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HomeMy WebLinkAbout062-510-061'062 0 61 9 1 -4 0.1'15' A%i*SE,--,AL. NS0a' "ICONTRN )Aj 0 '-123 rTREEL-I4-N E D, BE R RY H,tUT I L �ELEC GAS, COMPACTION TEST,�REQ�- s0PPbRT 8TRUCT RE 2 7i- 7- 4186 SAISE;,.AlfohS oi Terry 123' Tree Lined,Ln,.-Ber-' eek Cont: 'Qui-afit� 1 . - 'rte �r-i 7. `062-510=061 ', --PERMIT#&- 9085 3r�r -6 efi. & -Li' t. MULLiN;','St sa,. 'Ln. -BerFY `123.ffreeiined Cont -Jack 'ps Mobile„ ome rm X062=510 PERMIT;S'#98'-P,2-0-7i8­ 'A.Mu ' LLIN Steve, 123jr6e-,'-Ui'ri&d -Sgun rb-oi6s'/MH” �rF*/-�� ;;,` o9Jan/��� '_. 1 N fTT RESIDENTIAL 062-510-061 PERMIT #98-2078 MULLIN, Steve PERMIT NO 123 Tree Lined Ln., Berry Creek _ Sunrooms/MH PERMIT EXP. OWNER CONTR ASSESSOR PARCEL a LOCATION e 1 r CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FIN ALED (Date) Signature V=OK 0 = Not OK Not `=ealdyble Not RMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s WZogWequirements-Setbacks-Easements 1. Zoning Requirements - Setbacks - Easements Alefootings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 3. Sewer; Location-Test-FallkC/"oncrete 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location-TestVdrap; / /Y -'ft. / /Nat. or/ PL"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect itorsStu - ftrs-7Q== 8. Utility Clearance din • iling Veneers e oof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s and B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card 8-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/0 to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panetboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANEOUS Date DECJW, COVERS, CARPORTS, GARAGES lana OK except #'s WZogWequirements-Setbacks-Easements Alefootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric itorsStu - ftrs-7Q== din • iling Veneers e oof; Shthg-Roofing ; Steps -Daws -Landings 12. Braced Wall Panels Date and B-1 Date Card B-1 Date Card B-1 Date Card 8-1 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/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panetboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #s 1. ZoningSetbacks-Easments-Flood-Slope RESIDENTIAL. (Single & Duplex) 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth . 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ I' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & 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 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 Bo es & No. of Conductors Stapled 26. Romex I stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'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 -Sine & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rf r. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing ' 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-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-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 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 Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: _ COUNTY OF BUTTE - DEPARTMENT OF DEVELpPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-754 PERMIT o. 'qg-2-(D (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-510-061 ZONING 14 BUILDING PERMIT OWNER STEVE MULLIN589-4511 TELEPHONE SO. FT. OCC. BUILDING VALUATION 132 R 6,732. .OWNERS MAILING ADDRESS PO BOX 712BERRYCREEK- CA 95916 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 6. 732. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 90.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 58.50 BUILDINGADDRESS 12 3 TREETINED IN BERRY CRUX Energy Plan Checking Fee $ $ PERMIT FEE $ 168.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome)CC Other SPECIFY 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 y1d( I Describe Work: SUNROOM FRONT & BACK 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 Fling Fee 20.00 800RLE Main Service 200, 0. R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license 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$ 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 200, To ,000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. ( a,cC. S.3.50FT. T. NONRE ID MULTI.OUTLET @7.50 POWAPPARATUS 6 SINGERLE OUTLET CIR. Ex. Occu ounET OR POcruRER �0 @ 1.00 uTED APP LIS. OR Ex. Occup. ouTLErs REBID, E? 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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.) 114 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 fortit omply with those provisions. X Date '� _ — Signature of Applicant - & Owner ❑ Contractor ❑ AgeKt An OSHA permit is required for excavations over 60" deep and demolition or constructionAO-F 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 $ 168.50 H,z. o. PEES IMP FLOOD CDF r PARCEL ,� PD HD SUE This permit is hereby issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work in indicated above for which fees have been paid. By�IJI_Date PERMIT EXPIRES ON Receipt No. 250539 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT n TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location E.H. USE ONLY Plot Plan Attached Floor Plan Att ched Sent to B.D. / 7 AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other ��s 1/X r; Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date -.-ri T..-.•..+..CCN'i�"gje+y,-:rM' M ss;.i�;wW1 4'• Off'T''"�'-�1'"`�'�•+�.��7"" COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ''� ` -�- • 7 COUNTY CENTER DRIVE - OROVILLL, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: S7�1/� �i �/ ASSESSOR PARCEL ER: Proposed Building Use: �tjc�w�_ Building Inspector: - Date: At time of permit application, I was advised the following data must be ubmitted prior to'permit processing and/or issuance: Date Received By 0-I. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----=------------ ------------=-----------=----=----=- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in -duplicate (required prior to plan review) No faxes! ---------- -------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7 Statement of Intent for Non -Heated and A/C Buildings. ------------------------ - ------------------- i C18. Hazardous Material Form. ----------------------------------------------------------=--------------=---------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------- I] 10. Fees of $------------------------------------------------------------------------------------ - ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------------------------- 1113. -------------------------------------------------------- ❑13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ----------------, -------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ---------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- 111. 9. ---------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 030. Other: -------------- ❑30.Other: / ------- When you issue the permit, process as follows ll Mail to owner, ❑Mail to contractor (Date). ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner was advised of the above required data by Xphone, ❑ mail, ❑ Building Division counter, bytZD_ Date: q-ef Q Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di 'ion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, AA.P. folder. Note transfer by: Date: Ye ow Copy - Department of Development Services, Building Division. 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 persoflally plan, to provide the major labor and materials for construction of the proposed property improvement: YES NO C3 s ,; 2. I HAVE 6 HAVE NOT C3 signed an application for a building permit for the proposed work. 3. I1N have contracted with the following person (firm) to provide the proposed construction: N_A `1Y • ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. R` 4. I plan to provide portions of this work, but I have hired the following person to nate coordi, supervise, and provide the major work: } NAIME• 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: i /3-- 9S� 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 INFORMATION 1 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 parry ofreeord 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 pdiitblav 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 IiceMe number on all permits for which.they apply., If you plan to do your own work, with the exception of various trades that you plan to subcontract, you ..: should' be aware of the following information for your benefit and rotection. ♦ if you employ or otherwise engage any persons other than your immediate family, and the work (including and other costs) is 5300 _or more for the entire project, and such persons are not licensed as contr subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and'Federal Governments as an employer ani subject to several obligations including state, and. federal income tax.withholding, federal social s" workers compensation insurance, disability insurance costs, and unemployment compensation contributi ♦ There may be financial risks for you if you do not carry out these obligations, and•these risks are especial) with respect to worker's Com ensation insurance ' '-' Jr .. e`_ ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Setvice'(attd, if you wish, the U.S. Small Business Administration). For more specific information' about your obligations finder 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 pedfotta their work personally or through their own employees, without a licensed contractor or subcontractor, only underU'Wi lted 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. Builduig ' permits are not required to be signed by property owners unless they are performing their own work personally." '- Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your - community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" lin 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. t rely, Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE: This Owner-Builder.Injormation is required by Section 19830 of the Californla Health and Safety Code: OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-754 NO. NO. (Rev. 12/96) APPLICATION AND PERMIT '�-jj r ASSESSOR PARCEL NUMBER GZ Z ZONING BUILDINGPERMIT OWNER _ rr _ TEELLEPHONE9�511_ SO. FT. OCC. BUILDING VALUATION . OWNERSMAN ADDRESS /Z c /`_ /•• /J 6 NTRACTOR'S E TELEPHONES CONTRACTORS MAILING ADDRESS 011/1 CONSTRUCTION LENDER i [Fire laceotal LENDER'S MAILING ADDRESS Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. FMA Fee $ 20.00 Permit Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS lj BUILDINGADDREss 17 3? Energy Plan Checking Fee $ $ PERMIT FEE $ L LOT NO. SUSDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A Other SPECIFY 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 X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: O Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service **.' o'R Os 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 (rhe 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 forth with those provisions. / X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0° deep and demolition or construction of structures over 3 stories in height Mein Service pa To TSA 46.00 NEW CONST. OWElLING OCCUP. SO OR ADDNS. ( a acc. Iff. 3.5¢Fr: NO CO' MULT.'OUTLET CIRCUITS @7.50 POWER APLIS a swGLE oLmFrPAMTC'. 20 ®T'50 Ex. Occup. OUTLET OR FIXTURES LLAL @ .so Ex. Occup. OLr7TLSTs".ID.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE ��� TOTAL FEE $ HAz I D. FEES IMP I FLOOD I CDP PARCEL PD HD I ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. .0 Al "—�— to ReceiptNo. WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD•APPLICANT ALL STRUCTURES, AND SHALL BE CLEAR OFALL INCLUDING OVERHANGS EASEMENTS. FT. FROM THE SIDE AND A SET BACK OF PROPERTY LINES AM FT. FROM THE REAR ^_ FT. FROM THE ROAD CENTERLINE SHALL CLEAR OF SAVE OV�RHAN D EQUIPMENT EX FOR A 2 FT ti z �Y® m1-5 APPROVED Butte County anAmnmental Heaft 41 SGL 2—.3-/O-061 �\ Location of structures & \ equipment shall be as shown a/QC2 S ova �'� _ -� & clear of all easements S� Z0 1 I IJ NOFICE: _zMaterials & Workmanship Shall Be In �jI�s9,7 �,\ kJj:Y eceoraa*- _ ,. - J vv on e fob at au �` o o��� �t/• 4'T' of a Quality Prescribed for a ec' a times and it is unla in the Vniform Building, Plumbing & Meehanica• make any changes or alterations on same without CN X6 Codes and the National Electrical Code. Witten Permission from the Department of Public Works, County of Butte. �D X' —P L S 2 900 / 0 G(/'�/LC�N( Zx w,,, // fa5 T"j 2 X6 /'oaf/F Z'X6 �/ p�a.6/rte g� 6 y3./ w,,, // fa5 T"j utile e I°4�Cs BUTTE COUNTN IILDING D PA IAI : F NT APP0�D 2 X6 /'oaf/F utile e I°4�Cs BUTTE COUNTN IILDING D PA IAI : F NT APP0�D w C: -IrV AP # 6� 014NER PERMIT q ! S MH UTIL.CLEARANCE DATE�Y INSPECTOR ti ELECTRIC GAS Support Struc. Compaction Test eq. Service Other Pipe YES NO YESI NO Size Load Type Size Length 364- Post-It'' brand fax transmittal memo 7671 # of pages I- r p� —� TO/ikhp vL� 1yl,Clii From C . � Co. lA ept. one # Fax # 42 C 67 OSr Fax # ❑ B.I.N. REQUEST FOR INSPECTION Permit No. Location: n caner. Complaint: Contractor orTenant. BLDG. PLUMB/MECH ELECTRIC M.H.I./M. H. U. PRE - Form Rough Rough INSPECTION Frame/Underfloor Top Out Temp. Service Corrections Housing Stucco Lath Gas Piping/Test Service Final Job Status Stucco Brown Temp. Gas Underground Permit Renewal Fireplace Bond Beam Insulation Sewer Piping Water Piping Shower Pan Well Circuit Light Niche Verify Utilities OTHER Nailing Corrections Corrections Corrections ADY FOR A.M. FSPINSPE Final Final Final C.ON 19_ p,M ,, Date: Time: Note: /6)W -ors -,YX (2 Sb � o -dol -.S G� 0 §18550 x ALT i :ANWSAUTY-'CODR HEALTHTA ;+.tLibrary.lteferencea;{ _•? (B) When.`rE California Practice Guide: Landlord—Tenant, Friedman, chapter paragraph ngifiUreferences to paragrapfii county,recorde all tiie� Garcia &,gagarty, see Guide's Table of,$tatutes.for discussu►g, his;se�tion persons .1* :. s, .;t ;.,.:• ,s, :., ,•ts,. (C) Fees rec § 18551. Manufactured home, mobilehome and commercial coach foundation systems; , regular . deposited in th tions; ,building permits; fees; recording document;.c4ncellatigR.of,yegistration;_.Ifi3p) Section 18016.5 ture or improvement status; removal; consent ; ;q,;n ` ,: ,:. , ?:ci (3) The.depa * * * The :de artment shall establish re ations for manufactured home' •inobilehbme, and `commer`cial p �. tared home "ino system. pursua, coach foundation systems that shall be applicable throughout the state. When established, these department of regulations supersede. any -ordinance .enacted by. any city,:..county, or,;city,-,and county; applicable.jto subdivision, per manufactured home, mobilehome, and commercial coach foundation systems. ,+ The department may. certificate approve alternate foundation systems to. those provided by iegalation where' the de p' ent,is satisfied .ofzQct the document rt of equivalent performance. The department shall document approval of;alternate; systgw.. , J;�y,its stamp of effective as of t: approval on the plans and specifications for'the alternate.. foundation system. A manufactured home,' ;< copy- of th'e cert mobilehome, or commercial coach• may be installed on a. foundation` system' as 'either a fixture or.. ex�tmg YM o: improvement. -Io the real property, in::accordance .with. subdivision .(a)pori:a ••manufactured home orr tion, excepts t mobilehome may be installed on a foundation system as a chattel, m accordance with subdivision (b). !, (4) Once inst. ., , :;;� : (a) Installation of a manufactured home; mobile home, or commercial coach as a fixture or improve-: home,; mobileho. ment to the real property shall comply- with all of the followin �` `�= P Pe Py g: � : •: � the real proper (1) Prior to installation of a manufactured home, mobil&h ne,• or commercial coach on a foundation commercial coat system, the manufactured home, mobilehome, or commercial coach owner or a licensed` contractor shall time of removal, mobilehome, ,or + obtain a building permit from the appropriate enforcement- agency. To obtain a permit, the owner or N w: contractor shall provide the following:. "(6) "For the pi e' ; .. n .., : , .e (A) Written evidence acceptable to the enforcement agency that the manufactured home, mobilehome,, ysi (A) "Physical or * * * commercial coach owner owns, holds title, to, or is purchasing the real property where ' the mobilehome, or c mobilehome is. to be installed on . a foundation system. A lease held by the manufactured home, improvement the mobilehome, or commercial coach owner, that is' transferable, for the _exclusive use of the real property. (g) Consent t where the manufactured home, mobilehome, or. commercial coach is to .be installed, shall be deemed to owners of subsu: comply with this paragraph if the lease is for a .term of 35 years or more, or if less than 35 years, for a' hydrocarbon sub term mutually agreed upon by the lessor and lessee, and the term of the, lease ,is not revocable at -'the ;;; . (6) At lest;3l discretion of the lessor except for cause, as described in subdivisions 2 to 5; inclusive, of. Section 1161 of + the Code of Civil Procedure. > ,cY a:.,:.:,: ;;• .: ;: coach from the formerly affixed. (B) Written evidence. acceptable to the enforcement agency, that„the:registe}rpd„owner owns the ;department and manufactured home; mobilehome, or commercial coach free of any liens;or;_encumbrances. or,; in the event! commercial' coacl that the legal owner isnot the ,registered owner, or liens -and encumbrances exist:Dn the manufactured obtained pursuai home,. mobilehome, or commercial coach, written evidence provided by,the,:legal owner.ari&any lienors o manufactured. he encumbrancers that the legal owner, lienor;' -or encumbrancer consents, to .the attachment of the appropriate to`.tf manufactured home, mobilehome, or commercial coach upon the discharge of any personal lien, that ma ', tured, home,..rrioJ be conditioned upon the satisfaction by the registered owner of the. obligation secured by the lien subject to all law. (C) Plans and specifications required by department regulations or. a -department-approved alterna coach. for the manufactured home, mobilehome, or commercial coach foundation system. * * *(b) -The i or `commercial coach'nufacturer's ' installation instruct (D) The manufactured 'home, mobilehome, 'ma shall be in •accor( Section 18613.4. tions, or plans and specifications signed by a California licensed, architect' 'or engineer covering th installation of an individual manufactured home, mobilehome, or commercial coach iri the abserice•of th property taxes. : rater e` manufactured home, mobilehome, or commercial coach manufacturer's instructions.°emP (E) Building permit fees established by ordinance or regulation of the appropriate enforcement agene' e) Once..instal: shall be subject t, I (F) A fee payable to the department in the amount of eleven dollars ($11) for each transpo' commercial coach section of the manufactured home, mobilehome, or commercial coach,: that shall be transmitted to th (d) No local al department at the time the certificate of occupancy is issued with a: copy. of the building permit and an currently on privy other information concerning the manufactured home, .mobilehome, or commercial.. coach which th department may prescribe on forms provided by the department. (e) No local agf : .: * * *(2)(A) On the same day that the certificate of occupancy for the manufactured hoine,-mobilehom Park be placed on or commercial coach is issued by the appropriate enforcement agency, the enforcement agency sh , * * *:. *. *,-that”, (f) No 16ca@ a g mobilehom6 -park record with the county recorder of the county . .* where the real property -is situated, condominium for manufactured home, mobilehome, or. commercial coach has been installed upon, a document naming th 'with -and'-stating'that manufactur I foundation owner of the real property,. describing the real property certain .,, a - installation 'on` system that has been oper home, mobilehome, or commercial coach' has been affixed to''that real property by' foundation system pursuant to this subdivision. (mended by Stat Additions or changes :indicated by underline; deletioner.by, asterisks * * ' Additic 12 :TY;, CC, OQIN-" SEALTWAND!°SAFETY `CODE. §,18 5.1: (B) When recorded, the document referred to in t* -.*„'?subparagraph (A) shall be indexed .by. the'- °para"graphs . county recorder to.the.pamed owner..and shall be. deemed to. give construe ve notice as to. its contents , i t f i ,,�:. .tQ s rk, all persons thereafter dealing with the real property. ', ; s �'; `� }y�} '� �'t{%t'.1 .,,,....:n .. .7 - .. JI a% 11 ti fr;l9C* <. (C) Fees received Eby the department pursuant to * * * subparagraph (F) of paragraph (1) shall ,be deposited in the Mobilehome—Manufactured. Home Revolving Fund, established under subdivisipn:i(a)of� , stration;fix Section 18016.5. (3) The department. shall adopt regulations providing'foft he' edhcellation of reg1strat16n,of ;a manuf9c- ` tui`edhome,ob milehome, or commercial coach that is permanently'attached'to'the ground on a foaiiil'a``d id commer`cial system pursuant to * * * subdivision (a). -Thel'regulations''.'shall•°-"royide'for.'tiie surrender:tb'-`;`ief- blished, these department of the certificate of title and other'indicia' of re ' tration..-=For the -'o P � � Pur�ioses applicable..,to - subdivision, permanent affixation to a foundation system shall. be deemed to. have, occurred on-.the,day)a-' )artment may certificate of. occupancy is issued to the manufactured home, mobilehome, of., commercial coach owner, a44, nt is satisfied oy,its stamp of ' the document referred to in-! subparagraph (A) "of paragraph (2);.ia recorded.i,=Cancellation(ghaU:be;.•- 'actured home, ` effective as of that date and the department shall enter the cancellation on' its records upon rete! ,t Y , r•. , .. ,... "f r •,1 •t ..P5 , copy of the certificate of occupancy." This "subdivision shall notbe con trued to the a"fixture' or' ' affect apphca, on of , , , t, N �, a; -„ ilT: existing laws, ; or the department s regulations or procedures with regard to the cafice$atton of riatr - . ured home or ,,,_ tion, except as to tie requirement therefor" arid:the effective date thereof ubdivision (b)• ,:f,, (4) Once installed on a foundation system in compliance with *j *%: * this subdivision, a manufactured; re or improve-` <, home mobileli'ome `-or comiriercial coach shall . be `deemed a fiittiu a and a real' property,-U,nprovemento the p'ropert'y to%which it real -is affixed. Physical removal ofAe manufactiired hoiYie mobilehom - n a foundation commercial coach shall thereafter be prohibited without the consent "of all persons or: enhties••�Gho; at tiie� 'ontractor shall time of removal, have title to any -estate or interest in the real pr'6p6i y "to •which; the"'.ingiiufacture :''hori�ie the owner or mobilehome, or commercial coach is affixed. 't .� (T _r ^^ 1. 7. :! �.i'^.)T; .,•,���i,�T. •�l{ w x:S � r 1�.0 �`.� I' .� 6 (() "For the purposes of this subdivision:' e, mobilehome, ` .. �'li il,c'ii.`yJ'° .,T �,.b. , , c; �•, (A) "Physical removal” shall include, without limitation, the' unattaching of . the manufactured: home;=. arty where the mobilehome, or commercial coach from the foundation system; except for temporary purposes of repair;or.!• factured home, areal property : improvement thereto: (B) Consent to removal shall not be. required from the. owners •of rights-of;way or,-easements.bhithe I be deemed to 35 years, fora owners of subsurface rights or interests in or to minerals, including, but not limited to, oil, gas, or;other hydrocarbon substances. w avocable ati the•; Section 1161 of , • ..; ., >;Tr-: ;Ti --,C.. ,::•. -.,<. ,, . r . ;, jrr; : T: r=r:i �:.: ,: 4 xr! 4 (6) At least - 30 days prior to • a .legal , removal of the .manufactured home, mobilehome, ,or commercial "property coach from the foundation system and transportation away from the real to which A, was - •' J the formerly affixed, - the . manufactured home, mobilehome, or commercial •coach: owner; shall notif- (the*. wner owns department and the county assessor of the intended removal of -the, inanufactured_home, mobilehoine-iari or, in the event • commercial coach: °-.The,department shall require written evidence'that'themecessary'consentave s•h,been- e manufactured obtained pursuant -to., this section" and shall require application for :either" artransporta'tio-nf:perni E b: A any lienors or manufactured home,--mobilehome, or commercial coach reg'is'tration, --as. the, deoartment`may decid"� ,)� ichment of the appropriate to the circumstances. Immediately upon removal ,-,as•defined iii..this •secdon; the-'manufac�,i it lien, that may; lien.: tured home, mobilehome, or commercial coach shall be deemed to have become.:personal property lid ez ed b the Y .... . subject to all laws governing the'.same' as applicable to a manufactured! home,'mobilehome;;or comme>ia�al !roved alternate; coach. 1`... * * '(b) The installation of a manufactured home or a mobilehome:on a foundation system as chatter instrue- shall be in accordance with Section 18613 and shall be deemed to meet or exceed the. requirements of: .allation er covering the . Section 18613.4. This subdivision shall not be construed to affect the application of -sales and - use of • e absence - of the Property taxes. , No provisions of this subdivision are intended, nor shall they be construed, to affect -the - ownership"interest of any owner of a manufactured home or mobilehome ,-cement agency (c) Once. installed on a foundation system, a manufactured home, mobilehome; • or commercial tcoacli shall be subject to state enforced health and safety standards for manufactured homes, mobilehomes;ror; ch transportable commercial coaches enforced pursuant to Section 18020. _insmitted• the_ permit andan (d) No local agency shall require that any manufactured home,-'mobilehome, or' commercial coach' coach. which th currently on private property be placed on a foundation system. (e) No local agency shall require that any manufactured home or mobilehome located iri a mobileHorrie'- Park be placed on a foundation system* * *. ;me, mobilehome, ent agency shall (f) No local agency shall -require, as a condition for the approval _of the conversion` of "a",reiiW. d, *:. * * that the mobilehome park to, a f6sident=owned park, including, but not limited to, a subdivision, - cooperative; ` '0 ment naming th condominium foemobilehomes; that *any manufactured home or inobile'home located there be'placed;on'aa, .t a manufactured foundation system * * *. This subdivision shall only apply to the conversion of a rental mobilehonie`pai"k' installation :on a that has been operated as a rental mobilehome park for a minimum period• of five years. ; •..;;�. : A (1:;. • . . (Amended by Stats.1997, c. 423 (S.B.259), § 3.) * * * Additions or changes Indicated by underline; deletions by. asterisks :* • *: 13 V18551, HEALTWAND. Library- References ­:.T. Enfoicing Judgmeh- - and -'_t&1paragrapn California'Practice Guide: nu�ferene.. tq'paragrap A dis �ffiisWcti_ '­,) 1.- ­.j� ­� •S ,`j Debts, Ahart, see Guide's Table'of Statutes for chap- cussm on. - ace home""" f fidati6n ijitern §-'18551.1. Permission to 01 on foundation a :(a) Any mobilehome,park, constructed on or after January. 1, 1982, may *.be constructed ii manner that ivii enable man"611�6tured home omes sited'injhe park to,be a in'placed' ,upon iR'p'o­ f0iiiidaii6n_sy_ste'*:m', and. 'm"an',daciiir6A'h�mes.,andm"ob'fle =6 sited in the park may`_.., placed the -requirements .. . , %. .. . ; - foundation systems, subject toofgub(��isi'on.,(�),o,fs�'et,i,o,n:eiE��l. (b) Notwithstanding- subdivision, (a),"MY manufactured: home or nibbilehopie originally sited on or. •i&i January- 1,, 1985; in: a mobilehome pirk"construeW pribi..'to ` January: 1; .1982; may,be .,plaCced. u pon 1i foundation system,!sFubje'ct`"to* the re*4*ements of suVdiviiion'(b):of,Section -18551.,* . ..... subdivisions. acid Homme or mob; d (b), _a�y;,i*daqtured._h ' jehome sited . �(c) .Notwithstanding'I- ,-. . '-., manufactured . , PM- .." .. '. _� :�ihe� pib�b�� of being" �onyerte4j Aj esidefit' on o mob.i1ehbi4:�ktk-wh1ch'ii converted,'.K.91 1A . may be. placoid'lofi �fouhj a U- `,�he requirements,'of subdivision a A; ari y'. 1 1"' -' 1992,' d tio SyKelp'. subject W., N of Section 18551, and with the apprOval. of, thebwfidrshi6`6fthepark . - -hoffid','O"r mobile bm (d) I Not*ithstgmdini�g"aivisio'ns'(a)' arid' e' ati6fiM'AAafi�utbd of i h* within' amobilehome- park pursuant to' gubdivisioh'(b)'of Section -18551 shall 'be'subjed.16-prior writtd approval by tWownership, of the mobilehome park. (Amended,by Stats.1992,,c. 1053 (A.B.3179), § 4; -Stats.19971 cA23-_(S;B.259)i §! 4.Y.-- /j- § 18552. Manufactured home or mobilehome accessory structures;., building, stair daids; regulations -Tenant Friedman,. chapter paragraph. Californiaractice Guide: Landlord ph. her reference rnla . .1 - . 1 1. _. �,to p aragrapt -of Statutes or ',;-Garcii'& Hagaity,,_.sed Guide"s Table discussing'this section. 18555.* Resident ownership of homes; conversion to a fixture and improvement to escrow; ttis' recomation''cancellation;'removaeaI and safety standards (a) Notwithstanding afiy,,other. provision of law,. the registered Qwner,,.6f-.a manufactured home:. -,c mobilehoine in - a mobilehome. park, .converte& or proposed !to.,-,be.jconv.erted .to a; resident-owfie subdivisio'n,-.cooperative,, condominium; . �or nonprofit corporation formed .pursuant to Section, 11010.8 of U Business -and Professions :Code, -..may, if :.,tlle,- registered owner.. is also -._a::ParticiPant.4n:..the resides ownership, apply for •voluntary conversion. of -the manufactured home or.-mobilehome to a' Exture.,g improvement -to the underlying real property without compliance with subdivision .(a) of Section 1855 (b) Th6`reside_n"t' 'o'w­n'e_'rship. or proposed resident 'ownership of i-mobilehoini 'park converted,; C to 'a` subdivision, - cooperative, proposed -to be converted reside' hf.:o,�vned` s�bdivi* 6'ridon,uHum, or nonpr6l corporation formed pursuant to Section 11010.8 of the Business and Professions Code, shall, on behalf registered owners of manufactured homes and mobilehomes making, application pursuant to subdivisk (a), . estAblish.with an escrow agent an escrow account All'of the following shall be deposited iris the escrow account: - A'dopy of the registered'o*ner's*a'OpHca*tion,* on a form, provided j:yAe' department, -that sfiallj substantially similar to forms presently -used to record the installation`b'f 'manufactured homes-ar mobilehomes on foundation 'systems pursuant to 'subdivision'(a) of,-. Section 18551.-.! In addition' signature of :an - authorized representative, "the form6shall contain provisions for certification bytl resident ownership of the mobilehome park converted or proposed to -be 'converted to a subdivisib c operative, or condominium that the applicant is aparticipant in the resident -ownership. . (2) The certificate of title, the current registration card, decals, and other indicia of registration of tJ moufactgred home or mobilehome. (3) In the absence of a certificate of title for the ' manufactured home' or mobilehome, written eviderii from lienholders on record with.. the. department that the lienholders-consent to conversion. of -_:t] manufactured home or mobilehome to a:Lxture and improvement to, th� undgrlying real property ups the discharge of anypersonai lien, that may be conditioned upon the satisfaction by-.-t4@jegii*ed own, of the obligation secured by the lien. (4) A fee payableto the -'department in the amount of twenty-two doliari`s'-'($22),' for, each tiaziEp6AA section of the manufactured home or mobilehome, that shall be transmitted to the department upon cld Additions orchanges Andicated by. underline;, deletions,sbr, asterisk&. ..... .. 1 A RECORDING REQUESTED. BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 06 -Oct -1998 1998-0042602 Has not been compared vith original Butte COUNTY RECORDER Post -it° Fax Note 7671 U Datei.e_ i pagges� To'.Q� ; -� +' From 1 Co./Dept. Co. /a. 11e i✓ Phone #/3 -Q vF '77�c5 Phone #� - -a Fax # (O L ! ®cr7 j0 Fax #c7 3, 25x3,8 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 '1`. 18551. This document is evidence that such local agency -has issued a certificate of occupancy for installation'of the unit described helieom ' .. 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. STEVEN M. & LISA MULLIN REAL PROPERTY OWNER/LESSOR PO BOX 712 MAILING ADDRESS BERRY CREEK, BUTTE, CA 95916 CITY COUNTY STATE ZIP 123 TREELINED LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT BERRY CREEK, BUTTE, CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso property owns, write'SAME7 MAILING ADDRESS CUT ecmerrr snAU _ rm UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVMLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 98-0853 (520)538-7541 M PERMIT NO. TELEPHONE NUMBER 10/5/98 SIGNATURE OF LOCAL, AGEN DATE NONE DEALER NAME (rf not a dealer sale, write 'NONE ) DEALER LICENSE NO. SKYLINE HM INC. 90002 1991 OAK MANOR MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER 06700702AMD 60'X 26' ULI335682/3 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER A.P. #062-510-061 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Budding Dept LEGAL DESCRIPTION A.P. #062-510-061 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 3,198 1, IN BOOK 83 OF MAPS, AT PAGE(S) 66. PARCEL II: A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE_ -.:, :. ;, :=F:; . RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 3`" 1981, IN BOOK 83 OF MAPS, AT PAGE(S) 66. PARCEL III: A NON-EXCLUSIVE ROAD AND UTILITY EASEMENT OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTERLINE OF BALD ROCK ROAD FROM WHICH POINT THE SOUTH ONE QUARTER CORNER OF SECTION 28, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., BEARS SOUTH 20 DEG. 08'13" EAST 421.31 FEET; THENCE FROM SAID POINT OF BEGINNING SOUTH 15 DEG. 00' WEST 111.43 FEET; THENCE SOUTH 05 DETG. 5649" WEST 289.56 FEET; THENCE SOUTH 35 DEG. 22'12" WEST 198.67 FEET; THENCE SOUTH 28 DEG. 31'23" WEST 261.77 FEET; THENCE SOUTH 13 DEG. 14'26" WEST, 174.64 FEET; THENCE SOUTH 25 DEG. 33'36" EAST 127.48 FEET; THENCE.SOUTH 04 DEG. 34'26" EAST 125.40 FEET; TEHNCE SOUTH 12 DEG. 4328" EAST 158.90 FEET; THENCE SOUTH 41 DEG. 54'22" EAST 147.00 FEET; THENCE ALONG A TANGENT CURVE TO THE RIGHT HAVING A RADIUS OF 50 FEET THROUGH A CENTRAL ANGLE OF 135 DEG. 00' AND AN ARC. LENGTH OF 117.81 - FEET; THENCE NORTH 86 DEG. 54'22" WEST 100.00 FEET AND THE END OF SAID CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 3, 1981, IN BOOK 83 OF MAPS, AT PAGE(S) 66. BUILDING PERMIT NUMBER: 98-0853 Address or location of unit: 123 TREELINED LANE, BERRY CREEK, CA 95916 Legal Description of Real Property: A.P. #062-510-061 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: STEVEN M. & LISA MULLIN Owner's address: PO BOX 712, BERRY CREEK, CA 95916-07125 , INSIGNIA OR HUD NUMBER: ULI335682/3 SERIAL NUMBER OR V.I.N.: 06700702ABD MANUFACTURER'S NAME: SKYLINE HM INC. YEAR: 1991 OFFICIAL APPROVING INSTALLATION: DATE: 10/5/98 _PHONE: (530) 538-7541 H.C.D. 513C Recorded at the Request of Mid Valley Title & "Order No Escrow No. 139583-3 ; G ( Loan No. WHEN RECORDED, MAIL TO: STEVEN M. & LISA J. MULLIN PO BOX 712 BERRY CREEK, CA 95916 MAIL TAX STATEMENTS TO: SAME AS ABOVE 062-510-061-000 Escrow Company 94- 07921 94-007921 1 Recorded I Official Records I County of I Butte Candace J. Grubbs I Recorder 8:00am 22 -Feb -94 I Rec Fee 9.00 DOC 33.00 Check 42.00 MVTC VS 2 DOCUMENTARY TRANSFER TAX $3=-714-11° 4;1— Computed on the consideration or value of property conveyed; OR Computed on the consideration or value less Gens or encumbrances remaining at time of sale. _ Do I inclersigned G rantc—r derlares Signature of Deciarant or Agent determining tax - Firm Name CORPORATION GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, SKYCREST ENTERPRISES, INC., A CALIFORNIA CORPORATION a corporation organized under the laws of the State of CALIFORNIA, does hereby GRANT to STEVEN M. MULLIN AND USA MULLIN, HUSBAND AND WIFE AS JOINT TENANTS the real property in the UNINCORPORATED AREA County of BUTTE , State of California, described as SEE ATTACHED LEGAL DESCRIPTION - s 1111111112M Ism • 4 E, now STATE OF CALIFQRNIA }ss. COUNTY OF , /� } On FEBRUARY 11, 1994 bebre i7M.iB CLAM .i me, personally appeared - JANET L. LARSEN personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) istare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies)„ and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and official seal Signature i. SKYCREST ENTERPRISES, INC., A CALIFORNIA CO ORATION President BV - Secretary n►armoodar�ruauurxnrmm�unnuwnmruur OFFII ASEAL = D JANIE CLAM p. WYMAY PUBLIC - CAusonNIA N Q COU"" or Burne _ G1 pp Myr Commisston ERplres Sept. 17, 189e t Ftlrnmmrnnautnnnuonilulnunnrurulmuunarnua0 If DESCRIPTION 94-07911 ORDER NO. BU -139583-3 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 3, 1981., IN BOOK 83 OF MAPS, AT PAGE(S) 66.. PARCEL II: A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 3, 1981, IN BOOK 83 OF MAPS, AT PAGE(S) 66. PARCEL III: A NON-EXCLUSIVE ROAD AND UTILITY EASEMENT OVER A STRIP OF LAND'6.0 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTERLINE OF BALD ROCK ROAD FROM WHICH POINT THE 'SOUTH ONE QUARTER CORNER OF SECTION 28, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., BEARS SOUTH 20 DEG. 08' 13" EAST 421.31 FEET; THENCE FROM SAID POINT OF BEGINNING SOUTH 15 DEG. 00' WEST 111.43 FEET; THENCE SOUTH 05 DEG. 56' 49" WEST 289.56 FEET; THENCE SOUTH 35 DEG. 22' 12" WEST 198.67 FEET; THENCE SOUTH 28 DEG. 31' *23." WEST 261.77 FEET; THENCE SOUTH 13 DEG. 14' 26" WEST, 174.64 FEET; THENCE SOUTH 25 DEG. 33' 36" EAST 127.48 FEET; THENCE SOUTH 04 DEG. 34' 26" EAST 125.40 FEET; THENCE SOUTH 12 DEG. 43' 28" EAST 158.90 FEET; THENCE SOUTH 41 DEG. 54' 22" EAST 147.00 FEET; THENCE ALONG A TANGENT CURVE TO THE RIGHT HAVING A RADIUS OF 50 FEET THROUGH A CENTRAL ANGLE OF 135 DEG. 00' AND AN ARC LENGTH OF 117.81 FEET; THENCE NORTH 86 DEG. 54' 22" WEST 100.00 FEET AND THE END Or SAID CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 3, 1981, IN BOOK 83 OF MAPS, AT PAGE(S) 66. END OF DOCUMENT - STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUINITY DEVELOPmPIT " CERTIFICATE OF TITLE MOBILEHOME DECALNO_ LAS6325 MANUFACTURER NAME/10 TRADE NAIAE MODEL DOM DOT OFS SPC EXPIRATION' SKYLINE HM INC190002 OAK MANOR OKM2201H 05/28/91 05/28/91 04/20/92 U SERIAL NUMBER LABEL /INSIGNIA NUMBER WEIGHT LENGTH WIDTH 135UEDSCC lEA;PT U:E ► 0670070280 ULI335682 014820 000720 000156 48/10/94 04 SFD LPA; 2 06700702AD' ULI335683 014820 000720 000156 a TOTAL A FEES . 5 PAID: 6 $43.00 I A D 0 R E S S E R E G M I A S I T L E R E D o S W I N T E U RS L E G A L O W N E R J U F N I I R O S R T L I E N S M E O C L O D N E O R GREENTREE FIN CORP 9310 TECH CENTER DR STE 200 SACRAMENTO CA 95827 HULLIH STEVEH H/LISA JIRD 123 TREELIHE LH BERRY CREEK =';CA 95916 1. ,. 3. RELEASE OF DEALER gat NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9 ? 4.A) AND OR 8) NAME - PLEASE PRINT i 5:A) ^� _ �<,. CITY::: „ cmrf ST ZIP `l 6. y FUTURE MAILING ADDRESS :C::�`.:••... •tea:.«„ . RELEASE.,OF REGISTERED OWNER 123 TF,EcLINE LH LOCATION ADDRESS C•rry ST ZIP BE M, CREEK CA 95916..__�_�__;..., PURCHASE PRICE DATE GREEHTREE FIN COW .... 9._ NEW REGISTERED OWNER SICNATURE 9310 TECH CENTER DR STE 200: :.: NEW LEGAL. OWNER, FILL 114 ITEMS 10 - 12 SACRAMENTO CA 95827`` DATE: 03/04/94 12:16.'00! 2.A) NAME PLEASE PRINT RELEASE OF LEGAL OWNER 11. f" a' ADDRESS 13 RETENTION: ;OF LEGAL OWNER 12. CITY "=>;N, CNTY ST lZIP C) NEW IST JR. LIENMOCDER, FILL IN ITEMS 13 15 ASSIGNMENT OF LEGAL OWNER a•t= ,yl� NAME - PLEASE PRINT ••a 14.x'' ADDRESS 13. CITY CNTY ST ZIP iE?HE NEW 2ND JR. LIENHOLDER, FILL IN ITEMS 16 - 18 iE;HE 16. NAME - PLEASE PRINT 17. ADDRESS 18. CITY CNTY ST ZIP IMPORTANT 02-217-0O3: THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0200078 v RESIDENTIAL 062-510-061 PERMIT#98-0853 MULLIN, Stever_.& Lisa PERMIT NC 123 'Treelined, Ln. , Berry Creek Cont: Jack's Mobile Home PERMIT E)1 Ex MH ' on Perm Fnd OWNER CONTR. ASSESSOR PARCEL LOCATION THE HCD FORM 433A FOR THIS MH CANNUI BE RECORDED UNTIL ONE OF THE FOLLOWIN HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR TO VER FY SERIAL & LABEL #' CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E 09 JOB FINALED (Dat 6 Signature V=OK 0 = Not OK Not • = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils -Size -Dept v -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails --,3. Sewer, Location-Test-Fall-C)"oncrete 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / ^:ft. / /Nat. or/ /"L"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Date Ca 4.01 Date Card B-1 I OME INSTALLATION(Plans) OK except #'s Requirements- Setbacks Easements gs; Size -Spacing -Marriage Line Card B-1 Date Card B-1 &42x MH Test-DemandVah&-Connector Card B-1 Date Card B-1 1 'city; MH Test -Crossovers -Breakers -Clearances POOLS (Plans) OK except #'s r MH Test -Fall -Flex Connector 1. Setbacks -Easements ater; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/0 to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distance -GA 9. Tie Downs -Type -Installation Cert. S. Elec.; Pool Lighting; 15 Volts-GFI 10. E 'tt; Insp.-Sketch Date 1 . Cert of Occupancy 12. Permanent Foundation Only: License Decal Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 062ID70�� � MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Dept v -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-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 -GA S. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 ✓ = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / /"Ftg. Depth Cling. Joist-Rf r. Ties-Purlin-roff Brac: Truss-Shting.-Ring. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel -Wrapped Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. 59. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 60. Brace Interior / Exterior Wall Panels 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 Ext Steps -Door & Sidelight Protection -Landings 18. Water Pipe; Test & Anchor -Nail Protection Smoke Detector 19. D.W.V.; Test Fittings & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 20. Shower Pan; Test, First Floor -Tub Access Bedroom Exiting 21. Test Tub & Shower, Second Floor -Tub Access 67. 22. Gas Pipe; Sae & Anchors 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Recepticales at Kit. Counter 24. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size B es & No. of Conductors Stapled 75. 26. Romex stalled Close to Edge of Studs & C.J. 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GA Elec. Receptacles in Garage (G.F.I.)-Romex Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 79. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 80. 31. Service -Riser Conductors & Ground -Main Disconect 81. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. Ventilation Throught House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Fumance-Vent Access -Comb. Air--Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #s Card B-1 Date Card B-1 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 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rf r. Ties-Purlin-roff Brac: Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-Walls-Cedings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O b Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Mk►I; A/ P.s3 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Pt 0 '1 d k^ -.e - O l T1n`r5 1 ♦ o -K f O'A IVO'd -% 0 0 A �/VClos ej Dare' 2Yhv( Date 9 S q O Inspector S e REV 10/9 COUNTY OF BUTTE- DEPARTMENT OFDEVELOPMENT SERVICES- BUILDING DIVISION .. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �K-nRS, ASSESSOR PARCEL NUMBER 062-510-061 ZONING U BUILDING PERMIT OWNER MULLIN, STEVEN AND LISA TELEPHONE SO. FT. OCC. BUILDING VALUATION 1539 83,106.00 OWNERS MAILING ADDRESS P.O. BOX 712, BERRY CREEK 95916 CONTRACTOR'S NAME JACKS MOBILE HOME TELEPHONE ' 342-6656 CONTRACTORS MAILING ADDRESS 4950 COHASSET #19 Chico CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 83,106:00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 283.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 123 TREELINED LANE BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ 4,98-13 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.0 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EXISTING HOME ON PERMANENT FOUNDATION Gas piping system 1 - 5 outlets 15.00 1 U0 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ —657 M ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioon0..ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is 'F full for and effect. *� License Class Lic. NO. /i, / OWNER -BUILDER LTECLARATION 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker ' c pensation ipsLuance carrier and policy number are: Carrier o 9(a7F} Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BWS. s0 3.50FT. NEW CONST. MULTI -OUTLET NON-RESID. ANC , @7.50 .11N. ELE PNRAAE TTC S. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. OUTLEEOTs REESSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number JU ft.) &, �/ 7/, 7 4 :51=^ n (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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. � � Q X Date _ Sig e o Apnt - 0 r Contractor' nt An OSHA permit equired for excavations over 60" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 596.13 TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF _ 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 which fees have been paid. By ate 7of EXPIRES ON •� Dal Receipt No. 2367431-2%,./,PERMIT WHITE-D.D.S.-B.D. CANARY-ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT .. .s n. _"is, .:�-.l. �T. a `^ ,c'+F>,•`�•��� ��`-{�r►r.a.-n•w�..wtrn-'RInY�.^^-;J ...,,�. . �rv.� .Y.ry ,_.,y. , -. ..- COUNTY OF Bi1TT DEPARTMENT OF DEV64- OPMENT SERVICES - BUILDING DIVISION Ot 7 COUNTY CENTER DRIVE - OROV. I , CA14JF 4NTA 95965 -TELEPHONE (916) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: � 'M (A L L (n/ ASSESSOR PARCEL NUMBER: D % Z --,S-(o - Proposed Building Use: Ih It Building Inspector: 05 Date: At time of permit application, I was advised the following data must be su miffed prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted.------------------------------------------------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the prepare& of plans. ` --------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------------- 4------------------ ❑ 8. Hazardous Material Form. ------------------------------------- -- �L -------------------------------------------------- 119. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $---------------------------' ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. 1113. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. 11.15. City of Chico plumbing permit. ------------------------------------ r - ❑ 16. Plot plan and business license' approval from the City of Biggs. ❑ 17. Planning approval for (A) Use (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 111. 9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑ 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). --------------- `-=-=------------ ❑ 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 1124. Letter of signature authorization.-------------------------------------------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use.---------------------------------------------------------------------------- ----- - El 27. Manufactured Home utility clearance.--------------------------------------------------------- °-------- -- ❑28. Existing violations and/or a pired permits. ------------------------------------------------=--- ---------------- eK.x1433 A,&w-- Deed M.H. Title, ❑ Check to H.C.D $ .--------------- S/j�- E130. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. Nelephone 3 f2 -66"- 4� and hold for pickup at 0900( << £ office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: % Z Date: By: Index permit application for the above items numbered: ra (Date) ❑ Plan Check List 2. Additional items required: \ / Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divis' n counter, by Date: Plans reviewed by: Date: Plans approved by: Cj Date: ,5-- / Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 6' S o COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION C)' 7 County "Center Drive - Oroville,,California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER & 61 ZONING ( ,( BUILDING PERMIT OWNER L 1 S 1 n/ -+- L t STELEPHONE J s` SQ. FT. OCC. BUILDING VALUATION 5 CJ to . 06 OWNERS I AIUNG ADDRESS q �,0- %ti P R cfL 1`r1( CONTRACTOR'S NAME C' S 1 Y /�� 1 o z(l%. TELEPHONE LG �JCO CONTRACTORS HARING ADDRESS _ `� L2 Co RASS1Li`' 167 CNrc� CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 83 L �J ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee �p _ $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS E� £- Al Plan Checking Fee $ —Energy $ S E2 m PERMIT FEE $ L 3 �_ 3 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 1500 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ ,Remodel 13 Utilities ❑ Installation ❑ Other ❑ Describe Work: ry�-r�C Ek(5 r f✓16 YoMi_ Ql-4 Pir-(ZMAWeftl1' tfdL11)�1 T_Cd,t/ Gas piping stem 1 - 5 outlets 15.00 S aa Buildingsewer 15.00 00 Mobile Home IS I G I W @20.00 PERMIT FEE $ 5_ 00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service V�oaio0RRLEss 23.00 _ O,J 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 LicenseEx. 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 (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. Main Service Vow To 46.00so CCU000A NEW CONST. / OWEWNG OCCUP. SO OR ADONS. \ 8 ACC. BLDS. 3.5¢FT. =R.O p MU LTI.OUTLET @7,50 POWER APPARATUS a swGLE oLmEr cIR Ex. Occup. ovnEr OR FDTTURES BAL@'.550 Occup. oLIrEiFis FZ.16.oEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : 3 00 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 $ tom." o , �3 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. Z3 6 7 �1 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 'Phis W of Plans and Bpecullcations MUST im, .. . -' kept on tbs job at all times and it is unlawful to make W CIIM4es or alterations on same withcu% w rlUan pam,iselou $pom the Depen tment of PubUe Works, Counv of Buv& YJ A4. 3 � v 6 eetjW* of B � from- the p `�' Base and a Seth 1, i' of 60 R. Brom the road /I igtt��� MOM be clear of / ft B 2 Q. � meat ezce� S Flo G</a�---.----- �s c.. .a73 NOTE: An Materials V 'Workmanship Shall Be In .accordance with Recognized Good Practices and Of a Quality prescribed for the Specified use in the Uniform Bu Ming. Plumbing & Meahanlcsl Codes and the Rational Sleotrical Code, Ex 11-3'�I (( `/�d0/ �i /� BUIL PAS , W �! �vXp-a0 v r If other than single wide, ••,,y."lehome Mr4r. S/i /.�//[�,� furnish Sexu,p,Model No. 2zo/ Year / 757J. ! - L h )_ &/'_(ftj Sox Length�_(ft.) Tagalong or Expando Size ft, x i t 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). F30TINGS (check one) 1•. Hood -pressure treated or foundation'trade. 2. Other (specie' SJ PPORTS (check one)1. Concrete block.F� 2. Other (specify) . n""', Pier Footing Sizes and Locations �1NCLE-WIDE MULTI -WIDE Line 1 Main Rases iuc hint 1 Line2 main Bases Ling Tag or Triple Line 1 Pier@: Size-Min.--•-----c---�- Spacing-Mau. •.•••.•• �_9 '�. from Endz-Mas. •---•- Size-Min.--------- ,, Spec ing-Man.......... Free Ends -Mas ........ -_ (/ ■ Line 7 AON civ Size -Mia............. Location pro■ Front) Line 1 Ooentoxe- Size -Min. ------------------ .k Rath Side of Openings With Width Over------ Size-min . ---- Line 3 Piersi (Under Rearing Wall only) size-Min.------------------ Spacing-Man - ----------------Spacing-Mas.--_---__-_-_- From Coda -Mau.------------- ._ .. . M U.? P" i 36,' 3 2x1-xg74. 1-7, Ling 4 Pia - -- — ---•---g— Size-Mio.--------=--- ing-Mas.-------•• From gads -Mas -------- . .. Slee -Min. --------« e S Piers: (Under Rearing Wall& Un y S1ze-Min.------------------ Spacing -Max_ -.-----^------- ax .. From Enda-M.------------- .� n ux n .� a .k i�+catlon (From Fro4t) BUILDING DCPAan rl ,� � RESIDENTIAL •� 062-51-0-061 91-4015 'SAISE, ALFONSO CONTR: OWNER 123 TREELINED LN, BERRY CREEK MH UTIL s 0 B&( ,( 3S -C3 A OFFICE COPY I Address ` GAS Meter By Date ELECTRIC Meter By Z Date JOB FINALE Signature J=OK r MISCELLANEOUS � O = Not OK DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Ready MOBILE HOMES NotNot 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Date MOWCE HOME UTILITIES Plans OK except #'s rig Requirements -Setbacks -Easements oil pecial MH Support Sketch 6. Carports; Windows -Doors ew , Location -Test -Fall -C/O Concrete r i/ ate ocation-Test-Easement Needed (Sketch) + -j/-yam I rcity; Location-Clearences-Grnd-/ /Amp -Concrete Gas; Location -Test -Wrap: / /"L"ft. 11. Ext.; Steps -Doors -Landings 7. w0clearance & Disconnect Utility Clearance Date Card B-1 Date Card B-1 Date%— % Card B-1 Date Card B-1 } DateZ Card B-1 • —bate Card B-1 Date^ MOB IV HOME INSTALLATION (Plans) OK except tf's ? y J,,topiIIg Requirements -Setbacks Easements tings; Size -Spacing -Marriage Line MH Test-Demand-Valve—Connector :tricity; MH Test -Crossovers -Breakers -Clearances in; MH Test -Fall -Flex Connector y.MH Test -Regulator --Connector er and Sewer Connected -C/O to Grade -HD Appr( and Electricity Tagged sj,nsp.-Sketch t. of Occupancy Datef Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 aDO) A 3-6 q -a �JaL C--, �L 1335'�5�. 8.3 ZJ �5zbz, r a r 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except tf's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O =Not OK -% = Not Applicable �'�t Ready RESIDENTIAL (Si,�ghp & Duplex) Date UNDERFLOOR (Plans) OK except If's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /",Ftg. Depth - 46. Cing. Joist-Rftr. ties-Purtin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties of Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size &Romex Protection -Draft Stop Ins. Baffles ^5. Stemwalls, Main; Steel-Blockouts-Wrapped 49Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped----------- --- 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors _ _ 51. Property Line Firewall & Openings _ 7. Slab; Steel -Wrapped - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel-`------------------ - 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date ` Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------------- --------------------- 17. Water Pipe; Test & Anchor -Nail Protection ----------------- ------------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------------- - - ----------------- 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access ------ 21. Gas Pipe: Size & Anchors ------------------------------------------------------------------ - Date -Card B_1 Date Card B-1 - ------ ----------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer'Clearance-Ins.-Protect ion -------------------------------------------- -------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -- ---------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------- - -- -- --------------- ---------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------_------------------------------------------ 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ----------- --- - ---------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - - ---------------------------------------------------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. -------------- -- Cu- ---AI --- --------- --------------- ----------------- ------- ---- 29. Range Circ.'! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yesr - ❑ No - -------------------- ----------------- 30. Service -Riser Conductors & Ground -Main Disconnect - - - - ----------------------- 31. -Eq u i pClearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------------------------ 33. Smoke Detector ------------------------------- ------------------------------------------------ Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's ------------34.--A.C.--Ducts Insulation- & -Sup-port ------------------------------------------------------------ _ 35. Vent Fan: Exhaust above insulation - ---------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------------------------------ - --- ---- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --------------------------------------------- --------------------------- ---___ -- 38. Attic -Access-&- P-latform if Furnance in Attic --------------------------------------------------------------------------- --- Date Card -B- 1 Date Card B-1 ---------------------- -- --------------------- --------------------- --------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------- ------------------------------------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound -------- -- -- - - ----- ------------ -- - ------------------- 41. Bearing Walls over Girders & Floor Nailing ---------- ------------------------------------------- 42. Draft Stop in Walls (rat proof) - ------------------------------------------------------ 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub ------------- ----- --- -------------------------------------------� 44. Headers & Beam -Size & Bearing 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- - 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed- I'd "Vents-Underflr. Access _ 57. Glazing Area -Glass Protection=Skylights-Plastic -4 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60 Infiltration -Walls -Windows Date _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B --1i Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings --- --------------------------- 62. Smoke Detector ' 63. Furnace; Vents-Clearance-Corrb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection --------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa -------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ------------- 67. 67. Stairs & Rails 68. Fireplace or Stove Clearances -Hearth -- ---------------------- 69. ----------------------69. Elec.-Outlets at Wood Panel; Int. & Ext. •- ----- -- -- ------------------ ----- 70. Kit Fixt_& Appliance; Grnd_Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire Door: Swing -Land i-ig-Closer Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ------------------------------------ 75. Plb.. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- 78 Guard Rails & Deck Construction -Post Caps ------------------------------------ 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor, ❑ Yes 80. Following insttd.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --------- ----------------- 81. Stucco: Brown -Finish 82. A.C. Unit; Disconnect. Electrica , Plumbing ---------------------------------------- --- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. Water Well: Disconnect, Electrical, Plumbing ---------------------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House - -- - - - - - - --------- --------- ------------ 87. _Glass Protection 88. Corrections from Previous Inspections ------------------------ - ------- 89. ----------- - -----------89. Gas Test -Meters Tagged; Gas -Electric ------------•--------------------------- -------- 90. Water & Sewer Connected -C/O to Grade -HD Approval --------------------9Y----p----------- ----- 91. Ener Compliance Certificate -Other Certificates --------------------------------------------- -- --- Date Card B-1 Date Card B-1 ---------------------------------------- Date -------------------------------------Date Card B-1 Date Card B-1 -------------------------- -- - ----- ------------------------------- Date Card B-1 Date Card B-1 Comments at Final: �,^fY9,Yv��"i ��tf�i�7��+awy"_'•�.<�.��Yi.�s....way�.,.►�..+^�A�IY+"� ��.TT.714,.'rA t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 . CORRECTION NOTICE ei PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exost at the above address and should be corrected. Please notify this office when correction of work i is completed. If you have any questions pertaining to this matter, or need additional explanation. please contact this office immediately. U-GdGd r.Ur�rsJV/t� T' T� �i6 E'f �% i.!•v ii��c 145 12, Date Inspector W REV 11/91 / COUNTYOFBUTTE O DEPARTMENT F PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 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 correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �VAelzbCj" A�� /�J 4jo,Z—t-- , 1 Date /r ������ Inspector ; 1 r i A 1 Date /r ������ Inspector ; sk COUNTY -OF BUTTE DEPARTMENT OF PU9LIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 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 notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. a,6 46i X-ej, koi �q �ee 5 'C ago* 46vJ,5 a v -c._- lJ/ 1lrl4w� / D Nab/5 l�Nws�c__ ihL7icGTC� Date L InspectorAz — REV 11/8 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 OWNER T PERMIT NO. 6 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. (�'o rd f o r M 4^4 Z Q =- _ ►^ spa (Le a/ t- r, C, IEn n -e- u (YbN "C�0tC�m^ P.-0 e z -7�0AN 1 nt9yk 4 r�1a �SiQ CO 1( 1.Z�►1 40425d-7 F -m r Y24 t-4 L :r A 5 ,Q 9 Date '41 Inspector PA . MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE rµ DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMITNO. 'ii ur,- Address or location of mmobilehome /Z 3 =, ( L.. H• �� Owner's name^_,�ff Owner's address /2 3 `•/ r ul� moi` t_vr . r Insignia or hud number L-1 L 3-69- z- `� C�5 Manufacturer's name —51 4 LAC Serial number of V.I.N. Z 5 Z Ia1 `� `SyZG2 $' Year of manufacture/ �/ al Approving Installation IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovl.11e; Callfornla 95985 - Telephone: 916/538.7541 APPLICKTION-AND PERMIT PRMIZA�� FA ASSESSOR PARCEL NUMBER 062-510-061 ZONING !,t BUILDING PERMIT OWNER ALFONSO & TERRY SAISE TELEPHONE 342-8259 S0, FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 9364 HOLLAND AVE DURHAM 95938 CONTRACTOR'S NAME UALITY MH SET—UP TELEPHONE 343-8494 CONTRACTOR'S MAILING ADDRESS 16652 POWERLINE ROAD BEDDING 96001 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 123TREE LINED LANE BERRY CREEK 95916 Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeK] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation Other ❑ Describe work: MH I (MH U #91-4015) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 9��l 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 AASTM2 Classification FlI, 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) ElI, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM OR ADDNS. 1 ACC. BLDGS. 3.64 sq.ft. NEW NON-RESID NSTR BRANCH CIRCUITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FZ=FIXED APLNSd EX. OCCUp. OUTLETS P(RESID IREA.) I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. VVirin g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑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 subjectpermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation 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, judgm s, costs, and expenses which may in any way accrue against s County n nsequence of the granting of this permit. X �� _ 4!_ 5'/ 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 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz DV IMP FLOOD .— CDP PARCEL PD HD ISSUE This permit is hereby issued under the sions sions of the Butte County Code and/or work indicated ab a for which fees OR R PU LIC BY PERMIT EXPIRES Date Z—j applicable provi- resolutions to do have been paid. WORKS Datf��� Receipt No. 103396 WHITE-D.P.W., YELLOW-A99C990R, PINI(-IN9PECTOR. GOLDENROD -APPLICANT J JP ,[ - COUNTY OF BUTTE - DEPARTME4� PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OR&*;X eE- CALIFORNIA 95965 - TELEPHONE: 916/538-7541 f PERMIT APPLICATION DATA SHEET ✓� I /�,�-Za2 C ,� 1 c /' Permit No.OWNER ALF_0A6DI -/ N1 �C� �, A. .. No. Proposed Building Use i� Building Inspector Date � t/ D At time of permit application, I was advised the fallowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/tripl cate, -signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ............. ............................ . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data inc uding manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12 ark fees paid .. ........................ 13. 0 � n(,& H `� School District fees paid .............. /. /I 14. Sanitation approval from Health Department 15. City of Chico plumbing permit. _ ................................... 16. Plot plan and business license approval from City of (see City for other requirements. 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... �. Letter o si atu i0orization When yo issue the permit, p'r/oces as follows: Ma' o owner. Mail to contractor. lephone� 3 `� and hold for pickup at�_office. Deliver w/inspector. Other Appl ican Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior top rmit issuance: (Circle new item not checked above). 1. Index permit for above items No. 1C . 2. Additional items required: designer, owner, was advised of above required data bylGphone_mail—counter by Ifil-' .date Czn4f `for, designer, owner, was advised oUabove required data by—phone _mall—counter by date Plans checked byTl°w Date Plans approved by 80 Date Z s Z Sets of plans on hold in File cabinet AP folder Copy—DPW ° u COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER L (2- A. P. NO. PROPOSED BUILDING USE DATE 9 / REC. # DATE REC 1. School Distric Fees (paid at District Office) 2. Sheriff Fees. Z9 (paid at Building Department) 2 / Residential ....... 36 X 0 _$ 37 12,X119? unit amt. Commercial(per sq.ft.) X =$ r sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) 'X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the above fees' are required to be paid prior to issuance of the permit. APPLICANT, (i DATE 12-14 i`. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle. California 95965 - Telephone: 916.'538-7541 APPLICATION -AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER G' G -(j ZONING BUILDING PERMIT OWNER - 0 `T Y = TELEPHONE 3 �z, kz6'9 S0. FT. OCC. BUILDING VALUATION OWN'ER'S MAILING ADDRESS CONTRACTOR'S NAME- Py OtOt// CONTRACTOR'S MAVLING ADDRESS _- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �O.D Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A- `oCJ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 r I Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[�rOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 A$ TYPE OF WORK �,/ New ❑ Addition ❑ Remodel ❑ l/ittiies ❑/ / Installation 2 Other 5Pennit Describe work: v! U -f` 0� Fee Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v 0 R LESS 200A OR LESS 18.50 Main service 200A TO 10o0A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 2--i-am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codeandmy license is in full force and effect. License No.t�r� LEZ / Classification C -`l / ❑as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP. e\ 3.6Q sq.tt. OR ADDNS. l ACC. BLDGS. / NEWCONSTR ULTI.OUTLET NON .RESID BRANCH CIRCU ITS @ 5.00 (POWER APPARATUS e ISINGLE OUTLET CIR. 760 Ex. Occup(OUTLE TS OR FIXTURES L, 0 460 FIXED APLNS. Ex. Occup. OUTLETS P(RESID IREA,� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. (� 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 atter making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 �ag�ainnssaid Co in onsequence of the granting of this permit. Date 2 - � Signature f Applicant - caner ❑ 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 S Or C92 CO) Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 1� 195I i HAz 1 0FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No.%� WHITE-D.P.W., YELLOW-ASS(SSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT This set of plans and 0e66tications .=T be kept on the job at all times and it le unlawful to mate any 04an9es or alterations on same vnthcut written permisslon Soni the Depeu tmeat af Pnb Works, County Butte. '� of �- uPP�r J gR v / B 8etbuir of a ft, Som -the �' p linea an¢ a setback of 60 R. ftrA the road osntSPUns sball be Clear of % fObVebe ezaept / 11.5� sgow°7---- c` NOM An Materials V'W orkmanehlp Man Be In .dcoordance with RewP#ed Good Practices wd Of a Quality Prescribed for the Specified use In the UhHorm Building, Plumbing & Meahanioal Codes and the Aattonsi ffieotrioal Code. gpfoX � BUTIT COUNry )ILOING DEPART EW APFH.0 Fw 86 IR) lr13 Vil-til YJW IAO 'Al" tw V�L AJO V i'll- I � Nrov .,q ceeA;%* Ciln--ozat att. -,al L;%.l A. %aid'outIL: 4,(t,;bfxA lwiatt Ali? tkmo—'Ww!u bur, 1... Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center-- Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET O :'. Installer's Name: 1-IL s. Is the site currently.under permit? Yes E No (If yes, furnish permit number is the ) OR Is the site as existing, site? Yes LPG U No D— I1. (If yes, furnish two plot plans.). 4. Will the mobilehome.be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes LJ No u (If no, clarify , 5. What is the mobilehowe electrical,rating?---------------- ✓/GG Amps u. What is the mobilehow site service 'rating ------------- /oo Amps 7. What.is the mobilehops site circuit breaker rating? Amps 8. Is there any other *ice .tric load to :)e served by the mobilehoae site service? --------------------------------- Yes No (If yes, identify.the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? >��N (in.) IU.. What is the type of gas service`s------------------- Natural L -j LPG U I1. What is' the gps pipe length from meter or tank to the mobilehome?---------------------------------------------- 12. What is the mobilehome.gas demand? ----------------------- (M) *(This information not required if pipe length less than 6 ft.. on natural gas or less than 50 ft. on LPG.•)m lt( 91_ 416Y BUTTE C0:?NTY r MENT BUILDING ..:.:. ; APF Ft L& COPY :�V If other than single wide, "lehome Mfr. %i�/.�//yi�"�,furnish' Setup Model No. 2 ZO/ Year c. :h _(f t.) Box jength��(ft.) Tagalong or Expando Size ft. x i ttn all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural getup sheets.(if not on file with the County of butte). PIOTINGS (check one) 1.... Wood -pressure treated or foundation -grade. 2. Other (specii- SJ PPORTS (check one) 1. Goggcr.ete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGli-WJDE 1L1n Line 1 ?term: Size -Min.. ----t--- '00.. Spacina-Mas.......... From Enda-Mas........ Site -Min.......------ Spacing -Max .......... From ends -Mas........ Line 7 Rog; loads• Sise-Mlm............. Location (From Front) Line 4 Piers: size -Min ......... ---- Spacing -Mas........... From Dnds-Mea.------- Sise-Mtn.------------ location (From Front) Main Dews Tag or Triple 14n L r Line 1 Line 1 Ownioss: size -Min. ---------------- k Each Side of Openings With Width Over--'------ s Line 3 Plersi (Under gearing Wall Only) Sige-Min.------------------ .k Spacing -Mas ---------------- From...............From Bodo -Mas.------------- .. "a b-. --' g � r !'x3k j G .. �; n .1x Ix . e S Piers: (Under gearing Walls Un y Sise-Min.------------------ 'k Spacing -Max. ------------- Prom Ends -Max.------------- •_ " 1_,- ; c ca 11. Cie CC29 tez S-lz .3llrl 0 3 N I l.'- 'AS 16/c-,O/tl3 0.1 -A 00 .E .a CSO BUTTE (,rNU'WTY 'Mb NT Ati.fl-riOVED '73 ^fq Cie CC29 tez S-lz .3llrl 0 3 N I l.'- 'AS 16/c-,O/tl3 . Qq'V U 1 -------------- iII 00 DINING ROOM OUTCMEN I, t,MLF_ Y A 00 101-01, LL BEDROOM 2201L '6026 is - o.2 cit ,1 BEDROOM • CENTER KITCHEN -SNACK BAR -DEN -2 BATHS- ta•r'• I I :CATHEDRAL CEILING cam (1,539 SQ. FT.) MASTER ——J -- CEDROOM II c No. t II . ,4. 0'. LMNG ROOM II 1 a.. 0.. DEN i • t I 1 _ 10.• 8.. .. II II I I I f i I .s i BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ( One Form per Building) /O/1 A.P. Number (/,g -,51 _Q 6 / Building Department No. School District o to f,�N %�'�J City D County Jurisdiction Pro ert owner ALv7n b6q) -nr- Pg j c,41 SP--- Project Location/Address Subdivision Lot Number 0 (:9,2,, Residential Development:El ` Sq • Footage 9' # of Living MHI Addition (G R) Units Commercial/Industrial:' Sq. Footage New Addition (Including Exterior' Roofed Areas) G� , Buildirg Department Representative D to ******************************************************************* (Floor Plans reviewed by School DistrictPersonnel) District Id No. 2203Z4 OP-0yaj-4i 2Q3%4 ©Ya,.(..C._J School District certifies that - f Applicant Name) (Phone Number) f ( St eet Ad e � ) th_ rN�ty) Lt s (State) (Zi e) has complied with the requirements of Resolution No. by the payment of $ � 5 L /`zrepr senting /--J-square feet. 4zK School 1st epresenta • ve Date SCS i PAID BY CHECK NO. REMARKS: / It . A (-1-10- -/ J BANK NO %fgf _ PAID BY CASH / Ito white -applicant, yellow -building department, pin -K --r'0 1 district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95065 - Telephone: 916/538-7541 APPLIGATION`AND PERMIT PERMIT ASSESSOR PARCEL NUMBER 062-510-061 ZONING U, BUILDING PERMIT OWNER ALFONSO SAISE TELEPHONE342-8259 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1406 BOUCHER STREET CHICO 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS OWNER Fireplace CONSTRUCTIONNONE LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee ,$' Energy PIan.Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3TREELINED LANE BERRY CREEK 123 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP '— Lf- Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home 10 @ 15.00 45,0 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑X Installation❑ Other❑ Describe work: 2 BDRM Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 200A OR LESS Main service 600VORLESS4CIR. 18.50 S Main service 200ATO 1000A)37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [✓J 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 CONST . / DWELLING OCC3.64sq.ft. OR AD DNS. 1 ACC. BLDGS. NEW CONSTR ULTI.OUTLE@ NO N.R ESID BRANCH CIRC S.00 POWER APPARA (SINGLE OUTLET Ex. Occup(OUTLETS OR FIXTURES 20 L@ 764 Ex. Occup. OUTLETS (RESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 9 15.00 Permit Fee $ 48 50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Coolin g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequ9nce of the granting of this permit. X Date /�' /S ' 9� Signa re of Applicant — Owner E� 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 $ Energy Inspection Fee $ occ CONS TOTAL FEE $ 12,8.50 HAz 0FEES IMP FL o cDF --- I PAR PD D Issy,�� This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees OR OF PUBLIC nL PER XPIRES Date applicable provi- resolutions to do have been paid. WORKS Date/1-21— r Receipt No. 103248 1By WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT II TOS'- Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance ts AP# Owner Location Plan Approved for: Hold final for: Sewaqe Disposal 'Rater Supply (_gyp ► I ^incl clearance O.R. for: Clearance for -Q. bedroom mobile me. Other Water Supply Water Supply NOTE *** -- Date Sanitarian I.�lo��;'�e+�."`�Y�}+•7t={!r�'�+"'�'p'!P" �,, �` v +...1' t•Y •Y'i''� ;.'a.Y'�?'F1�5'r,'�'�al'e`'� a'Frc .. ,:{ mE'.y�'f'c; z�' : a'c . "'"�+ws'wF:-r .. ,• COUNTY OF BUTTE - DEPARTMENT 0 •PUBIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORVI6I.Ot1FORNIA 95965 - TELEPHONE: 916/538-7541 f / PERMIT APPLICATION DATA SHEET t 4' Permit No. AP No. O-510-O�1 OWNER O n S D 1. &I, S e- . p Proposed Building Use (tel Building Inspector Date e� .� / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED � APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installgti_oon;:�;'- instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. �` School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW ' 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (.Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. 24. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. _ Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail o owner. Mail to contractor. Telephone 3yc) - a j and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-Mail counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_couny date r Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy -DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT P ASSESSOR PARCEL NUMBER ©60.5)0-061 ZONING BUILDING PERMIT OWNER '4 ass© Sa I,s e- TELEPHONE SQ. FT. OCC. BUILDING VALUATION DOR SS OWNER'S MAI LINff �yD e �r s C� �� FS %b CO NTRAC TOR'S NAME TELEPHONE ONTRACTOR'S MAILING ADDRESS Fireplace CONS RUCTION LENDER 09 VI e - UNKNOWN Total Valuation $ Filing Fee $ 1§:69--•' LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI G o Ess Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeA Other SPECIFY4npMobile Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Home @ 15.00 L,t , TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 !�, Main service 200A TO t000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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,a as7044) owner, am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM DR ACDNS. l ACC, BLOGS. / 3.64sq.ft. NEW CONSTR. 1AULTI.OUTLET NON.R ESI D. BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e l SINGLE OUTLET R. / Ex. Occup( OR FIXTURES 20 76d RA FIXED APLNS Ex. Occup. OUTL TS P(RESID )KEA.) j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee Contractor $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 1 shall not, emplay any pera -., any ,;canner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling LHood 6.50 Ventilation permit Fee $ L 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA ion of struc u estoverr 39 stories ineheigvhttions over 5'0" deep and demolition or construct. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE TOTAL FEES !a HAz DFEES IMP I FLOOD CDF I PARCEL Po HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 103J � A --PERMIT WHITE•O.I.W.. YELLOW-ASS[SSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT 3tu4�n• to DPW AGRICULTURAL STATEML M OF ACU. OWLEDGEMNT FOR RESIDE`ITIAL DEVELOPIvOIT 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 incon- veniences 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. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. NOV i Ike 199 I g1 _04977.1 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience aG All that real property situate in the County of Butte, State of California, described as follows: n _ ,Vh-s-' C�.�.. 0 `c. c� kn a_lo cL %l- - CA- _haiz laQ.h a 6�: p�', M-0-8 M•1 a-Seo-oca i - �-�� Date: %/-/s g/ State of County of PROPERTY OWNERS: On this the /5- d day of , 19before me, the SS. undersigned ;votary Public, personally appeared C:-*; T KAAL SEA • UNDA HOFFMAN • Personally known to me. FTIVroved to me on the basis NOTARY PUBLIC -CALIFORNIA • of satisfactory evidence. ari ideal Olfflra In BUTTE Countyty • to be the person(s) whose names ) iy Coir. ilasior Exolraa JULY 19.fM • p ( ) +mss o-�. • + • • • • subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITH SS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 0( � -510 06 l Nota Public ^0 , lea S / A4.b. ,6. a /y). o1p' D. /3 V.2/• 3 /��'•(7'i Ile,C,�, f C gum, C auiotor r NOV 15 1991 COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. s 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 or 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 Contractors License No. 4. )1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. This set Of -P19= and NVOOMaations MW be' kept on the job at all times and it is unlawU to make 81W changes or altarations -on same without wnittsn. Permission from tba Departmedt cg Publto Works, COMW of Butte.. 3ati.�3� 9R !MOO ', le � C. 4L 4fP fo X aso' � 8 ft 6 of Swm the P#OPG'V u11ea er of so f, from ther�,�t ^p"¢ c j centers Obeid be clear of �� pment esoot -- - - e, R' ' NOAli Matsrsais b Worlaaanehi AccOrd8nc8 with Aero p 8ha11 Be in Sniaed Hood Preatices and Of a QueUty Prescribed for die SPeciged use in the Uniform Building, Pl ,bing & Mechanic Codesand the National Eleotrlbal Code. �\ APPROVED TTE �1JNTV Butte County n N �Environmental Heaith 11LDING DEPART ENS-�r,�1�-z�/ _____ Dat APP ,PO V . D /----_-- ��� .5NO Sign M V-� 9 unAnt a eg Id 44 IWAJ v, I l 7_ .0 k Retu n to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL 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 91-047771 to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 1:19pm 15 -Nov -91 f ' 1 1 1 d 91-47771 I I Rec Fee I STF I Cash I I I I I I XX 2 L 7.00 1.00 8.00 E o agricu tura operations inc u ing, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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 discomfort from normal, necessary farm operations. All fhat real :property.-' situate in the County of Butte, State of California, described as follows: Pax.c - L a /� . o-� .�hn,�,ri- rx- ,�-�` C��.,:.. O ��i.�..c.a� )'r) c� °� � � �-,Z'�.,-,.J of ,Zl,� �' �s.� � ,Q•ae�-.t� 33. 6��'tvx.�-c-10 d i hal.cdv , �Qx.$a- � 6'ayt' M.D. g. +M•1 6'� a Fib' 00. Coco a-S/o-0G .Z7- /ems ate` ✓ �-Q (O 6. .. 41 -, 1 �Jec.s�eJ% C, D Date: //-/S'-9/ State of County of PROPERTY OWNERS: r On this the 1,5 day of 19 before me, the SS. undersigned Notary Public, personally appeared 1�11ol su golse- aad Trrt/ cleie-sr * IRGA H�FFPAAN • Personally known to me. Roved to me on the basis • NOTARY PUBLIC -CALIFORNIA • of satisfactory evidence. • Prl;:clpal Mica In BUTTE County • My Commission, Expires JULY 19, 994 • to be the per sons) whose names ) • e ` • +� �+ �► • s • • . • subscribed to the within instrument and acknowledged that e executed the same for the purposes therein contained,. IN WITH SS WHEREOF, I hereunto set my hand and official seal. r Present A.P. No • a(-.:�-(i Nota ublic I i I N 4 - I a I h 91 -4777! 2.1 C�-�- Val. 3 J END OF DOCUMENT GREAT WESTERN To: From: Subject: 1002 (R10/8714 Date: Location: Phone: Memorandum