Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
062-200-062
..— -- I � 62-20-41 1�ERT MARTIN E/Sald Rock Rd, .1000' W Sugar Pine } Store,.. Creek F Permit#29:-83P,;(uti1„MH) ELEC � -7 -�S Zoo /� SUPPORT STRUCTS REQ UP COMPACTION T ST REQ l/,W 62-20-41 ” Per #701-FB4MHI- sued_ i 62-20-41 t Permit#702v84B(new deck/MH) 062-200-041 01-0112 BAILEY, DONALD 1136 BALD ROCK RD., BE Y EK CONTR; OWNER RE TAG ELECTRICAL 062-200-041 _ 01-027 BAILEY, DONALD 1136 BALD ROCK RD., B EK" CONTR:OWNER RAPAIRS TO DECK ll 0`62-200-041 02-2103 �yygqLE 1 GEORGE, STEVE 1136,BALD ROCK RD., BERRY CONT:. QUALITY COMM. NEW MH PERM FND EX SITE • GEORGE, STEVE 1136 BALD ROCK RD, BERRY CREEK CONT: OWNER I �Q NEW DECK • 1 03/21/2013 13:58 916-327-8261 HCD PAGE 62/82 Printer Friendly View Page 1 of 1 RECORD'eM REQUE.9TEDr33Yi r AND WfmK IWO.RDED HAM TO: BUrM COUt+" BLUMMODWIMUN 7 COUNTY CENTER DRM OROVTLLE CA 93963 000Y of Deoument Recorded U -Sep -2602 220NA04rM2 IIAA ant hep" oowpared vibe original BU77E COUA77 RBCbRD M f? 9rA XAB{RT THRC IJNe MOR RlC4;Wra pax umLy NOTICE OFMANUFACTItM ROME (MomLmomLp) OR COMMERCIAL COACA. E45TALLATION ON A FOUNDAnom aVSrEat i Rreetdh4 of deb documeN It the mgoft of the (Deal spency Eadkand Is In eetOMaRK Vril}I L>llitam{a }�ahh aged galbtq Colo 5eetian IBlSI. This deoamenl ie aridcnea that --local sgettey has heRed a rertinesre of occep K7 for Inatalladoe 6t the nnitdnvrp>--d herroo, upon the rest property doser1�aed with eerlemty Leiawv, da of the dobe of tatorditsg. What do rcooaded, this eumanl shall be Indexed by the cowry eteoNer to the rnmod OwnR o[ the red] proprny amid ween bo dee+I to �s cortaavetive notice m to !h eontarte is ell persons Oweettardesllag wM the ml property. STEVE GBOROB as.r, reurnsn orr16�,tmo 1136 BALD ROCK RD. MAMMI RIMI EMPRY CREEK BUTTE CA 95916 11 ITA eR SAME �T !e/+w+G P PRRA[M A TII SAME _ SAA3E onmaywr.w,..re 7M1Cr _ .mare C" nA1e .22 Stn -M COUNTY BUILDING DMSION I AL "r MMA" .ro 14LlT4OV A}rr 7 COUNTY CENTER DRIVE MMAfOAD(Ilrle ORMAIA IA BUTTE CA 95965 tIIV ne11M[Y A 29 02-2103 530 3�75d 1 NONE ne.tls NAem t�...a.u.u.,.wM . NONE owls eKmae m Asscrossvwru a.m„ A.P. # 062-200.041 -9EE ATTACHED xcn MORsuuE�> Itay. avt vrare-an.eys...a. wuar..Ky 7MR.Awxr omneleoe.aan.a.c. s4u3050 httP://dmsprodlappxtender/DocPrintF.. iendly.aVx?DataSource—DMSProd&ContextId-2c9... 3/20/2013 JGAJGS XVA DOO/£ HJVd Wd 9£:85: £ £T0Z/ii/ii HWO RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 11 -Sep -2002 2002-0047362 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON.A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. STEVE GEORGE REAL PROPERTY OWNERILESSOR 1136 BALD ROCK RD. MAILING ADDRESS - BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CRY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAII.ING ADDRESS ' OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-2103 530)538-7541 BUB. ERMIT N0. TELEPH ER WdNATURE OF LOCAL AG OFFICIAL DATE NONE DEALER NAME (if not a dealer We, write "NONE") NONE DEALER LICENSE NO. UNIT DESCRIPTION - OAKWOOD HOMES 2002 7263 02P483F MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER GWCA21L29255A/B 48 X 27 RAD1357758/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 062-200-041 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. «^r�.. 4`+• t+.s14,3'• ��f Y�x t t X d •' .. Qi � - 4`e:.L� �;'Y�i ,,,��''�k}� + '°-• i`aYtMj^K'{�'y r!' 5MR9 }rFO�UND{ 'TIONSYST�E�M Mss}'ted. � iiCYy;s3,g , . r f; _ .Y�r' � CERT-IFICATE ;OF OCCUP �t CYAR1412� ,.�:�r ��="ms`s «'i �' " �i't.. `�. 4�. d"� �� r � �"`� a+- ^ N -•Y+{� »r�Y ?. is.r ti�`l�',��-0!`. Ki'k�'� �fia `}w ,� BUILDING PERMIT NUMBER: 02-2103 Address or location of unit: 1136 BALD ROCK RD., BERRY CREEK, C.A 95916 Legal Description of Real Property: A.P.# 062-200-041 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: STEVE GEORGE Owner's address: 1136 BALD ROCK RD., BERRY CREEK, CA. 95916 INSIGNIA OR HUD NUMBER: RAD1357758/9 SERIAL NUMBER OR V.I.N.: GWCA21L29255A/B MANUFACTURER'S NAME: OAKWOOD HOMES YEAR: 2002 OFFICIAL APPROVING INSTALLATION DATE: 9-10-02 PHONE: (530) 538-7541 H.C.D. 513C 0 f NOTES RESIDENTIAL 1 062-200-041 02-2103 PERMIT N(I'GEORGE,, STEVE, ---- - ---- --- 1136 BALD ROCK RD., BERRY CREEK f CONT: QUALITY COMM. l NEW MH PERM FND EX SITE I IV ____ 'THE HCD FORM 433A F OR THIS MH CANNOT BE iµ gCORDED UNTIL ONE OF THE FOLLOWING HAS SEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH S). 'INSPECTOR TO VERIFY SERIAL & LABEL #'S. 3 A i 11 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Date 9W D f JOB FINALED (Date) Signature zk ✓ = OK 0 = Not'OK = Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Cdrd B-1 Date Card B-1 Date MOBILE _QOE- INSTALLATION (Plans) OK except #'s oning Requirements -Setbacks -Easements ooh; Size -Spacing -Marriage Line Q.-Vec y; MH Test -Crossovers -Breakers -Clearances r r-61-1 Test -Fall -Flex Connector Water; MH Test -Regulator -Connector /7 ater and Sewer Connected -C/O to Grade -HD Approval s 8. Gas and Electricity Tagged 9. Tie D wns-Type-Installation Cert. xi15; Insp.-Sketch 1 11. Cerl._Qf-dCCUDancv Foundation Only; License Decal Date /C>2_Card B-1 Date Card B-1 Date J7 Card B-1 Date Card B-1 6o(�w-z-1 I MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #Is 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shlhg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s I Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Fig., 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/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Permit) OK except #'s 40. Date 41. Card B-1 Date Card B-1 Date Bearing Walls over Girders & Floor Nailing Card B-1 Date Card B-1 Date 44. PLUMBING (Permit) OK except #'s 45. 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 Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-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 Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air-Connecior- In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive ] Yes J No/Walks .7 Yes :1 No/Planters ] Yes '] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 1 COUNTY OF BUTTE t BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES i 411 Main Street • Chico, CA • (530) 891-2751 17 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, b =.-:please contact this office immediately. Date � Inspector REV 10/92 �t Date � Inspector REV 10/92 VOY II CVVC IV 1CMITI ptN6 Y(tyQVCLT6D $'p MID VALLEY TTrLE do ESCROW CO. AND Vim RZOORDW MAIL TOS "P9: nEYS OEORSW YVONNE A. GEORGE 1136 BALD ROCK ROAD BERRY CREEK, CA 95916 Order No.: 184817AM/ORO-C A.P.N.: 0100.041 1110 - HUD IUD r. d/D ZtnQ!), 1-000—M079 Recorded 11KC WE 1100 Official Records TRK 22.w county Of BUTTE ` CMACE I GRUBBS I Recorder 1 R09EMMV DICItMM 1 A55ls:tant I Nikki 09:t>pm 13--Jun-Ml 1 Page i of 3 Above Thts Lieu (er R000Nae's Use Only -- OMMcr No.: 184817AI0 Escrow No.: 194917AM 13 GRANT DEED l6r THSVNDBRstai'r8D GLAI&) b9���=) TRAT PW1MENTAIY MtANSM TAX MCo�7NfY �[�. T x computed on full value of pt conveyed, of cap uteri an Nlll vshto ka9 vgita of Ggna ar encumbiancps eemaming at time of sale. FIA eninonrpor0rd crest; _ FOR A VALUAB12 CONSIDERATION. R;C* Of which is hereby actutowledgcd, DONALD L. BAILEY AND EVMYN M.• RAILEV, TRUS'1`LES OR THE DONALD L. 8r EVELYN M. $AILLY LIVING TRUST hereby GRANT(S) to SAVE GEORGE AND: VVONNEA GEORGE, RUSBAND AND WEE AS JOWr TFNArM tho fbl ow -Mg desarihad prepetty in the ISNINCORPORAAAIED. , County of butte SWC Of California; 8EE A9TACHIM LBGAL DESCRIPTION GRANT DEED CONTINUED ON NEXT PAGE Mall Tax 9tmw m t.x to. SAME AS ADOVE or Address Noted DcIOw `STATE OF o��dENTOF}j' BUSINESS, TRANSPOR ATIIONIAND HOUSING AGENCY lr+ � FORNIA NUMBER: p} � ?ARTMEIyI OF HOUSING AND COMMUNITY DEVELOPME ;9.2 . 'DIVISION OF.CODES AND STANDARDS " ' " MANUFACTURED HOUSING PROGRAM . l/NI1Y 'MAN UFACTURER'CERTIFICATE'OF'ORIGI,N; .,:.. D.CHECK IF THIS.IS A.DUPUCATE.MCO-ENTER ORIGINAL MCO NO. ' . MANUFACTURED HOME OR MULTI-UNIT. MANUFACTURED HOUSING..; NUMBER OF _SFD(SINGLE:FAMILY.DWELLING) ,�.MUMH.(MULTI-UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS COMMERCIAL COACH: .. _ OCCUPANCY GROUP ,:. .....,... , MANUFACTURER NAME: "~ MANUFACTURER LICENSE NUMBER: PJBOS MAFfi}FACTURINGG, LPI074513 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: 3100 W. PERP,IS BOULEVAPI).PERRIS, CA 52572 Street: (Gi(y). .. (State)?;Zip} MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER:' DATE OF MANUFACTURE: ... .1,101EL 'YR 4RKWUM 7263 02P48Y 2W2 2/28/02 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):': :CALIF. DEALER NUMBER -OR' : • _:' : ' f 'DATE OF TRANSFER— TION: RANSFER TRANSFER E SIGNATION: CtVWD KBILE f S-'-INC _. .. ` : -.... DEALER OR TRANSFEREE ADDRESS: 2`.25 N CAPITAL AVE SACRMEENTII, CA 55691 (Street) (City) (State) (Zip) INVENTORY CREDITOR NAME: - yi =1NVENTORY:CREDIT..OR ADDRESS: (Street) . :.. ' : ' �Ciri�_: :.State). SECTION MANUFACTURER SERIAL NUMBER -HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT 1-6) (INCHES) ((INCHES) `(POUNDS) 1 KA1-129855A RHD 1357758 5?` 162 226 .:. PA 135759. •. :_�76 _ 162...: 1944G ....:., ..�.. ..gym .. ..: .TRANSPORTERADDRESS::-: pj� �p rn P'. ox 564.: �t z a. (CdY) .(Stale) :...: :CGP) .. `.'DESTINATION'FOR-UNIT R111 ED ABOVE ' i1 1 i0D 9I LE I .. IAlG W CAGI7 AVE iVTu, CA 95651; 1 NAME GSaeet) .. {1�..: s . {C ) . . (State) (ZiPI I Certify under penalty of perju er a lawsf tl>e Slate ot�lmia thaPttie atiove facts are.true and'corted �� h, 3 GEQS.::. ,RIUERSItiE • CA Exe"d on a f l (Date) City) (County) (State)':' ' SIGNATURE OF AUTHORIZED AGENT: _� DISTRIBUTION: ` ' ORIGINAL (PINK "c FORWARD TO HE�INVENTORY CREDITOR;.UNLESS TFIEREiS'.NONE,7HENFORWARD.TO.THE:P,URCHASER (DEALER OR:TRANSFEREE):',., :.,. :COPY 1 (WHITE)• : FORWARD TO THE' .(QPARTMENT ATP.O. BOX 1828,'SACRAMENTO`CA 95.812,1828 WITHIN FIVE (5) DAYS OF RELEASE - a --. COPY 2 (YELLOW)..DEkIVl R;TO.THE TRANSPORTER TO ACCOMPANY THE.UN)T O RS DEST TNATION ^ COPY:3 GOLDENROD TO BE'RETAINED BY THE MANUFACTURER:' HCD 983.0 -Side t - y. AUG -05-2002 11:53 HCbiHDbTRSiSACT0 916 323 9246 P.31/31 STATE OF CALIFORNIA \51N(; BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM 3� oaf STATEMENT OF FACTS � Y DB'4 This unit is a: Mobilehome Commereial.Coach Floating Home Truck Camper rivth� Decal (License) No.(s) Trade Name Serial No.(s) rn� L -i GOC Z1 L. at I/We, the undersigned, hereby state: I L 1 S c(_cj on mm v -FACiurej hoir� I/We funther agree to indemnify and save harmless the Director of Housing and Community Development, State of Califomia, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. VWe certify under penalty of perjury that the foregoing is true and correct. Executed on p — l0 ' d� at (Date) (City) (State) Signature(s) Address I, City I/ - HCD 476.6 (REV 17/00) Printed name(s) 5 f =e'U MEN State C Q . TOTAL P.01 r '• ',lay, t - .. r.i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 OA P MST 9►Q� (Rev. 12/96) APPLICATION AND PERMIT /(�� ASSESSOR PARCEL NUMBER 069-900-041 ZONING IT B 111L DING R PEMIT �iBUILfDIING OWNER TELEPHONE SO. FT. OCC. VALUATION . OWNERS MAIUNG AD RESS CONTRACTOR'S NAME niTAT.TTV COM- 2i TELEPHONE 9-745-4986, CONTRA& ORS MAILING ADDRESS 14091 S I-,INCOLN WAY, GALT, CA 9-56-3-2 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee 489.19 $ 941-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 00 Other 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: NEW MH PERM FM EX SITE Gas piping system t - 5 outlets 15.00 15 00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ 50,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in 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 Lai for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DW .UNG OCCUP. OR ADDNS. ( DW:.UNG S. SO 3.5a HON•aaloT. MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu . OUTLET OR FDRURES BA� p': a Ex. Occup. ourLEEDTSA RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre–Inspection PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure -for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this 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 corn ly with those provisions. /� _ 011 to V i natu of ant Applic- w`ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in h ight. MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicate a for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. Q 02 105 to Receip b WHITE-D.D.S.-B.D. A R SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION { ' 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541E C (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NU46fA ,n / a n t� /•e`er\ ZOWNO �! BUILDING PERMIT OWNER A n _ ., re. m...... S MAILING ADDRESS MONlENDER MAIUNG ADDRESS OR ENGINEER 'OR ENGINEERS MAIUNG ADDRESS BUILDWG ADDRESS I LOT NO. i SUBDN6gNS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other TYPE OF WORK New ❑ Add2;-, ❑ Remodel ❑ Utirdies ❑ Installations Describe Work: S3v0 k O I.A q t> = `Z-eqD-D crbv : >4-i D Ism M, MIr SO. FT. OCC. BUILDING VALUATION n � Fireplace Total Valuation E miing Fee $ Permit Fee $ Plan Checking Fee, $ Energy Plan Checking Fee S a PERMIT FEE $ PLUMBING PERMIT Each Trap Solar or heat pump water heater Water Dioina Lad gas water heater or vent Gas piping iyst-rn 1 - 5 outlets ❑ Building sewer Mobile Home S G W PERMIT FEE I S ELECTRICAL PERMIT Main Service DOOV OR LESS 400A OR . Main Service 100A TO 1000A -X20.00 Filing Feel 20.00 7.00 23.001 1 5.00 1 1,5- (C 15.001 15.0 0 ' "` " 15.001 @20.001 Filing Fee 20.00 23.00 46.00 3.500... @7.50 Ex. Occup. OUTLET OR FwTunEs 20 � 1'00 BAL S0 EX. OCCU FIXED APPLNS. OR OUn.ETS REBID. EA. 5.00 em orar Service 23.00 ile Home Fac' ies 20 00 is irina 1 23.00 �A E T FEE S l , MECHANICAL PER IT Fling Fee 20.00 VJ Heating Cooling Hood ( 6.501 Ventilation I I PERMIT FES I S Mobile Home installation Fee $ Energy Inspection Fee $ Occ= TO Al- FEE "$ NAZ. i/I NOY I FbPW I CC F 1 HD , LSSuE This permit is hereby Issuedrunder the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Plione (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET �a� - OWNER: 9aah � z �% A(SSESSOR PARCEL NUMBER �e� 71 Proposed Building Use: W �.IL1 eit.h, a ounter Technician: ` Date: Iterequired in order to apply forA permit. All boxes MUST be checked OR marked NA in order to apply. r .Plot plans, 3 or 4. sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed.by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations' ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance desig u�Po_ li c entaaon du�'icatoD �6. Manufactured homes: sheets andt�c}h ihstcfidnb arriage line information, (oor Plan, (Da �f ie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be #'•:indexed and returned to the plan review line-up when requireditems are received. Date Received By • ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... . ❑ 10. Letter of intent for non-residential buildings....................................................... t ❑ 11. Detached Accessory Building Form filled out by the owner. ............................... ❑ 12. Hazardous Material Form.....................................'......................................... ❑ .13. Other Remaining items needed to issue the permit. (May require addition ew , i eipt of the following _items.) `s0 14. Fees as shown on the attached Schedule of Fees Due Slie"e .. ............................ C3 Statement of Intent for Non -heated and A/C Buildings...:.. !'.~-•..... ............. ....... Sanitation and plot plan approval `from`the Environmental Health Department in ] i Lf 7 -OL ' 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department'of Forestry plan approval ❑ paid. Sent by: ................... ❑ 19. Planning approval for (A) Use: k, (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ,❑,Drainage .............................. ❑p jncroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for required ................ r ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ....................................... ....... ;;.::;, , ❑- 25.' Owner -Builder, Verification (❑ Given to owner, ❑Mailed to owner) ..................... ? 'i ` ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy.of Agricultural Acknowledgment Statement ................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Exist• g violaboa and/or expiredPPermits................................................nec� S ` i kJ\30. " rant Deed1 �A Tit�f7$t&6eR4Facts etter from Legal Owner, ,toH.C.D. $ � az ❑ 31. Other: r When issued Telephone i and hold for pickup. I h- ave been informed of the above •°"""7-1 p cant: 46- i v 1. Index permit application fort a 2. Additional items reauired Contractor, designe, caner as d Contractor, designer, owne- was ad Plans reviewed by: fz- C2 - Note transfer by: -:57 - U7/ and requirements for obtaining a building permit. Yellow: Building Division f / . Date: i 4nsF E.H. USE ONLY Plot Plan Attechad Floor Plan Anachad Sent to G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance O 2 2, [ ®3 sit v,e G e d r-) c 1 ? 6 L.Qd eQC C /2.d. Owner Location AP# Plan Approved for: Sewage Disposal V dilater Supply: Public Private We 11 Clearance for ✓dwell�l//i��ng. Otther. CQoca. ne c:5 InS. -wide i°l/Jd�i� c►mo Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialisf 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE % OWNER A. P. # Lq PROPOSED BUILDING USE Ew N ZI DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES r� / Balance Due ....................... $ /�• `�- �G 6.Z Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ r 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE - $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE 9 S� — (:D 2— Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) ,n �-,r• - r�..•.....•.M I•/u......�•r ; �'^`�'-."'aWT•� krhf "„7'"„a�'x.S%r.,—n.--�^�-. .. .-..-.. •, ��r ..._,. .,. .-... - -•.•. �:� :°�� S Pa -moo • ; "� " ��' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 01 (One form per Building) School District fJ 1 Building Department No. �1 �-2l r q. s •� A.P. Number �,�j,� ►e?r(Y> - 19 Jurisdiction: Clty County "Property Owner Property Location/Address Subdivision Residential Development No of Living Mobile Home Units Installation Commercial l ndustrial ' 1 New Addition 4 1 Lot No. ..................................................................... Sq. Footage Addition 'Supplemental to (Group R) i Conversion Permit # 's *(No foundation inspection): FA Plans reviewed by School District District Identification No. r �- (,e— UU,Oy, School District certifies that \ '; Sq. Footage (Including Exterior Roofed Areas) Date y~ (Applicant) %, 9 — 7:c ., <. - (Street_ Address) ; ;` (Phone Number) �J�X7 _ �GZ•� HT1 " 1� � W (City) (State) ;(Zip Code) has implied with the requirements of Resolution No. 'OT jtJ by payment of $ representing square feet._ AB 2926 $ FULL MITIGATION $ a Schoo istrict Representative - Date f� ti Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action:, If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the -School District is notified by the applicable Local .Planning Agency that this project is being reviewed under the California Environmental -Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools: White (applicant), Yellow (building department), � ), Pink (school district) feeform.xls 110/981dmm ss REQUEST FOR INSPECTION /� Permit No. Location: '0 12M -P -d k9n Owner: Contractor: Comment Date: Call Ll Phone: 3LDG. PLUMB/MECH ELECTRIC M.H.IJM.H PRE- INSPECTION' :orm Rough Rough Fnd/Ftg :rame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Piping/Test Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Noodstove Sewer Piping Well Circuit Ex Mobile Site 3race Panel Water Piping POOL nsulation Shower Pan Bailing Gunite demo Bonding ;orrections Corrections Corrections Light Niche :inal Final Final Corrections Final Ready for Inspec. on: Date: Call Ll Phone: OWNER PRE -INSPECTION REPORT i CONTRACTOR: PRE-1NSPETION FOR. p, Y DATE TO INSPECTOR: O Building Description: Electric: Gas: ConunerciaWsage: Residential/# of Units: Currently Occupied Abandoned/Vacant DATE: - ZONING: PERMIT HLSTORY:( ) NONE AS FOLLOWS: BUILDING INSPECTOR'S REPORT Yes C No Electric curTCltly On Off Condition of Electric Natural Propane None Obvious Problems: E Sanitation: Plumbing Working - , Currently On Off Well Working . Potable Water Obvious SewageProblems Comments - ON L" ACTT RECOMMENDED: ISSUE. HOLD FOR Inspector. � -47 Date Sketch buildings on reverse and indicate location on p"ropert; COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 E c tev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / _ /�/o� ZONNe BUILDING PERMIT OWNER SO. FT. OCC. BUILDING VALUATION OWNERS MAiJ ADDRESS RACTOR' NAME T NE O RAC MAaJ KESS T10N NOEA NOER'S MAILING ADDRESS Fireplace - l Valuation RECT OR ENGINEER LICENSE N0. TotaS Filing Fee I b 20.00- ECT OR ENGINEERS MAa1NO ADDRESS Permit Fee b aUILOWG ADORESS Plan Checking Fee $ Energy Plan Checking Fee b S y - LOT NO SUBDNEtDNS NAME PARCEL MAP PERMIT FEE IF�iling PLUMBING PERMIT Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat um water heater 23.00 SF ❑ Duplex ❑ Mobilehome Other Water piping 15.00 S" BPECFv � TYPE OF WORK Each gas water heater or vent 15.00 Gas piping stem 1 - 5 outlets 15.00 ^ New ❑ Addition ❑ Remodel ❑ Utitrties ❑ Installations (Other ❑ Building sewer 15.00 Mobile Home S I G W @20.00 Describe Work: - 'i�.h:� �ee.�b►� d � � 3 o c� sRr�s1►,e.� � IWICA Ab be., k+ly-4a cArr�c�-iYX PERMIT FEE I i Enlc ELECTRICAL PERMIT I Fling Fee 20.00 Main Service 800V OR LESS z00A OR LESS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST: / DWELLNO OCCUP. OR ADDNS. 1 a ACC. mns. S0. I 3.5¢Sr. NO"ESID. MULTLOUTLET @7.50 POWFA APPARATUS i SNOLE OVRET 010. EX. OCCU oLmET OR FsrTUREs 20 1'00 9AL 501 Ex. OCCU FOtEO APPLHS. OR Ol1RET'S ESID. EA 5.00 temporary Service '4 23.00 M ile Home Fac' 'es 20.00 s irin - J 1A 1 23.00 tIM r— - PERROT FEE 13 MECHANICAL PER IT I Fling Fee I 'o o0 Heating Ventilation PERMIT FEt S Mobile Home Installation Fee S Energy Inspection Fee S occ I CONST. III TOTAL FEE S NAZ- I D. FEES I IMP I Fwo6 I COF 6.50 nac=a►_ - �0 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 PERMIT EXPIRES ON Date kz f b��sy.w�'.. `. �. � _ . ,� .. ref � t.• .y '.� '1 ;`2 ,� � �. F�vl ��' Y _ '�I .'Ary 2i '" ���qN} ♦A �.;! 7 M fr���� - 1 v•a i ,� -. } t ;�� 4,` k��� � j• . _ 6,� �, �•+� � � "a w `iy i y-. w �. �� ' � � �� � J.;. �N - v .. .. s 4f �^'�' �' LESS THAN 3 ACRE CONVERSION EXEMPTION STATE OF CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION .NOTICE OF TIMBER OPERATIONS THAT ARE EXEMPT FROM CONVERSION AND TIMBER HARVESTING PLAN REQUIREMENTS RM -73(1104.1 a) (9199) VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF TIMBER OPERATIONS CANNOT START UNTIL VALID COPY OF A NOTICE OF ACCEPTANCE IS RECEIVED FROM CDF FOR ADMIN. USE ONLY Ex. # Date of Receipt Date Accepted Date Expires The Director of the Department of Forestry and Fire Protection is hereby notified of timber operations under the requirements of 14 CCR 1104.1(a). Harvesting of trees which is a single conversion to a non -timber growing use of timberland of less than three acres. (See 14 CCR 1104.1(a) for a description of the conditions on the conduct of this type of timber operation, and additional information that is required to be submitted.) Complete Items 1. through 8. on both pages of this notice. 1. TIMBER OWNER(S) OF RECORD: Name .Inhn Allen Address 1138 Rald Rnrk Road City Y State CA, Zp 95918 Phone 53n-SR9-9959 SIGNATUREV. ( ! ✓ �.> > _ � —� F � � i U � Date /'' TIMBER TAX EXEMPTION: Timber owners owe timber yield tax when.they harvest trees unless the harvest is exempt (Revenue and Taxation Code sec. 38116). -Some small, or low value harvests may be exempt from timber yield tax: Timber removed from an operation whose value does not exceed $3,000 within a quarter, according to BOE Harvest Value Schedules, Rule 1024. If you believe your harvest may qualify for this exemption, please complete items A and B below. For timber yield tax information or for further assistance with these questions call the state Board of Equalization, 1-800-400-7115, or write: Timber Tax Section, MIC: 60, State Board of Equalization, P.O. Box 942879, Sacramento, California 94279-0060; or contact the BOE Web Page on the Internet at Lt 0,www.boa.ca.-gov. A. Circle the option that most closely estimates the ow1olume for this harvest, in thousands of board feet (mbf - Net Scribner short log): Under 8 mbf q§4 5 m 16-25 mbf Over 25 mbf B. Estimate what percentage of timber to be removed during this harvest will be: Redwood %; Ponderosa pine/Sugar Inn %; Douglas -fir %; Fir %; Port -Orford Cedar %; Cedar (IC, WRC) %; Other, conifer %; Other, hardwood%. 2. TIMBERLAND OWNER(S) OF RECORD: Name Same ac 41 Address City _ State Zip Phone I certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a "bona fide intent" [14 CCR 1100 (b)] to convert to a Singe famfly dwelling and landscaping, , and that Ihave mailed a letter of notice of intent to harvest timber, prepared by the Registered Professional Forester, to all adjacent landowners wrthr 300 et of the, i"bundaries o the exemption. SIGNATURE�'t`S -� / i'`l' r� �5� Date 3. LICENSED TIMBER-OPERATOR(S): Name I William Chrisman I ic. No. 9-P500 Address P 0 Rox 5R City RPMLrePk state rA 7ip 95916 Phone 510-5RCKU79 SIGNATURE frllfJL6LZ1- / Date 4. Designate the legal land description of the location of timberland conversion. A map showing the location of the timberland conversion MUST be attached. The map must show the ownership boundaries, the location of the timber operation, boundaries of the conversion, location and classification of all watercourses, and landing locations. Section Township Range Base & Meridian County Acreage to be Converted Assessors Parcel Number _M D R RM _ _BSE _Lp nfi7-7nn�ldl Page 1. NOTE: This form has two pages. Continue on and complete Page 2. Read the instructions before attempting to complete. LESS THAN THREE ACRE CONVERSION EXEMPTION, Page 2. 5. The following are limitations or requirements for timber operations conducted under a Less Than Three Acre Conversion Exemption (Notice, Notice of Conversion Exemption, Conversion Exemption): A. Timber operations shall comply with all other applicable provisions of the Forest Practice Act and regulations, county general plans, zoning ordinances, and any implementing ordinances; copies of the state rules and regulations may be found on CDF's Web Page on the Internet at http:/twww.fire.ca.gov. B. All timber operations shall be complete within one year from the date of acceptance by the Director. C. All conversion activities shall be complete within two years from the date of acceptance by the Director unless under permit by local jurisdiction. Failure to complete the conversion requires compliance with stocking standards and stocking report requirements of the Act and board regulations. D. The timber operator shall remove or dispose of all slash or woody debris in accordance with 14 CCR 1104.1 (a) (2) (D). The timberland owner may assume responsibility for the slash treatment, provided the landowner acknowledges in writing to the Director such responsibility at the time of submission of this notice. The specific requirements shall be included with the acknowledgement. E. Timber operations shall not be conducted during the winter period unless a winter operation plan or in lieu practices required by Forest Practice regulations are specified within (attached to) this Notice. F. No timber operations are allowed within a Watercourse and Lake Protection Zone unless specifically approved by local permit (e.g. county, city). G. No timber operations shall be conducted until the Director's notice of acceptance is received and a valid copy of this Notice and the Director's acceptance shall be kept on site during timber operations. H. No sites of rare, threatened or endangered plants or animals or species of special concern shall be disturbed, threatened, or damaged. 1. No timber operations are allowed on significant historical or archeological sites. J. Within one month of the completion of timber operations, including slash disposal, the timberland owner shall submit a Work Completion Report to the Director. 1, an acsictant planner declare as the authorized designee of the County Board of Supervisors that this conversion exemption is in conformance with all county regulatory requirements, including public notice. (If the county has authorized a designee this item MUff be completed. If it has not, see item 7.) Date 7. Registered Professional Forester preparing Notice: Name David Whittier Number2M Address P 0 Rnx 6331 City Omville State rA lip 95966 Phone 530_589_1479 I certify that 1, or my supervised designee: prepared this Notice of Conversion Exemption Timber Operations; visited the site and flagged the boundaries of the conversion exemption, applicable WLPZ's and equipment limitation zones; prepared a notice according to 14 CCR 1104.1(a)(3) to be mailed by the landowner and that a copy of the notice was posted and dated on the ownership, visible to the public, at least 5 days prior to the postmark date of submission of the Notice of Conversion Exemption; and that if the County Board of Supervisors has not designated a representative authorized to sign in Item 6., that 1, or my supervised designee, contacted the county and the Notice is in conformance with county regulatiop. /y SIGNATURE of RPF R��n�nate 8. NOTICE SUBMITTER(S): Name Same ac #1 Address City State ? A hone Submitter must be either 1, 2, or 3 above, and must sign. SIGNATOR �"ll Date --�'"�� � / FILE THIS NOTICE WITH THE NEAREST CDF OFFICE BELOW FOR THE90UNTY IN WHICH THE OPERATION WILL OCCUR: Humboldt, Del Norte, Mendocino, Sonoma, Marin, Lake, Napa, Colusa, Solano, Alameda, => 135 Ridgway Avenue San Mateo, Santa Cruz, Santa Clara, Contra Costa, and western Trinity Counties. => Santa Rosa, CA 95401 Siskiyou, Modoc, Shasta, eastern Trinity, Lassen, Tehama, Glenn, Butte, Sutter, Plumas, => 6105 Airport Road Yuba, Sierra, Nevada, and Placer Counties. => Redding, CA 96002 EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Fresno, Tulare, => 1234 East Shaw Avenue Kem, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento Counties. => Fresno, CA 93710 Ventura, Los Angeles, San Bemadino, Orange, Riverside, Inyo, Mono, San Diego and => 2524 Mulberry Street Imperial Counties. => Riverside, CA 92501 il T North Allen Conversion Exemption Berry Creek 7.5' quad Section 34, T2IN, R5E, M*DB&M. Scale I in. = 500 ft. Contour interval 40ft. 'y - ... .. .. ... '?W Elm 46. 'RW 7 T Parcel Boundai............ Exemption Boundary ...... Existing seasonal road... Existing paved road...... Landing Location ........ Swale (class Ill protection) Location Map Allen Conversion Exemption Berry Creek 7.5' quad Section 34; T2 IN, R5E, MDB&M Scale 1 in. = 700 ft. PTN. SEC. 34 T.21 N. R.H. M.D.B. & M. 13 27 2 3 t 34 34 60 I r 59 s Aoh 29 IM AL`t 107 102 16.78 AM 1590 Aft 71 70 6 Act c o 6 Am f , lOB 104 105 109 9M Kt 0.73 K 106 611 ah31 1 IS6 B Z 34 K 86 3' 171 41x 111 103 + � ` IMAM ❑ 36 MX- These pe+'cels are for essesm nt pisposes edy and 11ey not cwattWU toot p6rcels JEW MW TW= Bt. 34 PGS 49-80 0-4-66 (I= ,/3) 21 Parcel Boundai-y......... Exemption Boundary•..—� 62-20 la 393 K 30 11.0 AU O u i 769 K 27 28 \` �\ Is 0-1 w 76-6s •� �� 25 121 22 118\` i PW 30-fS 301 K III K 3.T K .117 ACk �`� 126 113 I D � 93 1173- P77 24 351 K - \ 153 K 96 1` 381 K 3 131 3115 AM 1 7 114 i 4.0 K C 20 K 9► PV 70 40 1a 69-29 12 253 ' 3.84 K I' ; � 92 2 40 ]3 K 311 K (2) (31 7 ' 113 K AC! 41 y 115 � ` 7 97 ddt K 129 1 2 1 24 i 3A1 K �a IN AL 1 6 9i 19 K 56 55 501 K O4 116 w 60-10 3 i 381 K - 67 54 K Ss7 K 6e/ K , 98 �x _ __ _ - --3435 se4 K � 342 K , i Its °a°6 --------------- . 34 35 23 i 48 iq 111 62 n 90A ! td7K 47 Assessors Mpa,.ppu No. 82-20 SM K 172 Act I.I K ' R County of Bufte, Colif. 1 PM 76-46 _._ „s15 S8► fiWSM 12-V David Whittier Consulting Forester Lie. #2643 P.O. Box 5331 Oroville, CA 95966 (530)589-1479 Fax #(530)589-0950 e-mail:whittiers@jps.net November 7, 2005 CA Dept. of Forestry and Fire Protection 6105 Airport Road Redding, CA 96002 Dear Sirs & Madams; Enclosed is a one-time conversion request for one parcel owned by John Allen. He is the timberland owner for parcel 062-200-041. The intent is to make room for a single family dwelling and landscaping on the parcel. A take tree mark was done with blue paint marks including butt mark. The marking was done with the owner and is intended to clear the area for the above mentioned use. The LTO will remove the trees. The LTO will also be responsible for treating the slash generated by the operation to the standards of Section 1104.1(2)(d) of the Forest Practice Rules. The exemption area boundaries are flagged in solid pink flagging. Access to the parcel will be by the existing roads off Bald Rock road. No watercourses are present in the exemption boundaries. One swale has been flagged with blue and white stripped flagging and a 25 foot ELZ protection zone width. One existing skid trail crossing will be used. No endangered or threatened plant or animal species were observed. Habitat for such species was not noted. No archeological sites were observed in the exemption area. This project is in accordance with Butte County regulations and an assistant planner has signed off on its compatible use. A copy of the notice posted on the parcel at least 5 days before submission (copy of notice attached, posted (November 1, 2005). A copy of the notice was sent to owners of record within 300 feet and the archeological contacts for Butte County (November 7, 2005). A list of the adjacent property owners are enclosed. Sincerely David Whittier Registered Professional Forester 42643 David Whittier Consulting Forester Lic. #2643 P.O. Box 5331 Oroville, CA 95966 Office: (530)589-1479 Fax(530)589-0950 November 1, 2005 To Whom It May Concern: An Exemption for a less than three acre conversion will be mailed to the California Department of Forestry and Fire Protection, 6105 Airport Road, Redding, CA 96002, (530) 224-2445, on or after October 9, 2005 for the Timber/Timberland owner listed below. The conversion is a one-time change of use from Timberland to a single family dwelling and landscaping. Trees marked with blue paint will be harvested to provide space for all of above. A copy of this notice will be posted on the parcel at least five days prior to mailing of the exemption to CDF. Each property owner of record within 300 feet will be mailed a copy of this notice immediately prior to the exemption being mailed to CDF. No watercourse is present in the exemption boundaries. One swale has been flagged with blue and white stripped flagging and a 25 foot ELZ protection zone width. No archeological sites are located in the exemption area. Parcel #062-200-041, located in Section 34, T21N, RSE, M.D.B. & M., in Butte County. John Allen, Timber & Timberland owner, 1136 Bald Rock Road, Berry Creek, CA 95916, (530)589-2656 The Licensed Timber Operator is: William Chrisman, P.O. Box 58, Berry Creek, CA, 95916, (530)589-3472, LTO #A-9500. Sincerely, r David Whittier Registered Professional Forester #2643 Allen Conversion Exemption Adjacent land owners list Landowners FINKES EDWIN 062-200-012 Mailing Addr: 4737 SELKIRK ST FREMONT CA 94538 PACINI LIVING TRUST 062-200-026 Mailing Addr: 17494 EHLE CASTRO VALLEY CA 94546 GOODLOW DAN 062-200-040 Mailing Addr: 1148 BALD ROCK RD BERRY CREEK CA 95916 ADAMCZAK EDWARD W AND LOLA M 062-200-054 Mailing Addr: P O BOX 1145 BERRY CREEK CA 95916 REID H P AND HOWARD P 062-200-055 Mailing Addr: PO BOX 1790 DAYTON NV 89403 CORSETTI RAYMOND P AND JEANNINE M 062-200-056 Mailing Addr: 1080 BALD ROCK RD BERRY CREEK CA 95916 a JOHNSON DONALD E AND DIANA E 062-200-121 Mailing Addr: P O BOX 803 PIONEER CA 95666 SMITH LUCY 062-200-122 Mailing Addr: P O BOX 475 BERRY CREEK CA 95916 REEL FAMILY REVOCABLE TRUST 062-200-129 Mailing Addr: P O BOX 476 BERRY CREEK CA 95916 DRAGNA MARK 062-200-130 Mailing Addr: PO BOX 4636 CHICO CA 95927 MCINTYRE ROSE M 062-200-131 Mailing Addr: P O BOX 145 BERRY CREEK CA 95916 NOTES RESIDENTIAL 062-200-041 04-3555 1 PERMIT NO GEORGE, -STEVE 1136 BALD ROCK RD, BERRY CREEK CONT: OWNER A NEW DECK r t � 1' i' � t f I 11 SPECIAL CONDITIONS -I SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) I o 0 * j' Signature l� CHECKED BY 0 f r �r I 11 SPECIAL CONDITIONS -I SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) I o 0 * j' Signature l� CHECKED BY J=OK 0 = Not OK . = Not Readyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements-Setbacks-Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3: Sewer; Location-Test-Fall-C/O-Concrete 7. 4. Water; Location-Test-Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses .5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete 10. 6. Gas; Location-Test-Wrap;-/ 4" L 'ft. / P Nat. or/ P' L "ft./ P LPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged ' 9. Tie Downs-Type-Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Blocking 4. Gas; MH Test-Demand-Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 48. 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Fireplace Ties or Type A Flue -Fireplace Throat Clearance 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access Card B-1 Date Card B-1 21. Test Tub & Shower, Second Floor -Tub Access Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 22. Gas Pipe; Sixe & Anchors Date 23. Fire Sprinkler; Test 36. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Condensate Drain & Overflow, Size & Grade 24. Fixture & Transformer Clearance -Ins. Protection 39. 25. Elec: Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga 3u or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu cr Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect Date 33. Equip. Clearances Panels-Motors-Mech. Equip. 47. 34. Clothes Closet Light -Shower Light -Spa Light 48. 35. Smoke Detector 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Date Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Card B-1 Date Card B-1 Date Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Cutlet 40. Attic Access & Platform if Furnace in Attic Date 58. Card B-1 Date Card B-1 Date 59. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Shear Walls; Nailing -Bolts 41. Sills Proper Materials & Anchors Brace Interior/Exterior Wall Panels 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Insulation -Walls -Ceilings 43. Bearing Walls over Girders & Floor Nailing I nfi Itration-Wal Is -Windows 44. Draft Stop in Walls (rat proof) Card B-1 Date Card B-1 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Card B-1 Date Card B-1 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfi Itration-Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive D Yes O No/Walks D Yes 0 No/Planters O Yes D No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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: License Number. Date:- - Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any cl(y.or county which requires a permit to construct, alter, Improve, demolish; or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement (hal he or she Is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prdfessions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued: My workers' compensation Insurance carrier and policy number are: Carrier. Policy M 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 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 for(hwlth.comply with those provisions. Dater Applicant:_ WARNIUG: f=ailure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees. PERMIT NO. BP043555 . Issued Date: 01/19/2005 APN: 062-200-041-000 Site Address: 1136 BALD ROCK RD BCK Map Index: Description: open deck, (88) Owner: GEORGE STEVE E & YVONNE A 1136 BALD ROCK RD BERRY CREEK, CA ...95916 530-589-7865 Applicant: GEORGE STEVE E & YVONNE A 1136 BALD ROCK RD BERRY CREEK, CA 95916 Contractor: License #: Architect: Engineer: Total Square Ft: 88 S.F. Valuation: $880.00 Census Code: CONSTRUCTION LENDING AGENCY This peimit Is hereby Issued under the applicable provisions of the Butter9 Name:County Coda andlOr u I hereby affirm that there Is a construction lending agency for the Resolutions to do work I d aced abab ve� fees have been paid. l performance of the work for which this permit Is Issued (Sec 3097 Clv.) BY Date: PERMIT EXPIRES ON: 6 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that *1 em the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. — .-I r, Print Name: �� �J -!n 'Signature: Date: ?"Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netlidds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class: License Number: Dater , Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any clty,or county which requires a permit to construct, alter, improve, demolish; or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9, commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner-bullder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ '1 am Exempt under Article 3 of the Business and Professions Code WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier. Policy 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 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. Dale: Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000). In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Address: PERMIT NO. BP043555 Issued Date: 01/19/2005 APN: 062-200-041-000 Site Address: 1136 BALD ROCK RD BCK Map Index: Description: open deck, (88) Owner: GEORGE STEVE E & YVONNE A 1136 BALD ROCK RD BERRY CREEK, CA 95916 530-589-7865 Applicant: GEORGE STEVE E & YVONNE A 1136 BALD ROCK RD BERRY CREEK, CA 95916 Contractor: License #: Architect: Engineer: Total Square Ft: 88 S.F. Valuation: $880.00 Census Code: th<� qoa -k15�J_Q9 This permit Is hereby Issued under the applicable provisions of the Bufle Resolutions to do wfees have been paid. By o I ed ab ve for which Dale: PERMIT EXPIRES ON: )19-6 I Coda enrVor 9 - ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that'I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to atter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. _ 1-n 1.1 _ Print Name: `J P eC `P Signature Dale: Ptlolwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834BPOt/? OFFICE #: (530) 538-7541 4 1 BIN # A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds -- **PLEASE PRINT CLEARLY* OWNER Last Nam evr �, us 21J Address /31 �- 1- City� 1 State Zip 6 Fax rE-- mail Ij Name Address City - G Phone Jr ,'L �Gtiy�4 E-mail �GtiO��Pp / Class Name-- ..-cCT/ENGINEER f Address Flood Zone City SRA State Zip Phone Zip Fax E-mail Fax State License Number APPLICANT SIGNATURE X � For office use only: APPLICANT NAME Name Flood Zone Address SRA City I No State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE X � For office use only: Zoning Property Address /% �Q 1 1r_ -N` KOC Flood Zone City Cre SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION /,� AP# Q 6 — �D 6 (/ q I Property Address /% �Q 1 1r_ -N` KOC City Cre Cross Street c WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of pennit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. �o o - Received by: Amount: Bldg 1(lL--% SRA Receipt Sheriff ` OL SMIP Other Date: � "� t\ , CLI �� � � —Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper.!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans; (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Cl 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. _ ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior -to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\131dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 .-c:�.�t.r-�*-.arm✓•"wY+r.�7n....rv,,..ii++�^-'hey,.`,.�F..-:,:.K-r.-r-�-'--T'ir..-.,.�-^-^'�"""i �v^'r"R'�.x""`"'.^.- , - .-r.r.-.. �`i_ .. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �Z%�'�U�% �� ASSESSOR PARCEL NUMBER Proposed Building Use: (NO %C a 2 - Counter Technician: Date: 2 % r Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Ll1. Site plans, 3 or 4 sets, signed by the preparer of the plans. �-� % 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 4/\� ❑ �4,HusMaterialFormn and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire. Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. �j 24. Planning approval (A) Use: �(B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about -Improvements, -Drainage...-.-,'- ..... ❑ 26. NPDES Form...........................................................................`.................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept .......... :.................. ❑ „28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 30. Worker's �Verffication r and Policy Number .......................................... 3 . caner- wildeI n to owner, _Mailed to owner).....................n......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance .................................................... I.......... f r` ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction ............... ...............:........ ................ ................................. ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: t ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. a Applicant: - - Date: 1. Index permit application for the above it pas- b red- Plan Check Letter 2. Additional items required Contractor, designer owne as advised of Itheabo v ta. y phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner s advised of a to by ❑ phone, ❑ mail, ❑ counter b Date: Plans reviewed by: Da% Plans approved by: DateStructural reviewed by: DaStructural approved by: Date: Note transfer by: Date: Yellow: Building Division / / f 7,j bbl E.H. USE GAILY ( Plot Ren Attecho�— "� ti Floor Plan Atuchod B®n2 to B.O. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Vo20O� �— p Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water SuPPT Public ✓ Private Well Clearance for dwelling. Other .F�-2 �C?�� x i -, 5� 4 & 4 Hold final for: Final clearance O.K. for: NOTE: /1 i F,_S Environmental Health 8/96 r Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES NO [ ]. 2. I HAVE [>(J] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: - / � - O C,L NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. j Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: ,- An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of Califomia and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. X C. Vieir4 C.B.O. , Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. SITE PLAN REVIEW APPLICATION Date: /.2&? oq AP# O&Z — .2 00 - pY j Permit Number (if applicable) 3� APPLICANT INFORMATION Parcel Size: ac&.C, Owners Name: Owners Address: Telephone No.: Situs • .. %,ice, 1, Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home 0 Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic • ❑ Well ❑ Agricultural Exempt Building ❑ Other: RE Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 0 IN Approved . ' - ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 0 Site Plan Stamped Approved By (X.Pi1 Date �a Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY G Parcel Is In: Snow Load Area: o&O fy• a S-00 - , Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (Seattached) • Flood Zone: • Flood Panel No.: ©&eo 7GOLn00 c Index Date: g� ❑ Sacramento River Reclamation District (Approval must be obtained from theCafifornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------- —--------------- -------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: a Applicable Building Setbacks: ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front , Side S1 r 130Side Street l0' Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 e Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula - ------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender [:].Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit Parcel Created By ❑ Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with CountyrSdards for Deed Cre Comments: ra t �40.1 d /n.:/, Legal Access Provided: Legal Access Required ❑ No ❑ Yes, Road Name: ❑ No n Yes ❑ No ❑ No ❑ Yes ❑ Yes Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance R. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page:, Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.RC. 4290 ❑ Automatic fire suppression sprinkler systems, shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa EJ Page 4 of 5 u 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:1LarryslBuilding Permit Site Plan Reviewl.doe Page 5 of 5 i NOTES "' .-::- 'LIQ .�•�#.' , p. 1 t i i . i A' I ,f i I. t 1 1 t i i r I I. t RESIDENTIAL 062-200-0411 01-0278 BAILEY; DONALD •1136 BALD ROCK RD., BERRY CREEK CONTR: OWNER RAPAIRS TO DECK i 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address G ELECTRIC _. Meter By Da qe �-6 JOB FINALED (Date) Signature CHECKED BY ,/ = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance 8 Disconnect - Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' 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/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 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 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-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 Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor D Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes D No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r "� 062-20_0-041 ` ' ' 01-0112 BAILEY; DONALD 1136 BALD ROCK RD:; BERIM�CREEK CONTR:'OWNER RE TAG' ELECTRICAL s p , fig,.-.. . ,r- •.�..e....��--"�+w--' �----... .--..-�va�+..--"�..:...� :. • _-vP`�r-'-.--"mss'--t----•------•---•.,R . •..-�,.�.-- -,• 71�:: .,�A • a a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PER IT NO. (Rev. 121'961 APPLICATION AND PERMIT -T- ASSESSOR PARCEL NUMBER —20(i-041 zDNING U BUILDING PERMIT OWNER BAILEY, LQvAlti TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1136 BALD F= RD., PERRY CHFIX CA 19 �Ifi CONTRACTOR'S NAME TELEPHONE QWM CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 11-16 RAID RME HIL, BERRY CREU CA 95916 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ■ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities N Installation ❑ Other ❑ Describe Work: RUM 11MRIC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 1 23.00 23 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 1 hereby affirm under penalty of perjury that I am exempt from the Contraciors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole coilripensation, will do the work, and the structure is not intended or offered for sali. ❑ I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. sD OR ADDNS. ( : tNpl}paI MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. CUTLET OR FIXTURES BAS®':s50 FIXEO APPINS. OR Ex. Occup. ourLErs RESIO. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPEC.TIDty 1 23.00 23.00 PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation d/ 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 rrthwith comply with those provisions. ( 1 ' X j ;; 'V t; li int -=�' __ ate / % , / � ,� � s 1 Signature of Applicant - ❑ Owner ❑ Contractor KAgent ;` An OSH) ifris 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 $ Gcc CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IM� FLOOD CDF P PD HO 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. �/z By Date , PERMIT EXPIRES ON Date � Receipt No. 314474 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY.OF,BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) - APPLICATION AND PERMIT %`l" I? ASSESSOR PARCEL NUMBER` 062.200�C i ZONING U BUILDING PERMIT OWNER }T���� 3xiY TELEPHONE SO. FT. OCC. BUILDING VALUATION L+�Y,� � T.Y71 . OWNER'S MAILING ADDRESS ix 6 I R�?CK RD. , BARRY CRM CA CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 15W ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 5- ARCHITECT OR ENGINEERS MAILING ADDRESS : ..Plan CheckingFee $ BAW SEM/� .,q• A - 'BUILDING �dE..iL7�.•_.. i v�• ......e. �v '. 6. -t;M +/ 11''GG er y Pldn Checking. Fee _ $ , _ _ - ,- + $ r 1 PERMIT FEE $ 54 00 LOT NO. SUBDIVISIONS NAME - PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DOM �'A Gas piping stem t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 60 .A OR LLEESS 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.POWER License Class Llc. 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, 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 offerod for sale. • . _ - . ❑ I, as owner of the property,'am exclusively"contracting with licensed contras to construct the project. ❑ 1 am exempt under, Sec. Business and Professions Code for this reason Main Service zooA TO 000A 46.00 NEW CONST. DW NG OCCSO OR ADDNS. a ELLIACUP. C. S.3.5¢FT. NON-REOSIUT' MULTI -OUTLET @7.50 APPARATUS a SINGLE OUTLET CIR. Ex. OCCu OUTLE70R FIXTURES BAL @ 1.500 Ex. Occup. ountrsPPLNS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 _ �Mlsc, r iris ''r -,fit• :' ,,:; - 23.00 PERMIT FEE ,;S <<4• WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. i ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) certify thatin 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 l % �� f^ y / t., �( ,/ Date _ Sig niatufe so�ppl cant - `O VOW6er +,O Contractor❑ Agent An OSHA per'mitis required for excavations over 5'0" deep and demolition or construction4jlll� of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating ' Cooliri Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ COATYPEI TOTALFEE$ 55.00 IMP I FLOOD I COF PARCEL I Po HD ISSUE This permit is hereby Issued under the applicable provisions to do work in the Butte County Code and/or been indicated above for which' fees have been aid. p By'I OV PERMIT EXPIRES ON Date Receipt No. 11.4An7' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Ole COUNTY OF BUTTE `. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES s 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. ' A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is " you completed. If have an p y y questions pertaining to this matter, or need additional explanation, N k. z: if r•. f �3 i� f 4 a { Date 2-/ Inspectors!/ P REV 10/92 • f� PERMIT NO. 2953-83P,E(MH) 9 l PERMIT EXPIRES— OWNER XPIRES OWNER ROBERT MARTIN t l CONTR. owner ASSESSOR PARCEL 62-20-41 r LOCATION E/S Bald Rock Rd, 10001W Sugar Pine Store, Berry Creek + Temp. Power Pole;Q�L _ i r OFFICE COP , ( Called PG&E I } B,Lp R��l Address _ -- ! F Temp. Elec. Service }GASl Called PG&E. Meter By Date ELECTRIC ; Temp. Gas Service _ Meter By ate ' Cal led PG&E JOB FINALED (Date) f Signature J = OK' 0 = Not OK F = Not Applicable MOBILEHOMES * = Not Ready i MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements pecial MH Support -Sketch A/D J,.Sewer,-tucation-Test-Fall-C/0-Concrete 2. Footings; Size -Depth -Spacing -Connectors _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ocation-Test-E ent Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ ectri ' • Loc learances-Grnd.-dZMAmp-Concrete L io Tes rap:/ /"L"ft./ /"Nat.orjjQ/"L"ft./ ' LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7 • tty Clearance 7. Elec. 'Ga d (3 _/Dater(_Card-BI Date Card -BI Date Card -BI Date -Eard-BI t Card -BI Date Card -BI _ Date Card -BI Date Date 'MOBILgAGME INSTAL ATION (Plans) OK except k's Zonin irements-Setbacks-Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements ootin s; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability as; MH Te -Demand-Valve-Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining ctric' -; MH Test- rea lea 4. Elec.; Receptacles and Lighting; Distances-GFI rain Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI Be-Wa_ter; MH Test -Reg or -Con or 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed er and Sewer C -C/0 to-GradC-'I D Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater .B�'Gas 2p�Electtdei Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane I boards- Ins. to Main in Conduit x Insp.-Sketch- � -� Cert. of Occupancy 9. Health Department Approval 10, Plumb; Cir. Test -Water Supply Test B -I tet` Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date i V = OK 0 = Not OK = Not Applicable RESID * = Not Ready ENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts=Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. Stairs & Rails _ __19. 63. Fireplace or Stove; Clearances -Hearth Card -B1 Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection _ 21. Slee. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. --_ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes - 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails &Deck Construction -Post Caps - 26. Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - . 27. _Insulated 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following ins Drive E] Yes ❑ No; Walks ❑Yes El No; Planters ❑ Yes ❑ No 76. Stucco; Brown -Finish -- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_ 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --- -- Card B-1 Card B-1 -------------- --- -- _ --- ---_-_. -- __.---_---_---_-_..-_- _Date_ Card -BI -- Date _-_ Date Card -BI Date 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. 83. Ventilation throughout House Glass Protection _ Corrections from Previous Inspections Date MECHANICAL (Permit) OK except Ws A_C. Ducts: Insulation & Support 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent-Fan_Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI --------- - - --- ------------------- Date - Card -BI Date - Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except N's _ -36. Sills; Proper Material & Anchors_ 37. 38. 39. - Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _ 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub - - --- -------- 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlln-Root Brac.-Truss-Shthnq.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat --------------------- Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windo_ws_o_r_Exiting Doors -Sill H_g_t. & Dimensions__ _ Garage Fire Protection Framing _ - - (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY .QF BUTTE DEPARTMENT OF PUBLIC WORKS , 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with of the C-alifornia A ministrative Code, Title 25, Chaptec number 7n�� �` _for the followi�!g location:T the requirements Owner R'C1r3AA. ?— Owner's Address Mobilehome Mfg. Qll�h�.�f.-1� Model le Year Insignia No. A q0Serial No. /��S' It is hereby certified for occupancy at the above described location and may be occupied. Director o7 P/Alic Work -'lei ► Date —`� By t THIS CERTIFICATE IS VOID WHEN MOBILEHOMEEAIS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE ,DEPARTMENT OF 1PUBLIC.WORKS < 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE l'lr/tl, i/. ✓ '%C/J-/ OWNER 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. �� ' ? � � •. t '.' -! ( ! �! • �%„_,. � f ^ rte/�-.- rte! o �� Inspector''k, f%. Al ' Date S M COUNTY OF BUTTE 9)EPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 s i i mediately. ;1 . I 1 L.. i -N -�L fi n -'Lvyu . Inspector d Q Date iJ� U ":V' ; COUNTY OF BUTTE ' BEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER 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 correcti f work is completed. If you have any question pertaining to this Smatter, eed additional explanation, please contact this office immediately. eo 1,4 74 f Inspector v `t+� `��� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and EIIFott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 'j�, : �°/ 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, eed additional explanation, please contact this office Immediately. oe l Inspector1% '+ ' �•- �,C. Date t c/ fir- f — COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California -q5965 - Telephone 916/534-4541 APPLICATION AND'PERMTi PERM�TNO r ASSESSOR PARCFyL NUMBER L/ l�/(0! Z [� 7- ZONING BUILDING PERMIT OWN �f34e,e M14ETI&l TELEPHONE sgg-ore SQ. FT. OCC, BUILDING VAL N OWy��i� AIL DDRE 103� O��/ � 04- CONTRACTOR'S NAME Oa/V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing g Fee $ 1(]•00 LENDER'S MAILING ADDR Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -0-0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL INA ADDRESS I f3ALP RC6& ,elf flPP loop ' A PLUMBING PERMIT Filing Fee 10.00 OP S 19 PlAJ,5 S o,eE Each Trap 2.00 Solar Water Heater 20.00 CKlL Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W. 10 -00e TYPE OF WORK �/ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal latio_n I� Other ❑ Describe work: �� �T�L pIGe, 2963 S3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10,00 VV Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&\ OR ACDNS. ACC. BLDGS. / 2h2SQft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification LJJ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,SOea NON.RESID BRANCH CIRC ITS &') NEW -CONSTR POWER APPARATUS , / NON RESID. SINGLE OUTLET CIR Ex. Occu z0ee0e P�ouTLETs OR FIXTURES BAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �y 1 shall not employ any person in any manner so as to become subject j� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I'also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again aid County in nsequence of the granting of this permi . ( D, ,� -' X 7rll'�? Date ' 0 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ s 00 TOTAL PERMIT FEE $ %O•oo OCCUP. GROUP I TYPE OF CONST. PARCEL PD 1 11 ISS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. POM IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. / O Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT JCOUNTY O`F BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,,California,95965 - Telephone 916/534-4541 APPLICATION AND PERMIT /1 ASSES OR PARCE NUMBER, 20NIN _� (r(- BUILDING PERMIT OWNER �. TELE ONE s� SQ. FT. OCC, BUILDING VALUATIO VTNEIR'SMAILING ADDRESS'•:L RACTO 'S NAME -TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER unn !e UNKNOWN Total Valuation $ Filing Fee $ 4.1;00T LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECTOR ENGINEER IgAn LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A DRESS _ 5PLUMBING PERMIT Filing Fee 10.00 1000 � t'` Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex Mobi lehome RT'_ Other SPECIFY Building sewer 5.00 Mobile Home 10.00 e TYPE OF WORK / New ❑ Addition [:1Remodel ❑ Utilities P Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& I OR ADDNS. ACC. BLDGS. 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and ef License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)7_0AN ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULT' -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW -CONSTR ( POWER APPARATUS &') NON RESID. SINGLE OUTLET CIR. 2AD 0500 Ex. Occup(OUTLETS (o TS OR FIXTURES 9AL®30 FIXXEEDD APP LHS. OR Ex. Occup. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �!`t Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ne I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again sai Coun y i�p consequence f the granting of this ermit. Date t— l�3 Signature of Applicant — Owner 5PContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. JVA71 PD D 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. IRECTO OF UBLIC WORKS By tQo PERMIT EXPIRES Date 2.e V Receipt No. ?).L93 7 WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ' ..FOR RESIDENT -IAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the. County of Butte, State of California, described as follows: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF. t Date: September 1. 1983 Y OWNERS: MUF1i'�i: it G4 Uluy 11 /1 Q.1- U.L.L1 State of California )' On this the 1st day of September 198_, before ) SS. me, the undersigned Notary Public, personally appeared County of Butte ) ?;.'..�i`S�E�...... ..............:::OFF.CIA....SEAL:......i: e PAM BLEDSOE -= ''q NOTARY PUBLIC -CALIFORNIA �. % COUNTY OF BUTTE J My Commission Expires lune 5, 1987 iiL................................................................................. :?i 7 Robert A. Martin and Kathryn Martin /X / Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal Notary Public Present A.P. No. 00 00. 0New- 1) DESCRIPTION EXHIBIT "A"' All that certain real property situate in the County of Butte, State of California, described as follows: The Southerly 138 feet of the following described parcel of land as measured along the centerline of the Bald Rock Road. That portion of the Northeast quarter of Section 34, Township 21 North, Range 5 East, M. D.'B. &!M., lying South and East of the Bald Rock Road and North of the following described line: BEGINNING at a point on the East boundary of said Section 34, distant North 10 18' East. 566.04 feet from the quarter corner common to Section 34 and 35, of said Township and Range; thence South 880 26' West, 936.96 feet to a point in the.Easterly line of said Bald Rock Road. EXCEPTING THEREFROM, all that portion thereof which lies Easterly of the following described line: BEGINNING at a point in the East Boundary of said Section 34, distant North 10 18' East,.566.04 feet from the quarter corner common to Section 34 and 35 of said To-wnship.and Range; thence North 1° 18' East, along said East boundary 317,43'f eet to a point in the Southerly boundary of the Bald Rock Road; thence along the Southerly boundary of said road, the following course^3 and distances:. North.5.3. 52' West,. 191-75 feet to the beginning of a curve concave to the South- west having a radius of 880.0 feet; thence Northwesterly along said curve an arc. distance'of 130.55 feet, through a central angle of 8°.30' to the point of tangency of.said'curve; thence. North 62 22' West, 6.24 feet to the beginning of a curve . concave to the South having a radius of 255 feet; thence Westerly along the arc of said curve an arc distance of 100.58 feet through .a central . angle of 220 36' ; thence North 84° 58'. West, 5.61 feet to the Northwest corner of the.parcel of lana described in the Deed from Charles Jagoe, et ux, to WillGsd.R. Faulkner, et ux, dated November.9, 1955 and recorded December 23, 1955, in Book 805 of o Official Records.of Butte County, at page 375; thence continuing along the South i When record7RoberA. to: Mr. & Mr Martin P. 0. x 1Orov�le, C ti Order No. •26600 -AO -4 OFFICfAL RECD s- FJIJtTE COUNT TY-CA,,;B= NORTttiIVEST,ERwum Co SEP 1 10 07 19 ELEANOR M. 8%cU`H h" CLERK - RECOhUER F7 Q -E g3-291'9 I A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. w nnections shall be within 4 ft. of the mobiiehome, either_ directly behind or wii9rin the rear half of the roadside (left) of the mobjl®homes-a xs fo A permit will 6e rwquired for file inswil-0ioaa of Ike tnobilehomjh,,, This set of plans and specifications MUST b kept on the job at all,. imes and it is unlaivic'.'! mane any changes.or al-i•erations on same vil, writraen perenissio; orcin the Department c; lic Works, County of gu++e. BUTTE COUNTY BUILDING DEPARTMENT APPROVED NOTE.—All Materials & Workm hip a i Be it Accordance, with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes ani the Nlational Electrical Code. kit MOBILEHOME SUPPORT DATA ' If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year Ip Width (ft.) Box Length �� (ft.) Tagalong or Expando Size �" ft. x _ — ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome'unless otherwise specified. Footings (check one) (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT :. U'® *If center piers are other than drawn above, -draw in -locations, spacing,, and dimensions. ,Single 1. Wood either pressure treated or ._A—foundation grade. (in.) (in.) 2. Other: (specify) Center support locations* Center support footing sizes Supports (check one) (in.) 1: Concrete block. j -j x [:]..2i Other.(specify) (ft.)(in.) (in.) (in.) 4--ragalong or Expando,' show support detaila. (ft.)(in.) (in.) (in.) i 2 x -- Typical Support (in. (in.) Footing Size (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT :. U'® *If center piers are other than drawn above, -draw in -locations, spacing,, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) ( ) 3. Is the site currently under permit? Yet No 5. What is the mobilehome electrical rating? ------------------- (If yes, furnish permit number What ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 7.. 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 9. ) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) ( ) 5. What is the mobilehome electrical rating? ------------------- Amps 6. What is the mobilehome site service rating? --------------------- 2 ® Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? -------------------------------------------- ------- Yes 777 No 9. What (I£ yes, identify the load and size: a (Load) is the mobilehome site gas pipe size? ---------- ----------- - Q (Amps) / (in.) 10. What is the type of gas service? ----------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 20 (f t.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) 2953-83 701-84 y -PERMIT N0. 702-84B PERMIT EXPIRES OWNER ROBERT MARTIN CONTR. owner ASSESSOR PARCEL 62-20-41 LOCATION E/S S$ Bald Rock Rd, 1000'W Sugar Pine Store, Berry Creek 9 Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ 1 Temp. Gas Service Cal led PG&E JOB FINALE[ Signature 1 V=OK 0 = Not OK — = Not Applicable #: = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECK COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements—Setbacks—Easements V'Zgning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete ecks; Girdefs'and/or Joi-.t — eckincf Br ng—S rs—Rw� 4. Water; Location—Test—Easement Needed (Sketch) s s—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5, Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance umns—Connections—Splice—Decal—Enclosures 6. — oors pec Card -Bl. Date Card - BI Date Card -BI Cdp Date Card -BI Date Card -BI Date Card -B1 Date Card -BI _ lQN Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK r - = NotAppli able RESIDEWIAIL-ySingle and Duplex) Date UNDERFLOOR Plans OK except k's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54, Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ __14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ _17. 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ Gas Pipe; Size & Anchors 62. Stairs & Rails _19. 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection -- 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes -_ 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps - _26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ['Yes :3 No -Service-Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes❑ No; Planters El Yes 1J_ No 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- - Card B I -------------- _ ---- ----. Date- Card -BI - Date -- 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr.it) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31. A.C-. Ducts; Insulation & Support - 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent -Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34, 35. -- --- Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic - ---__-.- _----.-----------_-__ -_ Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except p's _ _ 36. 37. 38. 39. 40. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls _over Girders & Floo_r Nailing Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Rom_ex Protection-Draft_Stop-Ins. Baffles Bdrm. Windows or_Exiling Doors-_SiII_Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentryrnust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 16 s 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO. (/,,, `d AA ASSESSOR PARCEL NUMBER '" 414 ZONING BUILDING PERMIT OWNER 00 P— (N MA TELEPHONE Syf� ��/ SO. FT. OCC. BUILDING VALUA I N Z ®P� 574 - o OWNER' AOILINGeox SS /Oy� DF'G.'f//I-tc G/r �/ CONTRACTOR'S NAME O!iOA TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ,S 7 C7v Filing Fee $ 10,00 LENDER'S MAILING ADDR SS Permit Fee $ 0-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' /,5.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , 00 BUILOINg, 4fDDRESS / s ,81)2-D AP00- /00C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 %3EP_01L-' Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome ^ Other SPECIFY Building sewer 5.00 Mobile Home I S I GJWJ 1 110.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. I 2/4sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS, NEW CONSTR. /POWER APPARATUS IN) NON-RESID, %SINGLE OUTLET CIR, Ex .00500 . Occup(o TS OR FIXTURES AL®90 FIXXEEDD APPLNS. OR Ex. OCCUp. OUTLETS (RESID•) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. I shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again sai ,C,o-uJ�ty in c nseque c of the granting of thi erm' . (% XV, t .� Date — r Sign ature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0r OCCUP. GROUP �,r� , 1 TYPE F CON T. PAR L �- HD IesuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC 9�1-7 By PEr MIT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS Date " - -?'/(_- .�.)J Receipt No. q-2- WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT JA' 24-.0.1-,17,:.54�FROM.i.9,UMM II MORTGAGE IDs9.I65.261013 PAGE 2/1 T '/MM��+'"x'i. _. ' _ { r ..• {vi . -1 Mori GE 55N .Maln Street Red &tlfi CA 96Q80 (916)'52&1000 -Faz �916j 528:f 073 -ece����: FQathoi River- Droportioa 33 1. Butte County Building Rapt. Buyer of 1136 'Bald Rock Rd. I am the owner and developer: of the property located at 1136 Bald Rock.Rd. Berry Creek -in -1983. I :purchased the mobil that is .on the property now from the aj.oining property and moved it over. I am the person that.purchased the MHI pertaits and. finaled the property..I was up in the 'Berry Creek recently and stopped -by the subject property and the same' -mobil is there as the one that I installed in 19831 - ROBERT -A. 983.ROBERT-A. MARTIN SUMMIT MORTGAGE .RED BLUFF 528,1000 � f JAN -30-2001 13:31 P.02 January 36, 2001 ' Butte County Building Department Subject: Permits 1136 Bald Rock Road, Berry Creek Please allow Garry Wright, acting as my agent, to wake application 'for, pull, receive .and proud as he deems necessary with any and all permits that are related with dw subject Thank you, _ Donald L. Bailey 1820 South Newer Lane Veradale, WA 99037 (509) 9248274 TOTAL P.©2 DONALD BAILEY 1136 BALD ROCK ROAD BERRY CREEK, CA 95916 �3uiie C -LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 53@-2140 Re: Building Permit # 01-0278 Expiration Date: 2/14/02 A.P.# 062-200-041 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [ Permit work started, but not completed. Permit may be renewed for '/a the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. °'i'We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final insbection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVTT .T .F. office. Thank you for your prompt attention concerning this matter. YWrs very truly, C. Vieira, C.B.O. Building Inspection MCV:It Attachments 1 Chico Office - 411 Main Street, Chico / 891-2751 (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 069-900-041 ZONING BUILDING PERMIT OWNER 1136 BALD ROACK ROAD, BERRY CREEK, CA TELEPNON SO. FT. OCC. BUILDING VALUATION .OWNERS MAIUNG ADDRESS cONrRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1136 BALD ROCK ROAD, BERRY CREE, CA K Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK REPAIRS FIP_ST_ REN94AL OF PERMIT N9. P 01 �0P Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service *'OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER 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, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO lOooA 46.00 NEW CONST. DWNG OCCUP. OR ADDNS. ( a ELLIACC. BLDS. so. 3.5¢FT. NO RE°SI'D MULTI.OU CUITS T @7,50 APPARATU 8 .INOLE OUTLET CSI R. EX. Occup. OUTLET OR FIXTURES .00 SAL @ 1. 0 LNS Ex. Occup. OFuTLEEDTSA R D,°� 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: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 37.50 HA2. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON _ _ 2/1403 I the applicable provisions Resolutions to do work been paid. Date ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT d .+,•'til'�+.ji y r.��v'` x � -• - � �... � 1� 't } • r: 'ry+'s ,+•�-x•.� _ + __ �'S. r. �,;�; 4 sT 5x COUNTY OF BUTTE - DEPARTMENT OF. DEVELOPM.ENTYSERVICES - BUILDING DIVISION 7 County Center Drive • Oroville', California9.5965, !Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT - tk PERMIT N0. ASSESSOR PARCEL NUMBER 9- _ LL ZONING BUILDING PERMIT OWNER 1136 WZ41ROACK ROAD, BERRY CREEK, CA TELEPHONt SQ. FT. OCC. BUILDING VALUATION - OWNERS MAILING ADDRESST oWn N. > ` CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , Fireplace LENDER'S MAILING ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 --Permit Fee,. ARCHITECT OR ENGINEERS MAILING ADDRESS .....--�....4..�•�„�„r,,,�, ,•.� �-•-'^' -....�...... - .--..,,duo- • Plan CheL�ri `Fee"�'”-• $ BUILDING ADDRESS 1136 BALD ROCK ROAD,Energy Plan Checking Fee $ $ .n a-, s[- .•,.aY:•c.A+. ik1".. _�».a.ir � ''1,--.1�� i-. ... a, + +�. ..aa _ 3 .rec_ s k. _ _,::< _ ;;, �... , . r . •,w>- -S -q:-_os-.,.._:-n_..d..,. _'4- •_ ..1:- -,-PERMIT FEE, LOT NO. SUBDNIS IO NS NAME T ; PARCELxMAP r PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other - SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK REPAIRS I; T�T REI= l n��T_ N.G. l 0278 - _ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service loon Do,, iso 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: ❑ 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. r ❑ I, as owner of the property, am exclusively contracting with licensed contractors - to construct the project v ��❑�:.a�am.exempt{under SeG ; +:_- .:_. _ _ Business and ProfessionslCode for this_L reason I - 1 r r ,-' S• . Main Service TO 46.00 W CCU000A NEW CONST. DWELLING OCCUP. 3.5QF°: ( OR ADDNS.NEW CONST. MUICO LET NON•RESID. @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @ I o -00 -LNS OR Ex. Occup. oF� °S(RES 6.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ., PERMIT -FEE: $ _. •� r.•r.-- xz `-=- WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier "� Policy Number "Y. (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Energy occ CONST. TYPE TOTAL FEE $ 37.50 HAZ. I D. FEES IMP I FLOOD FFFFT7Z;9 PD HD ISSUE This permit is hereby issued under the applicable provisions ' of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 2/14/03 Date Receipt No. .' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARC&NUMBERn' + L04 # BUILDING PERMIT OWNER 113W 'ROACK ROAD, BERRY MEEK CA 61 4.7�7. TELEPHONZONING SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS CONTRACTOR'S NAME i. K'.� -. TELEPHONE - CONTRACTORS MAULING ADDRESS -. CONSTRUCTION LENDER - .. LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ �� _.. _ ' ARCHITECT OR ENGINEERS MAILING.ADDRESS,y;;. „-, ,. - �Tr''�:"•dr""ty,,re. f+ BUILDING ADDRESS 1136 BALD ROCK ROAD $ C Energy Plan Checking Fee $ �. ,:alt, '.ci ���r:n rr•-�`4;+rx..+� 4•r ,►:r. w� _ $ _PERMIT FEET .,S. LOT NO. SUBDNIS IONS NAME ! '��'•� - • CLIMBING 'PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New El Addition 11 Remodel 13 Utilities ❑ Installation ❑ Other ❑ Describe Work: SEC RM"AIR } FIRST P7~hlEfil T� ll�F 1?t?�+�MT�1=Ilp s Gas piping system 1 - 5. outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ r. ELECTRICAL PERMIT Fling Fee 20.00 R 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 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, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ ;I_, iT exermpt underSec 7. _. .. _ 11.Business and Professions {Code for this reason - - .. f ;"• a. # Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR AD -DNS. ( a ACC. S. 3.5QFr; NON-REOSIU MULTI._.1R.0 @7,50 POWER APPARATUS O d SINGLE OUTLET CIR. 20 Ex, Occup. OUTLET OR FIXTURES @''00 SAL @ .SO Ex. Occup. OIRLEEDTSA . D °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 t r -mow-a+r- ; -,PERMIT FEE S _ - WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 'MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) ❑ 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 becomesubject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ 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 $ Energy Inspection Fee _ $ Occ CONST. TYPE TOTAL FEE $ 37.50 I HAL D. FEES IMP FLOOD 77r;Z7C9 PD ND 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 2/14/03 Date ReceiptNo. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER — - ZONING i BUILDING PERMIT OWNER 11M RAID ROACK MApt BmRy ORn, CAl TELEPHON I SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee 35.00 11 $ 17.50 ARCHITECT OR ENGINEERS MAILING ADDRESS ,..n. ., . .,,.... Plan-Checkin Feer � $ BUILDINGADDRESS 1136 MW I= ROAD BEiZRY OREM Energy Plan Checking Fee $ $ 4•s ,m• :., . , .. , �. ..,w,-,�...±>!w t . J ;j -. 2il ::.s:.PERMIT..FEE. S SSL)' LAT NO. SUBDIVISIONS NAME -- - -- - '- . `PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DWA HAIRS FIR -;T Rf7'ww, nu t -'AMT'S M, rli..[-7g Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00V OR LE Main Service 20.AORLESS 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 r I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O _ I,am exempt under. k Business and Professions)Code for this reason ,.. -, - — , - - t Main Service sooA To 10130A 46.00 NEW CONST. DWELLING OCCUR s0 OR ADONIS.( 6 ACC. BLDS. 3.50FT. No 11213T MULTI.OUTUT 97.50 POWEPUS 8 SINGLER A0 tmE7PARATCIR. 20 O 1'50 Ex. Occup. OUTLET OR FIXTURES BAL @ .so Ex. Occup. DFlxirTElF;s RESpWUNS OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - - , .PERMaT: FEE. ,$ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date ' Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee s Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 37.50 HA2. I D. FEES IMP FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 2/14/03 I to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. } 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ❑ NO ❑ 2. I HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the-following.person, (firm) to provide the proposed construction: NAME: ADDRESS:' CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAINIE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFOPMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various;tmdea that.you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER COUNTY OF BUTTE o v i - — BUILDING DIVISION � .�� ,► DEPARTMENT OF DEVELOPMENT SERVICES f ED t 110�t 7 COUNTY CENTER DRIVE OROVILLE CALIFORNIA 95965-3397 mami 7034680. U.S. POSTAGE _ S VICE REQUESTED - -- m- -- — N P.E TURN .. Z O 2 TO f0 y N = j SENDER 70- ❑NOT cV z ELIVERA SLEAS ADDRESSED_ DONALD BAILEY FEB 13 2002 r m L.Li,� A r f7�U]�EB �TOFDPWARD u 1136 BALD ROCK ROAD iI:L:Z, CA 95916 "- I OND CLAlI�I pu REFUSED nn nn nn SUCH A L� OD STREET_ _.J M- DNOTRE44t �Iun4gE 1N7- 11-1 NO W/iCIENTADDRESS ENVELOPE r RECEPTACLE <{,' 4 \ • ... - i �. . \ .. ill : _, "v.�„* ri{stl���:,��11�1�i r,rrll�rr:�r�rrl��r�r,i„rr�„lr�»1„rr�i,ri: DONALD BAILEY 1136 BALD ROCK ROAD BERRY CREEK, CA 95916 B E A U I Y ' DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (30) 53@-2140 Re: Building Vertu it 01-0278 Expiration Bate: 2/14/02 A P. # 062-200-041 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [ �] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return aall conies of the application form. ` [ ] leo inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on. permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy Or to present an acceptable plan for abatement or corrective actions to be taken by you. If oui- records are in error- or should you have any questions concerning this matter, please contact the —QRDVTT .T .F. office. Thank you for your prompt attention concerning this matter. Y9.Vrs very truly, Mich el C. Vieira, C.B.O. Man ger, Building Inspection - MCV:lt Attachments Chico Office - 411 Main Street, Chico / 891-2751 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION i 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541c PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT � ASSESSOR PARCEL NUMBER 062-200-041 ZONING U BUILDING PERMIT OWNER BAILEY DONALD TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 1500 OWNERS 1JJrOBA LD ROCK RD. BERRY CREEK CA CONTRACTOR'S NAME OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is 1500 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $39-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1136 BALD Energy Plan Checking Fee $ PERMIT FEE $ 5-00 LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK REPAIRS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 4@" PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V 0R LESS Main Service ZD.AORLESS 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: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number J he 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 provisi ns. �j X _ ate ?,12 ` V / Signa a of A plicant - ❑ w r Contractor Agent An OSHA pe It is required for excavations over 60" d ep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00So WEE200A CCU000A NEW CONST. DWELLING occuP. 3.S�sFT°: OR (NST. NEW cQ MUALTIL-�ou )S. ET NON-RESID. p @7.50 8 SIPONGOUTLET WERLE APPARATUS CIR. so p I.00 Ex. Occu ourLEr OR FIXTURES SAL. p .so Ex. Occup. pFlU7LEE°T alp,°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. p. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whjght fees have been paid. - Byte 6x- �L) PERMIT EXPIRES ON ate Receipt No. 314607 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a „ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530)538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT - d/— 492E ...; *RECEIPT NUMBER �✓��4�1�/ * TO BE PVT INTO COMPUTER This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolution$ to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON BUILDING PERMIT F::w '�MO/s SO. FT. OCC. BUILDING VALUATION 00ftTft%CTWrs win OOdrR#cTc 1 awaon Aooress OOrITojel Mumen udosas ansa Aoorws Fireplace Total Valuation " °A a0°'s�! N0 Filina Fee = 20.00 MCH"cr on &MCMI WHAM A00004 Permit Fee 7.5 �Q Plan Checkin Fee i suaa.+sAooKss `�� G e/ Energy Pian Checking Fee $ i PERMIT FEE f �< WTNQ. susowelo"KUM PAMV. MA► PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat um water heater 23.00 SF O Duplex O Moblehome Other X Water i in 15.00 eP6� Each gas water heater or vent 15.00 TYPE OF WORK Gas piping systern 1 • S outlets 15.00 New O Addition O Remodel 1.1 6tlee O lnsWWbn 0 Other O Building sewer 15.00 SOL ��rl %� �(�/`� Mobile Home I S I G W @20.00 Describe Work: PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service so=o N = 23.00 Main Service loo► TO IOWA 48.00 ' NEW CONSY. OwE3iN0 occuP. On ADONS. a AOC. eu)s. 3.Stsa R. F MulTl-0uTLLT NDN#0�o. @7.50 POWOI A►PA11AT1A7 a o Cr Ex. Occup. ovrLET On Pomona20 U 1� SAL Ex. Occu . OvnFrs 'tA01a CA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wsc. Wiring 23.00 PERMIT FEE i *PERMIT �c7 Q MECHANICAL PERMIT Fling Fw 20.00 FEE PAID Heating SRA $ Cooling SHERIFF $ Hood 6.50 Ventilation OTHER $ $ PERMIT FEI: _ Moble Home Installation Fee = Energy Inspection Fee i °C COST' T.n TOTAL FEE $ AMOUNT RECEIVED $ v� 0 NAZ °. PYa "P "°°° `o, *RECEIPT NUMBER �✓��4�1�/ * TO BE PVT INTO COMPUTER This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolution$ to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PER T No. (Rev. 12/96) ` APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-200-041 ZONING U BUILDING PERMIT OWNER BAILEY DONALD TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 1136 BALD ROCK RD., BERRY CREEK CA 95916 CONTRACTOR'S NAME OWNM TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAULING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ® Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation ❑ Other ❑ Describe Work: RETAG ELECTRIC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home TiFFG I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z°0oon oa'.ss 1 23.00 23.0 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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I em exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO lu00A 46.00 NEW CONST. DWEWNG OCCUR so OR ADDNS. 6 ACC. BLDS. 3.5¢FT. NOq�,p T. MULTI -OUTLET 97.50 b OUTLET OWER AwPARATUS CIR. OUTLETEx. Occu OUTLET OR FMFIES �0 @', o FIX Ex. Occup.OUTLEEDT'SA A p OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 1 23.00 23.00 PERMIT FEE $ 6.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ J'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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Ahwith comply with those provisions. 1 �h X \ ate Signature of A icant - ❑ Own e ontractor Agent An OSHA perm Is required for excavations over 5'0" deep and dem lition or constructionAzvi of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMy FLOOD cOF PAq�L pp HD IssuE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whit fees have been paid. , Q �/ By Date `� I r PERMIT EXPIRES ON Date Receipt No. 314474 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroviller California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev.I2Aa'), APPLICATION AND PERMIT - ��- FZLzmamn BUILDING PERMIT SO. FT. OCC. B unoon am" man" AACN=Oa Vaud A Ap,CM Cr ca DoMMv HALM ADO Ma WT kA I sueavnornrwe I FAMIL YAP USEOFSTRUCTURE SF O Duplex O Mobilehome�Othet srec�v TYPE OF WORK New O Addition O Remodel O UttWesr- Installation O Other O Describe Work: A`e- 7A- a CL.—t�C?/C/ *PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED lk *RECEIPT NUMBER 3�074 ' TO BE PVT INTO COMPUTER Total Valuatlon Fling Fee Permit Fee Plan Checking F Energy Plan Ch i S S Fee = S RMIT FEE S PLUMBING PERMIT Firing Fee 20. Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system t - S outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 Mein Service Main Service PERMIT FEE S RMIT Film soovo� use aooA Ow US 20" To IOWA 1 48.00 20.00 1 Occup. ounFT on WRAD Occup. ouis e,c u ` 5.00 Temporary Service 23.00 e Home Facilities 20.00 Wiring23.00 — rHe�ating .D D DD PERMIT FEE S (p '06 MECHANICAL PERMIT Filing Fee 20.00 n Hood a.50 Ventilation Mobile Home Installation Fee is Energy Inspection Fee is occ --T. r"" TOTAL FEE$zp.A, wiz o. no siprwoo car - ,:u This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutbns to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON KIM FROM FEATHER RIVER PHONE NO. : 5305345704 Feb. 13 2001 12:00PM P1 TRA I LEP LJUN 'JO 79 40 EP5368 -_j C VALIDATED f4co all A L �co $1205 RVA HG jYEAA "C:��L IS SASCr; ON 1IANUPACIVO611 ANO (lCA'.JFA u6PRESENTATIom ()OY TIPE Mot cns- I O-TE FIRST SOLO PLASS Mh C) 65 19F I " r Tlz2i�. j 2T R _CW 0 O-TE lssuto PACK D" ff,1X US ;qu#AoEn I TOTAL FEES A C7/15/78 IT8992642 1 $273 E SANDERS: Taj ULA MAY 0400 3 G WF RT 2 8X, 2.4 8 o 0 R 0 V 1..*L A. 459'6 LF E R ot L 02 A L TOY 0 0 ip" I L ~ IT 0 E 9 T Y I C04NTY Of BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - S34-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Cilifor�ni Administrative Code, Title 25, Chapter 5, under permit number ��' `y' for the followi,n.� location- ; � r` f ?J A Jia r'o :o' �•`�` �.; �ia�, i''/�yr=. Owner ^ r Owner's Address Mobilehome Mfg.' ter -A-- Model l k Year6` Insignia No. Serial No. It is hereby cer.ified for occupancy at the above described location and may be occupied. f Directori-6f Public Work1.s--' e 1 1`?1 Date-_• By i I i.n i�O.:r',(1... 1 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED V::i ite - Owner, Yellow -Installer, Pink - D.P.W. IV �/L �MP' 0 4 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes 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 setbacksand easements? Yes / No ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ••---------------------- 30 Amps 6. What is the mobilehome site service rating? --------------------- 246 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 70 APs S. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes 777 No (If yes, identify the load and size: 4 (Load) Q (Amps) 9. What is the mobilehome site gas pipe size? ---------------=------ 10. What is the type of gas service? ----------------------------- Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (f t.) 12. What is the mobilehome gas demand? ------------------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) rLVD"nnvrLr4 0Urrvna:_un LA% ISE ot&tr, than single wide, / Mobilehome Mfr. furnish Setup Model No. Year b Width�(ft.) Box Length �(ft.) Tagalong or Expando Size `� ft. x _ ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one'. I (ft.)(in.) Center support locations* L_.�J (ft.)(in.) II (ft.)(in.) (ft.)(in.) (ft.) (in.) Single 1'. Wood either Apressure treated —�---� foundation grade. (in.) (in.) Center support footing sizes (in.) �X J (in.) (in.) (in.) (in.) 2. Other: (specify) Supporta (check one 1: Concrete block. E1.2: Other. (specify) tagalong or Expando, show support details 2 x3(j) -- Typical Support n. (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) U' -- Max. Overhang (ft.)— (in..) %O/- *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. ❑ B.I.N. REQUEST FOR INSPECTION Permit No. Location:, _ Q V7 Jwner.� Contractor or Tenant: Complaint: BLDG. PLUMB/MECH ELECTRIC . M.H.I./M7PJoeReneswal Form Rough Rough INSPECTION Frame/Underfloor Top Out Temp. Service Stucco Lath Gas Piping/rest Service Correction Stucco Brown Temp. Gas Underground Final Fireplace Sewer Piping Well Circuit Bond Beam Water Piping Light Niche Insulation Shower Pan OTHER Nailing Corrections Corrections Corrections Final Final Final READY EFOR AM.NCO19�P.M Date: Time: Note: I LL 7 , t� ✓ � r i� i l PRE -INSPECT ION REPORT OWNER: D Cl Gl z 1 _. LOCATION: CONTRACTOR: 40VJ &O—i �� PRE-INSPETION FOR: DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE Building Description: DATE:_ A.P. ZONING: ��M FOLLOWS: BUILDING INSPECTOR'S REPORT Commercial/Usage: Residential/# of Units: .t Currently Occupied o r S Abandoned/Vacant t Electric: Yes_ No Electric currently On Off_ /. Condition of Electric (�% ,Ham, {� r-, �,o � C N o , �� rw.41, u S •a/• o�. . 'iaj i y Gas: `�M- itpicC�d Natural Propane_ None Currently On Off Obvious Problems: A)aj-40- !� 1� «,,r} SSk e r Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems z�,, ACTION RECOMMENDED: Inspector.—Date c Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7_County Center Drive a Oroviller California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev 12196) > . APPLICATION AND PERMIT •"' AeteleF PNI LMA900 -/7— BUILDING PERMIT owe "6si01a SO. FT. OCC. BUILDING VALUATION orrias rsano aoosoe // / G�% � ,�• �G oDrrrwAc+o" winOGIJ cownwrOn «s copenk "M uroa uuoors MALM Aoonas Fireplace Total Valuation = Ift"T r oa ppm ucose na Filina Fee = 20.00 &*A*a •T oa or°NMs a"An ADonw Permit Fee = Plan Chocking Fee t+ e�°e1OA00"� L% Energy Plan Checking Fee i $ PERMIT FEE _ unwa suaavecrrsrwa rhea wr PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 29.00 SF Cl Duplex O Mobdehome/01�ther Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - S outlets 15.00 New O Addition O Remodel O U4%e Installation O Other O Building sewer 15.00 Describe Work: Xe ZA t�C%/C/ Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service aoo =' (1 23.00 10,00 Main Service "M To too" 46.00 NEW CONST. owEusq occur. 04 Ao0us. a Aoc. eiDl. 3.5tssaa NOWA010. YtlIILOI:RET Q7.50 rowtr urNanw a unorn0Ex. Occup. ew a i • Ex. Occup. =M. u -5-00 r Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 -- - — D D D PERMIT FEE S O MECHANICAL PERMIT Filing Fee 20.00 *PERMIT 'FEE PAID $'4L Heating SRA - - $ Coors SHERIFFHood ' 6.so Ventilation OTHER $ PERMIT FEI: f Moble Home Installation Fee _ Energy Inspection Fee i / o" C0#4f Type TOTAL FEES I AMOUNT RECEIVED $ 6 • 1iz J °' FEDY' "'°°° I `°' I rMCIL J A *RECEIPT NUMBER -710174 * TO BE PVT INTO COMPVTEA This permit Is hereby lasued under the appkAble provlsions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date __� PERMIT EXPIRES ON ILrto c°+.r s i^i.� r•'fit.�# r,f� WW ' t. ,�• .9i Il SUPPORT STRUC RE COMPACTION REQ �� F }xi " )• E-' ? l t ->-..g�tt, � � G � 4 - St � _ � 4 � C;t Y i{'�:`'E`����� f .�•1 �,.. •-20-41sn fi ra a r i pis 1 I sued 62-20-41 JA Y• � ' �• .:,. .. R'... -� iW:��+i lf" S. ei..r��,�' �r_• �r 4 _-'�F.•� -- -... _ t' i ,it F, � _ �;, Yt....r�•; r. - -.. -. ._ ro f`=" y . „r i� t ---i-•..r-• +rro.t-. t '�, • V . 'fit to • . J r f .,R . - _ - ' .'....: �. r.: �,. ','�.�.s: J 'r� , ,-., � a .":•,- - i .0 ' .f•.•-n�., �r ''L�t.r .., .-...-ate a ALL STRgCli Agb Alb WUlPMEtV-7`---INCLUDMK- QVEflHAN®S SHALL BE CL OF ALL EASEMENTS, SET,PACK OF 5-00" 00" h. FROM THE SIDE AND- aA 5Va FT. FROM THE REAR PROPERTY LINES ANDS FT. FROM THE ROAD CENTERLINE SHALL BE. CLEAR OF STRUCTURES AN[3:EQUlPMENT EXOE ,,1rI,• DR A 2 FT. EAVE OVERMAN& we LL • NOTE: See. the aial_ ttached �tesfoss ructia� . Reouirements r ...Pages 45 S e ss or . Parc a I `' a 6:.., 200 • o*/ pw",e 5Teue Geos -fir _ yvaev✓vt Gevf-p 0 � � Oor� ? co �Vm� a�1 m m 2 W Sco�le I=-zo z it . i o x/03 Bum com WNG DEPART APPROVED'' l�-Y3 1. Owner's Name: 5 t -e_J e+ __V_V 0 N A, e C --P. e. c) r- 2. 2. Assessor's Parcel Number: 6 Z 0 '- O + 3. Installer's Name: Q U&I iTy CcM n1u wtT'e5 ZAic , 4. Is the site currently under permit? Yes[ ] No[W Permit No. 5. Is the site an existing site? Yes[X] No[ ] (If yes, furnish two plot plans). 1DeD .6. What is the electrical rating of the mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? Zoo Amperes. 8. What is the electrical rating of the mobilehome site? 00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[] No[ ] If it is, what is the rating? t0 O Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yesp(] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- . .. �4j e_ / I Amperes- 2d b) The main service: Load - N P(_L) Mni2l �e Onn�nperes- j D� 11. Type of gas service at mobilehome site: Natural[ ] Propane[k] None[ ] 12. Size of gas pipe at the ' mobilehome site from the meter or tank: / inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?:Z O(ft.). 14. What is the mobilehome gas demand? B.T. U. * *(This information is not required if the pipe length is less than 6 feet on natural gas or less than -50 feet on -propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 BllM CblH'11Y BUILDING DEPART1tlIEM APPROVED. MODiienome Manuracturer:lt C2U-,�o 'vow K fi, �-.p Manuracture Year: If other than single wide, furnish Setup Model Number: Width: 2'7 (ft.) Length:�_(ft.) Tagalong or Expando Size (ft.) x (ft ) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[*] Other: SUPPORTS: Concrete block] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I 1 Line 2 Line 2 Main Beams .. ...................................... Line 2 ....................................................... e 2 Line 1 Line 3 Line 2 ............................................................................................... . Main Beams ............. ............................................ Line 2 Line 1 ................................................. ine S Tag or Triple ine 4 Line 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: 1` From ends -maximum: ` Line 2 Piers: Size minimum: [z ] x [2 ]. Spacing maximum: I L4 ` a ` From ends -maximum: ;. ` f7 ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum:2 ] x [30]. Each side of openings with width over: IO ` Line 4 Piers: Size minimum: [ x Spacing maximum: ` From ends -maximum] ` 12.'X2.q, /2:42-4" /Z�X3o tiX 30 12 2 " i2"X2� OVER BUILDING DEPARiMEM APPROVED 5'-8" 4'-6' A --Q' - -- PSF PSF MCC 'i1,sil' ,YT'` J oc STANDARD_CARPET LIVID ROO11 MASTER BEOROCm BEDROOM 4 BEDROCTI 7 TOTAL13'-6" x 58'•6" OPTIONAL CARPET KITCHEN / OCJUY ROOT•1 13'-6' x W -6 - MASTER BATH -13'•6' r 8' 4' GUEST BATH --_.___,b'-6• a 5'-m' M BED. WALK"N WAROROBE-B'•6' a I•.8• BED..3WALK-P7 WARDROBE -D'-6• x 5'-m' UTILIIT 13•-6' LEGEND _ PIERS PER TABLE 11 .OF INSTALLATION ImLIAL PIER - N0. CMACITY - FOOTING SIZE. REQUIRED (SO. IN.) PIER 13'-6' WIDE CARPET PIERS PER TABLE III ®- OF 'INSTALLATION LWIUAL 1000 PSF 1500 PSF 2000 PSf PIER NO' CAPACITY (LBS.) FOOTING SIZE REOUIRED (S0. IN.) 1000 PIER C PIER FOOTING SIZE REQUIRED (S0. IN.) PIER (NOT REOUIREO FOR 101) 1 �_ 2000 288 192 144 3 _ 4000 PSF 1500 PSF 576 2000 PSF N0. (LBS.) 1000 PSF 1500 PSF 2000 PSF PIER N0. CAPACITY (LBS.) FOOTING SIZE REQUIRED (S0. IN.) ' 2500 360 241) 180 4 5000 3B4 720 286 S 6000 864 576 432 0 1000 PSF 1500 PSF ' 2000 PSF Manufacturing Hm I B OAAE "'L` 480 360 CARPET 6 8000 1152 768 576 10000 /� QJ 12000 1440 960 1728 1152 720 864 & PIER PRODUCT 1_P SUPPORT -LOCA TIONS oz uODEI RO. SERIES 02P -441F I?ei•ris Division ® (909)6i? -1611 DRAWING nLE ,N(OR-ATION , SO. !i. DATE _ PERFiISDIVISION DRAWN BY , 21 -JAN -01 4" ......-... L. MULLIN SIIEET REVISED PUE FACTORY WOREVIEWRK ORDERIL U'VVE UNDERSTAND IT AND IT IS RECT IN ALL AREA DING ALL DEOPTIONS. IGN R ��•� Opt.- Glamour Bath l0 M 02 Series 02P -441F "SAVANNAH" 3 Bedroom, 2 Bath - 1,188 Sq. Ft. r� 30'x31 PI HOLES FOR 1/2' x 2 1/2' C.B. le'xe4'x3/4' PLYWOOD 3/4' PLYVOOD SHEETS ere % Tnrr.TNRn VLTH 'MVS ALTERNATIVE PLYWOOD FOUNDATION PAD NOT TO SCALE �. COACH I WPM 3' X 3' PLATE 44� 33 MAX TUBE SOUS/ 8' SHC RT TUBE 14' LDC TUBklITYP DIA TD PIPE 4 I 3/8'CLAW PLATE BOLTS TIGHTEN TO 180 TNS 3/4' � OF ;TE LEGS ..3/16' PLATE 3/8' X 1 1/4' BOLT WITH HARDENED WASHER SEISMIC PIEIRI Not to Scale C.P. SEISMIC PIER91 - PATENT #5595366 sm. 100 DFrWOt 0 COl"ND1f TO 0 "-VCW ! 2 - 3/S' x V BOLTS z � 2om 0-4 z '4e4 OPTION OF 4 - 014 TEX STS r -COACH C r�1.. V L rj RR J DEAN 1/4'xVx4' 31 x 31 ANGLE 3' VIDE A PLATE 4 N 0 BOLTS Ck lk Ck Ck OU d 2. MAXOMUY IEICTH OF DOUBLE WIDE COACH - 70 nZT. `'" rw CD c RENEWALOu Q; � U r r OL a C � W > It lb t • B: 10 FIlaT FOR 20 FT •DOUBLE WIDE COACHED C. 12 FEET FOR 24. 26. Al 28 FEET DOUBLE WIDE COACHES. U 0.1 w yl d fA W W Li -i LiJ �.F� 0 N N y V h M Z t w l?J LIJ LAYOUT SHALL BE REVIEWED AND APPROVED BY TH &RP & ASSOC.. INC. iGE LINE SUPPORT - t PARNUFACTURER'S t til t dl t I I ION IMT T= I I I I I 1 I dl t I ID Ep 1p 4 1p 4 SEISMIC PIERSS L F�IDATIQ�1 PADS I I I ® I SEISMIC PIER I I L FDUNIIA AID I_jk Ck 4 1p4 4 I D�MOBILE 4 4 4 .. OUTLINE 4 4 COACH OF 1400E COACH E4'. $6', 28', OR 12' 12', 14'. OR 16' PLAN PLAN DOUBLE HIDE MOBILE COACH scale: L' - 16' SINGIE WME MOBILE COACH Scale: 1' - 15' 30'x31 PI HOLES FOR 1/2' x 2 1/2' C.B. le'xe4'x3/4' PLYWOOD 3/4' PLYVOOD SHEETS ere % Tnrr.TNRn VLTH 'MVS ALTERNATIVE PLYWOOD FOUNDATION PAD NOT TO SCALE �. COACH I WPM 3' X 3' PLATE 44� 33 MAX TUBE SOUS/ 8' SHC RT TUBE 14' LDC TUBklITYP DIA TD PIPE 4 I 3/8'CLAW PLATE BOLTS TIGHTEN TO 180 TNS 3/4' � OF ;TE LEGS ..3/16' PLATE 3/8' X 1 1/4' BOLT WITH HARDENED WASHER SEISMIC PIEIRI Not to Scale C.P. SEISMIC PIER91 - PATENT #5595366 sm. 100 DFrWOt 0 COl"ND1f TO 0 "-VCW ! 2 - 3/S' x V BOLTS z FIELD DRILL HOLES 0-4 z '4e4 OPTION OF 4 - 014 TEX STS r -COACH C r�1.. V L rj RR J DEAN 1/4'xVx4' 31 x 31 ANGLE 3' VIDE A PLATE 4 N 0 BOLTS 0. 4 O SEISMIC PIER TYPICAL BEAM CONNECTIONS Not to Cole 12 SO IN OVERSIZE FOR CHIPPING 5/8' X 1 3/8' FLANGED STAINLESS STEEL ANCHOR INSERT Ln 4x4 -4x4 VWF 1' PRECAST FOUNDATION PAD Not to scale CALV0FlNIA CODE OF RXGUTAT10NS. TITLE 25 -AND U.B.C: 18Y4 EMTION. 1. DESIGN LORAD& UL WIDES 30 Pd 40 Pd Y B 4 WID90 Pd 40 Pd Y B WIDE9 130 Pd 140 Pd rM Mpbj B 4 2. ZIM DEMON LOADS MUU B2 CONSISTENT WITH ROOT LIVE LOAD. VIND LOAD. AND AC ZONE'AS EBTABI]= FOR PERMANENT BUILDING WITHIN SPECIFIC LOCAL. 3. THI9 FOUNDATION SYSTEM 0 CONSIDV= TO COIIBTRUTE A PLItYANENI' FOUNDATION. 4. ALL FOOTINW SOIL GSSAAIM DBGN 1OR10000 PK SF TarALLUT961UPRESSU AND SHALL BE COMPATIBLE WITH LOLL 901L CONDITIONS. a. SHALL COM O '0131[ TO ASASS S6 E91 IMUMU . e. SHALL BE ABRICML AT= ACCORD -ft 70 iAISC SPECIFICATIONS. a. LSHAIL BE WELDED ACCORDING TO AWS SPZMCA77ONS: m.��A>llll A307 tr. TIDtLADED R D COLD DRAWN LOW GUIDON WELDABLE d ALL YLTAL COYPONB3Nl9 INCLUDING NAIB t 9CREE9 IR'C. ARE TO >3E PROTECTIVE COATED. 0. APPROVED sQUIVALID". LSI sU L BE COATED WITH SIMIAN VULIAYS RSI -RC2 7. FaAfte 9lRVLCl9 (a9BY cmmym T23MG AND : AL LATERAL : 1700 Leg. UL7I MA7Z IDAD D. VERTICAL a 13000 ULTDUTZ LOAD 8. THIS SUPPORT SYSTEM D FOR PLCING MANUFACTURED BUITED DING3 CONSTRUC WITH LONGITUDINAL OR CROSS JOIIrIS. .0. THIS SUPPORT SYBTZ M PLAN IS DZSIG ZD 70 BE CONSTRUCTED ON A FAIRLY LEVEL SITZWITH NO EMUM SOL PROBLEMS. 7 SIETTIEI W OCCURS DUE TO POOR SOIL. HimNOTE U. 10. SUPPORT 1lYBTSII FOR CHASSL9 DRAY 31IPPOR?S tRHAIL BE IACAT7ID AIND SIZED FOR THE LOAD A3 >3BOWN III TSI YOBIE HOPE INSTAIIATION W3IRUCTION8. 31.IN AREAS WHERE DDTHiENTIAL81smE1�LY (D.B.) CAN OCCUR, MANUFACTURED HOMOARAI.1. HE R ADJUSTED WHEN D.S. DfCIZDB Ii4 . OR WHEN IT WILL ADVZRSEL.Y A77WCT THE USX OF THE YAItUFACTURED HOME. 12. STANDM PM t FOOTING SPACING PER MOBILE COACH MANUFACTURER'S DWAU ATION MANUAL WITHOUT MANUFACTURER 8 INSTAIIATION MANUAL SPACING OF STANDARD PIERS AND PAD SUPPORTS TO BE DETERMINED BY STATE M01= HOMES PARK ACT. 13. THIS SYSTEM 13 ADAPTABLE WTIH HOLLOW MASONRY BLOCK PIERS. FOUNDATION PAD NOTES: .1. TIM FOUNDATION PAD SHOWN ON THIS PLN 13 A PRECAST CONCRETE FOUNDATION PAD. THE PLYWOOD FOUNDATION PAD MAY BE USED AS AN ALTERNATE. K FOUNDATION PADS SHALL BE PLACED ON LEM UNDISTURBED SOIL. 3. A. 3000 PSI AT 28 DAYS A8 TESTED AND HAM. BY BTARLRZ WRIGHT CONCIWM B. PREFERRED PAD ORIENTATION WHERE EVER POSeIMIE E THAT TIME LANG DIMENSION OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). C. WHERE FIELD CONDITIONS REQUIRE PAD ROTATION, NO MORE THAN MALY .OF THE PADS IIN A SRAIMMM IDYE CAN BE RO?AT7ID 30 THAT THS: LONG DIYIQIBION REVISIONS 04/12/99 05/18/00 LP Yv Uo� zF' z 0 CD 1 0-4 z '4e4 RE N r�1.. V L rj o j co v E- �z N 0 o 0. 4 O O O� OU d 2. MAXOMUY IEICTH OF DOUBLE WIDE COACH - 70 nZT. `'" rw CD c RENEWALOu Q; � U r r OL a P�••1 � W > �z • B: 10 FIlaT FOR 20 FT •DOUBLE WIDE COACHED C. 12 FEET FOR 24. 26. Al 28 FEET DOUBLE WIDE COACHES. U 0.1 w yl d fA W ry Fil �O E Y LAJU Of 0 N N y V h M U W H z 0 9-4 OF TIM PADS ARE PAnAVJr1. 710 THE COACH BEAM.� z w 4. A. 3/4 INCH A.PJL 48/24 IST RIOR P.S.I.-83 CC. PLUGGED. z NER-QA397.PRP-108. W 00 COACH SIZE NOTES: a Z �' C .� 1. MAXIMUM IA NGTR OF SINGLE WIDE COACH - 86 FEILT. W =11 0 0 2. MAXOMUY IEICTH OF DOUBLE WIDE COACH - 70 nZT. `'" o RENEWALOu 3. UNLESS APPROVED BY THARP & A890C.. FLOOR 70 RIDGE IIEIGffr NOT 70 EXCEED: STAIT S11UNIFITAI. JU•SI•' A. 8 FEET FOR SINGLE WIDE COACHES. E -'to • B: 10 FIlaT FOR 20 FT •DOUBLE WIDE COACHED C. 12 FEET FOR 24. 26. Al 28 FEET DOUBLE WIDE COACHES. ►-a Q - Q C\2 fi 4. Tw EDSAME PLACM0NT PATTERN AS ASH WN ON THE z 0 DOUBLE WIDIEWIDEEBCO C� PLN iZ ^ a) 5. FOR ANY COACH SIZE OTHER THAN A9 SHOWN ON THIS PLN OR RZFERZNCIED ABOVE. Z t w LAYOUT SHALL BE REVIEWED AND APPROVED BY TH &RP & ASSOC.. INC. til ELEVATION NOT TO SCALE w CO rx LL-) w BEAJM sLZL ROTES: U Cit 44..i a I. SPACING SHOWN CORRUGATEDIAARE FOR COACHES WITH 10 INCH AND 12 INCH REAMS ar QQ 2. FOR AN S INCH BFJII ADD AN ADDITIONAL ROW OF C.P. ANCHOR PMIS. BEAM SHOULD O O NOT CANTBEVIM YORE THAN A •FEET. wa+c.a,oatav� Fi Owa.Ma aw0rr mca ami ncn "'OTgo DATE, 09/08/97 a-ACTT000ueR mum vaCFE9y k w �.� 0.aoz45 �i eM. SJ.CO CML �.p�,T• '�CCCALR" rao 3n - S F PATENT oiSSy�166 RENEWALOu STAIT S11UNIFITAI. JU•SI•' SCALEI AS SHEIV DRAVNI YMW JOB #1 95-36-8( SHEET - OF 1 SHEETS . � �.� . 1. 4� �5 S e SS or p Vu ry e r S 5Teve Geol- yvorvP"*V 'r 6 e v rP ,� — S9 SS6T � Gly • J � d Q 4-1 L4 CC CT) I.j�1v15�N6dMg�ui a v Y 'X1{g • .JmIr 3 '� V V 11b7A ul M= I . i i ; I I N 1H513ii i>tlb(1f1H ! �? . • ' c 11 r r Il a 'n epi; �j '- �I�Im I •< �i ,' M �lw 11 � uQ l- �I m I q w e m tp cm z9 -41 L�Lu w e • �L c N Lt r 4zLd t mp �I�sr ¢ N Q L6 Q • � aa ice£ � p ' 4� .W - Al e.1 , LLI 0 .90., , s31,yv 1. t 02AOHddV "A ALL SM#jCMRM AND OVERHAMaSSHA Ecurwmr A � -T BACa5 �K or.- �, AR OF ALL Tr %BE CLF EA9"WS. FT. FS OM THE: STT AND e REARI PqC)p AfY'D FT. FR()jM'THE ROAD CENTERLINE SHALL OBE R— OF STRUCTURES AND E rpt A 2 FT. EAVE OVERHAW,.,,; QUIpM EhT Exciepr QL lb BUTTE comew . . . . . . . . . . . V ILDIW DEPARTMEW A. -mop pal p i E QD oaf w C3 4c dw, fu M wp 33 0 1. t 02AOHddV "A ALL SM#jCMRM AND OVERHAMaSSHA Ecurwmr A � -T BACa5 �K or.- �, AR OF ALL Tr %BE CLF EA9"WS. FT. FS OM THE: STT AND e REARI PqC)p AfY'D FT. FR()jM'THE ROAD CENTERLINE SHALL OBE R— OF STRUCTURES AND E rpt A 2 FT. EAVE OVERHAW,.,,; QUIpM EhT Exciepr QL lb BUTTE comew . . . . . . . . . . . V ILDIW DEPARTMEW A. -mop pal p i E QD oaf w C3 OM dw, M wp 1. t 02AOHddV "A ALL SM#jCMRM AND OVERHAMaSSHA Ecurwmr A � -T BACa5 �K or.- �, AR OF ALL Tr %BE CLF EA9"WS. FT. FS OM THE: STT AND e REARI PqC)p AfY'D FT. FR()jM'THE ROAD CENTERLINE SHALL OBE R— OF STRUCTURES AND E rpt A 2 FT. EAVE OVERHAW,.,,; QUIpM EhT Exciepr QL lb BUTTE comew . . . . . . . . . . . V ILDIW DEPARTMEW A. -mop pal p i E SITE PLAN' .... . ..... . ..... ..... ...... ........... . ..... . ........... . ............ .......... ............. . ................... 7 ............ ...... ................ . ............ .... ..... 6 ..... . ...... ......... .................. .............. ...... ............. ............. ..... ...... ............... ... . ...... ............................ ....... ...... . . ........... ...... ...... ...... ........... ........................ ........ ...... ........ ....... ............. ...... ................... ...... ...... ...... ......... . . .......... r ............ ...... .. ...... 7 ............ ...... r ...... ............ . ............ ...... ........ ...... ...... .................... . ............ ............ ...... ...... ...... .................... ...... ............. ............. ...... ...... ............ ...... ..... ...... . ..... ....... ......... ....... ...... ...... ................... ..... ...... ...... ..... ...... ...... ............. ..... ...... I ...... ..... ....... ..... ...... ...... ..... ...... ............ • .......... ..... ..... ...... ..... ...... ....i..... ...... ...... ..... ...... ....... ...... * ..... ...... ...... ..... ....... ............. ....... .... ...... ....... 9 ....................... ...... ...... ............ ................................. ...... . .. ...... ............ 1A ... ..... . ...... N . . . . . . . . . . . . . .. ..... ..... . ..... ....... q..v .... . .... ... .. ....... . .................. . .................. . ...... . . . ...... ...... ...... ..... ...... ...... ............ ...... ..... ...... ...... ...... ...... ............ . ..... ...... ...... ............ ...... . ..... ...... ...... ...... ..... . .......... ....... . ..... ............. ...... ...... ...... ...... : ...... ...... ...... ........... % .................. ...... ...... ........... . .............. . . . . . . .............. ............. ..... ...... ...... ...... ...... ............. ...... ...... ...... ...... : ..... ...... . ........... ............. ...... .............. ...... ............. . .. . . . . ............. ...... * ..... ...... ...... ...... ..... . ..... . ..... ...... ................. . . . . . . . ............. ------ - ....... . ..... . ...... ...... ...... ...... ..... . ..... ...... ...... ...... ....... . .................. •. . ........... * .... . ...... .... ..... ................ ......... ..... ...... * ...... ...... ...... ... ............. ...... ...... ...... * ...... ..... ...... ...... ..... ...... ....... ...... ...... ..... ............. ..... ............. ...... ..... ............. ..... .. ....... ... ...... ..... ...... ............. ...... ...... ...... ............ ...... ............ ...... ..... ...... ....... e ............ ............. ...... ...... ..... ...... ..... . ..... ..................................... ...... ..... ..... 0 ..... ... .... .... ...... 7 ...... . ..... 1 ...... L ............. L ............. L ..... ............. ............ ...... L ..... ...... * ..... ..... ...... ..... ..... . ..... . .......... ..... . ..... ...... ...... ---: ...... .............. .................... 7 ............. . . . . . . . . . . . . . . . . . . . . . . ............ ...... ..... ...... .... ..... ...... ...... ...... ....... f ...... : ..... ...... ............ ....... . . . . . . . ........... . ...... ............ ...... ..... .............. f ..... t ...... % ..... .............. ................. .................... ...... ...... .................. . . . . . . . . . . . . ............ ...... .... ..... ...... ...... * ..... ...... .... ...... ......... ...... ..... ........ .............. ..... ...... ...... : ..... ...... ...... : ..... ...... ............ ...... ............. ...... .............. ...... ............. ...... ...... ..... ............ ..... . ............ .... ...... : ------ ...... ...... ....... ...... ...... ...... ..... . ............ ...... ..... ....... : ...... ............ ..... . ........... . ............ ...... ........ ..... ...... ............ . .................. ............ . . . . . . . . . . ...... ..... ...... ....... .... ...... LZ --- ...... ..... ...... ...... .. ....... . .... .................. ...... ..... . -s'— -5-�: : .............. ...... f ............ ...... .............. t ..... ...... ...... : ............ f ............. --77 ............. ...... ..... . ............. ..... . ..... .. . ...... - ----- ...... ..... ....... ...... ............. ............ ...... .... ...... ....... ............. ..... .................... ...... .................. ...... ..... ...... ...... ..... ...... ...... ...... ............. .......... . ..... ...... ...... :7 ...... .......... ...... ............ ...... ...... .... ...... . ............ ..... . ..... ...... ...... ............. ...... ...... ..... ...... ..... .... . .... .... .... ..... ...... .... . . . . . . . . . ............ ....... ... .. . ........... . ............ ..... ............ ............. ...... ............. ...... ..... .................... ........... ...... ...... ...... ..... I .......... ...... ...... ...... ......... ...... ...... ...... ......... Ao t4j. ...... r je ...... ..... ...... ..... .... ...... ..... . n... ............ ...... ............ ...... ...... ...... ...... ...... ...... ...... ............ ...... ...... . ..... ..... . ............ ...... ...... ..... ...... ...... ...... ...... ....... ............. . . .. ..... . ..... ...... ...... ..... . ..... ...... ............ ................... ...... ................... ..... ...... ...... ..... ............. ..... ............. ..... ...... ...... ..... ...... ...... ...... ...... ..... ............. ..... ............ ...... ............ ...... ..... ....... .................... ...... ...... ...... ...... f ...... I ..... I ...... f ...... ..... I ...... ..... ............. ...... ..... ...... ...... ..................... ............. ...... ...... i ................... ............. ...... ...... ...... ..... . ..... ...... ...... ...... ...... ..... ...... ............ ...... 7 ........... ................. 7 ...... ............. ............ ...... .................... ......... ...... ...... ....... .................... ............ ...... ...... ...... ............ . . . . . . . . . . . . . . . . . . . . . . . . . . APPRO VCD . . . . . . ............ ..... . ............. ...... .............. ...... ............. ... . . ............. ........... ...... . ...... ...... ...... ...... ... ................................. . ............ . .... ...... ..... i ...... ...... ...... ..... ... .... Anftritpl u-�-Ith ... ..... ...... ...... ............. ...... % ............. Q.;.7 ............. . ........... . ........... . ................... ............ .... ..... .... -4 . ........ ............. ...... ...... ..... . ........................... . .... .......... ............. ............ ...... ........................ .................................. . . .....• ...... * ...... ..... .............. .. ....... ......... . . .................. . ............... .. . ............... ..... .... . . . . ........................... 4. igftturie ............. ..... :..D --- - ... ...... ..... ..... ..... .. CC ...... ..... ...... .... .... ............ ... ..... ..... .... .... . .... ..... .... ... ie: ............ ...... ...... ...... .... ..... ...... ............. .......................... ................... ..... ....iii 1 .. ...... ...... ...... ...... ...... ...... ..... ...... ............ ............ ...... ..... ...... ................ .... ...... ...... . ..... .. . ..... ...... ...... ..... ...... ................... ...... ..... ...... ..... . ............ ..... ............ ................... ................. ......•...... ............. ......:.....:..........._.s....::.............:.....:...... ...... ............. ...... ............. ...... ...... ...... ................. .... ......................... pQ ................ ... ...... ........... ....... ..... ................... .... ........... .............. ..... .... ........... . ...... . ................. .too .... ... .......... . ............ ............. ...... ........................................ ...... ...... ...... ...... ...... ..... ..... . . . ...... 0) EPA . ... ..... . . . . . W -M ............ ...... ...... ..... ..... . ..... . .......... ... q ... / .. . .................. ..... ......................... . ..... ...... : ..... -: : : ..... ........... ....................................... ............ ...... . ...................................... ...... M.W.ft ................ . . ................ ............. OT -P ®� FOR ALL Assessor's Parcel Number \3 T FOR OFFICE USE ONLY �-i El 2 El Fil — UEJ USL Scale: I NN - ADJACENT CELS rUmnar Nam® -<1 It, r -z 4p, e- My ®° Zonina: Address / Phone No. Site Location Contact Name 6 C Phone-- SIZE (AC): General Plan Desig: ZONING:. Size, Acres GEN PLAN: i 4.W USES.: SITE PLAN.�, .. ...... .. _ .. .. ... .. .. ... .. .. ... _ ._ ............. ... ............ ...._...... ............ .. ..........................._ ... .. ... .. .. .. .............................T � . ....... .. .. ............. .. ... .. ...�:. :...:.. ....... gyp; .................... .. .. ... .. .. .. .. .. ............ .. .. /• `... i �. r d; ._i;� .. ;..... .. a i 'f '.. .. .. .. ...............�:... �. ... _ .. .. .. ....................... .. ._ .. ... .. .. -- 0'... .. .. .. .. J . : �+ .......................... ......................... .. .. ........................ ... .. .. ... .. .. ... .. ... .. ... .. .. .. .. ......................... .. ... .. .. :i :i '... _. .. ... .. .. .. .. .. ............. ..... .. .. .. ... .. .. .. .. .. .. •1 . . . . . . . . . . . — .... R .. . _ ...... i:.. .. ..; .. ..ti.. .. 1 .. ... .. 1 ... a; ...... ... .. L.. 3 .. _ ... t f. ..... 1 .. �: ... j. _ .. .._ _ i ,. ""f • . ............ .. .y.} .. .... .. .. ... ......... ..... •-..c:. .. .. .. ... .. ..-�..... .. .. .. .. IVA:r f } Rc _ _ 1 ................. _.. .. .. ... .. .. .. .. _r• /. J . r s .._ .. .. ._ .. _. �t•.'i• .�:----.......�... .. , �.Y. _ ... .. .. ._ .. ... .. .. _. .. .. .. .. .. .. .. -R-- i.. >. ?:<::..... ............. s................. .....?...... i:.... ......... r : .. .... .. ._ ..' =.. • • .. . ;. ............. .. .. ............ .. .. _.. .. .. ... .. ...... ... .. .. . •. .. .. .. .. ... .. .. .. .. ...... ..... ...... ...... . .......... ........................................ . . . .. : ..'� �l { 3 f: �a .. .. .. .. ... .. .. .. .. .. .. ............. .. ... .. .. .. t • ..'.�._ t... ... ... .. .. ... .. .. ...% .. .. ... d ;.. _ ... ............ ............ .. .. .. .. .. .. :i.. t.....: .. e• .: pp� M _ S ................... .. ............ ............ .. ............ .. ............ .. ............ .. .. .. .. ... '> - .. .. nom. �w+ ,n rot' •'fid �1 y( !r, R E• ` f• c Uti . 3 f p•. 1 �d'�w5 4 }a F v .. _................................_....._.........._.._....._............._....._............._....._.................. r, ?.. • .! .!..., As ss®rs Patel Number ❑ ❑ ❑ m ❑ ❑ ❑ ❑ ❑ ❑ scaie: Ile , Owner Name Address / Phone No. Site Locator r, Contact lame rnone FOR OFFICE USE ONLY Zoning: General Plan ®esag: Size, Ams No im yCOMPLAI T TO INSPECTOR f 62-20-62 1005 Bald Rock Rd., Berry Creek 3 BUTTE COUNTY DEVELOPMENT SERVICES J TYPE: [ ]Building [ ]Health [ ]Planning Complaint Taken By: COMPLAINT: ZI-Al 1 Uc rIA1lr Caution: [ ]Yes [ ]No Permit History on File: [ ]None [ ]As follows: y. INSPECTOR'S REPORT Tenant: Address:' Decription of Violation: &D D (4 Qo, sel)(/:�:19 7 D - -Ob :�S i 14AA)1, J6 ObLit rCC 7 Gae/L. !.J/J�/i,Jlj F- 6412 -M6— win I� GAJL�A ,, T9 Approx. Size of Bldg./M.H. Approx. Age of Bldg./M.H. [ ]Occupied Has Electricity: [ ]Yes [ ]No [ ]Vacant Has Sanitation: [ ]Yes [ ]No 1 Under Construction: [ ]Yes Hazards: [ ]No [ ]Yes,(e) Person [ ]No Has Gas: [ ]None [ ]Propane [ ]Natural Obvious Sewage Problems? [ ]Yes [ ]No Built by/for: [ ]Present Owner [ ]Previous Owner Describe Action Taken: INSPECTOR MUST ATTACH A COPY OF THE CORRECTION NOTICE! ACTION RECOMMENDED // Inspector: Date: 9—d —01O [ ] or iation Only, File [ ]Hold for Days [ Complaint Unfounded [ ] Other [ ]Resolved per Inspector's Report [ ]Send Letter for Compliance BUTTE COUNTY DEVELOPMENT SERVICES Complainant: )4min EL14 LC'z—�- 6�y Other Comments: Inspector must draw a plot plan with all building locations: M Additional Comments from Inspector: 2 Mame IMES GEORGE E & BERTHA Addrl I` 0 BOX 621 Addr2 BERRY CREEK CA 95916 Addr3 Addr4 Asmt # ,14Fee # 1062.200.062.000 Status ACTIVE Status Date F— Tax 000' NORMAL OWNERSHIP TRA 101 000 Situs 1005 BALD 90_CK RD BERRY CREEK Base Dt Land 15,528 � Timber Preserve Structure 16,173 _ _--_ • , , - � AgPres Comments 16220006200 CONVERTED 09/08/88 Etal Fixtures 0 Creating Doc# 198784175400 Date Current Doc# 19911102219 Date 01!18/1991 Bonds Multi Situs Killing Doc# Date T" Ftagl Asmt Desc 1005 BALD ROCK RD SuplCnt 0 J- Ftag2 ZoningDwell W 91 O MH Acres/Sq Ft 0.63 N/C 062 Ascot PP Pen I Tax PP Pen Growing 0 Total L&I 31,701 Fix. RP 0 MH PP 0 PPI 0 Exemptl 0 Net r - Appeal Pending T/R Dtj 17 Split Pending R/C Stats.,,.. PHY OWN EXP TAX HON ATT SIT APR, PCL — — [` ► ►r I:Eind 2005 sa, 07/252001 3:27:21 PM d -01 G-bD . C,"" 4-;Ikr Z44�� BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM Date: f AP#: (� �� 300 ` (0;� Owner: J VS Gendt ,. Zoning: Address: �, �x �� General Plan: &WLiOA SAb Supervisorial District #: Complaint/Violation Location,: TYPE: { } Building ( ) Health { } Planning { ) Housing Complaint Taken By: NE E Permit History on File { } None { } See Attached Tenant: Description of Violation: Approxi Size of Bldg/MH: INSPECTOR'S REPORT Address: ❑1 <au:t:i:on�*.j }L!i�ey: Do!p, � Approx. Age of Bldg/MH: { , } Occupied Has Electricity { } Yes { } No Has Gas/Propane { ) Yes { } No { } Vacant Has Sanitation { } Yes { } No Obvious Sewage Problems { } Yes { } No Under Construction { } Yes { } No Built by/for { } Present Owner { } Previous Owner Hazards: { ) No { } Yes (explain) Person Contacted: Describe Action Taken: INSPECTO TYS TTA H C OFT CORRECTION NOTICE!! Inspector: �i D W Date: � � �' (�S m f ACTION RECOMMENDED ormation Only, File { } Hold for Days } 'Complaint Unfounded { } Other { } Resolved per Inspector's Report { } Send Letter of Compliance Inspector must draw a plot plan with all building locations on the back of this sheet. BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!! ! r ! ! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address Phone Number: The above. information is not available to the public!!! ! ! ! to 0 (2) BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM Date:. i 0 Owner: G I.L Address: '1'-��x k A) ��, �►� (fit 45g1!.q ComplaintlViolation Location: AP#: o (-Qc-) - (900 - 0&2, Zoning: tel. General Plan: TM / Supervisorial District #: TYPE: { } Building { } Health { } Planning { } Housing Complaint Taken By:� Permit History on File { } None { } See Attached Tenant: Description of Violation: Approx. Size of Bldg/MH: INSPECTOR'S REPORT Address: { } Occupied Has Electricity { ) Yes { } Vacant Has Sanitation { } Yes Under Construction { } Yes { } No Hazards: { } No { } Yes (explain) _ Person Contacted: <a:u:tioDn.}�ny: D0,1� Approx. Age of Bldg/MH: { } No Has Gas/Propane { } Yes { } No { } No Obvious Sewage Problems { ) Yes { } No Built by/for { } Present Owner { } Previous Owner Describe Action Taken: INSPECTOR MUST ATTACK A COPY OF THE CORRECTION NOTICE!! Inspector• Date: { } Information Only, File { } Complaint Unfounded { } Resolved per Inspector's Report ACTION RECOMN[ENDED { } Hold for Days { )Other { } Send Letter of Compliance File No BUTTE COUNTY -� Wor Action 1 2, 3) Public Works Dept. (For Information te Director i Dep. Dir. VV Sec. I I Rd. & Br. Mtce. N Shop & Yards r i Bldg. Insp. Admin. IDesign Engr. ' Bridge Engr. h Constr. Engr. r Surveys Mapping M Tran sp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. r y Frederick Joseph Wright 1005 Bald Rock Road Berry Creek, CA 95916 RE: , Building Qhd&aVioilation 1005 Bald Rock Rd, Berry Creek Dear Mr. Wright: May 10, 1989 A.P. #: 62-20-62 We sent you a vrarning; letter dated December 27, 1988, notifying you that you are in violation of the Butte County Code at the above referenced loca- tion. As of this date, the following violations still exist. Enclosed covered deck and converted to living in violation of the sections of the 1985 Uniform Building Code adopted by section 26-1 of the Butte County Code as follows: (1) 301(a) - Permits required. (2) 305(a) - Inspections required: (3) 305(d) - Inspection approval required prior to use or occupancy. The above violation(s) shall be corrected or abated by you by submitting two complete sets of plans, applying for the required permits., and paying the appropriate fees within 30 days of the date of this letter. After permit issuance and field authorization to proceed, the work must be completed And approved by this office within the permit specified time. Unless the violation(s) is(are) so corrected or abated, a citation shall be issued to you to appear in court for said violation(s) and for failing to comply with this notice. Upon conviction of said violation(s) or of failing to comply with this notice, penalties shall be imposed and a Notice of Violation recorded in accordance Frith Section 41-7 of the Butte County Code. Should you have any questions concerning this matter, please contact Jim { Glander or Bob Keith of this office at 538-7541. cc: Building Inspector JrG:laj Yours very truly, William Cheff Director of Public Works dkjww . & L. J. F: Glander Chief Building Inspector I i J I PROCF OF SERVIC B PL.IL b 3 I am over*the t e ace of 18 and not a part,/ to this CaUSE I an a resident of and employed in the county where the nailinc 5 Occurred. My business address IS Butte County Dept of Public Work G 7 County Center Drive California. Oroville, CA' 95965 I served the forecoiny 30 -Day Violation Letter 8 — 10 .11 by enclosing a true ccp�. 12 _ in a sealed envelope and depositing said envelope in the Unites States mail with postage fully prepaid on 11th of May 14 198,x, and addressed as follows: 15 Frederick Joseph Wright 1005 Bald Rock Road Berry Creek, CA 95916' 17 14 10 20 21 I i declare under rena1t:r e<� perjury under t -e la.:s of 221 the State of California that the iOrCcoinq is true and cer_ect 23I and that this declaration was executed on 5/11/89 2Y t nrnv;llP Cali forma. 2(i 27 I I/ 29 { 1 I i File No. r 'K P COUNTY (For Action 1 2 3)Works Dept. (For Informationrr.r. Mtce.& Yards I Bldg. Insp. Admin. I , Y/—" Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran s p. Land Dev. Drng. S.I. Sub. & pcl. Maps Permits Addr. . December 27, 1988 Frederick Joseph Wright 1005 Bald Rock Rd. Berry Creek, CA 95916 RE: Building Violation A.P. #: 62-20-62 1005 Bald Rock Rd., Berry Creek Dear Mr. Wright: This is a warning letter to notify you that you are in violation of the Butte County Code at the 'above referenced location as follows: Enclosed covered deck and converted to living. Since permits and inspections are required for the above work, please contact this office within ten days of the date of this letter, submit two complete sets of plans, apply for the "required permits, and pay the appropriate fees. All work must stop until these permits are issued .and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Jim Glander or Bob Reith of this office. JFG:ahb ' cc: Assessor Building Inspector Yours very truly, William Cheff Director of Public Works J. F. Glw4v J.F. Glander Chief Building Inspector COMPLAINT FORM VIOLATION TYPE i'X - BUILDING - HEALTH AP # (O DATE ��- D -�� TAKEN BY Supervisorial.District.. Judicial District Complaint Location W5_ d5r 6:Z Z L- &/ Zf�� • �i moi. �� ' 1 _ . , TENANT . NAME COMPLAINT: - PLANNING FIELD INFORMATION Description of Violation Occupant Contracted: P/ S ACTION RECOMMENDED: None 30 day letter Information only, file Hold for Days 10 Day letter Other BY: G�%`zcd�- DATE: 42 - SFT i COMPLAINT FORM VIOLATION TYPE i'X - BUILDING - HEALTH AP # (O DATE ��- D -�� TAKEN BY Supervisorial.District.. Judicial District Complaint Location W5_ d5r 6:Z Z L- &/ Zf�� • �i moi. �� ' 1 _ . , TENANT . NAME COMPLAINT: - PLANNING FIELD INFORMATION Description of Violation Occupant Contracted: P/ S ACTION RECOMMENDED: None 30 day letter Information only, file Hold for Days 10 Day letter Other BY: G�%`zcd�- DATE: 42 - '� .....-r.�{ ��".I+its'L%^'�'S+'i�+�•^^�.v`��'�..i�f`�S'�J����.t♦ �rwiw'F �..a> rw ova �Y.vµ 1', _ • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE i.4 • 1 _ _ VNE1Od� �l% OG %1 / Vlations A routine inspection indicates that the following vof County Ordinance s 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. :.r .Y J •'�L • F J r Inspector 7—�— DateT :�; BUTTE COUNTY DEVELOPMENT SERVICES . mV�COMPLAINT FORM Date: V� Complaint Taken By: Violation Address/City:2ybyffW:N1C� 1� COMPLAINT: I '1 AUS aft mf JM 1G_rGtWV V�ni VVI ---------------- Owner: AP# I� l ( ��� Owner: Zoning: Address: General Plan: t Plt� 40 Supervisorial District #: TYPE: { } Building { } Health { } Planning { )Housing Caution: () Yes Why: Permit History on File { } None { } See Attached Tenant: INSPECTOR'S REPORT Address: Description of Violation: k4mijZ--- 70 GST /¢�v�0F_ Ae Approx. Size of Bldg/MH: { } Occupied Has Electricity { } Yes { } Vacant Has Sanitation { )Yes Under Construction { } Yes { } No Hazards: { } No { } Yes (explain) FAM Approx. Age of Bldg/MH: { } No Has Gas/Propane { } Yes { } No { } No Obvious Sewage Problems { ) Yes { . } No Built by/for { } Present Owner { } Previous Owner Person Contacted: Describe Action Taken: INSPECTOR MUST ATTACH A COPY OF THE CORRECTION NOTICE!! Inspector: Date: ACTION RECOMMENDED /hiformation Only, File { )Hold for Days { } Complaint Unfounded { } Other { ) Resolved per Inspector's Report { } Send Letter of Compliance Inspector must draw a plot plan with all building locations on the back of this sheet. KAFORMS\Complaint Form revl.doc BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!!'. ! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: , The above information is not available to the public! ! ! ! ! ! !. (2) KAFORMS\Complaint Form revl.doc