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HomeMy WebLinkAbout061-620-001,e Anthony Dalby (CERTIFICATE OF COMPLLkNCE ISSUED —9-/,20/77) '0.61-620-001 94-'0961E. E/Slponderosa Way, app 3 mi TRANSAMERICA FINANCIAL SERVIdS 3/1 p W of Hart's Mill.Fire Station -29 CHOCTAW RIDGE RD., BERRY CREEK �Blo ELE SER IN§PECTION/MH- omer Mountain -Area -Per-rAt-#5-736�77-P-;-E-ju -i- t 1,MH 4 8-2506 S C 0 T T,. G E 0 R G E 061-62-0-001 #9 t TIE GAS 29 CHOCTOW RIDGE RD. BRYC SUPPOAT -ST*Rf-JCTURE- REQ. BRUCE BRODERICK COMPACTION TEST -RE MH PERM FND MST . ING 061-62-0-001 #98-2507 SCOTT, GEORGE Contr: T e'Oa"ks-at Lake Oroville 29 CHOCTOW RIDGE RD. BRYC _4 Permit #5�38-77MHI BRUCE BRODERICK Issued OPEN DECK MHA1,W,,,l Permit #28d3-78B(new covered & open decks) EORGE DAL BY' q-,"Ae - R §1-62�- 2000 ChocStcl.w Ridge R 31 y ree Permit#.3010L'86B_(new-g4rage)- 61-62-01 2874-91P,E LADENSACK, I Lave e 2q9909 Choctaw Ridg Rd, Berry Creek cont: Executive Home 6-19 mg I/q/ -(rep-air mh util) ELE�— joo Fa,11-410 W-�0-1&r GAS i -PG 7,,V COMPACTION TEST REQ SUPPORT STRUCT REQ__,AZO 1-6 2-01 Permit#2-2Z9_-91 (install mh' -62 Permit#318-7 04, (4i�mming p ITO _Zm s 9 c 1� \C. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES 4-UIL ING DIVISION 7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 ERMIT NO. q�- P Rev. 12/96) APPLICATION ANDPERMIT 0-(2cXe ASSESSOR PARCELNUMBER 061-620-001 ZONING BUILDING PERMIT' OWNER GEORGE K. SCOTT (408) TELEPHONE 578-6849 SO. Fr. OCC. BUILDING VALUATION EST .11,000. OWNEWS MAILING ADDRESS 563 KINGS CROSS AY, qm -IngF., rA 951,1r, CONTRACTOR'S NAME ,OWNER TELEPHONE CONTRACTOWS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00' Permit Fee $ 126.00 ARCHI TECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 81.90 BUILDINGADDRESS 29 CHOCTAW RIDGE, BERRY QTEEK Energy Plan Checking Fee $ $ PERMIT FEE $ 227.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other PRI SWIMING POOL— SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New U Addition 13 Remodel 11 Utilities 0 Installation 0 Other 0 Describe Work: Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ *15 - nn ELECTRICAL PERMIT Filing Fee 20-00 800V OR LESS Main Service .A 0. LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Licen se Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. V10"11 as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: [I 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. [I I have and will maintain workers' compensation Insurance, as required by Section 3700ofthe Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST DWEILLING OCCUP, OR ADDNS. & ACC. UDS. 3.50SQ. Fr. NEW CONS MULTI -OUTLET N.N­RESIDT BRANCH CIRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. o,,LE%A ',gn-.,ERAJ_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pnc)T. F.T.FCTRTr. 30 00 PERMIT FEE $ 5Q -nn MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) P1111 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensabon provisions of section 3700 of the Labor Code, I shall forthwith Corn ly with those provisions. Z, X 71 late // C Ah 9 Sig'nQ1re­of_A7p_pTicir�t - 0 Owner 0 Contractor A Agent ­ An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee s, Energy Inspection Fee $ OCC CONST. TYPE TOTAL EE$ .312.90 HAZ. I D. FEES IMP I FL60D COF fARCEL PD I HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON I (Date) provisions to do work paid. ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT 061-620-001 PERMIT#98-2606 SCOTT, George 29 Choctaw,Ridge4 Berry Creek New Pri Swimming Pool _AZ� COUNTY OP BUTTE - DEPARTMENT Ol� DEVELOPMENT SERVICES - BUILEFING DIVISION 7 PERMIT' �Conty Center Drive e. Oroville, California 95965 9 Telephone (530) 538-754 g i NO. (Fiev. 12/96) AP P .. LICATIONAND-PERMIT 14 ASSESSOR PARCEL NUMBER I- 061-62Q-001 ZONING BUILDING PERMIT' OWNER GEORGF, K. smtr (408) TELEPHONE 5782e6842 SO. FT. Occ. BUILDING VALUATION EST 1110W. OWNERS MAILING ADDRESS 563 KTNGS CROSS'WAY, SAN -ME, CA 95136 CONTRACTORS NAME TELEPHONE CONTRACTORS MAIUNG�ADDREtS: CONSTRUCTION LENDER Fireplace LE�NDERS MAILING ADDRESS Total Valuation $ .ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS O.K - I Plan Checking Fee $ 81.90 BUILDING DRESS 29 CH=AT -T RTDCT=P�, BMY aVTIX Energy Plan Checking Fee $ PERMIT FEE $ 227.90 SLOT NO. I �1,,,SUBWWSIONS NAME PLUMBING PERMIT Filing Fee 20.00 N* USEOFSTRUCTURE a J 'iF W-DUP161 Mobii6�1_rrve-kO, Other* PRI SWIMKNG POOL SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 IYPEOFWORK NewPV Addition 0 Remodel 13 Utiliti6s'0_ Installation 0 Other 13 D'escrib" WorIr Gas piping system I - 5 outlets 15.00 Building sewer �15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35JI10 ELECTRICAL PERMIT Filing Fee 20.00 Af OR LE Main Service .A 0. :: ) 23.00 LICENSED CONTRACTOR'S DECLARATION Pte I her;b)�'affirnri under penalty of perjury that I am licensed under p1qvisions of Cha r 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full,forcie and effect. I License Class . i Lic. No. 4 OWNER -BUILDER DECLARATION $ — I hereby affirm under-pepalty of perjury that I am exempt from the Contractors License )vl_ai� for the followin ' �.. A . g,�ribason: 0 - 1, as ownei of the property� or my employees with wages aitheir sole compensation, will do the work, and the structure is not intended or offered for sale. P110"I., as owner of the propefty, am-6xclusively contracting withdicensed contractors to construct the project. 1W I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46100 NEW CONST. DWELLING OCCUP, OR ADONS. & ACC. BLDS. so. 3.50FT. NEW CONST OUTLET NON-RESID. S= CIRCUITS @7.50 POWER APPAJtATUS & SINGLE OUTLET A. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. O.IED Al 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOT. RTYrTgTr lv.no PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 herebyAffirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' comp I ensation, as provided for by section 3700 of the Labor Code, for the performance, of the work for which this permit is issued. 0 1 have and will maintain Workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Ca , rrier Pdlicy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) P/I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date //"//0 Af SigWa�ture of Applic&rit - [I Owner 0 Contractor )R( Agent' ' An OSHA permit is required for excavations over 60" deie) and demolition or construction of structures over 3 stories in height. Filing Fee MECHANICAL PERMIT 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee. Occ CONST. TYPE TOTALFEE$ 312.90 IMP I FLOOD I CDF PARCEL pD I HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) rReceiptNo. 2-SI141< T WHIT .WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT f, � me \e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Count -7541 PERMIT. NO. Center Drive * Oroville, California 95965 * Telephone (530) 538 q9 - 00( .0 (Rev. 12/96) APPLICATION AND -PERMIT ASSESSOR PARCEL NUM13ER "bC 061-620-001 ZONING BUILDING PERMIT' OWNER GEORGE K, SMUT U08) TELEPHONE 578m-4842 SQ. FT. OCC. BUILDING VALUATION EST 1110W. OWNER'S MAILING ADDRESS 563 KINGS. CROSS WAY, SAN CA _4"_ CONTRACTORS NAME omp- TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplac�, LENDERS MAILING ADDRESS .1 _75�ENO. Total Valuation ARCHITECT OR ENGINEER Fi ling Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 81.90 BUILDING ADDRESS 99 C1 . =AW RTDGE9 BMy C_gRFX Energy Plan Checking Fee $ PERMIT FEE 227.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 --Duplex)O Mobilehome 0 Other PRI SWIMMIG PWL SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15-00 15.00 Each gas water heater or vent 15.00 :tYPE OF WORK New�&X,.Addition` 0 Remodel 0 Utilities; 0 Installation 0 Other 0 ' , �c DescribeAWork: - Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W A 920.00 It Iv PERMIT FEE S 35.00 ELECTRICAL PERMIT Filing Fee 20.00 ( 50.0,V O.R LESSS Main Service . '. LE 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under p`rrovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and,my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License ,vLaw for the following, reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, P00)w ill do the work, and the structure is not intended or offered for sale. as owner of the property, am exclusively contracting with licensed contractors to construct the project. '0 1 am' exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 11hereby-affirm under penalty of perjury one 'of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performance of workforwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) P/I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. - J X �Ielnx 1.41'. Date 11141-79' Sidn—'at1ii-of Applicant - 0 Owner 0 Contractor X Agent' An OSHA permit is required for excavations over 60" diiep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.'00 NEW CONST. DWELLING OCCUP. OR ADONS. 3.50SO & ACC. BLDS Fr. NEW CONST == @7.501 —NON-RES'D PO"WE.RAP=US CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FDcrURES BAL @ .50 (R.,6.OR O.FWED APPLINIS Ex. Occup. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00, Misc. Wiring 23.00 PWL ELEMIC 130.00 PERMIT FEE $ 50.00 MECHANICAL PERMIT Filing Fee 20,00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE 312.90 - HAZ. I D. FEES IMP Es I FLOOD I CDF fARCEL PO 7 ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. 2- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPFICANT .0� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION C -7541 PERMIT, NO. W Center Drive Ciroville, California 95965 9 Telephone (530) 538 (Rev. 12/96) AP I P .. L . ICATION AND -PERMIT ASSESSOR PARCEL NUMBER 061 -620 -Ml ZONING BUILDING PERMIT" OWNER GWRO R. SOM (A08)1 TELEPHONE 57"A42 SO. FT. OCC. BUILDING VALUATION EST I LOW. OWNERS MAIuNG ADDRESS 563 KINGS GROSS WAY, qA9 ME, CA 4,5136 CONTRACTORS NAME 0W= TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAJUNG ADDRESS .1 Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAJUNG ADDRESS Plan Checking Fee $ 81,90 BUILDINGXDDRESS 29 CHOMW RIM. MRY CRW Energy Plan Checking Fee $ $ PERMIT FEE $ 227.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 - Duplex 0 Mobileho-m. e 0 Other PRI SWDM(; PWL SPECIFY Trap 1 7.00 —Each - Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00, TYPE OF WORK New Im Addition 0 Remodel 13 Utilities 0 Installation 0 Other 0 1 I< Describ!,Work: Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WF- @20.00 PERMIT FEE 35.00 ELECTRICAL PERMIT Filing Fee 20.00 800 R LE:: Main Service .0.11 OR LE 23.6o LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am. exempt from the Contractors License Law for the following reason: I 0 1, as owner of the property, or my employees with wages as their sole compensaton, will do the work, and the structure is not intended or offered for sale. .01101, as owner of the property, am exclusively contracting with licensed contractors to construct the project. [I I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. %EL.UNG OCCUP. OR ADDNS. S. so 3.50FT.' NEW CONST NON-RESID. �uLTIOcuRCU, @7.50 OWE.RAP.PAPATU 41N. 0 CS1 R. Ex. Occup. OUTLET OR FIXTURES L 20 @ 1.00 13AL @ .50 REDAPPLNS OR Ex. Occup. ETS t..,6.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PWL ELIMIC 30.00 PERMIT FEE $ 50*00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 13 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of workforwhich this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0/1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 114by Sigln�htrii of Applicant - 0 Owner [3 10 Agent An OSHA permit is required for excavation over SO'cidle ')and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE15 $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTALFEE$ 312.90 ES IMP FLOOD I CDF �ARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON I (Date) Receipt No. .7. 1 -1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT C-IOUNTY OF BUTTE *-DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 4 PERMIT APPLICA TION DA TA SHEET r2 OVINER: 0/ ASSESSOR PARCEL NUMBER: (0 2- 0 Proposed Building Use: 64 Building hWector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By �LDi 11. All' t'ems have been submitted --------------------------------------------------------------------------------------- ;�Plot lans, 3/4, sets, signed by the preparer of plans ------------------------------------------------------------ �.,;Ians 3 . �J, 0 om ts,signed by the preparer of plans - ----------------------------------------------------- - P 54-�.-Engi�n6ered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - -------- El 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! E16. Energy Design Compliance and supporting documentation - ---------------------------------- El 7. Statement of Intent. for Non -Heated and A/C Buildings - --------------------------------------- 0 8. Hazardous Material Form - ------------------------------------------------------------------------ 119. Manufactured Home data and installation instructions including Tie Down Specifications. 0 10. Fees of $ ------------------------------------------------------------------- El 11. Impact fees as shown on the attached schedule - --------------------- 0 12. California Department of Forestry plan approval/fees - -------------- 013. Pood elevation certificate - --------------------------------------------- W414. Sanitation and plot plan approval ()re, Health Department. El 15. City of Chico plumbing permit - ---------------------------------------- El 16. Plot plan and business license approval from the City of Biggs. --- El 17, Planning approval for (A) Use: (B) Parking: 13 18. Contact Land Development about 0 Improvements, 0 Drainage, 13 Legal Parcel - ----------------------- El 1. 9. Encroachment Permit for driveway (construction approval prior to occupancy) - ---------------------------- 020. Pre -inspection for required Request to Building hispector on (Date) El 2 1. Contractor's license information. (Number, Name Style, Classification). ----------- ------------- E122 Workers' Compensation carrier and policy number - ----------------------- - ------- 7 ----------------- IX Owner -Builder Verification (Given to owner El, Mailed to owner - - -------------------------------------- i�k4. Letter of signature authorization. -------------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement - -------------------------------------------------- E126. Letter of intent on building use - ---------------------------------- 027. Manufactured Home utiliti clearance - -------------------------- 028. Existing violations and/or expired permits - --------------------- 029. 0433 A, ElGrant Deed, 0 M.H. Title, 0 Check to H.C.D $ 030. Other: When you issue the permit, process as follows 11 Mail to owner, 13Mail to contractor. M:�;Iephone _510- �X3 - 5L( I A_ C� and hold for pickup a office. El Deliver w*ith m*spector. Date: P��Apphcant 14 Copy of Haz-Mat form sent 11 Health Department, 0 Fire Department, 13 Air Pollution Date: By: Copy of plans sent r-1 Health Department, 0 Fire Departr,nent, 0 Other: Date: BY: 1. Index permit application for the above items numbered: Plan Check List 2. Additional iterns required: Contractor, designer, owner, was advised of the above required data by o phone,. o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ii Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 11 phone, 0 mail, 13 Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Div ision. v/� Nov -06-98 09:47A Butte County Building Department 7 County Center Drive Orovilic, CA 95965 P. 02� T MF%"VA Zr-',O 11 4W, I LU *4 George Scoft 563 1qngs Cross Way San Jose, CA 951,36 November 6, 1998 Re: 29 Choutaw Ridge, Be" Creek, AP# 061-620-oo I To Whom It May Concern: I am writing to authorize Eileen Brodeficl(as my agent in order to open a permit for an existing swimming pool on my property. I live in San lose aud am&ot ableto come to Oroville during the*week in cider to �ndle this matter penonally. The prcvious owners put in the pooi.,'My wik and I purchased the property in 1994 and were n.ever informed that there was �11Y Permit problem with the pool. I understand that there had been a pool permit taken out in 1991 by Polly Pools that was never issued. I will be in touch with Charles Fiihburn*e of Polly Pools in order to obtain the proper drawings fbr the pool that they installed ia 1991.� In the mean time I would like to begin the permit process on the pool so that the permits for permanent foundation and deck will be released. I appreeiste your coopeation with this matter. Pleaw call me at (5 10) 623-5411 if you have any questions or concerns with this request. Sincerejy, Ckvise Scott OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and beariirg'MF S1. Please complete and retum this information at your earliest opportunity to avoid unnecessary in processing and issuing your building permit. No building permit will be issued lii�u verification is received. 1. 1 personally plan, to. provide the major labor and materials for construction of the prop6ied property improvement : YES 13 NO C3 2. 1 HAVE E3 HAVE NOT 13 signed an application for a building permit for the"proposq'id 3. 1 have contracted with the following person (firm) to provide the proposed co T'r A %my.% �f J A, ADDRESS: CITY: 'A PHONE: CONTRACTOWS LICENSE NO. 4. 1 plan to provide -portions of. this'w6rk; but I hi�ii hired & follo "win g� per-so'n'io 9,xw�dW'_ea'tv#' - pervise, and provide the k su major wor NAMIE:' ADDRESS: CITY:` PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the following persons to prO�ide .the work indicated: NAME ADDRESS PHONE TYPE OF WOjkk SIGNED: PROPERTYOWNF,R: SOCIAL SECURITY NUM13ER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of California Health and Safety Code. This verification must he -completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION ..J Dear Property Owner: Z An application for a building permit has been submitted in your name listing y9ursclf as the builder 9fpro improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible party of ;ecord oni" a permit. Building permits are not required to be signed by property owners unless they are personally" erfo, p rmm__,W"� own work. If your work is being performed by someone other than yourself, you may protect yourself frord p*6!W*b_k 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 buj�­.' license from the city or county. They are also required by law to put.their license numberlon all permits for,whic.4,, apply. Ifyou plan to do your own' work, withithe'exception of various trades that youplan to sub�ol you be aware of the following information for your benefit and protectim, your immediate fhMi If you employ or otherwise engage any persons othii than ly, and thework (inc Udi. and other costs) is S300 or more for the entire pr9ject, and such persons are. not licensed as''C"o subcontractors. then y*ou may be an c loyer. Imp 4, V�. + If you are an employer, you must register' with the State ind'Federil'Govemments as an employer and' you ft 'V4W subject to several obligations.including state. and. federal income tax.withholdin& federal sm.ial se5w workers compensatio n* insurance, disA ty insurance co unimplo*ent and c 4 Zt, .?mpensation c6n autidal + �here maybe financial risks for you if you do not carry out these obligations, and thes"e'riski'ar�e�"especiaUv.,tw with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contract the Internal Revenue Servic if you wish, the U.S. Small Business Administration). For mote specific information"aboilt your obligations" 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 aiialkv�cd to'perf-o';tl'h'Tigicir.�-��l,'.. 0 work personally or through their own employees, without a licensed contractor or subcontractor,' fily under' te-d conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee' buildin" .g permit, erroneously implying that the property owner is providing his or her own labor and material personally.­Bult4 g permits archot required to be signed by property owners unless they are performing their own work personally. ­ Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your­.� community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owneri Builder Verification!' bn the reverse side of this form so that we can confirm Y are aware of these matters. The building permit will not be issued until the verification is returned. i rely, ' idira, C 4MicelyC. V A B.O. M eer. M ger, Zutiliding Inspection NOTE. ThisOwner-Builder.Informallon is required by Section 19830 of the Calyornia HeaMs and Safety Co& OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 9 Telephone (530) 538-7541 ERMIT NO. (Rev.12/96) APPLICATION AND PERMIT - 9L__qa66� MSMSORPARCMNU7MO� ZONNO BUILDING PERMIT OWWR TELEPHONE SO. FT. OCC. BUILDING 7ALUA-noN OW!"'S MAUNG ACORM�86 S (=� � 1AQ L4 CONTRACTOR'S MME TELEPHONE COWRACTOR'S VAUNG ADDRESS CONSTRUCTM LMER LMER'S MMUNG ADOMS Fireplace Total Valuation $ ARCHITECT OR EMNM UCEME NO. Filing Fee 20.00 ARCHITECT OR ENGINEER'S MOUUNG ADDRESS Permit Fee $ Plan Checking Fee BUILMO ADDRESS 2- 20-11,1 Energy Plan Checking Fee Ic - PERMIT FEE LOT NO. PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE —Each Trap 7.00 Solar or heat pump water heater 23.00 77 SF 0 Duplex C3 t&bflehome 0 Other Water piping 11 15.00 9PECrY Each gas water heater oO vent 15.00 TYPE OF WORK Gas piping systern I - 5 outlets 15.00 Now C3 Addition 0 Remodel 0 4MIllap 0 Inskilation C3 Other 0 Building sewer 15.0 Describe Work: -A) o) Mobile Home S I G I W (920.00 PERMIT FEE PERMIT I Filing Feel 20.00 —ELECTRICAL ( =OR = Main Service on 2&00 LICENSED CONTRACTOR'S DECLARATION —Main Service 200A TO 10**A 4e.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter MW GOMT. O= OCCUR OR ADOM. em. AL so. 3.501'r. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, NtW MUQ%= ) NO* 07.50 and my license Is In full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION Ex. Occup. OUTLET OR FIXTURS 200 1.00 DAL 0 M I hereby affirm under penalty of perjury that I am exempt from the Contractors License =A is OR Ex. Occup. "CRLE'..i.) EA. 5.00 Law for the following reason: Temporary Service 23.00 13 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ?&bile Home Facilities 20.00 0 1. as owner of the property, am exclusively contracting with licensed contractors Msc. ftng 4 23.00 to construct the project ;- C 13 1 am exempt under See. Business and Professions Code for this reason PERMIT FEE WORKERS' COMPENSATION DECLARATION MECHA141CAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating 0 1 have and will maintain a certificate of consent to aelf-insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Cooling performance of the work for which this permit is Issued. Hood 8.50 0 1 have and will maintain workers' compensation Insurance, as required by Section ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier PERMIT FEIE $ Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit Is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) _i E3 I certify that in the performance of the work for which this permit Is Issued, I shall occ 01ONST. TYPE TOTAL FEE$ _�5 76 not employ any person in any manner so as to become subject to workers' — -1 compensation laws of Callfomia. and agree that if I should become subject to the K4Z 0. COF IMP I Rl000 !a PARCEL HD I GSLE workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X Date indicated above for which fees have been paid. Signature of Applicant - 13 Owner 0 Contractor 13 Agent An OSHA permit is required for excavations over 90* deep and demolition or construction of structures over 3 stories in height By Date ReceiptNo. I PERMIT EXPIRES ON WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT tDA COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe, conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on the job site. A.P. r'- 061-620-001 PERMIJ�96- 6�6� Owl SCOTT, George 29 Choctaw'R*ldge;—Berry-Creek�---' C0111' Ne'w -Pri Swimming.Pool i, L Pen, - PERMITTEE MUST CALL FOR INSPECTIONS DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Revised 7/94 - 41 LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 . FAX: (916) 538-il4O Dear Property Owner: We have issued a permit to construct a new building*, an addition,:.�. or to do remodeling on your prop*erty.. This letter is to inform you we have approved-the-bu'ilding plans�.' submitted for conformance with code requirements. We will onl inspect the construction for conformance with code requirementsy. It is Your responsibility to see that the building conforms to your plans and expectations.* Should you have any questions concerning this letter or any ot I her matter pertaining to the construction, please -do not hesitate to contact this office. Yours very truly, MCV:ahb Micha�elC- &V1eira,,.,C.B.O. Manager, Building Inspection FA RE: Attached Building Permit Dear Permittee: ffirtte Colln L A N D 0 F N A T U R A L W E A L T H AND 'BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Attached is your building permit along with the approved set of plans and a job card. Please post the job- card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please.allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to,the building as an occupai,.,,cy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. -If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not -been made within 30 days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. Upgn completion of the work covered by -this Rgrmit, please contact this office for final insRgc-tion. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. 9 4 Micdael C. Vidira, C . B.6. MCV:ahb Manager, Building Inspection Attachments RESIDENTIAL PERMIT#98- 061-620-001 ('nT� PERMIT NO SCOTT, George 297Cho'CtO Rid�e7, Berry Creek PERMIT EXi, New Pri Swimming Pool OWNER An-, n e— A-% f Lf co- Wt I V C;,- CONTR. ASSESSOR PARCEL LOCATION CHECKED BY SRA FLOOD CERTIFICATE REQ FIRE SPRINKLERS REQ SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature be -:- OK 0 Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except#'s 1 . Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /"Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ )Ftg.Depth 4. Ftg. Parches & Decks; Soils -Steel-/ /Ftg. Depth 5. Sternwalls, Main;, Steel-Blockouts-Wrapped 6. Sternwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fitfing-Test-2 Way C/0 -Sewer Test 10. UF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Cdppies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture& Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size B21es & No. of Conductors Stapled 26. Romex thstalled Close to Edge of Studs & CJ 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AJ-A.C. Wire Size /ga Cu or Al 30. Range Circ. / / ga Cu or AJ -Oven Circ. ga Cu or AJ Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #Is 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except Vs 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat prooQ 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rft Ties-Purlin-roff Brac.-Truss-Shfing.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Corrections from Previous Inspections 91. Date Card B-11 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-RR.V In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.Fl.)-Romex Protection 79. Insulation-Foarn-Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn.VBents Crawl Hole Door Drainage& Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Inst1d./Drive 0 Yes 0 NoAtValks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof. Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical. Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V _-'0K 0 Not OK Applicable Not Ready, MOBILE. HOMES,,� Date MOBILE HOME UTILITIES (Plans) OK except #'s - 1. Zoning Requirements -_ Setbacks - Easements,. Card B-1 Date Card B-1 2. Soils; Special MH Support Sketch Card B-1 Date Card B-1 3., Sewer, Locabon-Test-Fallt-QU-Concrete MOBILE HOME INSTALLATION (Plans) OK except Fs 1 4. Water, Locabon-Test-Easement Needed (Sketch) 1. Zoning Requirements- Setbacks Easements 5. Electricity; Locabon-Clearances-Gmd-/ /Amp. -Concrete 2. Foofings; Size -Spacing -Marriage Line 6. Gas; Locabon-Test-Wrap; / 1'12ft. -r /Nat. or/ , PL"ft./ /LPG - 3. Gas; M H Test-Demard-VaKeConnector 7. Well Clearance &,Disconnect 4. Electricity; MH Test-Crossovers-Breake�s-Clearances 8. U6.1ity Clearance ,MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 12. Foofings; Soils-Size-Depti-Spacing-Connect6-rs-Steel.),-. 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-geams-Rftrs.-Conriectors Shthg.-Rfg.-Bracing 5. AJum.Aw�.;Columns-Connecions-SplicL--Decal-Encl'osures 6. Carports: Windows -Doors 7. Electrk 8. Frmg.; Sils-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.:Steps-Doors-Landings 1M. 12. Braced Wall Panels Date Card B-1 Date B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compacfion-Structure Stability 3. Pool Structdre;'Steel-Connecbons-Thickness Dead Men-Uning 4. Elec.; Receptacles and Lighfing, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/6-Circulafing Equip. -Heater 8. Elec.; Grounding; Equip. w/V Circulafing Equip. -Pool Lghtg. - Boxes-ErK�bsure;-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TesWater Supply Test 11. Light NIche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Fs 1 1. Zoning Requirements- Setbacks Easements 2. Foofings; Size -Spacing -Marriage Line 3. Gas; M H Test-Demard-VaKeConnector 4. Electricity; MH Test-Crossovers-Breake�s-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MHTest-Regulator-Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8.. Gas and Electricity Tagged 9. Tie Downs-Type-installafion Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation only: LIcense Decal' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 12. Foofings; Soils-Size-Depti-Spacing-Connect6-rs-Steel.),-. 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-geams-Rftrs.-Conriectors Shthg.-Rfg.-Bracing 5. AJum.Aw�.;Columns-Connecions-SplicL--Decal-Encl'osures 6. Carports: Windows -Doors 7. Electrk 8. Frmg.; Sils-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.:Steps-Doors-Landings 1M. 12. Braced Wall Panels Date Card B-1 Date B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compacfion-Structure Stability 3. Pool Structdre;'Steel-Connecbons-Thickness Dead Men-Uning 4. Elec.; Receptacles and Lighfing, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/6-Circulafing Equip. -Heater 8. Elec.; Grounding; Equip. w/V Circulafing Equip. -Pool Lghtg. - Boxes-ErK�bsure;-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TesWater Supply Test 11. Light NIche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f 061-62-0-001 #98-2506 RESIDENTIAL SCOTT, GEORGE 29 CHOCTOW RIDGE RD. BRYC BRUCE BRODERICK (N�! PERM FND MaSTING SITE PERMIT NO. PERMIT EXPIRES 94 — 0 (2A 45 k C— OWNER CONTR. ASSESSOR PARCEL LOCATION FTHE HCD FORM 433A FOR THIS MH CANNOT BE RECORD UNTIL ONE OF THE FOLLOWING E HAVE 13EA RNED IN TO THE BLDG DIV: T , LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT -6—FF–ACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL -#'S–, -CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V = OK 0 = Not OK = Not Applicable = NotReady RESIDENTIAL (Single & Duplex) Date Card B-1 Date Card B-1 UNDERFLOOR (Plans) OK except #Is Card B-1 Date Card B-1 1 . Zoning-Setbacks-Easments-Flood-Slope FRAMING (Plans) OK except #'s 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth Sits Proper Materials & Anchors 3. Flg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth Walls Studs -Nailing Spacing & Braces -Plates -Sound 4. Ftg. Porches & Decks; Soils -Steel-/ /"Ftg. Depth 43. 5. Sternwalls, Main;, Steel-Blockouts-Wrapped 44. 6. Sternwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 53. 8. Piers -Fireplace Ftg.-Steel 54. 9. D.W.V; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 56. 11. Water Pipe; Test -Anchors -Regulator -Service Test 57. 12. Electric Underground 58. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 59. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 61. Insulation-Vialls-Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s FINAL (Plans) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 63. 18. Water Pipe; Test & Anchor -Nail Protection 64. 19. D.W.V; Test Fittings & Anchor -Nail Protection 65. 20. Shower Pan; Test, First Floor -Tub Access 66. 21. Test Tub & Shower, Second Floor -Tub Access 67. 22. Gas Pipe; Sixe & Anchors . 68. Elec. Tirm & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. ELECTRICAL (Permit) OK except #'s 72. 23. Fixture & Transformer Clearance -ins. Protection 73. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & CJ 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GA 29. Subfeed Wire Size ga. Cu or Al-A.C. Wire Size ga Cu or Al 30. Range Circ. ga Cu or Al -Oven Circ. ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detecto 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft Ventilation Throught House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade 91. 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 92. Water & Sewer Connected -C/0 to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat prool) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Fiffig. 48. Fireplace Ties or lype A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing - 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3r ry, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Root Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-Vialls-Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Tirm & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing-Lancling-Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector -PRY In Garage; Above Floor-Mech. Protection T7. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Rornex Protection 79. Insulation-Foarn-Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81 Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoAA(alks 0 Yes [] No/Planters 0 Yes 0 No a3. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.Fl. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V OK 0 Not OK Not Applicable Not Ready , !0 MOBILE HOMES' Date MOBILE HOME UTILITIES (Plans) -OK except #'s 1. Zoning Requirements -Setbacks - Usements 2. Soils; Special MH Support Sketch 3.' Sewer; Location-Test-Fall�Q"oncrete 4. Water, Loc�ation-Test-Easement Needed (Sketch) 5. ElectrIcity; LjDcatJon-Clearances-Gmc1-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / JUL / /Nat. or/ tttj /LPG 7. Well Clearance& Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL"OME INSTALLATION (Plans) OK except #'s .k.'LninqR6�uirements- Setbacks Easements **-�tings; Sim -Spacing -Marriage Une A±52�11 Test -Demand -Valve -Connector 4 .861:6tricity; MH Test-Crossovers-Breakert-.Clearances 5,4)rWh't4ki,Test-Fall-Flex.Connector 6"���st-Regulator-Connector 7QAa.te_FaTffZ'ewer Connected -C/0 to Gracle-HD Approval A-G�as and Electricity Tagged I s___ InstallationCert. )0. t0s`,'lnsp.-S etch ncy V_,Pefmanent Foundation only: Ucens6 Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCE,LLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1 Zoning ke"q6irem6'nts-Setbacks-Easements 2. Footings; Soils-Size-Depth�S - in -Connectors-Steel - P80, 9 3. Decks; Girders and/or Joists-Decidng-Bracing-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-CDnnectDrs. Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connectons-Splio--Deca�Enclosures 6. Carports; Windows -Doors 7. Elecft 8. FrMg.; Sils-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing-Veneer-Shicco-Mesh 10. Root; Shthg-Roofing 11. Ext.; Ste�ps-Doors-Landings 12. Braced Wall Panels Date Card B-1 . Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s -1. Setbacks-Easernents 2. Soils; domp-action-Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GIF1 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal wffl-Circulating Equip. -Heater Elec.; Grounding; Equip. w/F Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9., HealtK Departrnent Approval 10. Plumb.; Cir. Test -Water Suppl�.Test 11. Light Niche Date Card B -I Date Card B-1 Date Card B-1. Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 * Telephone (530) 538-7541qg PERMIT NO (Rev. 12/96) APP . LICATIONAND-PERMIT ASSESSOR PARCEL NUMBER 061-620-001 ZONING (�U BUILDINGPERMIT V OWNER SCOTT, GEORGE TELEPHONE SO. Fr. OCC. BUILDING VALUATION 1716 R 92,664 OWNERS n!9 TTMS CROSSWAY, SAN JOSE CA 95736 cONTRAC'B"F BRODERICK M-"8 4 3 2 CONTRACTOWS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation 92.664 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee n ARCHITECT OR ENGINEER�S MAILING ADDRESS Plan Checking Fee $ m_nn BUILDING TITTHOCTAW RIDGE RD. Energy Plan Checking Fee $ BERRY CREEK PERMIT FEE $ 347,nn LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 13 Mobilehome 61 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 1 c; -no Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 13 Other 0 Describe Work: EXISTING 1`11i ON PERM FOUNDATION Gas piping syste I - 5 outlets 15.00 Ir Building sewer 15.00 Mobile Home I S I G (920.00 PERMIT FEE $ c�r) r)n ELECTRICAL PERMIT Fillin-9- lFi�e 20.00 800V OR LES Main Service 20.A OR LES: 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licenseAin full force and effect. License Class Lic. No. 36,0-zX-37 ;?— OWN UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employeeswith wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST DW .!�LJNG UP. OR ADONS. ' S. .C. ff so. 3.50FT. =.O.ONST, MULTI -O .. ff @7.50 ( PSO'WE.RAP=US '. . CIR. Ex. Occup. OUTLET OR FOMFIES j 20 @ 1.00 BAL @ .50 FIXED APP .OR Ex. Occup. . (Ra I EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700ofthe Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee- 20.00 Heating — Cooling Hood 6.50 Ventilation PERMIT FEIE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 orthwith comply with those provisions. X elz ed�Q Date Signatui—ri_bf Applicant - 0 Owner 0 Contractor K Agent An OSHA permit is required for excavations over 60" clele�`hnd demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 397.00 HA!� D. FEES IMP/1 FLOOD COF T� This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B62�A� I)W&71, r7- - PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date &_-� (Date) FReceiptNo. 251079 C i tp WH71TED.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538.75411v 0. (Rev. 12/96). APPLICATION AND PERMIT - Z81my ASSESSOR PARCEL NUMNA 7T6 1-1_pc�20 ZoMNQ / . BUILDIN ER GP MIT OW4ER Tz"0440" 'so. -Fr. occ. BUILDING VALU—ATIO CONT TELEPmNt CONTPLACMAI-MOULING ADDRESS CONSTRUCTiML&VER [Fireplace MWER'S IMILM AWRESS Total Valuation $ ARCHrrECT OR VQINEER LICENSE NO. —Filing Fee $ 20.00' ARCMrrECT OR ENMEERS MOULING ADORM Permit Fee $ 6 Plan Checkina Fee $ - Energy Plan Chocking Fee W PERMIT FEE $ LDTNO. SUSONSONVIGAM PARCEL MAP PLUMBING PERMIT Filing Fee .'20.00 USE:0,TRUCTURE SF 0 Duplex 13 hbbilehomtj Other Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater oe vent 15.00 TYPEOFWORK Now C3 Addition 0 Remodel 0 Utilities 13 Installation (3 Other 13 C Describe Work: Z� >eJ S IM Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE —ELECTRICAL PERMIT Filing Fee 20.00 Main Service = o0RR 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license Is In full force and effect License Class LIc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole Compensation, will do the work, and the structure Is not intended or offered for sale. 13 1. as owner of the property, am exclusively contracting with licensed contractors to construct the project 0 1 am exempt under See. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performance of workforwhich this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation Of one hundred dollars ($100) or less.) 13 1 certify that in the performance of the work for which this permit is Issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of Calffomia, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - 0 Owner C3 Contractor 0 Agent An OSHA permit is required for excavations over 60"Cleep and demolition or construction of structures over 3 stories in height —Main Service 200ATO IOWA 46.00 mm com - — OR AODM.T 0V==1P- 014-RESID. MULT"o 211 @7.50 Ex. Occup. ounu OR WrIAN 20 0 DAL 0 -90 Ex. Occup. Om 'Mai'FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 . Hsc. Wiring 23.00 PERMIT F E MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt Wbile Home Installation Fee $ Energy Inspection Fee $ occ CONST. Type TOTAL EE$ VT�hi�sper�mft KAZ fl! IMP AMD I COF PARCEL PC H6 ISSLIE, is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON I PON) provisions to do work paid. ReceiptNo. 6 -7!2 WHITE-O.D.S.-B.D. CANARY-ASgESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT 'COU NTYOFBUTTE: DEPARTMENT OF DEVELOPMENT SERVICES - BUILDJNG DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PE"IT APPLICA TION DA TA SHEET / e OWNER: c,o —r ASSESSOR PARCEL 061 — 6 Proposed Building Use: -C- Y, M19 �I;e- FAQ 13uilding Inspector. =: - Date: " 72?' — At time of permit application, Ywas advised the following data must be submitted prior to permit processing andVor issuance: Date Received By E],IX�l ,iiem�have been submitted ----------------------------------------------------------------------------- o �-la'n 3/4 sets, signed by the preparer of plans - ---------------------------------------------------- PI Is lete plans, 3/4 sets, signed by the preparer of plans - -------------------------------------- ------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- I E16. Energy Design Compliance and supporting documentation. 0 7. Statement of Intent. for Non -Heated and AJC Buildings - -------------------------------------------- ------------ 0 8. Hazardous Material Form - ------------------------------------------------------------------------------------------ ac ed H � data and a a on ctions including Tie Down Specifications ------------ ------- L ------------------------------------------------------------------ uf tur m st 'I s 94f of $ ------------ bt� Impact fees �s f0sh wn on the mattached s6�edule. '9 ----------------------------------------------------------------- El 12. California Department of Forestry plan approval/fees - --------------------------------------------------------- 1113. Flood elevation certificate. El 14. Sanitatiotiand plot plan approval Health Department - ------------------------------------------- El 15. City of Chico plumbing permit - ----------------------------------------------------------------------------------- El 16. Plot plan and business license approval from the City of Biggs - ---------------------------------------------- 0 17. Planning approval for (A) Use: (B) Parking: — -------------------------- El, 18. Contact Land Development about 0 Improvements,. 0 Drainage, 0 Legal Parcel - ----------------------- C3 1. 9. Encroachment Permit for driveway (construction approval prior to occupancy) - ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date) El 2 1. Contractor's license information. (Number, Name Style, Classification) - ---------------------- ------------- 0 22. Workers' Compensation carrier and policy number - ------------------------------------------------------------ 023. Owner -Builder Verification (Given to owner 0, Mailed to owner 0) - -------------------------------------- 1124. Letter of signature authorization - ------------------------------------------------- V ------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement - -------- ------ - - - ------------ 026. Letter of intent on building use - -------------------------------- - - -------- 0 27. SManufactured Home jility clearainrch - ------ :-:- ----------- --- - n in- -- ----- 2 9 y---- '3 A v `e --- --------- L --- g ------ ------------- 9. 3 Deed, 6'M.H. Title, &Ch ck to H.C.D $ E130. Other: ------- nen you *issue the pernMoces as follows El Mail to owner-, DMQ-4o contractor. L-6Telephone?7 7- and hold for pickup at office. 0 Deliver -with inspector. 101A-71�P Applicant: Date: Copy of Haz-Mat form sent 0 Health Department, 13 Fire Department, C1 Air Pollution Copy of plans sent 0 Health Department, 0 Fire Department, 11 Other: Date: 1. Index permit application for the above items numbered: 1/ 11 Plan Check List 2. Additional iten�s required: Contractor, designer, owner, was advised of the above required data by 13 phone, 0 mail, 13 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Buildin D* counter, by D �ae Plans reviewed by: Date: Plans approved by:. 9!�T Da—te: Sets of plans on hold in 13 Plan Cabinet, El A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. RjEICORDING REQUESTED BY: .'. — .,4 AND V41EN RECORDED MAIL TO: BUTTE COUNTY BUELDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 10 -Nov -1998 1998-0048952 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 1855 1. 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. GEORGE R. & LINDA M. SCOTT UAL PROPERTY OWNER&ESSOR 563 KINGS CROSS WAY MAILING ADDRESS SAN JOSE, SANTA CLARA, CA 95136 CITY COUNTY STATE ZIP 29 CHOCTAW RIDGE ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT BERRY CREEK, BUTTE, CA 95916 CITY COUNTY STATE ZIP SANIE UNIT OWNER (ifalso property owner, wnte t MAILING ADDRESS CTIT COMM SrAn ZIP UNIT DESCREPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 9596� CITY COUNTY SrATE ZIP 98-2506 (530)538-7541 BUILDING P2E ng��TELEPHONE NUMBER 1 11/09/98 SIGNATURE OF LOCAL AGENQJ�� DATE NONE I . DEALER NAME (ifnata dal sale, write 'NONE*) DEALER LICENSE NO. FLEETWOOD 1991 SANDALWOOD MANUFACIURER!S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLM17AM13277SW 66'X 26' RAD606934/5 SERIAL NUMBER(S) . LENGTH X WIDTH INSIGNIA(LABEL NUMBER(S) PEAL PROPERTY LEGAL DESCRIPTION ASSESSOR!S PARCEL NUMBER A.P. #061-620-001 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY-HCD PINK -Applicant GOLDENROD. Building Dept LEGAL DESCRIPTION A.P. #061-620-001 All that certain real property situate in the County of Butte, State of California, described as follows: PARCELI: BEING A PORTION OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 3 1, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE NORTH LINE OF SAID NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 3 1, WHICH POINT BEARS NORTH 87 DEG. 11'47" EAST 140.21 FEET FROM THE NORTHWEST CORNER THEREOF; THENCE FROM SAID POINT OF BEGINNING, ALONG SAID NORTH LINE, NORTH 87 DEG. 11'47" EAST, 239.28 FEET; THENCE LEAVING SAID LINE, SOUTH 35 DEG. 57'37" EAST, 187.00 FEET; THENCE SOUTH 56 DEG. 36'46" WEST, 372.15 FEET TO THE CENTERLINE OF PONDEROSA WAY; THENCE ALONG SAID CENTERLINE ALONG THE ARC OF 400.00 FOOT RADIUS CURVE TO THE RIGHT, WHOSE TANGENT AT THIS POINT BEARS NORTH 37 DEG. 18-57" WEST, THROUGH A CENTRAL ANGLE OF 6 DEG. 00-55", AN ARC DISTANCE OF 42.00 FEET; THENCE NORTH 31 DEG. 18'02" WEST, 60.85 FEET TO THE BEGINNING OF A 150.00 FOOT RADIUS CURVE TO TliE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 40 DEG. 5352", AN ARC DISTANCE OF 107.07 FEET; THENCE NORTH 9 DEG. 35'5011 EAST, 94.08 FEET TO THE BEGINNING OF A 200.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 16 DEG. 32-50", AN ARC DISTANCE OF 57.76 FEET; THENCE NORTH 26 DEG. 08'40" EAST 8.13 FEET TO THE POINT OF BEGINNING. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60.0 FEET IN WIDTH, LYING 30.00 FEET ON EITHER SIDE OF A LINE, BEGINNING AT A POINT ON THE EASTERLY BOUNDARY OF SAID PARCEL I ABOVE WHICH BOUNDARY BEARS NORTH 35 DEG. 57'37" WEST, 50.00 FEET FROM THE SOUTHEAST CORNER OF SAID PARCEL; THENCE FROM SAID POINT OF BEGINNING, SOUTH 35 DEG. 57'37" EST 206.12- THENCE ALONG THE ARC OF A 150.00 FOOT CURVE TO THE LEFT WHOSE TAN6i�i AT TIIIS POINT BEARS SOUTH 35 DEG. 5613" WEST, THROUGH A CENTRAL ANGLE OF 16 DEG. 01-36", A ARCE DISTANCE OF 56.64 FEET; THENCE SOUTH 14 DEG. 18'11 " WEST 85.92 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE RIGHT, THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 13 DEG. 48'55" AN ARC DISTANCE OF 72.34 FEET; THENCE SOUTH 28 DEG. 07'06" WEST 164.89 FEET TO THE CENTERLINE, OF PONDEROSA WAY. LEGAL DESCRIPTION A.P. #061-620-001 PAGE 2 PARCEL M: A NON-EXCLUSIVE EASEMENT FRO PUBLIC ROAD PURPOSE9 AND PUBLIC UTILITY PURPOSES FOR SAID PONDEROSA WAY, BEING A STRIP OF LAND 30.00 FEET IN WIDTK LYING CONTIGUOUS TO AND NORTHERLY FROM A LINE BEGINNING AT A POING ON THE EASTERLY LINE OF THE NORTHWEST QUARTER OF SECTION 3 1, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., WfHCH POINT BEARS SOUTH 0 DEG. 54'26" EAST, 498.11 FEET FROM THE NORTHEAST CORNER. THEREOF; THENCE NORTH 77 DEG. 29'41 " EAST, 45.91 FEET TO THE BEGINNING OF A 150.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 31 DEG. 39'33", AN ARC DISTANCE OF 82.88 FEET; THENCE SOUTH 70 DEG. 50'46" EAST, 240.94 FEET. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER SAID WAGON ValEEL WAY, AS SHOWN ON SAID MAP OF FEATHER RIDGE ESTATES SUBDIVISION, UNIT NO. 1, RECORDED IN BOOK 35 OF MAPS, AT PAGE 62. PARCEL V: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES FOR PONDEROSA WAY, OVER A STRIP OF LAND 60.00 FEET IN WIDTI-L LYING 30.00 FEET ON EITHER SIDE OF A LINE BEGINNING AT A POINT WHICH BEARS NORTH 87 DEG. 11'47" EAST 140.21 FEET FROM THE NORTHWEST CORNER OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 3 1, TOWNSHIP 21 NORTTL RANGE 5 EASE, M.D.B. & M.; THENCE FROM SAID POINT OF BEGINNING SOUTH 26 DEG. 08'40" WEST, 8.13 FEET TO THE BEGINNING OF A 200.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 16 DEG. 32'50", AN ARC DISTANCE OF 57.76 FEET; THENCE SOUTH 9 DEG. 35'50" WEST, 94.08 FEET TO THE BEGINNING OF A 150.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 40 DEG. 53-52", AN ARC DISTANCE OF 107.07 FEET; THENCE SOUTH 31 DEG. 18'02" EST, 60.85 FEET TO THE BEGINNING OF A 400.00 FOOT RADIUS CURVE TO THE LEFT;TBENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF I I DEG. 59-15", AN ARC DISTANCE OF 83.69 FEET; THENCE SOUTH 43 DEG. IT17" EAST, 305.14 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 12 DEG. 59'38", AN ARC DISTANCE OF 22.68 FEET. EXCEPTING THEREFROM THAT PORTION LYING WITHIN PARCEL I DESCRIBED ABOVE. LEGAL DESCRIPTION AP#061-620-001 .PAGE 3 PARCEL VI: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 30.00 -FEET IN WIDTTL LYING CONTIGUOUS TO AND TO THE LEFT OF A LINE BEGINNING AT THE MOST SOUTHERLY CORNER OF SAID PARCEL n ABOVE, THENCE ALONG THE BOUNDARY OF SAID PARCEL, .NORTH 38 DEG. 07'06" EAST, 164.89'FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 13 DEG. 48'55", AN ARC DISTANCE OF 72.34 FEET; THENCE NORTH 14 DEG. 18'11 " EAST, 85.92 FEET TO THE BEGINNING OF A 150.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 72 DEG. 53'36", AN ARC.DISTANCE OF 190.83 FEET; THENCE NORTH 87 DEG. 11'47" EAST, 54.02 FEET. EXCEpyyNG THEREFROM THAT PORTION LYING WITHIN PARCEL I DESCRIBED ABOVE. BUILDING PERMIT NUM13ER: 98-2506 Address or location of unit: 129 CHOCTAW RIDGE RD., BERRY CREEK, CA 95916 Legal Description of Real Property: A.P. #061-620-001 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: GEORGE & LINDA SCOTT Owner's address: 563 KINGS CROSS WAY, SAN JOSE, CA 95136 INSIGNIA OR HUD NUMBER: RAD606934/5 SERIAL NUM13ER OR V.LN.: CAFLM17A/1113277SW MANUFACTURER'S NAME: FLEETWOOD YEAR: 1991 OFFICIAL APPROVING INSTALLATION: DATE: 11/09/98 PHONE: (530) 538-7541 H.C.D. 513C I The undersigned grantor(s, declare(s): Documentary irar.srer tax is $ 44.00 plus MOBILE X ) computed on full value of property conveyed. or ) compuled on full value of liens and encumbrances remaining at time of.;alc. X ) Unincorporatled area: ( ) and FOR A VALUABLE CONSIDERATION, receipt or which is hcrcby acknowledged. TRANSAMERICA FINANCIAL SERVICES licreby GRANT(S) to GEORGE R. SCOTT and LINDA M. SCOTT, husband and wife, as JOINT TENANTS the following described rca! property in the umcoRmmTED AREA BUTTE. County or .State of Calirornii: SEE SCHEDULE C ATTACH M. HER13- TO AND MADE A PART I-F-REOr i July 20, 1994 TRANSI� LTCA _�F F SERVICE- S BY:. -- ERIC GIrB-9'-A—S­ST­. MANAGER a MICHAEL BINSACCA-ASST. MANAGER I s;aic or California County of _ BUTTE SS. ()it . 21 .111T.Y 94 before me. the tinJcrsignc(l..i Notary'Public In and for said State personally'appeared PRIC GIB13S AND MICIIAEL-BINSACCA (This area for Official notarial scal) Ivrsonally known to riv (nr proved in me an die Nisis of smisfactory )l ROBT. D. CAP1101iiii! evidence) it) Iv d)e lvrson(s) whose llanw(s) i"Jan: subscritvd it) die within . . 1w, A." COMMISSIOn't.." 046 f4pluty Cj!;1vMj5 V. COUNTN' iiisiniiiwiil;iii(l;i,.kiiowledge(I to me dial he/.% y exectoed dicsome in I hi.0x:r/IIx:irauihorizvd capacity(jes), an(] that by hi Oker/their signaltirr(s) I MY C10nlnli-:!.!Cn rompos tin the iimnintent the person(s) or the entity upon lx:ll;llf of which I JUNE F, IV07 cmvaeil flic insininlent. %%TYNF.SS illy 1;111( :111(1 06TIC Si A%-1-AI1F— G-EORGE 11. & L.1 NIjA_M-.___E9QM1L MAIL TAX STATEMENTS TO 9 4 --3 15 4 7 RecordIng Requested By BIDWELL TITLE & ESCROW bider N 3-167306ST, AND WHEN RECORDED MAIL TO 94-0315471' Rec Fee .15.00 1 DOC 44.00 Namto Recorded I Check 59.00 Street GEORGE R. & LINDA M. SCOTT 0i'licial Records I Address 563 Kings eross Way County of' I SAN JOSE, CA 95136 Butte I City Stale Candace ;. Grubbs I L Recoider I 8:00am 26 -Jul -94 I BWTC JR 4 AP# 61-620-001 Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE& ESCROW COMPANY The undersigned grantor(s, declare(s): Documentary irar.srer tax is $ 44.00 plus MOBILE X ) computed on full value of property conveyed. or ) compuled on full value of liens and encumbrances remaining at time of.;alc. X ) Unincorporatled area: ( ) and FOR A VALUABLE CONSIDERATION, receipt or which is hcrcby acknowledged. TRANSAMERICA FINANCIAL SERVICES licreby GRANT(S) to GEORGE R. SCOTT and LINDA M. SCOTT, husband and wife, as JOINT TENANTS the following described rca! property in the umcoRmmTED AREA BUTTE. County or .State of Calirornii: SEE SCHEDULE C ATTACH M. HER13- TO AND MADE A PART I-F-REOr i July 20, 1994 TRANSI� LTCA _�F F SERVICE- S BY:. -- ERIC GIrB-9'-A—S­ST­. MANAGER a MICHAEL BINSACCA-ASST. MANAGER I s;aic or California County of _ BUTTE SS. ()it . 21 .111T.Y 94 before me. the tinJcrsignc(l..i Notary'Public In and for said State personally'appeared PRIC GIB13S AND MICIIAEL-BINSACCA (This area for Official notarial scal) Ivrsonally known to riv (nr proved in me an die Nisis of smisfactory )l ROBT. D. CAP1101iiii! evidence) it) Iv d)e lvrson(s) whose llanw(s) i"Jan: subscritvd it) die within . . 1w, A." COMMISSIOn't.." 046 f4pluty Cj!;1vMj5 V. COUNTN' iiisiniiiwiil;iii(l;i,.kiiowledge(I to me dial he/.% y exectoed dicsome in I hi.0x:r/IIx:irauihorizvd capacity(jes), an(] that by hi Oker/their signaltirr(s) I MY C10nlnli-:!.!Cn rompos tin the iimnintent the person(s) or the entity upon lx:ll;llf of which I JUNE F, IV07 cmvaeil flic insininlent. %%TYNF.SS illy 1;111( :111(1 06TIC Si A%-1-AI1F— G-EORGE 11. & L.1 NIjA_M-.___E9QM1L MAIL TAX STATEMENTS TO 4 -3 1 5 4 7 SCHEDULE C The land referred to herein is described as.f6llows: Order No. 3-167308 All that certain real property situate in 'the County of Butte, State of California, described as follows: PARCEL I: Being a portion of the Northeast quarter of the Northwest quarter of Section 31; Township 21 North, Range 5 E8st, M.D.B. & M., and more particularly described as follows:. �0.0-A BEGINNING at a point on the North line of said Northeast quarter of the Northwest quarter of Section 31, which point bdars North 870 111 47" East 140.21 feet from the Northwest corner thereof; thence from said point of beginning, along said North line, North 87* 111 47" East, 239.28 feet; - thence leaving said line, South ' 35* 57' 37" East, 187.00 feet; thence South 56* 361 46" West, 372.15 feet to the centerline of Ponderosa Way; thence along said centerline along the arc of 400.00 foot radius curve to the right, whose tangent at this point bears North 370 181 57" West, through a central angle of 60 001 55", an arc distance of 42.00- feet; thence North 310 181 02" West, 60.85 feet to the beginning of a 150.00 -foot radius curve to the right; thence along the arc of said curve, through 8 central angle of 400 531 52", an arc distance of 107.07 feet; thence North 90 351 5011 East, 94.08 feet to the beginning of a 200.00 foot radius curve to t�e right; thence along the arc of said curve, through 8 central angle of 16* 321 50", an arc distance of 57.76*feet; thence North 260 081 40" East 8.13 feet to the point of beginning. AP No. 061-620-001 PARCEL II: A non-exclusive casement for road purposes and public utilities purposes over a strip of land 60.0 feet in width, lying 30.00 feet on either side of a line, be ' ginning at a point on the Easterly boundary of said parcel I above which boundary bears North 35* 571 37" West, 50.00 feet from the Southeast corner of said parcel; thence from said point of beginning, South 350 571 37" East 206.12 feet; thence along the arc of a 150.00 foot curve to the left whose tangent at this point bears South 350 561 13" West, through a central angle of 16* 01' 36", an arc distance of 56.64 feet; thence South 1V 10' 11" West 85.92 feet to the beginning of a 300.00 foot radius curve to the right, thence along the arc of said curve through a central angle of 13* 48' 55" an arc distance of 72.34 feet; thence South 280 071 06" West 164.89 feet to the centarline of Ponderosa Way. PARCEL III: A non-exclusive casement for public road purposas and public utility purposes' for said Ponderosa Way, being a strip of land 30.00 feet in width, lying contiguous to and Northerly from a line beginning at a point on the Easterly line of the Northwest quarter of Section 31, Township 21 North, (Continucd) 3 1 5_0 order No. 3-1673100 Range 5 East, M.D.B. & m., which point bears South 00 541 26" East, 498.11 feet from the Northeast corner thereof; thence North 77* 29' 41" East, 45.91 feet to the beginning of a, 150.00 foot radius curve to th ' e right; thence along the arc of said curve, through a central angle of 31' 391 33", an arc distance' of 82.88 feet; thence South 70* 501 46" Cast, 240.94 feet. PARCEL IV: A non-exclusive easement for road purposes and public utility purposes over said Wagon Wheel Way, as shown on said map of Feather 'Ridge Estates Subdivision, Unit No. 1, recorded in Book 35 of Maps, at page 62. PARCEL V: A non-exclusive easement for road purposes and public utility purposes for Ponderosa Way, over a strip of land 60.00 feet in width, lying 30.00 feet on either side of a line beginning at a po±nt which bears North 870 11' 47" East 140.21 feat from the Northwest corner of the Northeast quarter of the Northwest quarter of Section 31, Township 21 North, Range 5 East, M.D.B. & M.; thence from said point of beginning, South 26* 08' 40" West, 8.13 feet to the beginning of a 200.00 foot radius curve'to the left; thence along the arc of said curve, through a central angle of 16* 32' 50", an arc distance of 57.76 feet; thence South 90 35' 50" West, 94.08 feet to the beginning of a 150.00 foot ' radius curve to the left; thence along the arc of said curve, through a central angle of 40* 53' 52", an arc distance of 107.07 feet; thence South 31* 18' 02" East, 60.85 feet to the beginning of a 400.00 foot radius curve to the left; thence along the arc of said curve, through a central angle of ll* 59' 15", an arc distance of 83.69 feet; thence South 43o 17' 17" East, 305.14 feet to the beginning of a 100.00 foot radius curve to the left; thence along the arc of said curve, through a central angle of 12* 591 38", an arc distance of 22.68 feet. EXCEPTING THEREFROM that portion lying within Parcel I described above. PARCEL VI: A non-exclusive easement for road purposes and public utility purposes over a strip of land 30.00 teet in width, lying contiguous to and to the left of a line beginni6g at the most Southerly corner of said Parcel II abovc, thence along the boundary of said parcel, North 28* 07' 06" East, lG4.89 feet to the beginning of a 300.00 foot radius curvn- to the left; thence along the arc of said curve, through a central angle of 13* 40' 55", an arc distance of 72.34 feet; thence North 14* 18' 11" East, 05.92 feet to the boginning of a 150.00 foot (Continued) 9 4 3 15 4 7 Order No. 3-167308 radius curve to the right; thence along the arc of said curve, through a central angle of 720 531 36", an arc distance of 190.83 feet; thence North 870 111 47" East, 54.02 feet. EXCEPTING THEREFROM that portion lying within Parcel I described above. comp. [bL END Of DOCUMENT .4CD/mDQTRS/SACT(3 OrT-29-1%8 0:24 L TMWArON AND WVJM AGO" -.4it2 ae.:, 7e— pm "Um GO— MIR (11 CALOOM -a3ffa � cm Title Search Dato Pd=d: 10/2888 Decal LAS6001 Use Code: SFD maniovwer: 0"34 FLEETWOOD HM 24C Odom! Price Code.: ANV Tradenme: SANDALWOOD Rating yev; Model: S663B Tax Type: LF`T Manufictured Date: og,30/91 Lut ELT Amount: Rogisastion Exp: Dato ELT Fee Paid: First Sold On: 09M81 ILT Exemption: NONE Serial Number HUD Label Insignia Leno Width CAFLN17AI3277SW RAD6W34 66, 13, CAFILM17BI32779W RAD"3S 13, Registered Owner. rjEOII*E SCOTT LINVA SCOTT JTRS 29 CKOCTAW RIDGE RD OROVI1J.E, CA 959" [Am Tide Datet OVN104 Last Reg CaN: 08129,94 S&W`Traurw Ido: Price S34,000-00 Trawfcffai on 07/2694, Sihn AddrcsG: 29 CHOCTAW RIDGE RD OROVFLLE, CA 95%6 Situs Cowit)r. BUTTE Legal Owner. TRANSAMERICA FIN SERV 10 DECLARA11ON DR STE A CHICO, CA 95926 Lien Perfeettif On., 07127N 1139:00 END OF TITLE MARCH TOTQL P.02 106 V90 I r -N t19T9,t2-G9T6 � 3-1-ilnC�C 3-111i 071.tM C!W TE:60 86/OE/01 '�/ Y-22�P7 0 leto Isq L 'bA V6 O;j Td O�el Ell CCW BUT- ia'T 'C o P. MOBILEHOME SUPPORT.DATA ?age 9 If *othdr than singLe wide, q�ss-r vz, —,b� furnish Setup Model No. 'S�46-t 3 Aobilehom6 Mf r. Year 115'Z- -47.dth -7 �0 (ft.) Box I-ength �q6 M.) Tagalong or rxpand6,size ft - X t. (SHOW. SUPPOU DETAILS BELOW) on all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Yuba). All center supports measured from front of TYPE OF SIDING: r> TYPE OF ROOF: mobilehome unless otherwise specified. Footings, (check one) S ingle Vj- 1 Wood either "A pressure treated or o foundation grade. (ft.)(in;) -(in.) (in.) .[]'2.- -Other (specify iter support Center support . . . -ocations*. footing sizes Su pports (check one) (in.) 1. Concrete block. 2. Other (specify) (ft.)(in.) (in.) (in.) 4—Tagalong or Expando, show support details. ZS (ft.)(in.) Un.) (in.) sd Typical', Support' -10 _j (in.) (in.) Footin'9 Size F�_x _751 (ft.)(in.) (in.) (in.) Max. Pier Spacing Max. Ove'rhang (ft.)Vin.) (in.)l (in.) ns JT (ft.)(in.) MPAPTMEW BUTTE COUNT2& RUILDING'DEPARTM EN A P P R 0 V_ F If'center piers are other than drawn above, #98-2507 SCOTT, GEORGE 29 CHOCTOW RIDGE RD. BR�'C BRUCE BRODERICK -OPEN DECK NM s C) 94 -CA- tote -NT OF DEVELOPMENT SERVICES - BUILDING DIVISION COUNTY OF BUTTE - DEPARTMB 7 County Center Drive e Ciroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND-RERMIT ? - C;� so -�- ASSESSOR PARCEL NUMBER 061-62-0—Ml ZONIN BUILDINGPERMIT OWNER GFORGE SCOTT TELEPHONE SO. FT. OCC. BUILDING VALUATION ginn OWNERS MAILING ADDRESS 29 CRYMN RIME RQAD, RVRRY CRVU CONTRACTORS NAME ERTICE RRODER40I (�.G - TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ .3Z) o LV BUILDIN2,41) VAOCM RIDGE ROAD, BRRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ ___1W 1U LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other DECK SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New I Addition 0. Remodel 11 Utilities 0 Installation 0 Other 0 Describe Work: OPEN DECK/MH Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I IN 2 .00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main Service '."'.Av R. "sss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commericing with Section 7000) of Division 3,of the Business and Professions Code, and my license is in full force and effect. License Class 16 Lic. No. OWNER -BUILDER 'DECLARATION I hereby affirm under penalty of perjury that I am *ekempt from the Contractors License Law for the following reason: 0 1, asownerof theproperty, ormy employees with wages as their sole compensabon, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING UP. OR ADONS. & C. agC so 3.50FT. NEW CONST. NON-RESID. I,= =M L@7.50 OWE.RAP.PARATU &PSIN. . CSI R. Ex.. Occup. ( OUTLET OR FixrURES 20 @ 1.00 BAL @ .50 ( OD "El A OR Ex. Qccup. '(R'.16.) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 -hereby affirm under penalty of perjury ' one of the following declarations: 0 1 have and will maintain a certificate of,consent to self -insure for workers' compensation, as provided for by secti6ri 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, fortheperfoirmanceof work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X / / / 1/�' 1, 6A , X *Date ,/a Signature of Applicant - 0 Owner 0 Contractor T'Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling' Hood 6.50 Ventilation PERMIT FOE, $ Mobile Home Installation Fee $ Energy, Inspection Fee Occ CONST. TYPE TOTALFEE$ 109.10 HAZ. I.D. FEES IMP [ FLOOD CDF —0. PARCE V PD I HDrtSSUE I V This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By AaAl)— Date I I f - , F PERMIT EXPIRES ON 4, - 9q (Date) ReceiptNo. 251080 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive * Oroville, Califibrh- ia 95965 9, Telephone (530) 538-7541 441NO. (Rev..1 2i96) APPLICATION AND -PERMIT ASSESSORPARCEL UMBER 06.1-670-001 1 ZONING BUILDINGPERMIT L,,"' OWNER GEORGE SCOTT TELEPHONE SO. FT. OCC. BUILDING VALUATION 300 2100 OWNERS MAIUNG ADDRESS 29 CHOCTOW RIDGE ROAD, BERRY CREEK CONTRACTORS NAME BRUCE BRODERICK TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS —Permit Plan Checking Fee $ IUIIINI�JD MICTOW RIDGE ROAD, BERRY CREEK Energy Plan Checking Fee $ $ ____T09 PERMIT FEE -1U LOT NO. SUBDP41SIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other DECK SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 13 Addition 0 Remodel 13 Utilifies 0 Installation 0 Other 0 Describe Work: OPEN DECK/MH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20-00 800V OR LESS Main Service .A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license full force and effect. License Class Uc. N OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO iOOOA 46.00 NEW CONST. OR ADDNS. __ _ _ OWT=G ff.UP. so. 3.50IFT. NEW CONST. MULTI -OUTLET NON-RESID. saANcH iRcurrs @7.50 POWER APPARATUS & SINGLE OUTLET CIR Ex . Occup. OUTLET OR FIXTURES @ "' SAL @ .50 Ex. Occup. o."E' A '(g.,6.,OER,,)__ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 13 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performance of workforwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com ly with/hose provisions. X Date Signature of Applicant - 0 Owner 0 Contractor V_ Agen( An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONSiTTAYPE TOTALFEE$ 1 Ing -i -o .A P-t�CDF IJK FM .1k PC I ',*I HD/iSSUE v I I/ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By AP—bate PERMIT EXPIRES ON I Pate) I ReceiptNo. 251080 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD':�PPLICANT 00 -f 14: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICE� - BUILDING DIVISION i 7*County Center Drive a Oroville, Califorhia 95965 * Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) .11 APPLICATION AND PERMIT __00�p A8SM0APAFkCELNUMfflr6/_ ZONNG BUILDINGPERMIT OWWA SO. FT. OCC. BUILDING VALU-ATION L"NOMOMS r -n— [,-,o t TO -NE COWMCTOWS WME /3 COWRACTOR'S MOU1.1143 AD coNsTFacrioNLENDEA LEMER'S MAUNG AMMS —Fireplace Total Valuation $ ARWffECT OR E"NM UGVGE NO. Filing Fee 20.00 ARCM"CT OR MWEIMS WMNG ADORM Permit Fee $ Plan Checking Fee $ BULMGAWRESS —Energy Plan Checking Fee $ $ PERMIT'FEE S LDT NO. SUBDIVEMMMAIN PAW111. MAP PLUMBING PERMIT Filing Fee .'20.00 USEOFSTRUCTURE Each Trap 7.00 —Solar or heat pump water heater 23.00 SF 0 Duplex 0 Mobflehorne 13 Other Water piping 15.00 Each gas water heater o0 vent 15.00 TYPE OF WORK Gas piping systern I - 5 outlets 15.00 Now Cl Addition 0 Remodel 0 Utilities 0 Installation 13 Other 0 Building sewer 15.00 Describe Work: Nbblle Home -1 S I G I W I Q20.00 PERMIT FEE $ PERMIT Filing Feel 20.00 —ELECTRICAL Service = 00AR 23.00 LICENSED CONTRACTOR'S DECLARATION .Main Main Service 200A TO I OOM 46.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 14EW CONST. OR ADDM. am 3.50M 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, MULT"o TLff @7.50 and my license Is In full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION Ex. Occup. wnEr oFt mama SAL a M I hereby affirm under penalty of perjury that I am exempt from the Contractors License Occup. 0= ME.16.1E. 5-00 Law for the following reason: —Ex. Temporary Service 23.00 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale. Mobile Home Facilities 20.00 0 1, as owner of the property, am exclusively contracting with licensed contractors Usc. Wiring 23.00 to construct the project 0 1 am exempt under Sec. Business and Professions Code for this reason PERMIT FEE WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Cooling performance of the work for which this permit Is Issued. Hood 6.50 0 1 have and will maintain workers' compensation Insurance, as required by Section ventilation 3700 of the LAbor Code, for the performance of work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier I PERMIT FEt Policy Number Wbile Home Installation Fee $ (The above sections need not be completed if the permit Is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) 0 1 certify that in the performance of the work for which this permit is Issued, I shall occ COMS . PE TOTALFEE$ not employ any person in any manner so as to become subject to workers' a compensation laws of California, and agree that if I should become subject to the KAZ I D. FEES IMP I RACO 10 8SUE workers' compensation provisions of section 3700 of the Labor Code, I she.. forthwith comply with those provisions. This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X Date indicated above for which fees have been paid. Signature of Applicant - 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60"deep and demolition or construction of structures over 3 stories in height By Date Receipt No.7,77 PERMIT EXPIRES ON I WHITE-O.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT PAM) COUNTY OF BUTTY- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL�, CA-LIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: C ASSESSOR PARCEL NUMBER: Proposed Building Use:,0.401n, Building Inspector: Date: /42 At time of permit application, I was advised the following data must be submitted prior to perinirprocessini-and/or is-suance: Date Received By 111. All items have been submitted ----------------------------------------------------------------------- 7 -------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - -------- 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation - ---------------------------------------------------- E] 7. Statement of Intent. for Non -Heated and A/C Buildings - --------------------------------------------------------- El 8. Hazardous Material Form - ------------------------------------------------------------------------------------------ l__19. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- 0 11. Impact fees as shown on the attached schedule - ------- 0 12. California Department of Forestry plan approval/fees. 0 3.-F 6"W elevation certificate - ------------- ------- 4 S� 1 . Sanitation and plot plan approval,47 Zealth 0 15. City of Chico plumbing permit - ------------------------- Department. El 16. Plot plan and business license approval from the City of Biggs. C1 17. Planning approval for (A) Use: (B) Parking:. El 18. Contact Land Development about 11 Improvements, 11 Drainage, El Legal Parcel. El 1. 9. Encroachment Permit for driveway (construction approval prior to occupancy). -- 020. Pre -inspection for required. Request to Building Inspector on (Date) D 2 1. Contractor's license information. (Number, Name Style, Classification) - ---------------------- ------------- 0 22. Workers' Compensation carrier and policy number - ----------------------------------------------------------- 1-_123. Owner -Builder Verification (Given to owner El, Mailed to owner 11) - -------------------------------------- E124. Letter of signature authorization - -------------------------------------------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement - -------------------------------------------------- 1326. Letter of intent on building use - ----------------------------------------------------------------------------------- 1127. Manufactured Home utility clearance - --------------------------------------------------------------------------- 028. Exi gviolations and/or expired permits - ---------------------------------------------------------------------- ?'x" 1441'3i"A', DGrant Deed, 0 M.H. Title, El Check to H.C.D $ - --------------- .14NOth-'er: ------- you issue e t, process as ollows 11 Mail to owner, []Mail to contractor. YTel*eync Lg hold for pickup at ce. 0 Deliver with inspector. vnm= e�'Z Applicatii: Date: Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 0 Pollution Date: By: Copy of plans sent 6 Health Department, 0 Fire Department, 0 Other: Date: By: 1. Index permit application for the above items nurnbered: C3 Plan Check List 2. Additional items required Contractor, designer, owner, was advised of the above required data by 0 phone, o mafl, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, c) mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, o mail, ci Building Division counter, by Date: Contractor, designer, owner, was advised of the above requii-ed data by o phone, o mail, o Building Divis' n counter, by Date- D;t-e.7 Plans reviewed by: Date: Plans approved by: Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USg;,ONLY Plot Plan Attached QYA= Roor Plan Attached Sent to S.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance C,� L tt^jQ- S 62 C �o O�vner Location AP# Plan Approved for: Sewage Disposal jz . Water Supply: Public Private Well Clearance for —N_,dQ*ft—g— Other - C) e -c- K /a �z % Hold final for: Final clearance O.K. for: NOTE: I. Environmentdj Health Specialist 8/96 Or f Date Q�n 70 rn naL I 7) Y k�y 2 Iw 0 WO C�h Or �0 .0 V, 4'z zoz? or oor pOTB: All XaWials V'WortmIanOMP -fta IBG tn Accordance with jWc.gnized Good Pra�10118 and of a Quality prescribed for tbe Specified use in the Uniform Building, ptu,,abing & Mechsncv; 20 jW*MAI MaGWIM, Oode. 0 '5�4 v v moo '50 ;Vj . so 00 Of BUTTE COUNI-N DEPARTMI,EW AUILDING -A P P R 0 v K rn Ol L L q MAX. -TI r�m r -m -,Q �F Rr0 G 1. -n '70 cu lz c -4 0 (D .q L. q 0 :3 Z --q Fri 4- 1- 34" C> A 0 /HW)RAIL RE16HT 0 _j 7a iF m -TI C> Z 0 m AIX. 71 No"MIN. STAIR�': C) WIDT4 7q 6' c 4 Ln (D Ln !t!u 413 VAR14S 36,- MIN... A3lN'HVdBQj0NlG- �lNno, ne C> M rTl rrl m 71r, TYP 4h "PIZ L4 xi K rn Ol L L q MAX. -TI r�m r -m -,Q �F Rr0 G 1. -n '70 cu lz c -4 0 (D .q L. q 0 :3 Z --q Fri 4- 1- 34" C> A 0 /HW)RAIL RE16HT 0 _j 7a iF m -TI C> Z 0 m AIX. 71 No"MIN. STAIR�': C) WIDT4 7q 6' c 4 Ln (D Ln !t!u QOUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA -. (91�6) 891-27� 7 County Center Drive, Oroville, CA - (916) �38-754111 747 Elliott Road, Paradise, CA - (916) 872�-6307 CORRECTION NOTICE'�. 4j. OWNER PERMIT NO. 7 A- J� vz A routine inspection indicates that the following violations of ButtdCount� Ordi - nances exist at the above address and should be corrected. Please notify this office when correction of work.' is completed. If you have any questions pertaining to this matter,�or need additional explanation, please contact this office immediately. v - V �42 157 REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Ce6ter Drive - Oroville, California 95965 - Telephone (616) 538-7541 PERMIT NO. C', APPLICATION AND PERMIT 0 ASSESSOR PARCEL NUMBER 061-620-601 ZONING 6 BUILDING PERMIT OWNER TRANSAMkR)�& FINANCIAL SERVICES TELEPHONE 342-2443 SQ. FT. OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS P.O. BOX 779 CHICO, CA 95927 CONTRAC NA NAME TO R'S TELEPHONE CONTRACTOR'S MAILING ADDRESS 4 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENS`E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUIL"N'I'T'CHOCTAW RiDGE- RD.' PERMIT FEE $ BERRY CREEK, CAS PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'SNAMI PARCEUMAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF C3 Duplex 0 Mobilehome Ya Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 20.00 TYPE OF WORK New 0 Addition 0 Remodel El UtilitiesM Installation El Other C) DescribeWork: ELECTRIC SERVICE HAS BEEN TURNED If7 PERMIT FEE Contractor ELECTRICAL PERMIT Filing Fee 20..00 OFF. NEED NEW SERVICE INSPECTION. Main Service 600V OR LESS 200A OR LESS 1 23.00� Main Service 200A TO I OOOA 46.00 NEW CONST. 16WELLING OCCUP. OR ADDNS. & ACC. OLDS. 0so. 3.5 NEW.CONST. MULTI -OUTLET NO RESID. BRANCH CIRCUITS --FT: @7.50 ,girl CONTRACTORS, LICENSE LAW I declare under penalty of perjury (check OR; Q I am a licensed under provisions of Chapter.r,. 9, Division 3 of the Business and Professions Code and my license -is iiiAll�fbrte and effect. License No. Classificati—or". ` � 0 1, as the owner, or my employees with i��6es as their sole compensation, will do ,,;he work, .4nd the structure is not intended or offered for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) Q .1 am exempt under,Sec... Business and Prof essio rIs Code iorthis reason POWER APPARATUS ( & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR riXTURES 20 @ 1.00 SAL. @ .50 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misle. Wiring 23.00 PALN-INSPEOMON '23--.0 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Q This permit is for $100.00 (valuation) or less. Q I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 0101�hall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become su4ject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.0, Contractor I MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I I certifythat I have read this application and state thatthe above informationis correct. I agree to comply to all Butte County Ordinances and California State Laws,relating to building construction, and hereby authorize representatives -of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of h n is rmit., A'An I `a1'6=L1k1P­e1A rINANC�,AL SVCS. X ---__Date 7- 7-/ Signature of Applicant - X Owner - 0 Contractor 0 Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ C CONST- TYPE TOTAL FEE $ 43.00 HAz. I D. FEES I IMP I RLOO POTHD SSUE This permit is hereby issued under the applicable or the Butte County Code and/or Resolutions indicated b ve for which fees have been B PERMIT EXPIRES ON [Da to) provisions to do work paid. Date 01 Receipt No. &�6 766 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPFECTOR GOLDENROD -APPLICANT -061-620-001, 94-0961E TRANS AMER1 CA FINANCIAL, SERVICES 29 CHOCTAWRIDGE RD�.';;�BERRY CREEK ELE SER INSPECTION/MH 41 _1Z t COUNTY OF BUTTE - DEPARTMF--dT OF PUBLIC WORKS 7 Ay Comtor DrIva - Oroville, Tolophoim. 010,1638-7541 Cot, APPUCATION AND PERMIT PERMIT NO, 3324-91 A9.9t990M WANGE56 NUMOSPI ZONIND 061-620-001 U BUILDING PERMIT, LAVERN LADENSACK 80. FT. OCC. BUILDINGNALUATION CONT EST 11,000 OWNICR111 MAILING ADDR91111 29 CHOCTAW RIDGE ROAD BERRY CREEK C 0 N T R A C r6TT_RT0[__ POLLY POOLS OF NCTRHERN CALIF TEL11127HONE 533-1431 CONTRACTOR'5 MAILING ADDRESS 6650 CITRUS OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 1054) ARCHITECT OR ENGINEER t/'WILLIAM MERKEL LICENSE NO. Plan Checking Fee $ :52.50 Energy Plan Checking Fee $ ARCHITE OR ENGINE R'S MAILING ADDRESS 29 CHOC AW RIDGE ROAD BERRY CREEK _LD —TU Penalty $ I I N G �\ DDRESS Permit fee $ 172.50 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. S UBDIVISION NAME ARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.001 USE OF STRUCTURE SF 0 DuplexF� Mobilehomen Other POOL SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S I G I W @ 15.00 TYPE OF WORK New 4 Addition [:1 RemodelE] utilitiesE] Installation[] Other Ej Describe work: TO BE MASTERED I Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO I OOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Fr7 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 ,4o.7-70' Classification 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) El I, as the owner, am exclusively contracting with licensed CUIRICICt- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. ( D W ELLING OCCUPM 3.64 sq.ft. OR ADONS. ACC.BLDG - NEW CONSTR. MULTI.OUTSLET NON-RESID, BRANCH I RCU I TS) @ 5-00 POWE A ATUS & SJ�6LF �,,+�_R ET CIR Ex. OCCLIP(OUTLETS OR FIXTURES 20 @ 75 AL 0 4RI FIXED APPLNS 0 R Ex. Occup. OUTLETS F A 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 15.00 Permit Fee $ 30.OU J WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] The permit is for $100.00 (valuation) or less. R�_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. F� I shal I 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. Contractor MECHANICAL PERMIT FilingFee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 11 all - liabilities, judgments, costs, and expenses which may in any way accrue against.,said Cojoy iIncoinsequ?eA�t �grantingi of this permit. e of X ezt� I.— Date Signature of Applicant Owner El Contractor Z?"- AgentF� An OSHA permit is required for excavations over 5'0'' deep and demolition or construct- ion of structures over 3 stories i n height. Mobile Home Installation Fee Energy Inspection Fee $ OCC CONST TYPE ITOTAL FEE $ 224.50 I HAZ I D FEES I IMP I FLOOD CDF PA7 I PO 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 Date PERMIT EXPIRES Date Receipt No. 100876 224.50 WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT LI COUNTY OF,,BU I I Itz - DEPARTMENT OF WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE CjJ3�V4iC A'LIFORKIA 959`65 TELEPHONE: 916/538-7541 _'bN DA-� SHEET PERMIT R P7L 1 d4 T I Permit No. OW'NER AacAk5Ack" A. P. No. Proposed Building'Use ov f/ Building Inspector- 0 Date ..At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance: DATE RECEIVED APPROVED 1 - All items have been submitted . .. ................................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by prepare'r. of plans 1A&fe_ 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form ................................. ''******* 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to 'plan check) 9. Mobilehome installation data including manufacturer's installation instructions ....................................................... Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... _L 12. Park fees paid .................................................... . ............. 13. , School District fees paid .............. 14. Sanitation approval from Health Department 15., City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use:—(B) Parking: . ...... 18. Improvements may be required. Contact Land Development Sectio.n DPW 19. Driveway permit (construction approval required prior to occupancy) 3.� 20. Pre -Inspection for required Pre-inspec. reque'st to A Building Inspector (Date) —21. Contractor's license informatiori (No., Name Style, Classification) 22. Certificate ' of Workmans Compensation Insurance .................. 23. Owner-BGilder Verification (Given to owner 0, Mail to owner 0) ..... —24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authoriz�tion ................................... 27. When you issue the permit, process as follows: —Mai 1:,to-owner. _Mc�ii I to contractor. L-- Telephone IM03- and/kold for pickup at (3/0QU office. Deliver w/inspector. Other Applicant Copy of Haz-Mat form sent —HealthDept. —FireDept. ----Air Pollution Date Copyofplanssent __!____Health Dept. —FireDept. —Other— Date— By The following data must be submittea prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone----jnai I —counter by—..date Contractor, designer, owner, was advised of above required data by—phone—mall—counte'r by— date Plans checked by- Date Plans approved by Date —Sets of plans on hold in —File cabinet _AP folder Copy—DPW V e"q* J13utte OROVILLE, CALI FQW10A GENERAL CLAIM CLAIMANT: Charl Ps Fishhurnp ADDRESS: CITY & STATE: Yuba ci ty, CA 95991 -IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: September 16, 1991 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #3187-91B,P,E, .A-12461-62 01, Reeeipt #100741, 4ated 9/6/91. Total Permit Fees Paid ------------- ------- $179.75 iRetain Plan Checking Fee ------------- ----$43.25 ....-..Retain Retain Building Permit Filing Fee -------- 10.00 Plumbing Permit Filing Fee -------- 10.00 Retain Electrical Permit Filing Fee ------ 10.00 Total Permit Fees Retained --------------------------- 73.25 TOTAL REFUND DUE ----------------------- ------------- �$106.50 _f_-7 TOTAL 1 $1061 50 1. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .. ............. day of ...... 19 at C7 r— C/ .............. Cl I Calif. ... ................. ........................................ . ..... ........ Signature of Claimant 1. the undersigned, hereby certify that. to the best of my knowledge, the services or :rtni:lefs ve been Performed or de- livered and that there is a Budget Appropriation E] or Specific Board Approval E) (Ch,ec 0 , 0: r1c" Dated this ............ 1.6.th ............ day of ... S.e.pteaber. 19-9.1-t C.,,f. >.e D e�� Dept. Exp, 11 __: Code 4.4.0-00.2 .................. Code ............ 4.2.1.0.5.0.0 PAYABLE FROM Const. Permits .. .. ........... .. .. .. .. .. .. .. . ............... .......... . ............................................................... F U N D . DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV.NO. INV.DATE ENCUMB. GROSS AMT. R V 17 C t --Z �7( vt 1 77 fk (IT C V c 0 q q P/CL-v t. A I 4V%4 IF t. A I COUNTY OF BUTTE - DEPAR F PUBLIC WORKS PERMIT NO. 7 County Center DrIve - Oroville, Calif Telephone: 916/538-7541 ­;, , . 1� 1. It —� APPU&TION' IT ASSESSOR PARCEL NUMBER 061-620-001 ZONI BUILDING PERMIT U OWNER LAVERN LADENSACK 1589-4222 TELEPHONE SQ.FT. OCC. BUILDING VALUATIO�Z CONT EST- 11,000 OWNER'S MAILING ADDRESS 29 CHOCTAW RIDGE ROAD BERRY CREEK CONTRACTOR'S NAME POLLY POOTS OF NORTHERN CALIF TELEPHONE CONTRACTOR'S MAILING ADDRESS 6650 CITRUS ORCIVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$ 11,000 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 86.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 43.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS WTT,T.TAM HERKEIT, Penalty $ BUILDING ADDRESS 29 C14OCTAW RIDGE ROAD BERRY CREEK Permit fee $ 139.75 PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFE:1 DuplexF� MobilehomeF� Other POOL SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W F1 0 .00 ea TYPE OF WORK New 9 Add i t I on [:1 RemodelE] UtilitiesEl InstallationD OtherEl Describe work: FROM MASTER 4513-88 Permit Fee $ 19.00 Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I dec;,,,,,n er penalty of perjury (check one): 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. -7 C1 �J 5- -Classification. -1 F1 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) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N) OR ADDNS. ( ACC. BLDGS. 21/20sq ft NEW CONSTR. MULTI -OUTLET RES'D, BRANCH CRC. ITS) 2.50 ea I _NON POWER APPARATU (SINGLE OUTLET CIR.11) Ex. OCCUP(OUTLETS OR FIXTURES 0050t 1.2AL@ 300 OCCUP. FIXED APPLNS. OR % Ex. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15-00 U Permit Fee !t 25.1LU Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F'� The permit is for $100.00 (valuation) or less. 5/�Il 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. El 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 becom e subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT Fi I ing Fee 10-00 Heating Cooling Hood 3.00 Ventilation Peffnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte a a nst all liabilit.ies, judgments, costs, and expenses which may in any way ac1crue ag t d C e X s �iG o u y in co I equ �n_7e op(he g�Anting of this perm Date Signature of Applicant OwnerEl Contractor V Agent E] An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ i I CONST TYPE I TOTAL FFE $ 179. 7) 'V-IAZ. CUA- I PARK I SCH This permit is hereby issued unaer tne applicable provi- sions or the Butte County.Code and/or resolutions to do work indic ted al v or which fees have been paid. ��v DI R OF PUBLIC WORKS Bl� ff — Date P RMIT EXPIRES Date Receipt No. 100741 179.75 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN - ROD -APPLICANT COUNTY OF,BvtTE - DEPART"' T MENT 4A7 COUNTY CENTER DRIVE, !rA 4 ORKS - BUILDING DIVISION APermit No.— OWNER- P. NO. E Pir,c4sed Building Use 19001 Building Inspec or 05 Date--?/ At time of permit application, I was advised the following data must be submitted prior to permit processing e(nd/or issuance: DATE RECEIVED APPROVED 1. All items'have been s,ubmitted . .................................... 2. Plot plans in duplicat6/triplicate, signed by preparer of,,plans ........ 3. Compll te plans in, duplicate/triplicate, signeb by preparer. of plans 4. Complete engineered plans and calcs,,witti wet signature on plans 5. Hazardous Material Form ............................................ 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... ,12. Park fees paid .................................................... SOOOI District fees paid ............... Sanitation -apFroval-,f ro 90 v I Me -4, I - i� 'Department Health ,1'5.. City of Qhi�o plumbing permit ..................................... f,*� � / <,7 � C4 16. Plot planiWd—business license approval frorn City of (see City for other requirements) 17. Planning approval for (A) Use:—(B) Parking: . ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) If _-20. Pre -Inspection for required ... Pre-inspec. reqvest to Building lnspE�&tor (Date) 21. Contractor's license information (No.,- Name Style, Classification) ... -22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... - 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: —Mail to owner. Mail to contractor. ---&Z"Telephone AV673 - C13 and hold for pickup at 012�� off ice. —Del.iver w/inspectbr. — Other C 4? "e'k- I Applica ate Copy of Hlaz-Mat form sent —Health Dept. —Fire Dept.' _�_Air Pollution Date Copy of plans sent - ----Health Dept. —Fire Dept. —Other— Date__�L; —i By — The following data must be submitted prior to pe'rmit issuance: (Circle new item not ch,e6ked above). 1. Index permit for above items No. 2. Additional items required7— Contractor, designer, owner, was advised of above required data by —phone___jnai I —counter by Contractor, designer, owner, was advised of above required data by/_phone_maiI__+.coV"r by checked by Sets of plans on hold in Copy -DPW Date Pl,aKs approved by File cabinet _AP folder -.date date Date To Buildinc"r be��,irtment FROM: Envirorl-'eIntal Health SUBJECT: Sanitation Clearance owner Locati AFIF plan Approved for: Sewace D . isposal water Supply Hold final for: 7inal clearance O.K. for: NOTE arian ��Fater supply Water supply - other T-C� k - Dat ce 17 N. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville"Cififornii.,'95965 -Jelephone (916) 538-7541 ERMIT No. 0 ?��/_ 0 Z APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 061-620-001 ZONING U BUILDING PERMIT OWNER TRANSAMERICA FINANCIAL SERVICES TELEPHONE 342-2443 I SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 779 CHICO, CA 95927 CONTRAC NA NAME TOR'S TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAKING ADDRESS Penalty $ BUILDING �I�ESSCHOCTAW RIDGE RD. PERMIT FEE $ BERRY CREEK,.CA PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Q Duplex 0 Mobilehome Z9 Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 0 .00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities)D Installation C) Other 1:1 Describe Work: ELECTRIC SERVICE HAS BEEN TURNED PERMIT FEE Contractor ELECTRICAL PERMIT Filing Fee 20.00 OFF. NEED NEW SERVICE INSPECTION. Main Service "v '" LESS 200A OR LESS 23.00 Main Service 200A TO I OOOA 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. & ACC BLOS. 3.50 ST'. NEW CONST. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 1:1 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 0 1, as the owner, or my employees with wages as their sole compensation, will do (WI- work, and the structure is not intended or offered for sale. (Sec 7044) e s the owner, am exclusively contracting with licensed contractors. (Sec 7044) 0 1 am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS & SINGLE OUTLET CIR. E Ex. Occup. OUTL T OR FIXTURES 200 1.00 BAL. @ .50 FIXED APPLNS. OR Ex. Occup. OUTLETS iRESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE -INSPECTION- - 23.0( WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 0 This permit is for $100.00 (valuation) or less. 0 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a 't 6ee,rificate of Consent to Self -insure. s s� hall not employ any person in any manner so as to become subject to the Worker's ./ . , Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 4 3. 0 61 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information i's correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of %K6ngiRy� h" 6x"n'�INANCVL SVCS. �e 7�_4 �-�ignature of Applicant -X Owner 0 Contractor gdrit An OSHA permit is required for excavat ��R"O" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. T PF TOTAL FEE $ 43.00 HAZ. I D. FEES IMP I FLOOD I C�� This permit is hereby issued under the applicable provisions Butte County Code,and/or Resolutions to do work indicated ve for which fees have been paid. B Date ZZ L1__1_ PERMIT EXPIRES ON (Date) Receipt No. g��-6766 -_ WHIT E-D.D.S.- B.O. CANARY -ASSESSOR PINK-INSFFECTOIR GOLDENROD . APPLIC�NT 1 Y674- I P, E LADENSACK Laverne 2000 Choc' taw,Ridge Rd, Berry Creek i cOnt: Executive Homes , I (repair mh util) OFFICE C Adoe s v'-'-'C'z CO Y d s D V ate GASAS oeter By Meter By Date E L T LECTRIC Meter By—' Date OFFICE COPY Address -5 0 /��c cj� /7 cy GAS Meter By V:Z�a ate— ELECTRIC V Meter By— te JOB FINALED (Datel Signature V 4.1, V OK 0 Not OK S Not Applicable Not 2eady' , RESIDENTIAL Date UNDERFLOOR (Plans) OK except M's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main: Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Mate ria I -Su pport- Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except h's Water Hlr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 1EI. D.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access 20. Test -Tub & Shower, Second Floor -Tub Access----- - - -------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 - ------------------------------------ Date Card B- I Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection - -- - - - ------------ - -------------------- _________23._Elec. Recept.acles Spacing -Lights & Switches at Doors ------------- 24. Size Boxes & No. of Cond ucto rs-Sta pled -- ----------- - - - ---------- - --- - ------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. - ----------------------- ------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------------------------------------------------------ -------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------ - --------------------------------------------------- - - ---------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / ! ga. - , ___Cu - -------------------------- 29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al. Insulated Neutral 0 Yes No ----------------------------------------- - -- - --------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------- ------------- 31.-Equip.-Cleara-nces Panels- Motors- Mech. 32. Clothes Closet Light -Shower Light -Spa Light ------------- -------------- 33.-. Smoke -Detector --------------------------------------------------- ---------------------------------------- --- --- - ---------------------------------- Date Card B-1 Date Card B-1 ---------------------_--- __­­ ----------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's -- ---------- 34. -.A. -C.- Ducts Insy-lation &-Sup-port ---------------------- - ---------- 35. Vent Fan: Exhaust above insulation -------------- 36.__Conc_enFate_Drai.n_ & -Overflow:- Size-&-Gra-de --- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -i 15 outlet ------------------------------------------------------------------------------ 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------------ - ------------------------------- -------------------------------------- Date Card B- I Date Card B- I ----------------------- - --------------------------- ----------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------- -------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------- - - ------------------------------------- 4 1. Bearing Walls over Girders & Floor Nailing --- --------------- ------------------ 42. Draft Stop in Walls (rat proof) -------------- - - ----------------- - -------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------- - ------ - 44. Headers & Beam -Size & Bearing Agle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. CIng. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ---- - ------- 51. -Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Head room -Rise -Run- Lqnd i ng -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55.- Siding -Nailing Veneer --- ---------- 56. -Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ------------- - ---------- - - - -------------- 60.- Infiltration -Walls -Windows ---------------- - ------ - ---------------- - ------ - -D-ate ------ -----Card B-1______ Date Cara -B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except h's 61. Ext. Steps -Door & Sidelight Protect ion -Land i ngs ------------- 62.._ Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector---,-. In Garage: Above Floor- Ducts-Mech. Protection -------------- 64. Bedroom Exiting -X ---- --------------- 65. G.F.I* & Bath Fixtures & Tub Acceii-Spa % ----------- - ----------------- 66. Elec. Trim & Subpanel: Breaker Siz�s & Labels ----------------- 67. Stairs & Rails ------------- . - - --------- 68- Fireplace or Stove: Cl�arances-Hearth -------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------------------------------ - __ 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ------------------------------ 73. A.C. Duct in Garage -Damper ----------------------- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------- ---- - --------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic 0 Yes --------------------------- ____78._ Guard -Rails & Deck -Const ruction- Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth ----------------- Clearance Looked -under Floor- 0 Yes 80. Following instld.: Drive C1 Yes 0 No: Walks 0 Yes 0 No: Planters 0 Yes 0 No ------------------------------------------ 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical. Plumbing ------ ------------------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well:_Disconnect, Electrical, Plumbing ----------------- ---------- -- 85. Exterior Elec. Trim: G.F.I. Receptacle- Underground 86. Ventilation Throughout House ...... ....... --.1 -------------- 87. Glass Protection ------------------ - ----- 88. Corrections from Previous inspections 89. Gas Test -Meters Tagged: Gas -Electric -------------------------------------- 90. Water & Sewer Connected -C/0 to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates --------------------------------- - ------ ------------- --------------------------- Date Card B-1 Date Card B-1 --------------------- ------------- .Date- ---------- Card _B-'1 - - -------- -Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 4 OK 0 Not OK Not, Ap*plica ble Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Xs 1. Zoning Require.ments-Setbacks-Easements B _1/ 2. Soils; Special NiH Support Sketch .' Card B-1 3. 'Sewer; Location -Test -Fall -C/O Conc , rete Card B-1 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas: Location -Test-Wra p: / /"L"ft. / P'Nat. or/ P'L"ft./ /"LPG 7. Wel(Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date M004LE HOME INSTALLATION (Plans) OK except #'s 1. 7.d'ning Requirements -Setbacks Easements ,?( R�Ongs; size -spacing -Marriage Line '.,?'Gas; 1�4H Test -Demand -Valve -Connector ity; MH Test-Crossove rs- Brea ke rs- Clea ra nces '5/1'bra��MqTest-Fall-Flex Connector .1��a!!g��T(��t-Reguiator-Connector ?i���ewer Connected -C/O to Grade -HD Approval ...Xv. Ga��Oectricity Tagged e_�f-_,�Sp' -Sketch _;I,�Cert. of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS,' GARAGES, (Plans)OK except #'s 1. Zoning Requir.ements-Setbacks-Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors' 7. Electric 8. F rmg; Si Is -Anchors- Stu ds- Rft rs- Trusses 9. Siding; Nailing -Veneer -Stucco- Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors- Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B�l Date POOLS (Plans) OK except #'s 1. Set bac ks- Easements - 2. Soils; Compaction-Struc,ture Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volti-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater - � 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. 'duit Boxes-Enclosu res-Panelboards- Ins. to Main in Con 9. Health Department Approval 10. Plumb.; Cir. Test -Water Suppli Test Date Card B-1 Date Card B-1 Date Card B-1 Date -Card B -i, 4;,Tfcard Date B _1/ Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS,' GARAGES, (Plans)OK except #'s 1. Zoning Requir.ements-Setbacks-Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors' 7. Electric 8. F rmg; Si Is -Anchors- Stu ds- Rft rs- Trusses 9. Siding; Nailing -Veneer -Stucco- Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors- Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B�l Date POOLS (Plans) OK except #'s 1. Set bac ks- Easements - 2. Soils; Compaction-Struc,ture Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volti-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater - � 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. 'duit Boxes-Enclosu res-Panelboards- Ins. to Main in Con 9. Health Department Approval 10. Plumb.; Cir. Test -Water Suppli Test Date Card B-1 Date Card B-1 Date Card B-1 Date -Card B -i, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 I Ir 7 County Center Drive, Orovi Ile — Phone: 538-7541* 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE -.0"Ci�!5 c::;/6 / -7 W OW PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at * the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. fil ---J, /�V LA—) I &,-- t1r) 6 L),44--/ S A�/ 57 Date- Inspector MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-75411 1/-– 0. PERMIT NO. F7 �y Address or location of mobilehome 1-1AQ Owner's name /V S- A C Owner's address AV6 v Insignia or hud number fla C 7) (1 Manufacturer's name Serial nurni)�r of V. I.N Year of manufaplure (Off i c i M—K'06rovi nq011A sto I I c;ti on) (Dote IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B 'White Owner, Yellow,- Installer, Pink D.P.W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 CourVCenter Drive - Oroville, California 95965— Telephone: 916/538-7541 APPLICAtl0i AND PERMIT ASSESSOR PARCEL NUMBER 61-69—ni ZONING 11 . 1 4 BUILDING PERMIT OWNER LAVERNE LADENSACK TELEPHONE 589-4222 SQ.FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 29 CHOCTAW RIDGE ROAD OROVILLE CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 29 CHOCTAW RIDGE ROAD OROVILLE Permit fee $ 25.0 PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP 1 Water piping - 5.00 Each qas w ater heater or vent 5.00 USE OF STRUCTURE SFE:1 Duplex[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK NewF� AdditionEl RemodeiEl Utilitiesp� InstallationN OtherE],, Describe work: MHT IA4 H (,I P7 Z,13:7!5� — ") ­oo Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00. 600V OR LESS main service 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I decliree 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. *6 7WI Classif ication. C- 7 Fl 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) 0 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST DWELL114G OCCUP.N) OR ACD.S. ACC, SLOGS. 2'/20sqft NEW CONSTR. MULTIOUTLET N . N. R E S, . BRANCH CRC" TO 2.50 ea, POWER APPARATUS.&) (SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 20050t SALO 30C FIXED APPLNS OR Ex. Occup. OUTLETS (RESI*D.) EA.) 2.00 Temporary serNiice 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15-00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n 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 t o 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. Contractor MECHANICAL PERMIT— Fi I ing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against. all liabilities, judgments, costs, and expenses which may in any way accrue against sakMpunty in o ence of the granting of this permit. X Zr, ) i�, �� = Dat62? _173 _��r Signature of Applicant — /wner El Contractor [I Agen%:N- An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h eight. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ 'Occ CONST TYPE TOTAL FEE'$ 70.00 2HA ICUA-1 PARK I SCHL I FLD CD PAR I PD Hl�oJIS This permit is hereby issued unaer the applicable provi- si�A of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT94VOF PUBLIC WORKS By D a t a PER EXPIRES Date ::� Receipt No. 97434 70.00 �VHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD rNROD-APPL I CANT M__ COUNTY OF,B'UTTE - DEP ��OFIPUBLIC. WORKS - BUILDING DIVISION j 7 COUNTY CENTER DRIVE ORO VLL ALIFORNI�A 95965 - TELEPHONE: 916/538-7541 `_ (5WN ffh Proposed Buildin/g Use PERMI L i 6AT I ONII-ffVSH E ET Permit No. 1_AZA_J A D KI Building Inspector, Date At time� of Perm it*PI i�ation,j,l w"A'�'advised the following data mu' st be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 . t All items have" been submitted . ................ 2. Plot plans in duplicate/triplicate, signed by peep'arer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .4. C.omplete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form ......... : ......... : 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ........ ..... 8. Engineered truss details and layout in duplicate (required prior to Ipan check) 9. Mobilehome installation data including manufacturer's installation instructiohs .............. 10. Fees of 11. Chico Urban Area fees paid ....................................... E��J:an r a k �fe a' paid .............. KIV e/9 i tati on a P proval'f'rom Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17.1 Planning approval for (A) Use:—(B) Parking: . ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) — 20. —21. Pre -inspection for required ... Pre-inspec. request to' Building Inspector (Date) Contractoe's license information (No., Name, Style, Classification) — 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 11, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... Q 26. 27. When you issue the permit, process as follows: Mai I to ownpr Mail to contractor. r ___ZTelephone__��/- 910-2nnd hold for pickup at w/inspector. 0 6fi C —Deliver Other A p p I i c a n t Date 9 .,-;3 igl Copy of Haz-Mat form'sent —Health Dept. Fire Dept. ----Air Pollution Date Copy of plans sent Health Dept. —Fire Dept. —Other— Date— By The following data must be submitted or rmit issuance: (Circle new item not checked above). 1. Index permit for above items No.k� .1 2. Additional items required: YN/ T_ I (�EContr,a:ctt>o designer, owner, was advised of above required data by e--maii—counter byVAAJ ..date 6 c or. actor, designer, owner, was advised of above required data by—phone _rna I I —counter by— date Plans checked by YAI-� —Date 4? 9 6 1 Plans approved by (3tJ Date 812�hl -Sets of plans on hold in —File cabinet _AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. -7 County Center Drive - Oroville, California 95965 �-.Telephone: 916/538-7541. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER (" I _ (. -Z _ 01 ZONING BUILDING PERMIT OWNER LIA,/rz t4 -vg LA b 1�71S A cA TELEPHONE '59cl -4 SO.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -ePli CWicxrAtA K16b6 9b - Vt�%'J*J LA�e CONTRACTOR'S NAME Ko r%l C- 5 TELEPHONE 10 119 1— CONTRACTOR*S MAILING ADDRF_SS -S-94% " I C-0 Fireplace 7 CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER's MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ -ARCHITECT OR ENGINEER NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS IVI CA-4c;;r" PU L> b V, rb ORA Permit fee $ 25- PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP 1 Water piping 5.00 Each qas water heater or vent 5.00'1 USE OF STRUCTURE SF [I DuplexE] Mobilehomeg Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10-00 ed TYPE OF WORK NewF� AdditionO RemodelE] Utilities[] Installation$K Other[_J Describe work: I Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 1100V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50. CONTRACTORS LICENSE LAW 6-h/ 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. L4 %0--) ZI b C_ — Classification 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) 0 1, as the owner, am exclusively contracting with licensed %.U11L10LA- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8i) OR ADONS. ( ACC.BLOGS. '/20SQ it K ff W CO NST11_ MULT'_OUT LET NON -RE S, � BRANCH CI C U, TS) 2 12.50 ea POWER APPARATUS &I (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050c 5AL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) , 2.00 Temporary Service 1 '0.00 Mobile Home Facilities 15-00 Misc. Wiring 15.00 Permit Fee 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 Workmeh'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: It 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. Contractor MECHANICAL PERMIT FilingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws�relating to building construction, and hereby authorize representatives of the C6untyOt 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 - liabilit.ies, judgments, costs, and expenses which may in any way accrue ag!�� �C��ence of the granting of this permit. -t X -qS — -t — Date Signature of Applicant — OwnerEl Contractor 0 AgentA An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over_3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CON STT� TOTAL FEE $ 7 - HAZ I I CUA I PARK I SCHL I FLD I PAR I I'D HD ISSUE This permit is hereby issued under sions oi the Butte County.Code and/or work Indicated above for which fees DIREC , TOR OF PUBLIC By PERMIT EXPIRES Date . the applicable provi- resolutions to do' have been paid. WORKS Date �RecelptNo. ?1/31U%� WHITE-D.P.W.. YELLOW-ASSE330R. PINX-INSPICTOR. GOLDENROD -APPLICANT TO �� j Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance -a� Owner Location AP# Plan Approved for: Sewage Disposa 1 Water Supply Hold final for: Final clearance O.K. for: Clearance for a b edroo���me. Water'Supply Water Supply Other Sanitarian 14 <-5 lop', from 1,00 ibe j,,,jj be I ac 0 from -cl U 5 oil - Vine c'" r'l-11ting a In per �Qnc e i Ilie ro j but entirelY S,18 plopc," 0 t p 021 - clVe 0'4el sercents- out of cjj� ea C, C 0 Ile N., 0 e o 0 0 0 c; 0 dc- bA " \�o W to i�, sx! -�P, xv, cat -Ons \cc, b, \e unkaw ,j Njz� ana Sipe a -Ik s \a�s 0 e. mes all set 0 p I t e.\\ * on same A�;Vs I e iob P - Ikeraj-%ons ',men% Ok 'Goo ikecO -j�%e jonce ,Scj%beA.ior & vAec;v Vill p plumbin(3 (ke of 0 quoaj1kd10c3- Co Eler kept "' I Depa .,ar%cJc--' " jl�e m.Ve all"I -,.',Ot% IP etm% ountl oj suite. %Oorvs. c , \e se to a -1-c on 3 c t IN. 0\1 r.. e rp APPROVED Butte County Environmental Health D t Complaint Date F7 Other Date BUTTE COUNTY C �" M FA1 E _/ �81 _1/ Address,??'-'/ ;'9 5-71% co'v"' A� a -Qempegfit Location 12!2 VIOLATION TYPE BUILDING F__j HEALTH PLANNING __COMPLAINT: PERMIT HISTORY ON FILE TENANT: E - A. P. # Z�ning By: E] OTHER '' F7 NONE AS FOLLOWS: 2-1 WANWA"Ag, FIELD INFORMATION Name Address Description A OTHER COMMENTS: Approx. Bldg./MH Size Approx. Bldg./MH Age F__j Under Construction .. Built By/For—F__1 Present Owner.[::],,,Previous Owner Occupied F7 Has Power F7 Has Gas Has Sanitation Facilities Written Notice Given & Attached Person Contacted Describe Action Taken: ACTION RECOMMENDED: Information only, file Letter Other 10 Day Letter Hold for —Days BY: DATE *7�12_131,1714 COMPLAINANT 2 ............ - mo* rftalto' .rep. ei A lea'. 13 Selback shall be 5 ff. from Me side properfy line and So f f- from fhe d( s" c e en-'erline of the road, Permiffing cl mo m t o ou mum of a 2 ff. eave overhang but entirely ut Of all easements. 0 'm 4L 0 19 el AF 62 0 1 X0 'ey, 0 S 40 � 00** e & %e e X6 �oe '�o - (�t *0'��&' C'x -& C'O S(N.' C(..o \Ne 1, 0 O� Oh C - Oe .00 \OCAP- ek% A ce � 'N�,O N\Ne V. 1. )CP I NOTE:—All Maferi6fs A Workmd- . s Shall .Accordance with Recognized-tood cf ic( !:Z� of a qualify prescribed for''fhe Specifie use Uniform Building, Plumbing. & Mechanical 'd, Electrical Code. 8 in 5 a in the !s and ICI\ \XX\ Ae ed . \CI xe xS This set of plans and specification s MUST be kept on f lie job at all times and it is unlawful to make any changes or alterations on same withouf wrififen permission from the Department of Pol- lic Works, County Of Buffe. 5d 01) Ne bu . Niff r4L�� OP ft Z979-5/ Eldd!Mb V -j 17. I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOHE INSTALLATION SHEET Lt -q A C,),� 1. Owner's Name. 2. Installer's'Name: e'r El ..No,.'. 3. is the site'currently*und permit? Yes (if yes, furnish permit r',,umber OR Is the site an existing site? Yes .....No. -.0 (if yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach . F7(Ue (Op� . Yes M No F-1 fields and clear of a 11 setbacks and easements? (If no, clarify 5. What is th e mobilehome electrical rating? ---------- 7 ---- Amps' 6. What is the mobilehome site service rating? ------------- -7— tic. Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. is there any other electric load to be served by the mobilehome site service? -------- ----------- Yes No (If yes, identify*the load and size: .(Load) _(Amps) 9. What is the mobilehome site -gas pipe size? -------------- (in.) LPG .10. What is the type of gas service? ------------------- Natura 11. What is'the gas pipe*length from meter or tank to the mobilehome? ------ ---------------------------------------- - (ft.) 12. What is the mobilehome gas demand? --------------------------- (BTU) *(This information not required if pipe length less natural gas or less than. 50 f t. on LPG. Ace),. . F7(Ue (Op� ��DIDUBLE WIDE PIER ING WORKSHtET' SEE NOTE PSF ROOF LOAn DI A mire J "I SEE PERIMETER PIERING FMOUIREMENTS TA13LE FRONT OF SEE PERIMETER *-UNIT PIERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN AND PIER LOAD CAPACITY DRAWINGS FOR REQUIRtMENTS . OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. RIDGE BEAM OOST LOCATIONS MATING LINE PIERING TA -B. -LE' INITIAL POST I ST INTERIOR 2ND INTERIO - 3RD INTERIOR .4TH INTERIOR 6T AT FRONT POST brit -r H INTERIOR REAR WAI I PIER LOAD ---------- PUT POST POST POST POST CAPACITY Ik LBS.A-S-3-5 rVA- 9 -G-32 3— - 6-7-s- B- 6-- A> (a 619 ------ E r zl�� ��—Ej -9�; WNIMUM CI.JE PIECE ILL 9 FOOTING SIZE -30 30etx 3(., 30 K 3 30 K" - t94-- ---- Z4 roy- ae f/ ft il .,L 4x 3C) MINIMUM FOOTING &!i�� WITH 16'X I S.- PAD s 1)o"Ue- NOTE: Footing s�zes baseo on 1000 + W of PSF $0 bea�n; value, It Soil conditions diff or see tie Pier Load Cal)WtY dt&wing or the Horne Technical Installatlon Manuel for Method Of calcutation, PERIMETER PIERING PEOUIREMEN7S TABLE PIERS RE0101RED DOOR -SIDE WALL" JAPAS S`TUDSAT-Ummm� ROADSIDE WALL" DOOR OPENINGS AND' OVER 48' AND MASONRY FACED FIREPLACES IN OVERHANG OF FLOOR PDRI,-H POSTS AT RE- CESSED SWALL %YHEN POSTS EXCEED 420 HEAVY APPLIANCES IN OVERHANG OF FLOOR ODIMENSIONS ARE FROM FRONT.OF UNIT. X-6-129 Zoe] 29LB T68 T UO CINU-1a00M S3WOH G00M133-IJ GE: 0 T T6/ZZ/80 SEE MATING LINE PIERING TABLE 0 - FRONT OF SEE PERIMETER *-UNIT PIERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN AND PIER LOAD CAPACITY DRAWINGS FOR REQUIRtMENTS . OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. RIDGE BEAM OOST LOCATIONS MATING LINE PIERING TA -B. -LE' INITIAL POST I ST INTERIOR 2ND INTERIO - 3RD INTERIOR .4TH INTERIOR 6T AT FRONT POST brit -r H INTERIOR REAR WAI I PIER LOAD ---------- PUT POST POST POST POST CAPACITY Ik LBS.A-S-3-5 rVA- 9 -G-32 3— - 6-7-s- B- 6-- A> (a 619 ------ E r zl�� ��—Ej -9�; WNIMUM CI.JE PIECE ILL 9 FOOTING SIZE -30 30etx 3(., 30 K 3 30 K" - t94-- ---- Z4 roy- ae f/ ft il .,L 4x 3C) MINIMUM FOOTING &!i�� WITH 16'X I S.- PAD s 1)o"Ue- NOTE: Footing s�zes baseo on 1000 + W of PSF $0 bea�n; value, It Soil conditions diff or see tie Pier Load Cal)WtY dt&wing or the Horne Technical Installatlon Manuel for Method Of calcutation, PERIMETER PIERING PEOUIREMEN7S TABLE PIERS RE0101RED DOOR -SIDE WALL" JAPAS S`TUDSAT-Ummm� ROADSIDE WALL" DOOR OPENINGS AND' OVER 48' AND MASONRY FACED FIREPLACES IN OVERHANG OF FLOOR PDRI,-H POSTS AT RE- CESSED SWALL %YHEN POSTS EXCEED 420 HEAVY APPLIANCES IN OVERHANG OF FLOOR ODIMENSIONS ARE FROM FRONT.OF UNIT. X-6-129 Zoe] 29LB T68 T UO CINU-1a00M S3WOH G00M133-IJ GE: 0 T T6/ZZ/80 MOBILEHOME SUPPORT DATA Page 9 - I I - If *othdr than singLe wide, Mobilehome Mfr. furnish Setup Model No. Sta6--SE Year 1W id tit —L �O (ft.) Box 1,ength \06 (ft.) Tagalong or Rxp�ndo Size t. X t. (S110W S1111P01rr DETAILS BELOW) on all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Yuba). TYPE OF SIDING: N, -),M -,o Z> All center supports measured from front of TYPE OF ROOF: mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either pressure treated or "A foundation grade. 2*.- -Other (specify)' (ft.)(in; n.) (in.) x:lc �nter support locations* Center support footing sizes Su . P orts (check one) (in.) 1. Concrete block. 2. Other (specify) (in.) (in.) 4( --Tagalong or Expando, show support details. Lj] (ft.)(in.) Gn.) (in.) x Typical. Support 0 (in..) (in.) Footing Size 46 x '60 M A (ft.)(in.) (in.) (in.) Max. Pier Spacing (ft.)(in.) Max. Overhang (f t.)I. (in.) (in.)l (in.) _Owe DRA'RTMEN 0 -AppikOVIED r1f center piers are other than drawn above, .IF4 I At. AP # 014NER PERmrr MH UTIL. CLEARANCE DATE &Z-:�j INSPECTOR ELECTRIC GAS Support Struc. Compaction Test. eq. Service Size- Other Load Type Pipe Size Length YES NO YES.1 NO 2-a4 S (f I COUNTY OF BUTTE - DEPART ' MENT OF PUBLIC WORKS * PERMIT NO. 7 County Center Drive - Oro ville, California 95965- Telephone: 916/538-7541 !V -P'16 -7 4-01, APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 61-62-01 ZON'ING BUILDING PERMIT OWNER LAVERNE LADENSACK TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS MOTEL SIX CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS NOXX 3042 ESPLANADE CHICO Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER's MAILING ADDRESS Permit Fee $ A!RCHITECT OR ENGINEER NONE LICENSE N Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER's MAILING ADDRESS Penalty $ BUILDING ADDRESS ehVC7f4V0 -219 2EM 99964TOW- RIDGE RD BERRY CREEK Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP 1 Water piping , 5.00 Each qas w ater heatet or -vent 5.00 USE OF STRUCTURE SF [-I DuplexM Mobilehomejp Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 16)1(q I WV I 0.00ea TYPE OF WORK New n A6ditionEl Remode I n Utilities FXI InstallationEl Other E] Describe work: REPAIR FIRE DAMAGE k q K ha _.- " t e Permit Fee $ -io no Contractor ELECTRICAL PERMIT FilingFee 10.00 6101 OR LESS Main service 100 AM -P OR LESS 10.00 10.00 Main service EA. ADD -L 100 AMP 2.50 2 50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full foLce and ffect. License No. Classification. 4�Z— 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.fid) OR AODNS. ( ACC. BLOGS. kl/iOsqft, NEW CONSTR. MULTI*OUTLET __u O.."ES'D. BRANCH C'RC., TS) 1.2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. -EX. OCCUP(OUTLETS OR FIXTURES .20 0 50t AL9 300 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] 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 t o 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte agains t all liabilities, judgments, costs, and expenses which may in any way accrue against t , granting of this permit. ,��oun y-mpconsequenKof !ji& X el Date Signatur Applic t Owner El Contractor ;2- Agent An OSH�ermit iv.ryuired for excavations over 5'0" deep and demolition or construct- p s e Kq ion of str ctures r stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 'occ CONST TYPE - TOTAL FEE's 67.50 HAZ. I CUA- I PARK �CHL FLO I CDF I PAR JPD JJHD-JISS 7' T.h;.s permit is hereby issued unaer the applicable provi- 5 of the Butte County -Code and/or resolutions to do work i ** ated above for which fees have been paid. DI R OF P WORKS 2 W By C"t WLA 14 Date PER 4 'S Date Mn_ Receipt No. 97196 67.50 WHITE-D.P.W.. YELLOW-ASSE350R, PINK-INSPrCTOR. GOLD ENROD-APPL I CANT COUNTY OF BUTTE - DEPA�i*E4, OFJP-U6L C WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEFt"ALIFC�RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICAT[ON DATA SHEET X Permit No. OWNE R YCIVI'le-INACIA SOCk, A. P. No. Proposed Building Use 114e) 6 dW C_ Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 . All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form ..................... ........ ........... Energy Design Compliance and supporting doc*u*me-n-ta-ti`on Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered -truss details and layout,in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ...................................... t�,' 12. Park fees paid .................................. 13. School District fees paid ..... 14. Sanitation approval from Health Depiartment 15. City of Chico plumbing permit ..................................... .16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use,_(B) Parking: . ...... 18. Improvements may be required. tontact Land Development Section DPW 19. Driveway,permit (construction approval required prior to occ'upancy) 20. Pre -Inspection for required ... Pre-inspec. request to Building Inspector (Date) 21. . Contractor's license 1–nformation (No., Name Style, Classification) 22. Certificate of Workman\s Compensation Insurance .................. 23. Owner -B ' uilder Verification (Gi4�-toi-o-wrier 11, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. __27. W en I; you issue the permit, process as fol I ows: —Mai I to owner. _MAil to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applica Date Copy of P.az-Mat form sent Health Dept. ____ZFireA5'ept. ---Air Pollution bate Copyofplanssent —HealthDept. —FireDept. —Other— Date— By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---Mai I —counter by_date Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date Plans checked by Date Plans approved by Date Sets of plans on hold in —File cabinet _AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Tele. -none: gle.,'538-75,11, APPLICATiONAND PERMIT PERMIT NO. AS.SE33OR P-!IRCEL NUMB - ER 61-62-61 BUILDING PERMIT OWNER46( ve rnie Lpt4em 5 ock TELEPHONE SO. FT. OCC. BUILDING VALUATION L OWNER'S MAILING ADDRESS Inofe-f Lx CONTJJACTOR'S Nt E. e,,,Wco+(ve_ Wc_wLes TELEPHONE CONTRACTOR*5 MAILING AD OR/F_33 30 Lf Cka le 2- C11 - I Fireplace i CONSTRUCTION LENDER h 0 n OWN 77 Total Valuation I S Filing Fee 10.00 LEmDER*3 MAILING ADDRESS Permit Fee $ ARCHITECT OR EN EER Cq C�IA t� LICEN3E NO. I Plan Checking Fee $ —Energy Plan Checking Fee $ ARCHITECT OR ENGINEER -3 MAILING ADDRESS Penalty $ BUILDING ADDRESS 2,000 clockfoklii,') Permit fee $ PLUMBING PERMIT FilingFee 10.00 C r-p—e- kz_ C Eacr. TraD 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP I I Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex[] Mobilehome Other Pf SPECI PY —Gas piping system 1 5 outlets 5.00 Building sewer 5.00 Mobile Home 91W J2 H0.00 ea 20 TYPE OF WORK New F� Add i t i onl,�Il Remodel C] Utilitie InstallationE; Other Describe work: IN 0�— �r, U - Permit Fee Contractor ELECTRICAL PERMIT FilingFee 10.00 - main service 8,0000vAMOR L-�ss 09 LESS 0.00 Main service EA. ADO -L 100 AMP _+2_50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): 17 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 17 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) 1, 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 CONST. DWELLING OCCUP.&) OR AOONS. ACC. SLOGS. (:So It NEW CONSTR. -ULTI.0 T �T U LE NON ;"5s1L BRANCH CIR UITS) 12.50 ea 1 POWER APDATATUS.& SINGLE OU T L T CIR Ex. Occuo ( OUTLETS OR PIXTURES 2 0@50t 30c FIXED APPLNS. OR Ex. OCCUD. OUTLET S IRE310.1 EA.) 2.00 Temoorary service 10.00 Mobile Home Facilities 15-00 57.C10 Misc. Wiring 15.00 Permit Fee 3 7. 5_2 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): [—I The permit is for S100.00 (valuation) or less. 1 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. 1 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. Contractor MECHANICAL PERMIT FilingFee 10.00 Heating _T- Cooling I Hood 3.00 I Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction. and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i 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 Signature of Applicant — Owner C1 Contractor E] Agent An OSHA permit ;s required for excavations over 5'0" deep and demolition of construct. ,on of structures over 3 storiep, in height. Receipt No. 92 P6 #6 YELLI-11811I... -14-1450CICTOR. COLOC�mCO­­LICAMr Mobile Home Installation Fee $ Energy inspection Fee $ OCC CONSTTYPE I TOTAL F EEs 67-570 ZUA I PARK �,CHL FLO CDF 114R Po'. "O-:155� This permit is hereby issued unaer tne appiicaoie 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 Date PERMIT EXPIRES Date - BUTTE COUNTY SCHOOLS DhVELOPMENT FEE CERTIFICATION FORM (One'Form'per Building)' .A.P. Number Building Department No. A S c hoo 1 - D i s tr i ct city county []D<—Jurisdiction Propert�y owner Z4 C—_12_1_t1e5 1_,4 *,211 r, c-,4,4 Project Location/Address Subdivision' Lot Number Res'identi,al Development: Sq. Footage of Living MHI Addition (Group R) Units Commercial/Industrial:- Sq. Footage I New, Addition (Including Exterior Roofed Areas) 4 �/6 314 Building DeUrai�tment Representative Date (Floor Plafis reviewed.by School District -Personnel) District Id 'No. 9 2 0 2 9 9 to, y yVAZ,4_1eJ W1 School District certifies that Applicant Name) N Z_" /? J - �) . Phone Number t reet �Ld(kress) (City) (State) (Zip -Code) has complied with the,requirements of Resolution No. by t yment of $ L representing square,feet. Schn Disftrict Representative Date PAID BY CHECK NO. BANK NO PAID,BY CASH I REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) N 04 %%.00 and s 5dv saw The setback shall be from fho side properfy line and 50 ff. from he & ;eNerline of Me road permiffing a max;_ mum of a 2 ff. eave 0' verhang but enfirely out Of all easements. 0 ;2r. ir 0 Af, A OF 0 1 6 Ito xe mc! C love' ite �,e ox ce \NO Me �ts\ ,6\\e o0v 0 C,O VC10 10 h vo Ok -0e op ke C.,t% x0o \0c- & .e k10 \Ne�eRk OV, $:p -77 0 �de BUTTF- COUNTY--' This set of plans and specifications MUST be kept on the job at 'all times and it is unlawfu-1 to BUILDING DEPARTMEN y /* make an' changes or alterations on same withoo wrififen permission from the -Department of Pwl- APPROVED ri c Works, County Of Butte. OTE. --All Materi& & Workmm n -s Shall B in ccordance wifh Reco�nize&'Oood cf ices a a quality prescribed foe -the Specifie use in the liform Buildin,g, Plumbing & Mechanical 'des 'and 9 Electrical Code. LJ, T -J ey Ott',,. JI PERMIT'.NO. 5736-77P,E PERMIT'EXPIRES OWNER -CONTR. owner i'LOCATION (A.p. 62-52-01 . E�S Ponderosa way, aPPA 3/10 mi. W of Hart's Mill Fire Sta, Bloomer Mt. Area o IR'97- 5 'qAIIV Temp. Power Pole Called PG&E 4 Temp. Elec..Serv. :22Q�:i Called PG&E Temp. Gas Serv. ZZ 4 /2 2 0 PIWE �Callecl JOB FINALED (Date (Signature) Setback:7!� Forms Main Bldg. Footings Stemwall Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Fteinf. Steel Bond Beam COUNT -Y OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Firewall Soil PipingoO" Parapets ls �Zfoor Restroorn Finish .41"nd Floor Windows ool I 3rd Floor Siding Topout. Roof Sheathing '000, Water Piping R6ofI 9 C !�ents Sewer %Edri. Fixtures G'allage Vents Insulat Water Htr. Heaters Prov. for p ca handicappe Conforman ex. structurez! Appliances Gas Piping & Test Temp. Gas Final,00' Sanitation '1041 - FIREPLAC Final tin nal Ixtures MING ELECTRICAL I Mesh MECHANICAL Gird. Fault Pro't%-.- Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior LathZ Ventilation Permanent Door Closple, Final Final MOBILAHOME UTILITIES ------------------ Elec. Service L4�) Do WFt,,L_E1ec. Pedestal Wa Piping ./, //_ -7-),(--- Sewer /4, 1-71) 1., Gas Piping /i EBIE ME INSTAf LATION --- Support /7 7 Elec. Continuity Water Piping J Drainage Gas Piping DA TE ZA0,/7 —REMARKS OR CORRECTIONS A 0 55 T6> el -2-V-27 (NOTE: An entry must be made on this form each time you visit the job site.) el -i TO BuildincT Deri:mrtment I in M Environn, ental Health F IE Sewage and/or !--'ater Clearance LOCATION 14a 3 been anproved for SE-1AGE DISPOSAL Ly V.7 TER SU--,;x- Sardtarian In Date :�—COUNJY OF BUTTE .DEPARTMENT OF PUBLIC WORKF�— 7 COUNTY CENTERDRIVE OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY - This mobilehome has been in accordance with the re irements 25, Chapter 5, unwer permit ot. the California Administrative Code, Title. number 4--7'Rg— 7-) for the following location:JF/5 W/A&,975 MILL ,� 7W,-1 0 owner 0 Owner's Address AMS- (f�VW Mobilehome Mfg. V1 I AIF Model 5?Q —'�Year Insignia No. Serial No. It is hereby certified f/ or occupancy at the above described Tocation and may be occupied. Direct.dr, of uiblic Works/ D a t e —le�2 112117 7 THIS CERTIFICATE IS VOID WHEN MOBILEMOMEIIS RELOCATED 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome,,(must equal rating of mobilehome with a minimum of O -amp) and other facilities on lot,'i.e., water pumps, garage, cabana, etc.? Ye s 0 B. Is there proper clearances around panels?. Yes -,—go - C. Is power supply cord.or feeder assembly properly fused? Yes .D. Is.�htinuity test satisfactory as per the following procedure? Yes "No 1-l' De -energize electrical wiring system of the mobilehome at the pedestal. _,I'.�Make sure t�at 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. ­��a4. onnect one lead of a test instrument to the mobilehome grounding conductor and- pply the other lead to each.mobileh6me 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 for energizing. 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 Lengt Width ;?- Vehicle Serial No. 0 3 F,5744- L-_ State Identif ication No. L725-0 Lf 07 Additional Information or Comments: 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��o 21 Does the mobilehome have.required clearances above ground?.(Sec.5085) Yes No_ 3.� Are footings and supports properly.sized, spaced, and braced as . �p�erpproved plans?, (Note .K.r _ possible variation at spring shackles.) (Sec. 5082 & 5083) Yes '– No 4. Is the mobilehome level? (Sec. 5088) Yes* r__No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No - 6. Water A. Is fle Me connector of adequate size and properly'installed (1/2" ID mjin.)? (Sec. .5566) Yes No B. Test Does water piping withstand working pressure or 50 lbs. aii test? Yee—< No --tackflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes— No - 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and ha-�e flex connectors at each end? Yeg--'-No B. Does it have minimum per foot slope and is it properly supported?.Yes— No— C. Are -any leaks detected in drainage system after running _>"ns of water through each fixture including washing machine standpipe? Yes No KI N -f coach is not State of Californiaapproved, does station have required trap and vent? Yes— No 1. 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 -ft. long? Note: All piping is to be at least as large as the mobil e -gas line ihl'ei without reductions other'than the mobilehome (�P_�_om connector. Yes 6 No B. Test OK as per following procedure? Yes Open all appliance connector valves. - 2_/ Shut off appliance burner and pilot valves. 3 Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4��Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes t_�No COUNTY OF BUTTE ^— 'D12PARTMENT OF PUBLIC WORKS �a _ .7X�unt ce�ter Drive — orovilie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X XA,4� Date //-2 —77 Signature of Permitee or Agent R e c e i p t N o. �10165ff, White-D.P.W. — Yellow -Assessor — Pink -inspector — Golden rod-Appl i cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do �tork indicated above for which fees have been paid. DIRECTOR OPIPUBLIC WORKS //-/ 7 - Z7 V 11, Date Bu(�ding 'permit expires Date —Z 7 —Ze BUILDING Owner SQ. F T. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Fireplace Contractor 7;4,= el /,.q 14e'�e e,426 L,,., Ile_ Total Valuation Mailing Address ko D.4 1-4 '411, 41 e Permit Fee Plan Checking Fee Vor Penalty //et- Telephone No. S_ 33 Permit Fee $ Building Address F i i.L� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 of jEach Trap 1.50 0 Lolo, /10109�re_pairdrainage S�!!a Wick. or vent piping 1.50 Water piping 1.50 .0 rrw/ �1117 Each gas water heater or vent 1.50 A. P. Nk. Ling & Planning — Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W.�f.-ftrr!1 �ion Fi re Dept. Fir Zone Use Permit Building sewer 5.00 EQA 1 Parking Plans Parcel DeclargliAel Parcel Map 60' R/W I Improvements Lawn sprinki.er system 2.00 Bldg. Plans Rec'd '-T Parcel Ao�faval I pl/s r,�,l Permit Fee $ = NEW ADDITION UTILITIE S OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 110.V .1 LESSE _SS 00 100 AMP OR L 5. 61 ri Main service EA. ADD -L'100 AMP 2.50 Single Family Duplex [J Mobil Home Others OVER 600V main service 100 AMP OR LESS 25.00 Main service EA. ADD -L ioa AMP 1.00 NEW CONST. I DWELLING OCCUP. & OR ADDNS. % ACC. BLOGS. 20sqft NEW CONSTR. (MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS.&) NON-RESID. SINGLE OUTLET CIR CONTRACTORS LICENSE LAW .1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of - - I -r _/_ 4 A 9 le e 4 v/s e— Ex. Occup(OUTLETS OR FIXTURES) PBOA@L @251tog ( FUIXED APPLNS. Ex. Occup. 0 'TLETS (RESIDO)'EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. _?3^4 16 7�_Classi fi cation Misc. Wiring 6.25 EII am exempt from the Contractors License Laws 6f the State of Cal ifomia. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. [K'have placed on file with the County of Butte a certificate of W'orkmen's Compensation Insurance. -1 F ple certify that in the performance of the work for which this rmit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE 17 PERMIT FILING FEE $3.00' Heating Cooling Ventilation Hood Permi . t 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 //0 M e /4 0 All TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X XA,4� Date //-2 —77 Signature of Permitee or Agent R e c e i p t N o. �10165ff, White-D.P.W. — Yellow -Assessor — Pink -inspector — Golden rod-Appl i cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do �tork indicated above for which fees have been paid. DIRECTOR OPIPUBLIC WORKS //-/ 7 - Z7 V 11, Date Bu(�ding 'permit expires Date —Z 7 —Ze .BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oro-%�ille, CA. PAONE:�534-4541 MOBILEHOME INSTALLATION SHEET 1. 0 wner's n* e. am --j 49,q e—, 2. Installer's name: Yes 3. Is the site currently under permit? No (If yes, furnish permit number OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear -of All setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? -------------------- Amps 6. What is the mobilehome site service ratin Amps 7. What is the mobilehome site circuit breaker ating? ------------- Amps 8. Is there any other electric load to be served by the­mob-UehQm� site service? ---------------------------------------- ------------- Yes No (If yes, identify the load and size: (Load) (Am�s) 9. What is the mobilehome site gas pipe size? -------------- I -------- n- 10. What is the type of gas service? ----------------------------- tural ZE LPG 11. What is the gas pipe length from meter or tank to the mobilehom )N (ft.) 12. What is the mobilehome gas demand? -------------------------- : --- TU) (BT�) (This information not required if or less than,50.,ft 4le-VI �ess than 6 ft. on naUu—ral gas oy �V 7r MOBILEHONE SUPPORT DATA Mobilehome Mfr. My //4/,:n Setup Model No. 80 Year 7� Width 2- .(f t.) Length (f t.) 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 fi).F- with t e County of Butte). �) 4111� /&?'l. Wood either —otings,(check one) .i7 lu pressure treated or Cente Center Support fdn. grade. Suppo uppo Locati nsl Footing Size's (in.) C - X201 (f -E-.)-(-In (iii.xiii--) t (in.)(in.) XSO!(in.) , -'- -- I (in.)(in.) (in IF M ma *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 4-- lEi 2. Concrete pad. 3. Other, specify Supports (check one) Concrete block 2.'Concrete piers 3. Steel piers 4. Other, specify T i I Support ypica .2 x :30, Footing Size Max. Pier Spacing (f t cin'.') Max Ove�hang f t.* BUTTE COUNTY 'BUILDING DF-PARTMr-NT APPROVED COUNTY OF BUTTE D�FPARTMENT OF PUBLIC WOR 7 County Center Dri ve -' 0roVi 11 e, Cal i forni a 95965 Telephone: 534-4541 -.5 -77 APPLICATION AND PERMIT 0 . 11. 021-V BUILDING Owner 9- T)aJ&J SO. FT. OCC. BUILDING VALUATION IT W & X Mailing Address &kr I im-aln, V_,34- 2 Tel h DnV L�IP_ =ad Fireplace Contractor 0 Total Valuation Mai I ing Address Permit Fee Plan Checking Fee&/orPenalty Telephone No. Permit Fee $ $ Building Address C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _5,00 M b Each Trap 1.50 1 E 4in io,�-13) "Ilt� Repair drainage or vent piping 1.50 Water piping 1.50 elz� .4&2 yadfiwio�f �qnly, Each gas water heater or vent 1.50 A. P. No. Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F+ettt , �C�KiWi o5n� F i*re dep t. I FireZone Use Permit Building sewer 5.00 1 - (no I EQA I Parking Plans arce! I Dec'laration Parc I ap - I 60' R/W I Impro5pents Lawn sprinkler system 2.00 Bid,. Pl.ni; �ed t1r<.lpprove�= PlankApproval Permit Fee $ 3-910 0 $ 33 10 NEWE] ADDITION UTILITIES g? -'OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 _3t6() Main service 1600V OR LESS 5.00 00 AMP OR LESS Main service EA. ACD'L 100 AMP 2.50 Single Family Duplex Mobil Home V3--'OthersEl OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMR 1.00 NEW CONST. I DWELLING OCCUR. OR ADCNS. % ACC. SLOGS. 120sqft NEW CONSTR. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW.CONSTR. (POWER APPARATUS.&) NON RESID. SINGLE OUTLET CIR CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. OCCUP(OUTL'ETS OR FIXTLIRES) _BA L @�IqOq Ex. Occup. (FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classi fi cation 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 Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E] I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this LIN permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorizinepresentatives of thezGqunty of Butte to enter upon the ahnvP-rnAn11hnPt1 nmnortti f­*-Ennelti- ke-4w A TOTAL PERMIT FOE $ IV- 16[ This permit is hereby issued under the applicable Drovisions of ( A X -77 ate Signatire of Permitee or Agent Receipt No. C) � " White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant ine tjuite L;ounty L;ode and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUVI, WORKS By aate 7 -2 BuiWing permit expires Date Lt Y 4 � it , , PERMIT NO. 3010-86B PERMIT EXPIRES 1r7 OWNER GEORGE DALBY CONTR. owner 61-62-1 ASSESSOR PARCEL 2000,Choctaw Ridge Rd, Berry Creek LOCATION Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E 'Temp.'Gas Service CalledPG&E JOB FiNALED (Date) Signature— YA 'Not awn, 3r." A, V = OK 0 = Not OK Nol,.AAplicable RESIDENTIAL (Single and Duplex) Not Ready Date UNDE5aOOR (Plans) OK except #'s Date FRAMING (Continued) requirements -Setbacks -Easements 48. 9;GpeF�y-L-+ne­F`ire_w_aIl & Openings ____tv-Zoning 2. F!9., Main; -Soi Is-Steel-Elec. 2 nd.- / /­ Ftg. Depth 49. Ex, I ck Garage -3rd story, 2 exits GaW96; Soils -Steel- Ftg. Depth 50. S4a4&-W+d0_44&adroom-R i se- R un- Land i ng -F ire Protection 4. Fig., Porches & Decks; Soils -Steel- / /­ Ftg.-Depth 51. ���verhang- Attic Vents -Rafter Outriggers 5. Sternwalls, Main: Steel -Bloc kouts-Wrapped-S lab A2--Siding-Nailing-Veneer R"Stierriwalls, Garave!!�teel-B4ockouAs-Wrapped-Swa--,- 53. SluGGe-Mesh-Birip-6creed-Fdri. Vents-Underfir. Access 7. -PTer9---Meptace-F4g--SteeI 54. G4eziTgj-Are1a--G lass Protection -Skylights -Plastic 8. �-H=Pi'tt`ffings-Test-2 way C/0 -Sewer Test 55..��ailing-Bolts 9. faas-F-ipe �--Sie-e�A nc hors 10. Watw-124pai-Test-A nc hors -R egu I ator-Sery ice Test -11. ��A _,erground 12. -Eienums-&-Mcits; Clearance -Material -Support -Ins. 13. Giatecs=S419-Anchor Bolts -Joists -Vents -Cripples Card-Bl(:;LV Date fl_,� Card -B I Date ------- card -Bl Date Card -BI Date Card -BI Date Card -BI Date. C B ard-�� �FDate Card -61 Date _e/ Date FINA,1�( lans)'OK except #'s Card -da't :;W�ard-Bl Date \J Date PLVMBING (Permit) OK except #'s 14. Water Hl., Vent- Access-Combu st ion Air 15. Wal er Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection ' �ir" 17. Shower Pan: Test, st Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors 7CardB I Date Card -61 Date Dale Card -BI Date tr Ext. Steps -Door & Sidelight Protection -Landings 57-.--Srnoke­DeT6Uro-r7 58. Furnace: Vents -Clearance -Comb. Air -Connector - In �GarageAbove Floor-Ducts-Mech. Protection 59. Be4feem-Ex-t-ting- 60. G­F-�-�I_ %tures & Tub Access 61. &ee-­T+wn-"ubpaneI; Breaker Sizes -Labels 62. Ste+rs-&-Raths- 63. 4;4epkiee�ove� Clearances -Hearth 64. Eler_04tlete-et-Wdod Panel; Int. & Ext. 65. Ki4_F4*l,,�A-pPI4ance; Grnd.-Air Gap -Cooking Clearance 66. Ele -1- 1 Re"ptacles at Kit. Counter 67. -earrage-F49-Door� Swing -Landing -Closer Date ,---ELECTRICAL (Perrr.it) OK except #'s 68. AX,,-Buct-�iage-Damper Car B -I Card B-1 20 F�:ture & Transformer Clearance -ins. Protection 21: E c. Receptacles Spa . cing- Lights & - Switches at Doors 22 Size Boxes & No. of Eond-uc-l-o-r-s-Stapled 23�R ontex Installed Close to Edge of Studs & C.J. 2Z ��Ulp. Ground -made up w/Mech. Fasteners -Bond Gas & Water 2 2 pliance Circuits in Kitc - hen & Co * nductor Size 2:� Sui�bfpeed Wire Size / / g"a". Cu or Al-A.C. Wire Size ga. Cu or A[ 27. Ra nge Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al, In sulated Neutral __ , Yes. �j No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Pane Is-Motors-Mec h. Equip. 30. Clothes Closet Light -Shower Light Date Card -Bi Date E�r -Bl Date 6a-te- 69, WtL_UU_-*ents-eIeara nce- Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Pttr�.. �M-e-ch. Equip. Listed for Location 71. FC7 ------F- Ele . Receptac es in Garage; (G.F.I.)-Romex Protec. 72. lnsat3Tr5-ri­--F-o5`F`--17o`­6ked in Attic E] Yes 73. 43uard-R`ffTis--K_D_eck Construct ion -Post Caps 74. F&r-VnTT-&-CrJWt-.4ole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 75. - FofluWffff­g7ii-n-stfa_. Drive E] Yes L] No; Walks El Yes Ej No; Planters - E]Yes EJJ No 76. --F- - - SAtteee­-,eruWff inigh 77. A:"Mrr7Dlsconnect-Clrnces-Brkr. & Cond, Size -115V Outlet 78. VOWM-Ato-ve-Ro-oF-Fl�lbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water-Wetr,-D'i-sconnect, Electrical, Plumbing 80. E-x4e4oP-E+ec. Trrm, G.F.I. Receptacle -Underground 81. House 82. GjA_Ss_P_Lo1acL&m Date Card - C Card I MECHANICAL (Pern-it) OK except #'s 31. A.C. Ducts. insulation & Support 32. Vent Fan: Exhaust above_lns lation Yr. 33. Condensate Drain & Overflow: Size & Grade 34. Fornace-Vent. Access -Comb. Zir--Ret-urn Air �ert-115V o-utlet 35. Attic Access & Platform if Furnace in Attic Date Card -Bl Date Date Card -BI Date 83. 84. Corree+ionrs-fmTn-PTevious Inspections Gas-:�e&t­-Metefs. Tagged; Gas -Electric 85. WateLA-Sewer-Gonnected-C/0 to Grade -HD Approval 86. - -Certificate-Other Certificates Enel:gy_GemfyI­iaTTce Card -BI Date Card -BI Date Card-BlVar/ Date Card -B I Date Date Card -BI Date Date IFRAW&(Plans) OK except n' Com: ients at Final: s� Proper Material Yllncp _ W L3 -T. a I Is: Studs -Nailing, Sp5F`ing & Bracing -Plates -sound 38. 6eertrT§-W`a_ITs -over Girders & Floor Nailing 39. D"+_4top­rfl-W-aTrs__(rat proof) 40. ops: urred Ceili - - .,___!as-it_�irs-.Chases-Tu-b--- (IJ4 Header & Beam -Size & Bearing 42. g1gir -s- P_js -IC-aps--A nc hors -C onnec t ors (4i� C I �ngrjoi st -Ft f ir. T ies- Pur I i n - Root Brac. - Truss-Sht hn.q.- R Ing. 44. R+Pep1r2rCrTies or -Type A Flue -Fireplace Throat 45. 4t"c­Access-S-tzt--&-�ffimex Prote-c7tion-ITraft ns. Baffles 46. I34w�WTm:JoWs�­6rE`xil`ing Doors -Sill Hgt. & Dimensi'on-s 47. Garage-F�ice-P-retect-ion-FY6ming---- (NOTE, Anentry must be mad each time youvisit jobsite) V N i ,/'= OK' - .1 . I 0 = Not OK - = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME ILITUTIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS -,.COVERS, CARPORTS: ETC'. (Plans) OK except*0­� 1. Zoning Requiiements 'Setbacks --Easements 2� . Soils; Spec ia I MH Support -Sketch -2. Footings; Size-Depth-Spacing-,Qonnectors N 3. Sewer; Location -Test -Fall -C/0 -Concrete-- 3. Decks; Girders and/or JOiStS7Decking7Bracing-,Stairs-Rails 4. Water; Local i on- Te st- Easement Needed (Sketch) 4. Wood Awn.;: Posts-Beams-Rftrs.7Connec:�Shthg;�Rfg.-Braci ng 5. Electricity;'Location-Clearances-Grnd.�/� ',�/ Amp -Concrete 5. Alum.'Awn�; Col6mns-Condectiod�-Splic6-D6ca'I-Encloiures 6. Gas; Location Test-Wrap:7 /"L"ft./ /"Nit.or/ P'L"ft./ LPG 6. Carl5orts; Windows -Doors 7. Utility Clearance 7. Ele6.' Card -,BI Date CardwBl Date Card -81 Date Card- BI Date Card -BI Date Date CardrBI Date, MOBILEHOME INSTALLATION (Plans) OK except #'s t 1 . Zoning Requirements-Set6acks-Easements. Card -BI Date Date Card -BI 1, Date: j t POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compact I on7Structu(e Stability 3. Gas; MH Test- Dema nd-Va I ve-Connec tor - 3. -Pool Structure; Steel-Cohn6ctions-.Thickness-Dead Men=,Lining.--.-- 4. Electricity; MH Test-Crossovers-Breake�s-Clearances 4. Elec.; Receptacles and Ligl�ting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. E lec.;, Pool, Lighting; -15-volt's' GFI. - 6. Water; MH Test -Regulator -Connector 6. Elec'.; Enclosures; Conduit Entries-Terminals-Li,sted 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5, -Circulating Equiprnent7lHeater, 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5', -Circulating EquiP-7Pool Lghig. Boxes -Enc losures-'Pgnelboards� Ins. to Main in'ConduitZ' 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Tesi-Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -B I Date Card B-1 Date Card -BI Date - Card -BI Date Card -Bl' Date ­ .fig N COUNTY OF BUTTE - D E^PARTMENT OF PUBLIC WORKS PERMIT . NO. '�nia­969'65 - Telephone 9 7 County Center Drive - Oroville, Califo 16/534-4541 APPLICATION AND PERMIT AF,S.SS.R IAXE N ZONINGa I . 7_ J;J�K BUILDING PERMIT 0 W N E6;31 NE P I TION SO. FT. OCC. BUILDING VAI I A r a 0- �),2- b C30 jl�� OWNF-R'S-MAIL114rG ADDRESS- ^ A z L1�6�2 CONTRACTOR -5 MAILING CO�MON LENDIER (2 - LENDER'S MAILING ADDR BUILDING ADDRES) i LOT NO. SUBDIV, SFEI 'DuplexF] I New rvr A AdditionF Describe work: — N Fireplace UNKNOWN T t Total Valuation is Filino Fee COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico _ Phone� 891-2751 7 County Center Drive. Oroville — Phone: 534-4541 .57 Road, Paradise — Phone! 872-2961, Ext Skyway and Elliott ^ CORRECTION NOTICE INER ce re inspection indicates that the following violations 01 County Ordinan this ottice A routi ress and should be corrected. Please notify e Xist inin.g to this at the above add completed. it you have any question perta when correction of work is offs -c6 immediately - matter, o . r need additional explanation, please contac . t this r\ 17 1) I declare under penalt� 0 1 am license( and Professit License No. MI 1, as the own' LIN sation, will di for sale. (Sec. 1, as the own ors. (Sec. 704� I am exempt ui for this reason' WORKi I declare under penalty 6 ------- n The permit is fc' : E) I have placed ( a Certificate oi ------ of Consent to SE I shall not empl ------ to the W. C. law Notice to Applicant: If at to the W. C. provisions oi provisions or this permit I certify that I have read is correct. I agree to comi to building construction, z Butte to enter upon the abi I also agree to save, indei all liabilities, judgments., ----- An OSHA permit is I required f ion of structures over 3 stories Receipt No. 601d9q WHITE-O.P.W.. YELLOW-ASSESIOR Inspector $ 10.00 $ 74t, 1 $ 71 Fi ing.Fee 1 10.00 2.00 20.00 5.00 5.00 5.00 5.00 10.00 ea "' I I -- — 1 11 i i ng Fee 1 10.00 10.00 2.50 21/20sq ft 2.50 ea pi 2.00 10.00 15.00 15.00 io Fee 1 10.00 1 , — — — — — — — - — — — — flicable provi- :)Iutions to do ,e been paid. R. DateJ 10 J%rx4p q1K?-,4j, - 4, 14 1 -7 1 V -7 14 COUNTY OF BUTTE DEPARTMENTji3OF;,PUBLJC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 94/534.414541 PERMIT APPLICATION DATA SHEET. Permit No. OWNER V A. P. N o. Z41 Proposed Building Use— V 6�O 1(6?!? (2- Building Inspector Date 101pzj�6 At time of permit application, I was advised the following data must be submitted prior to permit processing and:/orissuance: - _1� DATE RECEIVED APPROVED A. All items have been su6mitted . ... . ... . . . . . . 62Ae- Plot plans in da'p-l-i-c-a-t--e-'*Q"ripli-cate, signed by preparer of plans.- ,/. 3 Complete plans in _Cp�l�icate riplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on 'plans. 5. Plans with Energy Design -Compliance Statement . . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . . 9.. Letter of signature authorizatl.on. Sanitation approval from Health Dept. /4) 7 9 11. Pl.anning approval for (A) Use: (B) Parking: - 12. Ce�tificate of Workmen's Compensation Insurance . . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to ownerEJ, Mai I to owner -15. Improvements may be required . . . . . . . . . . . .. 16. Mobilehome Installation Data . . . . . . . . . . . . 1A 1p�rednspec. request to (Date) 17. Pre -inspection for Required. Building Inspector 18. Recorded copy of Agricultura�l Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of —21. —22. When you issue the pefp*t,�rocpjas follows: —Mail to owner, —Mail to contractor --i?LTelephone. and hold for pickup at-016ff ice, —Deliver w/inspector, Other I 11 Applicant A�q� 9 V)a I�W (L 66 Copy of plans sent Health Dept., —Fire Dept., Other— Date The following data must be.,� , �bTitted prior to permit issuance: (Circle new item not ch 1. Index permit for above items NO. ,2. Additional items required: d,abo�e). Contractor, designer, owner, was advised of above required data by—phone----mai I —counter by— date Contractor, designer, owner, was advised of above required data by—phone—mall—cotinter by— date Plans checked by Copy—DPW Date Plans approved by - Sets of plans on hold in —File cabinet _AP folder 91 � Date / 0 - / -3 - rt_ -,Flours: 10:00 a.m. - 3:00 p.m. Ir A . To: :3uildingr Depar�Q.,�-I-Itl-, From: Environmental fle.-Ilth Subject: Sanitation Clearance /- C.2 . '� , z 04er Plan Approved for: Hold'final for: Final clearance O.K. for: .Loc,.,tion AP// Sewa�,c disp 5al 0 vlater supply Clearance for bedroom mobile hom.e. Other NO -17 �7- Sanitarian J-;:�ter z--.upply . . witer supply COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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. '1 personally plan to provide the major labor add materials for construction of the proposed property improvement (yes or no) 2. 1 (have/have not) L6� signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. 1 plan to provide portions of this work, but I have h.ired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. 1 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: P � Property Owner L= ql'—c" 9 Social Security Number " Date NOTE: This Owner -Builder Verification is sent to you as re4uired by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 2813-78B PERMIT NO. PERMIT EXPIRES Anthony Dalby OWNER ICONTR. owner i -LOCATION (A.P. E/S Ponderosa Way, app.3 3/10 mi.W.of Harts Mill Fire Station, Bloomer Mt. Area Temp.,Power Pole— Called PG&E Templiec. Serv. / led PG&E Te Gas Serv. Called PG&E JOB FINALED e 0 (Dat (S i g eo?re) COUNTY OF BUTTE — DEPARThJENT__& PUBLIC WORKS . BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback Firewall Forms Parapets -Main Bldg. Restroom Finish Footings Windows Stemwa I I Siding Slab Roof SheathipLg Piers Rooting ye�� / Garage Fdn. Vents' Footings Stemwall Garage Vents Insulation Slab Carport Footings Prov. for p� sically handicap el Conformance of ex. sillagIbir Slab LF I n aV C Patio FIREPLACE Footings Footing Masonry Walls Throat ReInf. Steel Final Bond Bea% FIRk_: SPRINKLERS Framing 1-" e ff Test Stucco V Final Mesh MkCHANICAL PLUMBING Soil Piping Ist Floor 2nd Floor 3rd Floor Topout Water Pipin Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final EL Motors els ocraicri Heallno Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventil-ation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M0816EMS2ME INSTALL&INN -------------- Support Elec. Continuity .Water Piping Drainage Gas Piping DA TE --REMARKS OR CORRECTIONS le _4 If lVe (NOTE: An entry must be made on this form each time you visit the job site.) 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: License No. Classification I I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions ot Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E] I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 157- -a- 3 S g— ' 4e a i not f Permitee or Agen/ -1 0 --no Receipt No.), -7 1.3 White-D.P.W. — '�ellow-A$SeS!Ior — Pink -Inspector — Goldenrod-Appli cant NEW.CONSTR. (MUL.11-UU L�l NON RESID- BRANCH CIRCUITS Ex. Occul)(OUTLETS OR FIXTtIRES ., COUNTY OF BUTTE DEPAP*TMENT OF PUBLIC WORKS 7 County Center Drive 9 — . Or5ville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT FIXED APPLNS OR % Ex. Occup.(OUTLETS (RESI*D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities BUILDING Misc. Wiring 6.25 Owner h SQ. FT. OCC. BUILDING VALUATION Mailing Address B �U) A a -,:Or pt ro y ;to n L No. Contractor Mai I ing Address ireplace Total Valuation Qf2, Q Telephone No. Permit Fee Building Address PI - anChecking Fee&/orPenalty Permit Fee $ 3 10 -ayl sc, AA, I I PLUMBING No. @ FEE S, -t A PERMIT FILING FEE $3.00 Each Trao 1.50 lyllmnme-f Repair drainage or vent piping 1.50 A. P. N ,9, I 1 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fvs Sa n FireDept. FireZone - Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Pari�ing Plans Parcel Deciaration I Parcel Map L60' R/W. lmprovements��' Each additional outlet .30 Building sewer 5.00 Bldg. P4'.<nR.. ;d Parcel Ap Cal L_ 44) 1 Plans Akro�al Lawn sprinkler system 2.00 NEW 2"" ADDITION UTILITIES OTHER Permit Fee $ i$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 1 Single Family Duplex [J Mobi I HorreEl Others 93"" Main service EA. AOD'L 100 AMP 2.50 OVER 1�00V Main service 100 AMP OR LESS 25.00 Main servIce EA. ADD -L 100 AM P 1.00 NEW CONST. I DWELLING OCCUP. N OR ADDNS. 1, ACC. BLDGS )1 120 sq f t CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions ot Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E] I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 157- -a- 3 S g— ' 4e a i not f Permitee or Agen/ -1 0 --no Receipt No.), -7 1.3 White-D.P.W. — '�ellow-A$SeS!Ior — Pink -Inspector — Goldenrod-Appli cant NEW.CONSTR. (MUL.11-UU L�l NON RESID- BRANCH CIRCUITS Ex. Occul)(OUTLETS OR FIXTtIRES ., lbu G` d= BAL@1 FIXED APPLNS OR % Ex. Occup.(OUTLETS (RESI*D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating I I I Cooling Ventilation I I I Hood 1 1 2.001 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ Oka This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. �DIR C WORKS By Date 45--e;Zg� -7,P Building permit expires Date 3 WATE13 L11.4-' INTENANCE AGREEMTNT - PA� 6e' WHEREAS, ANTHONY C. DALBY-,,_Qw'ns a parcel of la�d �o be ne- fitted by a water line, described in the easer�ents from the Choctaw Ridge Mutual Water Company, and from RICHARD HAAS, SR. which have been recorded with the QFFICIALI---RECORDER of the CouiAty of Butt&, -State, of,�Xa1iiOrtlia,,, being 77 recorded documents No."' -1746 and NO. 1.7466 IV14 5 V 14/ -/77 copies of which are attached hereto marked Exhibit "All and Exhibit "B" and incorpora�ed herein: NOW, THEREFORE, ANTHONY C. DALBY agrees as follows: 1. For so long as the well and the waterlines remain in' private ownership, that he and his successors'and assigns, shall bear.the expenses of maintaining said water lines in * good repair. 2. This instrument is to be construed as a. covenant, running with 6)e land, and it is further agreed that this agreement shall inure to the benefit of and bind the successors in interest of the parcel owned by ANTHONY t. C. DALBY, being Butte County Assessor's Parcel No. 62-52-1. DATED: November 14, 1977 STATE OF CALIFORNIA ss COUNTY OF BUTTE On November 14, 1977, before me, a Notary Public in and for said County and State personally appeared Thelma B. Dalby, Attorney in Fact for Anthony 6. Dalby, known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that'sh�; executed the same. WlTNESS MY hand and of ficial Sea�- (SEAL) OFFICIAL SL-, NOTARY PUBLIC*Iff AND FOR SAI5 COUNT LOREN 0. "RIL NOTArV;KJYM, j!Aj,,,:0MW AND STATE au,r,li; couN-ft 1�ky C—Ini"ioo eXfpj:,Ph'jjj�j � C, 113,1986 13 0 Wehtl recorded retut,n to ANTflONY C. 1)A1.11Y Merrimac 13tnr Houto Box 8605 Oroville, Californj.� AMENDED EAMENT R U 7 T &o.,ee 0 7 L'J 1. t E RICHARD HAAS, SR., First Party, hereby grants to ANTqONY'C. DALBY, an unmarried man, a non-exclusive easement for road and public utility purposes,over a strip of land 30.00 feet in width lying contiguous to and to the right of a line beginning at the Southeast corner of said parcel; thence along the Southerly line of said parcel, South 87o *I'l' 117" West, 54.02 feet to the beginning of a 150 foot radius curve to the lef'L; thence along the arc of said curve through a central. angle of 510 151 3411, an arc distance of 134.20,feet; And a non-exclusive easement for road and public utilities purposes over,a.'strip -nd Southwesterly -from a 1 in.e of land 30-00 feet in width lying contiguous to a beginning at- the Southwesterly corner of said parcel; thence along the South westerly bound.,,iry of r)nrecl, North .350 571 '37" West, 206.12 feet 'he ri.j.,�ht to enter' upon sald� premi4es Also grantAng unto the said second p;,Irty L -ing rproving, the sai, for the purpose of repair o Anging or altering )perty of said second part�. lines to the pr( iwc,: Beeing.a portion of" the Northeast qu;irt.cr oC the Nort. !..;t quarter of,��(!Li.on 31, Township 21 North, Ranj.),e- M. DJ',-& M. and more particularly described -is' fo 'R: ilow, 'Beginning at a point on the North line of said Northen8t quartet! of.the North- '.�.west quarter of Section 31, which point bears North 87 ll,47" East, 379-59 feet from.the Northwest corner thereof: thence from said point of beginning along said North Line North 87011147" East 370-00 feet; thence leaving said -line, South 231,.40 feet; thence South 8'(0 11'1171' Wast 54.02 feet to the beginnin of a '150 foot radius curve to the left; thence along the are of said curve, th oug8 a central angle of 510 1.5'3411, an arc distance 134.20 feet; toence North 35,5f'3711 Vest 343.12 feet to the point or beginning. The provisions hereof shali inure t6' the benefiL of and 1 t "e" h, as8*igns o f the respective parties. IN WITNESS WHEREOF the first party has executed these presents this (lay �-)f November, 1()77. RICHARD HAAS, SR. STATE OF CALIFORNIA COUNTY OF BUTTE ss .9 . & 1977, before me the undersigned a'Notary On Fublic in and for said County and State, personally appeared RICHARD HAAS, Sr. 'b d to the within instrument known to me to be the person whose name is subscri�q rand the same. I" 'T MUMV.1%" 44 officiral. seal HATTY NOTARY ;,Ur-L,C :k.jRNfA PRINCIPAL YOFFIC% !:4 P714F COUNT CF c Public in d rc r sai Nota6 an y and My C0Mj7jii#jQft Expires Ma,ch 6. 19,,.? 9 n State e7 0 ww p When recorded return to D'AA-'ej ANTHONY C. DALBY NOV 14 3 07 N 1177" Merrimac Stav Route L Box 8605 1 C06hrr i,,*c,: Oroville, California 959615 V�E �_ E A S E M '� N � AMENDED) CHOCTAW RIDGE MUTUAL WATER COMPANY, a California Corporation, first',pa7rty',' hereby grants to ANTHONY C. DALBY, an unmarried man, second party, a non-' exclusive easement for utility purposes over a strip of land 30-OO.feet In' width, lying and conti�,,uous to'. and Northerly from �j line be 'ginning,at the Southeasterly corner of the hereinafter described real property;,thence along the Southerly boundary of said parcel thence South 870 11' 47" Wes� 488-36 feet. Said 301 strip of land including the location -of the 'well to supply water to said ,,:.ec.nnd party - Also granting unto the d second party rieht to etit.pr upon said pretn)se�; foi, the purpose oC repa Lrj.j-jg, improving, changing or altering, the 6aid water I.ines to the property ol" ,;;aid second-, party.' 4 41L -situate iw4he.,boliity. i_,x Vreal property a Fcitiforriia,� being &-portion of the Northwest quai rte'r`pf K.D.B.& H.' and wor d:' 0 particularly- iesct. HowsxA"2i�,., OPM,at.the,,,Northeast cotner of' said.Nori '8t''q_uart'Q1. 0 "'k-, 'Aw tb*'� gas t A ins, the reo f , South. 0 5412611 Base 231.25, feet.;,' ihin", t U, "q';,16utb,8701l147#1 West 488.36 feet; thence,North 2 31. 40 feii ,of-� said -'Sqe�riion -:sl,- thence along the North line forth%47� *0 the'.,point of, beginning.. r, �11. r, "Y The provisions hereof shall inure to the benefit of and bind the successors and assigns of the respective parties. arty has executed these presents this -14th IN WITNESS WHEREOF, the firot. p, .,day of November, 1977. CHOCTAW RIDGE �ff)TUAL WATER COMPANY .BY . ,f ( - A�_ reasurer R-,0RGE, STATE OF CALIFORNIA ) ss COUNTY OF BUTTE On November 14, 1977, before me, a Notary Public in and for -said County and State personally appeared GEORGE E- DALBY, known to me.to.be the Secretary Treasurer� or the CHOCTAW RTDGE MUTUAL WATER CnMPANY, a California corpor;it.jon, ;.ind whose rwino i:� :.;Uhs,(!rihe.d tm the Withirt instrument ind acknowLed8,-ed to trie that lic excent-ed WITNESS iny hand and official seal (SEAL) 17A, OF L LINDA L. AMBROSE FRIFARY PUBLIC IN AND FOR -SAID C-OU97Y—AND NOTARY PUBLIC - CALIFORNIA S TA T F PRINCIPAL OFFICE III OUTTS COUNTY M y Cmmisslon Expires Apdl 27, 1979 r_zjC4:,t1_ When recorded.return to ANTHONY C. DAM Merrizwc Star Route /Box 8605 Oroville, California "965. OFFitNAL 9 UTT E F. 2 LO co HUY E A S E M R,Z T' MUM Ems$ -SRO and..DORIS HAASS, Ruobagd aad Wif a., 'virat, Party., y ants to Ab"MNY C. DAM, an hereb ' i� .�umarried. man,. Second Party,,,. a exclusiva easment for road and public utility. putp9ses. over*. a's-trip of land 30.00 feet in -width, lying contiguous to, and, � to 'the.- r i ght o E a, 1 ine: beginning a ' t tha Southeaat c8mer of�said parcel; thence. along the.'Southeirly line of said parcel,- South87 IV..4711 Westf 54.U. -:--feet to, the. beg -inning. of. a 150-factradius curve to the left; thence along the.arc-of aaid curve through a central angla of 510 IS' W1, an arc distance of l34.,20_-*fee-t,- thenc4b,:ftw1:k- 3 P.. W 'G&t of,the_ follo-e_,in6�-d crkb�d 50 35! egat-,­206­12­1 4&9 propar"�Y: 9.-.A-_pq tion of the Northeast quarter -of the Moz-thweat qu of . Section:, . _r arter 31,, Tovinship 21 Nor th Ranr�- 5 East,.M.D..B. and M. and, more.paxticirlarly d-eac-ribe.d. as: Beginning, at a- point. on the Vortlj line of said. North.east quarter, of`-th.(-,_� N'Urtb- west quarl ' er of Section 31', which 1)oj.n-t bearn Vot-th 6,1,j 11, 4,7" Fant, 519.59 feet from the hortllwi--st corijer thore'of; thence frii tt-aJ d.* point. of bo'ginning -O.ong, North line, North* 87' 11' 47" East, 370-00 feet; thcnr.t,'lc.aving-.,qa:Ld li.nc,. South 231.1,'Q feet; thence 'South 87* ll( 47 West, 54.02 f eet to the- beginnin& -of a. 150.00 foot radius. curve to -tb(- left; thonce along the arc of naid curve , through' a ceri- tral allgle of'510 1.5' 34", an arc distance 1')1.20 feet;. thence 140 rth 350 57' 37" West, 34,3.12 feet to the point of beginaing. Reserving there from a non-exclusive easement for road purpoucs` *and public utility purpoSes over a strip of land. 30.00 fef.:t in 'Addth, lying contiguous. to. and to tbe rir;bt of a li.ne beginning at the Southeast corner of said parcel: thence along the Southcrly� line. -of said parccl,- South 87' ill 47" Wcst,. Y1.02 feet to the beginning of a 150.00 -foot radii)_o curve to .Ij(- left; theace along tbe iii c of' said curve, through a nctitral ang) c: of 51' 1�' 34" an aro. (UstzuLce of 114.20 feet, thence North. -,_35` 57' -37" West, .206.12 feet.. T6`gcthi_,i,'vtith ''a -non-cxrlusi Tvc--e4 n -*r r oa d. pur,poses 'public, ittili.ty nvt-r a rt*rjT_1 Of land 6(1,.-(')o fe�,t in widtli 3.y.irl"r _`A).00 feet- oil ej.g.�Icr sid.,-� of a line bcginning at the corner of said* P,`:rcel thence'from said point, of beginn�nr uth 87" Ill 111" Wc::-,t, 54.02 fc,�t I to tile of a 150-00 loot radluo curvc to the lofL; thcnct? .11ong the a'ruof vai.d c1li-ve, throill-11 a c(:ntr3j jj.jPje of 72* 5.1')l 36" W, arc distance of 190-83 foe.'t; thence Soutl-i 14c, 18, 1.1" West, 8'.92 fe r. �t to the bet -inning 0,. L a _-500.00 foot radiur, (al"Irc to -the rir;lit, thence along VIC Al -c of zij4id curve, throu(;h a ce'utral zin�,].e of 1)(1 )1(�I! 55" Went, '12.*311. feet;, thence South 28* 07' o6,' West, j.64.89 feet to the centerline of Ponderosa Way. ALSO TOGETHER WITII*a non-exclusive easement for road*purposes- and*public utility purposes over a strip of land 30.00 feet in width lying con.t.j9,_ uous to and Southwesterly from a line 1)cginning at the Southwcsterly corner of said parcel; thence along the Southwesterly boundary of said parcel, North 35' 57' 37" West, 206.12 -feet. DLITTE When recorded return to�- 7 ANT HONY C. DALBY Merrimac..,Star' Route NOV 10 112 197� Box 8605 cobhl'� R L 1: i �Af kcr-_1 E A S E K E -N T* FEE CHOCTAW RIDGE.MUTUAL WATER CCKPANY, A California corpori�tion,.first, party, hereby ..,rants to ANTBWY: * C. . DALBY., an unmrriea, man'.., second party,, a non-ex,clusive ea-acmat for. utility. purpocas over. a gtrip of land 30..00 feet in width, lyin and contiguqua to and kb��herly from. a line..b.egintit-ag, at the Southeasterly corner of the hereinafter described pro erty, thence -r along the Southerly boundaryof said parcel thence ..South 87 W .4711 Wese 498. 36 " fe ei t. APN­060-050-0054 All that cert.ain, isal PropQrty- situate- 1n..the­ CA*aty-of- Butiij State of CaliforniA, being a portion. of. the - Narthwagt quarter of Sectiori- 31., Twp". 21 North: - Range 5, East,,. K.D.B.&* 14. and, move 'articularly. doicribad as- . followo p BE GIMM G. tba�- Noe thoist corner of s4id Northwest, qp�arter 01" Section. . 3 1; thi 1 in@ the reo f:, Sou th- 095412611 Eas t - 231. 25 'feet; di.en.ce. le 4,d a lorag:. the East line,:. South, 87oll'47,?` WGat 488.36 fieet; thence Fdrth. 231.40 feat to, the No.ith_ --ne, of said Sactioia 'J; thanca along the North line `Fk�rtb...:87.0- 11 1*471.1-- 9&&t.'484 -.7Q-, fee t, ta. the. point of'beginn . ing.'. The provisions hereof- shall inure.,to.- th'a.-benefit,of and bind the successare iiid asaigns. of the,respective parties.- WIMSS WHEREOF the first. party has executed-ther-a pres' efits this. -November, 1977. CHOCTAW,'RIDGE MUTUAL -,WATER COKPANY Sy. STATE OF CALIFORNIA,)... -.Sacret&ry�Teeasu_rer COUNTY or BUTTE - On November 10, 1977, before me, a 1�qtary ftb.lic. in and. for said county and State personally appeared �GEORGE E. DAURY, * known to -me to be the Secretary*.Treasurer o'f.the CROCTAW RIDGE KUTUALWATER COMPANY-,.a.dalifornia Corppration., and.whose name is subscribed 'to -the within instrument and. ack- nowledged to.me that he executed the same. SEAL OFFRICtAL� SEAL _9�i�ry Public in.and for said County SE L IMS LINDA E y P, _L"_ C"L ortPI and state MO.�ARY PUOL11- CAL;;:0FtN1A PP1-NC:PAL OFFIr.0 jpj B UT_r� Co TE " J"Ty UT _ COUNTY MY Comaiissi�n Exp;res Jpdf 21,.1979. The provitione hereof gh&jj:*inUre-tO the bonefit-of and bind the auccessors.and assigns Of.the rezpectivs-p�rties. in WrMSS WHEREOF the first party has executed these preranta. this 13th:. day of Septeaber4 1977. WAS S11 CDr'/-PICFD DAILY -.RCIDENT L06 Day/Date from 683WA-1a t 5 9 8 10 rd PA -- ---- IAC03L FireO Name Type _ M41j)-11 -U-'-'A� -(� ----------- Start time Contra! tint F( - 0 6j, L'I i3O !,-., - - - - S t. a J­i­ Raport time��-LLA: j -%L - ----- Location ---------------------------------------- Batti ! ; cc, 4_j Ea9!nes;C0E---bCFD--- �-Of i i -er --------------------- Sq/Atk___WT --- D C, 1 --- C, r e w; --- AA---AT---HC --- Dazdge ------------------------------- ------ Other Land usL ---------------- Acrel'fype --------------------------- 0 t all Owne r &� I � - TZ; T --------------------------------------- B! R.P. HIC ------------------------------------------------- ------- MiIsc. I lif a ---------------------------------------------------------- Inc ---------- --Type 2� F 0 Naae ---------- ir Start time Control ti R. 0 Report t Location --- --- --- 7 - Cause Engl�nes:C-DF-----B-C-F-D-F-:Eo-i2-�-Officer --------------- --------------------- --- ------ Savrd ---------- Sq/Atk-L_WT__ D --Crew---AA --- AT --- HC --- Damage Other Eq____ Y-Y�L�: ----------------- ------------------------------------ Land use Acre/Type ---------------------- - Total. wner/Tonant BI: 0 R. P. -------------------------------------------- ------- misc.Info-- ----------------------------------------------------------- Firei Name Inc#_ --- on a r t - ---- -- -- �J?— LRT IffltE Report tis&_L5P�_Siart tiaejrLO_C ol ----- Stas - Location -------- B z t t @ :15- ------------------- 2-T -Off i c: er ZLI-fl- Caute Engines% CDF3-]3cF[)-2---; cc 91- t;�f I --------------- Saved :�O, 9q/Atk_J_MT_j_Doz --- Crew ... AAJ__AT 2,_HC_/__ OtherEq .......... ----------------------- Land use _Acre/ Type_ ---Lpn:� -------------- Total -T- Owner/Tenant RAt ......................... R. P. BIS Misc.Info --------------------------- -------------------------------------------- Inc$j5_j I Fire# ----------- Wave ..................... Type_ Report ti --- 039 Start Use Control ti R.O. 77Z f�t� aa-H�-, H Location--O�L-­L -A- 0,614 ----- Bat C 'i auee ---- a - - ---------------------------- EnginessCU­ BCFDZ -1coo if icert/—J-L- Saved ------------------------------------- Sq/Atk WT Doz Cre AA AT HC 'r Damage .................................... Other Eq__ LL�- �- -.L�u ii si -Z-,- - - -- - Zyy- Land u%e --------------- Acre/Type ............. L ------- Total ---------------- Owner/Tensnt WRA: 317e;55- -------------- ------------------------- ----- 4 ------------------------------ R. P.,�:o 9 Misc.into _LJ-LE� Al ---------------------------------------------- I n c 1'., Firal Waae T y p a 6: Report time le)3 Start time Control time R.D. 3 te 0 Batt# Location -g-4 Cause EnginestUF BCFD�c ;Cc# .... Officer ------------------------------------- --- --- ------ Saved ------------------------------------- SqJAtk ... WT - Doz craw --- AA --- AT --- HC --- DaAage ------------------------------------ Other Eq ... j� L L5K ------------------------ ---------------- Land use --------------- Acre/Type ------------------------ Total - Owner/Tenant WR A: R. P. �So C 81: ft IT- -- -- -- -- --- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --- -- -- -- -- -- -- -- -- -- - Misc.Info rev.(7/16/86) .;A 0 C- C) tn M 1,,,_,,,__!7,,ECORDING REQUESTED BY 1--7) : '' I OFFICIAL. REC,OtICS' su-, TE r-"UHlY­�AO' '- 41 - , . 7 D. AA PUBLIC'WORKS 4 LO U -i 5 E. -K t, COUNITY RU"' FEE. lav, —SPACE -ABOVE THIS LINE FOR RECORDER'S USE AND WHEN RECORDED MAIL TO Cum au iont by t4rar-rrunts.. Uff ANTHONY C. DALBY Nc.e ha-2.­­appoi4ted and do-2.2—hereby appoint. THELMA. B.- DAL.B:Y: Street a -to facti - t rwey--its Address hi 1' M -his fo to, City & State L septic system, and, to move a mobile home onto hiz lot in -the.. OFFICIAL. REC,OtICS' su-, TE r-"UHlY­�AO' '- 41 - , . 7 D. AA PUBLIC'WORKS 4 LO U -i 5 E. -K t, COUNITY RU"' FEE. lav, —SPACE -ABOVE THIS LINE FOR RECORDER'S USE 00 C=3� C= :M UN Cum au iont by t4rar-rrunts.. Uff ANTHONY C. DALBY ha-2.­­appoi4ted and do-2.2—hereby appoint. THELMA. B.- DAL.B:Y: a -to facti - t rwey--its hi 1' M -his fo to, apply for all permits- with the. County of Butte', to ins'tall.. a septic system, and, to move a mobile home onto hiz lot in -the.. County of Butte, knowh-as-Assessor's parcel :2 - 57�� - 0 it and more -particularly described.as, follows-.. unto_ h is .-said attorney.—authority to,'do whatever- is necessary to be., done in and about the aforesaid business as fully as --"e -T) A 1. R Y could do if personally present, -and hereby ratifying all that his said attorney-....., shall do or cause to be done by virtue of these presents.'. hereunto- set.-....--�ly—....-hand..---tiiis- day of— August thousand nine hundred a d- seventy seven ..... bigwb anb Orliumb in t4r 11rvarnre of . . ... .. ..... AN HONY C*. LBY -------- 4. .. ---------------- ------- --- ................... ...... ............ . .... ...... ....................................................................... .. . ............. . ............... . ... ............ * ................................. . ............ ...... .. ___Sj�LtICTL.s Lo No. 1024 — eowerOl AtEUft1eY—SPCLIa! M.e. SC,S. !693, i2l(� �Jjjt, zL _ _ _Lm 00 C=3� C= :M UN ---------- �'Q ND _)b ss. coU of ORANGE On AUGUST tn. the year. one thousand nine hundred and--lEY �NTI. HEYI�._* ------- befbreltne� TAFFY G. TOB -y P Ago - State Of California, duly commission ed and -sworn, personally appeared - ANTHONY C. DALBY ......... ....... ...... known to. me to be the�personz_-_described in and whose -name -.i*s-�.--....-sub.scribed,-.-tb,-...thc,,unthin,�, instrument� and acknowledged to me thatjxP_�.__'_..execU.ted the same., -I have hereunto, set. txy. handand' affixed. my: dffici6l seat.. in th ___C014nty . .... . ... the. day -and'year. in thi-x'certifkateyi"tabove,wr.iH.,efv.,... OFFICIAL SEAL No blic, State of Califofitia, TAFFY G. TOBIAS NOTARY PU13LIC -CALIFORNIA 0 PRINCIPAL OFFICE IN 0 I � * ' My Commission expires -_-.2— ...... . ORANGE COUNTY My Commission Expires Nov. 2, 1980 14 Ira V V ZX(' Etj6 C)� bOCUMIENT ILL- �'Q ND _)b COUNTY OF BUTTE. OF.PUBLIC-WORKS.: 7 County Center Drive. Oroville, CA 95965- 534-4266' September 29s, 1977.- Anthony,C. and Patricia Dalby. Re:- - Assessor's Pamel 273-1 19th Street _62-52-01 ..Costa Mesa, CA .92626 Dear Mr. and Mrs. Dalby,.� Enclosed please find a copy of the Certificate of -Compliance J . saued-.. by the Butte. -County Board.of-Su] LAexvisors' which was. reoord�-d-on, Ser�ember 20, 1277 in Book 2213' Page 226 in the-Office.,of.the Butte County Recorder. Should you have any questions. regarding this matter,.please.contact this office. Very truly. yours, Clay Castleberry'. Director -of Public Works. ri§inal sign�d by McLare'n N06r McLaren Parker Assistant Director. MP/db Enc. cc.- -Planning Dept. Health be�. -219ilding: DePt. 'County -Clerk 7., eo Pj 7"i, R E E"UMN TO: Public, Works Z,az,d Development ziectlon CEWIPICATE'OF COMPLIANCE I ' ed to: Anthony C. and Patricia Dalby 273 19th St. Cos a Mesa, CA -,of' tte-to This Certificate of Compliance is hereby issued by the CountZ_ BU certify that' the land division which created the parcel of property identified below complies -with -the applicable provisions. of the Subdivision Map. Act and of Chapter 20 of.the Butte County Code.. 1. Property location:. !Er%pd,egst PonderosA Wa the.SB4'1.of Sec. 30, e 4 of ec y 2. Assessor's Parcel Number: 62-52-01. Description: , All that certain property located. in the Coun.ty'of . Butte I ,State of Californiag more particularly described as fouows: Being a - vorti on of the NEk. of the NA of. See. 31,�T21N,�--R5X, MMI -M. crib,ed as follows and -sage particularly des ths morth- line Of said NZ.k- NWh-.-.of Begi=ing at a pCiUt On 'from th e. NV Sec 31, which, Point bears N .87 * 0 11.1 4.7" E 140.11 ft _froz said point.of beginAing-,. along. said - thereof;- thence 02=er - E, 239.28. ft;- . thenca leaving,;:s aid. line r north line, N 870 11' '47 `0 361 W, 372 .- 15, ft S 350 571 377 E;. 187.00 - ft; thence S 56 n ence. along said ce terlinej to the centerline of. P=derosa Way.; thL -w -to the: right,- whose tajaqeht along -the . arc: of a 4 ' 00.00 ft.. radius cuz 0 at this paint -bears N 37o 181 57" W, through a central..angla of 6 oo I 550v an are distance of. 42.00- ft;- thence,'N 3.10' l,81- 02" W, 60.85 ft. to. the. beginning of, a 150-00 ft -radius, curve, to thea right; e are of said curve, through a-. central ancr.le. of, 400 thencm - -alang th -ani-arc distance; of 107.07 ft; -1 thence NR TO 331-50" F, 94.G8 53, -igh t-, thence the beginning of a 200.00 ft. radius curve. to�. the r ft. to of -_1.60 32.1- 50" along the. arc of said curve, through a central ancrl an are distance of 57.76. ft; thence N 260 0.81. 40" E, 8.13 ft. to the noint.of beginning. Togeether'with rights-of-way of re card Issuance of this Certificate. is conditional upon -the f ollowing, conditions which have been imposed pursuant to the Butte County Code Cbap.ter-20-167 a -ad, Govern- ment Code, 66,09.35 (b), to protect the public health and public saf e.ty. None. off lcw_ Ste. 18 -N. 0 OU V Lo" C Uh 10774 C= County of Butte Board of Supervisors ETD OF DOCITNENTT 2- A N11-17 L E- 0. I- - 2.8" .'F G Rm! F E R eAS E DE' i A I L /— Z' P-AipEo sc-l"O W'P— C -M A T C C RN E? S mo i/&' PLAr-Lz .4 ;L:"Eo Ar c-.R.,E:,-S A:40 CENTZ-FS L Af"'y CAP PLATE DEF.21,11- F1 %. ri 2 1/ 11 SUPPORT GIRDER TYP. 71 7m. TOP VIEW — MGP PAD f N 1. Z* FLAiRE-0 SCH 0 r!PE 0 0 0 1 1/6' E)(7. MG PLYWCCCz-�- - S—Er NO—iz. 14 SIDE VIEVI — MCP — PAD TU F 0 7 0 I/Z' SC -4. Q F!FE n S/16' CLA. re/ X - 1/.* PLA -C 3/T6- ;zoc--,--. . C . - 4 - UIPER PLATE DUAIL 2' DIA. 'HOLE ;7np Pnr,-- Pi ii t cc I!r X Z' wAC-1 EC -1 -TS fLU--H 'X140 CCUrIT-LR SIUNK a EA. Typ I/Z- CpacE 5 FiN OR E"N Lcc-,< wrr.-. i/f L0C\'NG NUT OR CC PIN :':pT 4:' X im, G P < 9 Z* FLJJ�REO- SCA40 P Wa-,'E'-) AT 7: 7, r-L'ol,100, PE L I S T I N' G C F--� F E S S / pl�,Vf�N� > POZ lc� N n 0 LLJ No. C 05111 E xp. 2ftl41 �L KA P4uA nL*jv4, ys i Em i-tE.W4 AND SAFM CC�9. SkCtrC-�:J %8551' A p p R 0 y E D SuCJECI rO CC'2Q.'CT;C)+4 CITED *I wpricaLle Stfor su�'n cw14 I.QviclicP0 STANDARDS J* Date -:Y:7 ,to.SPA ----------- — ------- Thi3 P"-% A, wowal Exom PERMANENT FOUNDATION SYSTEM 70 GUSGUA RD TUF-1 WITH MGP PAD .0 PIC) M113p. PAD Kenneth D. Reed, P.E. r SC2440 P:PE ED TO 11C P L A -1r Registered Civil Engineer z' ez4ce 'j p TYPICAL INSTALLATION D E-1 A 1 L, IL 8976 Simmons Rd Redding,'Ca. 96001 I Ir C:A. Voice/Fax 916-243-3296 P A T EN T S PENDING April 1997 7 r, i SHEET 1 OF 3 1-800-322-2479 GENERI%L NOTES - GUS -GUARD TUF-1 -SIGNI-O'DS: ROOF LIVE LOAD =30 FSF FLOCR LIVE LOI.'%D = 40 PSF WIND LOAD - 80 MPH, EXPOSU-= C S E ISIM I C'ZON E " 4 2. THIS FOUNDATIOIN SYSTCE!A IS DESIGNED TO EE CONISTRUCTED CIN A r-/-%:RLY LEVIEL SITE VdTH t"10 EXiSTING SOIL DEFINCIES 3. CHASSIS BEANI SUPPORT SHIA'LL BE LOCATED A.ND SIZED FOR ThE LOADS SHOWN IN THE IMOSILE HOINAE INST A I r%_LATIC)N INSTRUCTIONS 4. I.NIAREAS %','HP -.RE DIFFERZEN TIAL SETTLEMIENT (D.S.) CAN OCCUR, k1k4UFAC TURED HO.'AE SHALL BE READJUSTED WHEN D.S. EXCEEDS V. OR WHEN IT WILL ADrr-RSEI-LY AFFECT MANUFACTURED HOME UNIT 5. CARRYALL FOTTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1000 PSF TOTAL SOIL PRESSURE AND SHALL BE COtAIPATIBLE WITH LOCAL SOIL CONDITIONS. CO11.11PACTED SA AND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS, 6. S TIR U C TURAL S TE EL SH11"I LL B E FAER ICATE D AC CORD ING TO Al S C SPEC I F! C .. ATIONS. WELDS" SHALL CONFOR TO AV;*S SPECIFICATIONS. ELECTRODES SHALL BE �/O. PLATES SH, AV- L BE A ^36.'BOLTS SH."LL BE GRADH C (A V MSTMA,449ORA325) 7. THE GUS-GUA �nRDPIE1%M L BE LISTED AJND LABELED S S! i E Ez I I E S SHIOV-1t B E 10 vw' SH BY BEEK ANID ASSCOCIATES FOR THE FOLLO',I;it4G LOADS: GUS -GUARD TUF-1 PIERS GUS ­GU / A %RD M"G.P PAD ALL01AABLE LOADS H'O'RIZONTAL VERTICAL .2200 LB 6000 LB 2200 LB 6000 L9 I'C � A 8. r-'UPI;L'i'(-'-PRELI-l'j-!�Vlf,'�.E)%Yll��l'S-7"CCTION,Tn,-CST!t";!A,TORSHiALLENIC�URETHtl%TTH,�c COACH CH�'S&S BEAMS ARE C:: STANDARD SECTION - SEE 6 1 SIZE NOTES Ir D T H T T H. E t u 0 11. I'JULTiPLE UNiT INSTALL4TION IS.A.CCE;1T,.ml E` -ROVID A A r En G U S_U- UARD TU F- 1 P! E.R S UIND ER EACH U IN'! T I S TH. E SAI'A E ' S FOR E 2C H U IT CF DOUSLEVIDE COACH OF THE SAIME LENGTH RAINT - SEE SHEET 3 12. SliNGLE-WIDECOACHES REQUIRE .10DITICNAL REST A A -TAL C0;1,1,P0.N1EENTS rI.kil"4'Dr%TIPI%CH.M=-NTSS'H,-'nLLE�=ILROTLc:f�',TIV�-COAT;.:D 13 ^LL f,!:c 14. 1`411G.0 PrAD SHALL K 1-1,18* EXTERIOR GRADE PLYWOOD WITH WOLt,`IAN!Z_cD TREATINAIENT TO 0.40 PCF MAX1,1,11UM RETENTION AFT ER DRYING V. '= - 16 70' S---- 7.Aq_= 1_7 P,�, 5 E. r__t Ma n?*=X- 1: 7.=--A:-- ST Xv=1=2 TPE HANI�FAI E.�GiSEE !P1 rUFA ?'Z_ N, Z C F-1 ED D Ej -17 C --F] 9. EX�:STI-1,1"-3COr"�CH=-rO'Mr3%YS="RE-IRCr�ff7c�DTOR-.SiSTS�-:I'�-�,','i!CFCRC;-::SBY PADS iN A . Nl� TUF-IPIE'CRSASSHO'iVNONTHLC-TYPICI'-'.LFOUNI)ATIC)N INSTALLING GUS-GURD- * PA�P MAY 5:DE TO OTH TID AVO:D CUS-GL*,A:RDT7_-r-1 ?!`R'� FLANAIN'D THE Tt--.P-'L;-:S E EET 3 - - / ON SH 2' N -01-r- 10. THE GUS -GU ARD TUFA PIERS M!AY BE INSTALLED IN FLOOD PLAIN LOCATIONS WHERE THE EXPECTED DEPTH OF FLOODING DCGEESINIOT EXCEED A HEIGHT OF 3 FEET S. / I/ E= 2' 1�-, S=6' MD;- 2 al MAX 4 E x I t- DES:IGNLISTEDAILiD TESTED BY S' :)K & ASSOCIAT;:C, M�yjll'�E T. FOLVA kr_10, P.P. - LISTING 1`40. FG4249 B EA A f SIZE NO TE13 -qPac:n9s Shc.,,wi on this plan are for coadhes Wi'Lll 10* ar.d 12' deep cha�sjs I Eearr�s or C and J Eearlls of any siza- TUF-1 Piers shall not be placed r, -,ere that#,* f -M, M b ez In a r, d s a n d t a s P a c ad 2 t r, C t mc, e tan 14'on coaches with ct-,assis I 2ean-s of iess than 10* �?,OFESS 1. P 01) C 0.51110. mi I., IL b 'o civii- .4, �c tt_� CVmr_.,.DE_ _Y 7VR1 2 C P. Z ARD 7F. it - !,,C A 7-- PERMANENT. FOUNDATION SYSTEM G Ij S G UA P. b T LIF- I VIVI TH A-1 r,.-,% P PA D AT-Ce-nneth D. Reed, P.E. Registered Civil Engi neer 8976 Simmons P, d Redding, Ca. 96001 Voice/Fax 916-243-3296 April 1997 SHEET 2 OF 3 T_ I Ei i 1EV 77�,�-zEtYcrtr �Tjl-�r rrid.-,m� f--05 r- —, �0 ci: � r�—_r­ 10 P-- I . . . Cr L--ri-,Er To fall 4 r Single 1,14 'de Units Length Langth t, up to 44' �5,-66, lover 66'_ 10, 12' 1 14' 1 16' 4' 6* 8* 4* 6' 8* 4' 6' 8* 4 6 8 �de_-;,n r. -!ad A -`%^0 at ends cf eac� hr -,e tj d . I r - �15, ar C _C, 15011a: Doub!a Wide Un'lts Langth t, — Width 26' 128' Lip to 44' __?4' 8 8 8 12 12 12 co fickkYfi-m u-,,-_rs,:ams­,_r.�vs 16 16 �de_-;,n r. -!ad A -`%^0 at ends cf eac� hr -,e tj d . I r - �15, ar C _C, 15011a: "Ictes: HC;dC---�-S 0re b te p0ced 4 bet ct tje ert.d cf eae. hme ml Yil-.er, =nh GUS* pr;m are b te spaced at 2pprmdrrzta,'y equal a:crg ear�h .1rame leno, exca&ds 50 %--t in le�, additcriaJ �4;dc-.sns an b te r -,,aced te centercf each hi -m r-,.3ftr a ictal d 6 h6dClAns. C-� -d Pers M imtaied en cc:a&,s :n -cw d lh�� tm 30 psf s, fickkYfi-m u-,,-_rs,:ams­,_r.�vs cr ct-.erea-icas ;rcv,ided ul;c-y have a rated ;mided tat the irtem,�ate pim ,jaNe pcs;fve abcNrert b P.".,e eassis bezT& 0/ -v P0 L-' t -,,'O C 0511'0 U - I—L — PERMANENT FOUNDATION SYSTEAl GUSGUARD TUF-1 WITH MGP -PAD h&a c'—_— w/"x0 &Ws-auAaal Kerifteth D. Reed, P.E. vil Engineer Regstered Ci* X j; :" . 8976S ons Rd 6 'Ile Redding, Ca. 96001 Voice/Fax 916-243-3296 "J Ap'ril 19197 SHEET 3 OF 3 1-800-322-2479 4o� RCH I NA 1,L $M05 706, o4m. ��sr VVE", 00" 7FLORIPA kg , . . , , .: " 7,1 w f -5k!ii .1 ,T;M i U3 Ul" u!"; �7— -7 A io I , .: ll � "r .:% 15.� 1 Oil 0. 0� I . " � ` lot" 4 1 ne I I It . � �)j 4 1,� ',:, ir t �Ji- Ai, lit- 4 ir 10 it P vi q, to V, it, I'', tAL It. It Al 14 A, I", o .41 4, 'tole 1� Ti Y ell . ... I .. .. . .. Jg f- 0— IF . . . . . . . . . . . . tts�� 0 IL oilc� t -fly, fr 4 71, )A I111llIt 1A 7. lIt— 7 07 t I Cot A' tIlj,4 A' F,j 4�V ell, lie j, i77 A, o1,77 161 IC.7 -- 4L' At' Ut', Al it# i74 '4t IIA-+ . . . . . . . . . . . . . . . . . . Iit14 4. !it I71 + IIto 00 Li I /* 41 10 V4 4t, wn "Vey, k, Pit 41 II1Ep' t1LI twit IV, fit................ t1`77