connector. s No B. Test OK aser llowin P g procedure. Yes o 1. Open all apple nce connector valve . 2., Shut off applianc burner a pilot valves. 3. Air test with manome to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 o calf ated in tenth pound increments. Test for -10 min.,without drop. - . . .1 4. Connect, as meter to mobilehome ith connector, turn on gas, test connections with soapy water. ` C. Are all appliance vents properly installe Yes t No a a'j ,, t 109' 7 7 C- 9. Electrical L -O cy & • 7 6 - A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on, lot, J.e., water pumps, garage, cabana, etc.? Yes VNo B. Is there proper clearances around panels? Yes & No C. Is power supply cord or feeder assembly properly fused? Yes �o_ D. Is continuity test satisfactory as per the following procedure? Yes 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. 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. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other lead to each rti.obilehortie supply conductor, including neutral. 5. All non-current, carrying metal parts, of the mobilehome (aluminum siding, gas line, water line), including fixtures.and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. 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 test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved fol- energizing. t 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. , MOBILEHOME DATA Manufacturer and/or Namestyle Length �4 Width�_� Vehicle Serial No.,4 /,y'2 6- State Identification No. 24gg' - 2-468 46 1 Additional.Informati.on or Comments: pe -a 100--re14 8 3 f v 7-46640 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD • BUILDING BUILDING•(Cont'd) PLUMBING Setback — d % Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping3� Piers Roofing Sewer 6, Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. StemwaII Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footin s structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough — 361_ 74 Reinf. Steel Final Fixtures FIRE SPRI Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPAT,,�T OF PUBLIC WORKS 7 County Center Drive OrCalifornia 95965 Telephone= 534-4541 / APPLICATION AND PERMIT .7h Signature of Permitee or Agent Receipt No. -N, •'y: White-D.P.W. – yellow -Asses or – Pink -Inspector – Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR 0 P BLIC WORKS BY Date '�� `, ilding permit expires Date �-'�'— j 7 BUILDING Owner � SQ. FT. OCC. BUILDING VALUATION ' Mailing Address ILI, �,61iV Z® Telephone No. Fireplace Contractor r Total Valuation Mailing Address 41 f /�� Permit Fee Plan Checking Fee&/or Penalty ;/-� elephone No. Permit Fee $ Building Address A PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,-. Each Trap 1.50 Repair drainage or vent piping 1,50 � Water piping 10 is 0. Each gas water heater or vent 1.50 rA. P. No. A -.0 7 — F3 f4bioni a 'n Gas piping system 1 - 5 outlets-�(J.Q Each additional outlet .30 Sa ion EQA Parking Declaration Fire Dept. Fire//Zone Use Permit Building sewer Q .�j0 PXJ1 VaP 60' R/W Improvements Lawn sprinkler system 2.00 / g. Plans Recd Parc Approval Pla Approval Permit Fee $ —� $ NEW ADDITIONELECTRICAL ❑ UTILITIES OTHER ❑ No. @ FEE PERMIT FILING FEE J$3.00 3,0(D Main service 1000 AMP OR1 OR LESS5.00 , Main service EA. ADD•L 100 AMP 2.50 (�,- Single Family Duplex ❑ Mobil Home r Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR ACDNS. ( DWEACC. BLDGS.CCUP. &) 2¢Sgft NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea - NEW CONSTPOWER APPARATUS & NON- R- RESID. (SINGLE OUT ET 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: / • %/� _ JV/��� Gd U IF Ex. Occup(OUTLETS OR FIXTURES) BAL@1 04 FIXED Ex. Occup. (OUTLETS P(RESID.)ALNS.REA) 2.00 Temporary service 10.00 1 �� �E�����n/ ���/y��l7r / �• o Mobile Home Facilities 15.00 S tC7O !, '• License No V v a_ Classification �%� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 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. rsoI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00Heating 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 fnr incnantinn nii-no TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of .7h Signature of Permitee or Agent Receipt No. -N, •'y: White-D.P.W. – yellow -Asses or – Pink -Inspector – Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR 0 P BLIC WORKS BY Date '�� `, ilding permit expires Date �-'�'— j 7 tJ �ORNs Aly /GJ,q COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS- PERMIT NO. 7 County Center Drive - Oroville, AIifon is 95965 Telephone 916/53 541 APPLICAT'1011 AND PERMIT ASPS^nRWARCEL NUMBER 762-0 7 ,393 ZONING up BUILDING PERMIT OWNER TELEPHONE SO, FT. OCC. BUILDING VALUATION oo✓�'O� OWNER'S MAILING ADDRESS ACCOW AMEN/Lso GDN5T LEP 33 CONTRACTOR'S MAILING ADDRESS _ A4oAJT Q/t-i -20— -3/ • Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ d o Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 9Z-50 ARCHITECT OR ENG17EJ ENSE No. Plan Checking Fee $,7-5 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ - 2,5— BU ING ADDR SS 3 �-- &,C s s PR_ - Pe. �9-PP. /o M i PLUMBING PERMIT Filing Fee 10.00 (� �2 M� /��ie ulk Each Trap 2.00 Repair drainage or vent piping 5.00 % Water piping LOT NO. SUBDIVISION NAME PARCEL MAP 14z$3 -Z7 Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USEOUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition lPX Remodeellr❑ Utilities❑, Installation❑ Other F1 Describe work:�Q1�LL%�`�i ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main seryice 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP,N) OR ADDNS. \ ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [S�-1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full orce and effect. � >._ License No. 5,i,55 ! Classification `❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR "OU LE2,50 ea NO N.RESID BRA CH CIRCT ITS NEW CONSTR. ( POWER APPARATUS eI NON-RESID', (SINGLE OUTLET CIR. 50@250 Ex. Occup(OUTLETS OR FIXTURES BAL@1 00 FIXED APPLNS, OR Ex. Occup. TLE(RES ID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �l have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities jujyts, c ts, and expenses which may in any way accrue against d ounppns q ce of the granting of this permit. ` O// X Date '" Z Signature of Applicant - Owner ❑ Contractor ��gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ` J- L� OCCu P. GROUP I TYPE OF CONST. PARCEL I PD HD SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which BY DIREC R OF PUBLIC PE �IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date.2—/L-,? zr Receipt No. S-6 8 9 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Ili COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE c o� BUILDING OR PROPERTY ADDRESS 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. i t i !tea_ 2 c /A./!u / NC '�t�� t-�n,;RC> Iroot.. "V�cI— in /� 1511 �-' Inspector t ,DateZ— (D i PERMIT NO. 76-82B,E 1 � PERMIT EXPIRES _ x' OWNER NAX NEWCOMB CONTR. owner ASSESSOR PARCEL 62-07-393 LOCATION S/S pri dr, app 3/10 mi E Bloomer — Back Rd, 23; mi NW Oro Quincy Rd, Berry Creek . r 1. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Servic/ Cal led PG&E JOBFIN LED (Date) Signature Dig - v . OK - 0 = Not OK = Not Applicable MOSILEHOMES * = Not Ready MISCELLANEOUS' Date MOBILEHOME UTILITIES (Plans) OK except H's 1: Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, &TC. (Plans) (: except N . 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg. Bracing 5. Electricity; Location-Clearances-Grnil. / / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc..is,.res 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except q's 1, Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector - 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged ° 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable * Not Ready RESIDENTIAL (Single and Duplex) , Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) oning requirements -Setbacks -Easements 48. all & Openings ec. Doors -One 3' -Check Garage -3rd story, 2 exits jg.u�,, Garage; Soils -Steel- / " Ftg. Depth 50. -S4a4e-4444h-kleadroom-Rise-Run-Landing-Fire Protection 4.r&F- ^ 4 R Tlerkc Snile cr I / /'' Ftg. Depth ee - oc - pped-Slab y d on Roof Overhang -Attic Vents -Rafter Outriggers ng -Nailing -Veneer emwalls, Garage; Steel-Blockouts-Wrapped-Slab co esh-Drip c . Vents-Underflr. Access 7. Steel 54. - ass Protec n -Skylights -Plastic 8. tings-Test-2 way C/O -Sewer Test 9. Gas-Pepe`&i-z�nchors 10. WaterPipe-fest-Anchors-Regulator-Service Test 55. S 11. gaaQ«I^' L Underground - 12. CIearance- Mate rial-Su pport-Ins. 13. Gir Bolts -Joists -Vents -Cripples Card -B Date 3-/, =T ZGarx6al Date Card -BI to and BI Date Card -BI Date Card -BI Date Card -B �- Date % l�", �6erd-BI Date Date FINAL (PI ) OK except q's Card -BI Date Card -BI Date Date _ PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air ,SG" t. Steps -Door & Sidelight Protection -Landings 57. 58. 6 eke Betertur -- Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. 18. Test Tub & Shower, 2nd Floor -Tub Access 4j✓F.Wc. Trim & Subpanel; Breaker Sizes -Labels - 19. Gas Pipe; Size &Anchors 62. 63. SMo &Qacs rye^.^..^.,.. u arth 64.FI n..., a -p^ --'T +:. *v Ext. Card -BI Date Card -BI Date _ 65• earn ice Card -BI Date Card -BI Date 66. Date ELECT LPerrnit OK except q's 67. Glesep 68. Damp - fixture &Transformer Clearance -Ins. Protection 69. Wtr. Htr ' Vents naranre r^ e•r r,.^..,,@,,._ P,R.V.- In Garage; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 22e­3TYe Boxes & No. of Conductors -Stapled 70. is for Locatio iex Installed Close to Edge of Studs & C.J. lec. Receptacles in Garage; (G.F.I.)-Romex Protec. quip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72, r&f'nn Fnam I nnknri 25. 2-40plia Ize 73. ps - 26. Subfeed Wire Size / / ga. Cu or A.C. Wire Size 74. F - Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. /_. / g . Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral No es 75. Following instld.D ' Iks ❑Yes ❑ No; Pfa e: : No 28. ound-Main Disconnect 76. nl 29. ances; anels-Motors-Mech. Equip. 77 Ize- flet -- 30. - er Light 78, lance-Flrepl.-Clearance to Opngs. 79. 80. - Card B4k-----a)ate,�r�s- Card -BI Date - - 81. V Card B-1 Date Card -BI Date S2, rl % Qrfuon Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation port 83. GwFeetionr, 1;-w 84. Gsc Toct hot T ggnri r^� FIn is 85,de-49-Approval - -- 32. Vent Fan; Exhaust ve Insulation - - 86. F -0e .., r....,..i'^^^ „ H,nr Certific^fns _33. Condensate Or Overflow; Size & Grade _ 34. Furnace-Ve , Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Ac ss & Platform if Furnace in Attic Card -BI- Card -BI D_ate - - Card -BI Date Date Card -BI Date Card- \_Date %i I Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAM Plans) OK except q's Comments at Final: 3t -Sills; Proper Material & Anchors _ails_; Studs -Nailing, Spacing & Bracing -Plates -Sound _ Girders & Floor Nailing-- 39. - - _- -- - -- - t proof) _____ _ 40. el Ings- irs-Chases-Tub _ 4��eader & Beam -Size & Bearing 4C_ -Post Caps -Anchors -Connectors 41 . olst-Ritr.Ties-Purlin-RoofBrac.�3rmssrShtbaca!-Rf�l[� 44. ype A Flue -Fireplace Throat 45. tn. Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46. $dtnr`XVTCUWT T Exiting Doors -Sill Hgt. & Dimensions 47. Gar@s-Fire-Prof�ction Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965- Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. i ASSESSOR PARCEL NUMBER kz—O —3�j 3 ZO ING Z BUILDING PERMIT OWNER V)9 v I r4(JW^ ,9 ,vl T P 33 SQ. FT. OCC. BUILDING VALUATION a R'S LING OW E 6) - 130AD 6—Z //�`�`// ((//��S�/ c4CONTRACTOR'S NAME, � �(� TELEPHONE 0v%� V /V CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 90.0o Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 5Z. 00 ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ Zb,b Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , 0& BUI NG ADDRESS 3 PLUMBING PERMIT Filing Fee 10.00 P�LDO/l� ,Bj�G� ,eD• P%J 2 �Z .ti/L� Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other P2/* % CA4444r--: SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities [_1 Installation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCY OR ADONS. ACC. BLDGS. 20 sq it ,ZQ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ® I, as the owner, or my employees with wages as their sole compen- /\ sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTLET 2,50 ea NON.R ESID BRANCH CIRC ITS NEW CONSTR.(POWER APPARATUS b\ NON•RESID. SINGLE OUTLET CIR, / Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR00 Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ f 1, 2-0 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for -$100.00 (valuation) or less. ❑ I have placed,on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstoccuP all liabilities, judgments, costs, and expenses which may in any way accrue against said County i c• sequence of th granting of this permit. �,� 4— �� X Date Signature of Applic — OwnerK Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0 GROUP I TYPE CONST. JZ I PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC �- BY P IT EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS Date ^y Receipt No. 8775 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA r- Mobilehome Mfr. �/ s� / Setup Model No. � Year e 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 f.i1e with the County of Butte). center Support Locations kin.) . �-- Single Center Support Footing Sizes (in.) in. in. *If center piers are other than drawn above, draw in locations, spacing, and dim-ensiores. _�Fr, Footings-- (check . one; Wood :either . pressure treated or fdn.'grade.:' .:Concrete pad. Other, -specify Supports (check one; 1. Concrete block 2. Concrete piers /3. Steel piers .. 4. Other, specify Typical Support �/x 3 Footing Size I Max. Pier. Spacing l .) a.n. Max. Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED ylv ij BUTTE COUNTY DEPARnIMNT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner' s name: "l 2. Installer's name:.�,�1I�.lZ-�. 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number It -,2 ^'l% 7 ) OR Is the site an existing site? Yes / / No 14-1-- (If 4-1—(If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 Wit. away from septic tank and leach fields and clear of all setbacks and easements? Yes No J-1, (If no, clarify 5. What is themobi.lehome electrical rating? --------�-- Amps 6. What is the mobilehome site service r ting? ------- Amps 7. What is the mobilehome site circuit bre ' er. rating? ____��Q _ A' Amps 8.. Is there any other electric load to be se:n, byte mgbHebomen site service? ------------------------------ - ----------------/��� No r OTOS o (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 service? -------------- __ _ ____ Natural / / LPG 11. What is the gas pipe length from ire::er or ta.n<c 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.) i .r. MUST 6 This set o { glans _ kept an thn icb et all fs.rncs and it is vnlcwfv!.to �3 masse a;• ✓ �h-+nres or rlt^ra+icns on scar^ withnut r ;written permission Tran the Deoryrtmen} of Public !I '3 Worl.�, County of StMe. IF I NOTE.—All Mr'erir!s & Workmdnshp S ail rze i %yttll R,r. ^ ,^n;-, cA Good Practices and �r of a pur►.it,., r�re�. *''�r`for the Specified use in the Uniform Buil-'� �n, Plc'Mbin & Mechanical Codes and the P oillonnl Eiectri�al Code. - �• C. �� SeP c s ste Y fn and location eAAmjjg. t �G to be --!�,� _as per cluiremen ccur. � attli Dept. I All utility connections shall bL %t_� located wi+f,i, i f+, 6e rear third secrien of tl*� home an the left (road),i,3e o, i,ie mobile `\ x _ home. i 1 A permit w1l be r^ - uired for the _ }'0 installation of 13 t�t7a''n►1@�r , i + �. Az The Su+ ,ack shall be 5 ft. c�s i #rcmth� side Property tine and 0 ft.t5e: enterlimon T, ynOA \ a mL.M of a rOCCi, Per�►'i+f'tr- �. _ -- __ ►k maxi 2t. csav t r� e i +BUT E COU' Ty , BUILDlN DEPA TMENT APPROVED\ I PERMIT NO. 766-82B PERMIT EXPIRES &/VY? OWNER Max Newcomb CONTR. Sierra Mobile Serv., Paradise ASSESSOR PARCEL 62-07-393 LOCATION SIS pri.dr.,app.3/10 mi.E.of I, Bloomer Back Rd.,app.2A mi.NW of Oro Quincy Rd., Bevy Creek F i 1 4 Temp. Power Pole_ Called PG&E _ ;1 Temp. Elec. Service Called PG&E Temp. Gas Seri Pp Cal led PC JOB FINALE[ Signature V = OK . 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready _ MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easementsoning 2. Soils; Special MH Support—Sketchootings; Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Requirements—Setbacks—Easements Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete um. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Date - Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector . 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip, w/5'—Circulating Equip.—Pool Lghtg. Boxes— Enc losures— Pane lboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL jSingle and Duplex) , Date UNDERFLOOR Plans OK exceptk's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 1.9. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails &Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes []No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters❑Yes ❑No 28. Service -Riser Conductors &Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card 8 I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI _Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors _ 37. 38. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing -11 (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 -APPUCATION AND PERMIT \ / 76 PEERRMIT NO. —0� ASSESSOR PARCEL NUMBER 04.2-o7._0_393_� ZONING BUILD G PERMIT OWNER 141k TELEPHONE -�39/ SQ. FT. OCC. BUILDING VALUATION OWNER'S M ILING ADDRESS to 0, .BB X CONTRACTOR'S NAME S er'i2 /%%6i�� Serd/cam1277,1 TELEPHONE o CONTRACTOR'S MAILING ADDRESSdS S&GU,4(Z Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation' $-- 2 �^ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3q,00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 7z®v Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,DO BUILDIN ADDRESS ��R PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New,X Addition[] Remodel❑ Utilities❑, Installation❑ Other Describe work: // �X SD 'QuJ/Y/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST./DWELLING OCCUP.51 OR ADDNS. \ ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I de la under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. License No. «aG Classification e -� ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. 50 @ zs¢ Ex, Occup( OUTLETS OR FIXTURES BAL@100 FIXEDLNS Ex. QCCup.(OUT OUTLETS P(RESID )REA, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n The permit is for $100.00 (valuation) or less. =vim/I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitie d ments, costs, and expenses which may in any way accrue ag ai C insequence of the granting of this permit. X Date Signature pplicant — Owner Contractor ❑ Agent ❑ An OS permit is required for excavations over 5'0" deep and demolition or construct- ion of ructures over 3 stories in height. Mobile Home Installation Fee $ i TOTAL PERMIT FE $ �j/ = OCCUP. GROUP TYPE OF CO ST. PARCE PD D SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By11� PIT EXPfRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 4!ZIA7 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �77 s E 5)(J. Mobile 7(�6'L- -from the .� �. k setback of 5 ft. BUTTE COUNTY property lines and a setback WILDING DE?ARTMEN'I �f®ft, from the road centerline shall be cment except APPROVED structures or e ar Of Int r for a2ft- eave 1-7 " This set of plans and specifications MUST be - kept on the job at all fimes and if is unlawful to - m4e any change's or alfero+ cns on same without written permission from the Deparfiner�t of Public = ?/ Works, Cou^fy of Suffe. S� sum COUNTY •� �r P #• O 62 - 07' 0 — 3 y3-o `BUILDING DEPARTMENT ED ppRpV ki 696-82B,E PERMIT NO. /(�2 4 r; n fi PERMIT EXPIRES— OWNER XPIRES OWNER Max Newcomb CONTR. owner ASSESSOR PARCEL 62-07-393 LOCATION_ S/S pri.dr.,app.3/10 mi.E.of y Bloomer Back Rd.,app.2k mi.NW of Oro 0 Quincy Rd., Berry Creek 10 Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E__ Temp. Gas Service Cal led PG&E JOB FINAL ED (Date) e �. Signature J = OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready _ MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's _ Date DECKS VERS, CARPORTS, ETC. (Plans) OK except 4's 1. Zoning Requirements—Setbacks—Easements — 0'1qping Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete ootings; Size—Depth—Spacing—Connectors / 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete /11 ` . Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG Carports; Windows—Doors - 7. Utility Clearance Elec. Card -BI Date Card -BI Date Card -BI ate '/ Card -BI Date Card -BI Date Card -BI Date C BI _ ate/ Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date F f = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes []No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 82. Glass Protection 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic ----- Card -BI Date Card -BI Date Card -BI _ Date _-_ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) __40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub __41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS~ P RMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT Ion ASSESSOR__PARCEL NUMBER N N ZOG L BUILDINdPERM14,J OWN - TELEPHONE S0. FT. OCC. BUILDING VAL ATION OWl. 'S M G ADDRE S (�', ( Iy CONTRACTOR'S NAME 71 iq r TELEPHONE 6� (1 D ell 6 6 n , CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 110 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ _ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BU7DI ADD Essh.1 J f / 1- PLUMBING PERMIT Filing Fee 10.00 /�/ V Each Trap 2.00 1-11 Repair drainage or vent piping 5.00 Cl -e ,NAME Water piping LOT NO. SUBDIVISION PAR9FEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [:1Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Re odel ❑ Utilities ❑ I stal latiop ❑ Other ❑ Describe work: `�TGi. ' C1010b 1>12-6jc - • Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. DWELLING OR AODNS. � ACC. BLDGSCCUP'pl) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) '❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. TI. NON.RESID BRA 2.50 ea NEW CONSTR. ( POWER APPARA NON-RESID. SINGLE OUTLE CI.. q 50 V 29¢ Ex. Occup(OUTLETS OR FIXTURES BAL01 FIXED APPLNS. OR EX. DCCUp.�p UTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. yllA I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3,00 Ventilation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all. County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue_ against said Count in c sequence of the granting of this permit. X - Date 3-Z3 ' �� Signature of Appli an - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavati ns over 5'0" deep and demolition or construct- ion of structures ver 3 stories in height Mobil Home In lation Fee $ ,QS ;,L,'0S TOTAL PERM)T FEE oceuP. GRouP rrP of co ST. PARC L 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF- PUBLIC BY PE T LZXPIRES Date the appli c ov)- resolutions to do fees have been paid. 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Assessor's Parcel Number W ® © — ] Q — Q� E [H]Scale: 1" _ 03a T Fo Owner Name Cc:� C eALO C - G'- S ° o Address / Phone No. X -..3 O ; �. �L-=E<< c5 �30)58.�.—yl� 8 ° 0 Site Location _ _. 43 EA- —5A7 -,A Lev Re f-2 ���r� �, C4 Q S 9t (,_ cl Contact: Name v 0 tLAi-D (-A-> 5C -a c,J Phone q 3e -D 516 q —`Odaw42W3 FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: a.00r USES: