Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
062-730-025
ichors Ortega �ja ��%�� W/SRoockerfeller Rd., app.250 S.of aId Rock Rd., Berry Creek Permit #5557-79P,E(util. MH)A0361 ELEC._Jp",ZS-'7g 2ad.4& e /S,41"P "T"'T GAS /d- i5 i9 21� SUPPORT STRUTURE REQ. -7,1,0 COMPACTION TEST REQ. 17 a Contr: Mobile Home Service, Chico ermit #6389-79MHI ss ed Permit ��5 (pri. garage & cov deck) o(0a- 73W ! _62 29 Pe ��988-86E(ele/garage) y a9 8� 062-73-0-025 ' #98-2247 KALSTEDT, VERNON 8 ROCKERFELLER RD. B RY CREEK SIERRA MOBILE 1 %/7et EXISTING MH PERM FND /U V�� gal 71 r mem 062-73-0-025 #98-2247 ' KALSTEDT, VERNON RESIDENTIAL 8 ROCKERFELLER RD. BERRY CREEK r SIERRA MOBILE EXISTING MH PERM FND PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL — LOCATION THE HHCD FORM 433A FOR THIS MH CANNOT�� BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED INTO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH -S) 'INSPECTOR TO VERIFY SERIAL & LABEL #'S 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 FINALED (Date) 1 i Signature V=OK O = Not OK `=Not t Applicable NoReadyMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location-Test-Fall-CiO-Concrete 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; / 112ft. / /Nat. or/ /'L`ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Fnng.; 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 Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footi s: SineSpacng-Marriage Line POOLS (Plans) OK except #'s L3-111as; MH Test- <Connect 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/O 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/5 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Spn'of Occupancy 9. Health Department Approval errnanent Foundation Only: L Decal 10. Plumb.; Cir. Test -Water Supply Test Date Date Card B-1 Date Card B-1 Card B-1 Date Cana B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 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. Fnng.; 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-GFI I 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N FW. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ %' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-BlockoutsaNrapped RESIDENTIAL (S.ingle & Duplex) Date 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 47. 8. Piers -Fireplace Ftg.-Steel 48, 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 49. 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 56. Siding -Nailing Veneer Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date 59. 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 Date 21. Test Tub & Shower, Second Floor -Tub Access Card B-1 Date Card B-1 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 23. Fixture & Transformer Clearance -Ins. Protection Bedroom Exiting 24. Elec. Receptacles Spacing -Lights & Switches at Doors G.F.I. & Bath Fixtures & Tub Access -Spa 25. Size ftes & No. of Conductors Stapled Elec. Trim & Subpanel, Breaker Sizes & Labels 26. Romex 1 stalled Close to Edge of Studs & C.J. Stairs & Rails 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Fireplace or Stove, Clearance -Hearth 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Elec. Outlets at Wood Panel, Int. & Ext. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No Elec. Outlets & Recepticales at Kit. Counter 31. Service -Riser Conductors & Ground -Main Disconect Garage Fire Door; Swing -Landing -Closure 32. Equip. Clearances Panels-Motors-Mech. Epuip. A.C. Duct in Garage -Damper 33. Clothes Closet Light -Shower Light -Spa Light Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 34. Smoke Detector 77. Plb., Elec. & Mech. Equip. Listed for Location Date Elec. Receptacles in Garage (G.F.I.)-Romex Protection Card B-1 Date Card B-1 Date Insulation -Foam -Looked in Attic Card B-1 Date Card B-1 Date Guard rails & Deck Construction -Post Caps MECHANICAL (Permit) OK except #'s 81. 35. A.C. Ducts Insulation & Support 82. 36. Vent Fan, Exhaust above insulation 83. 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date Ventilation Throught House Card B-1 Date Card B-1 Date Glass Protection Card B-1 Date Card B-1 Date Corrections from Previous Inspections FRAMING (Plans) OK except #'s 91. 40. Sits Proper Materials & Anchors 92. 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 93. 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: TrussShting.-Rfng. 48, Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-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-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-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 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 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 i CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. P i' jR. eC . 6 • V !4 y.. y, S; Date Inspector REV 10/6 G` L..� li a /rte F -O z P i' jR. eC . 6 • V !4 y.. y, S; Date Inspector REV 10/6 G` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r . 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541ERMI No. (Rev. 12/96) APPLICATION AND PERMIT C1,3 -,9 ASSESSOR PARCEL NUMBER 062-73-0-025 ZONING 1 11 BUILDING PERMIT i1 OWNER VERNON AND E- KATSTEDT TELEPHONE-- SO. FT. OCC. BUILDING IYALUATION 1440 R 77,760 . OWNERS MAILING ADDRESS A ROCYFREET-LER ROAD, BERRY CREEK CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BuILOIADTTKERFELLER ROAD, BERRY CREEK Energy Pian Checking Fee $ $ PERMIT FEE $ 13-25 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 00 Each as water heater or vent . 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: EXISTING MH PERM FDN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 L5.00 Mobile Home IS I GI W @20.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Fee 20.00 RLEFiling "OOVMain Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is full force and effect. License Class lJ Lic. No. '4 7 � OWNER -BUILDER DECLARATION 1 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO +000A 46.00NEW CONST. DW EUING OCC OR ADONS. ( 8 ACC. BLDS.UP. SO 3.50FT, rN10O�}gaipT MULTI -OUTLET 97,50 EL APPARATUS 6 SINGLE OUTLET CR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 sAL p .50 Ex. Occup. Dun.,%,RR.,6.0Ea 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 pe ormance of the work for which this permit is issued. ❑ 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 j°7.,15c 7-4 Policy Number qc —y:z (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date ` Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA4J D. FEES IM FLOOD I COF PAR Po 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 CD ale Receipt No. 250670/$63. 00 Df� WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLD-APPLICA COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.t2/96) APPLICATION AND PERMIT '7 � Li- voX� `"-- BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION or7 No Own 000 TL'1�FgN! COMPACTORI & A JN0 ADOREU CONSTRLKi m ume1 LEMOM "UW AOOREsa Fre Ince Total Valuatlon S ARCNrtECT OR EwmNEEIR LICENSE NO. Flin Fee $ 20.00 ARCHffWr OR EN M'ER9 UMM AVON= Permit Fee $ S Plan CheckingFee $ 3 �� Energy Plan Checking Fee $ S PERMIT FEE _ LaTNo. susow"C mm MAClL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF O Duplex O Mobilehome A Other Water piping 15.00 S aP�r Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New O Addition 0 Remodel O Utilities O hdaiistion O Other � Building cower 15.00 Describe Work: Mobile Home I S I G I W 020.00 PERMIT FEE ELECTRICAL PERMIT FM "Fee 20.00 Main Service uaA o0a L 23.00 Main Service 2"A TO 10mA 46.00 • NEW CONST. DW81lA7 OCCLN 80. OR ADONS. i ACC. BLDS. 3.5CFT. NEW CONST. UTLET NOWRESID. RANCH SCLX @7.50 POWER APPARATUe A MOLE OUTLET MR. EX. Occup. OUTLET OR FDCnOM 2001.00 SAL .50 EX. OCCU R70:DAPPIAG . EA 5.00 OUT1tT8tR,,6OR Temporary Service 23.00 Mobile Home Facilities 20.00 Hsc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ NAZ 1 0. FEES WP I P.000 I COF PARCEL PD ND 6S UE 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. _ .. /f . By Date _--� Receipt No. WHITE-O.D.S CdVNTY.OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE. - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC ER: Proposed BO' ding Use: Building Inspector: Date:010 At time of permit application, I was adviseW the following data must be submitted prior to permii prod ssing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9 Manufactured Home data and installation instructions including Tie Down Specifications .------------------ Q10. Fees of $ Soo • %— ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 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. ---------------------- 1117. --------------------- ❑17. Planning approval for (A) Use: (B) Parking: -• ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 1320. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑ 24. Letter of signature authorization. -------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------- 026. Letter of intent on building use. ------- ❑ 27. Manufactured Home utility clearance. ❑ ' x'sting violations and/or expired per A, ❑Grant Deed, ❑ M.H. Titl 0. Other: to H.C.D you issu ©� �'t pro�sas follows El Mail to ownerDMail�actor. Telephone 4 ��� and hold for pickup at offic. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: 1. Index pen -nit application for the above items numbered: 2. Additional items required: Z/f IV ' Date.. Date: By:. (Date) MS11 i , �07 74 S ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, 0 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 Divisi unter, by Date: Plans reviewed by: Date: Plans approved by: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 10/12/98 09:01 E 916 5335278 WEDIN K P.01 \q $ . RECEIVED OCT 12 1998 BUTTE COUNTY BUILDING DIVISION ,-.Do 211 This Set of plane and speaMoations ffiM be kept on tha job at all times and it is unlaw-,W .to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. �z -130 Vzs M M Xhi,1-5 If OT g Ro�Kf-iZ F6LkC- V? RD �ca�tr crtEtK CA aye 1-4 � b� 1- P°ap�,a H \ ro� MOBILEHOME SUPPORT DATA ' r If other than single wide, Mobilehome Mfr.��,c, ,.►.i n i n a furnish. Setup Model No. Year /Q Width_(ft.) Box Length ong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) " On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets",,( if _n6t -.on file ' W"'iththe-County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Center support locations* Single .. r NN in. Center support footing sizes (in.) (in.) (in.) (f t.) (in.) (in.) Footings (check one) L/ I• Wood either pressure treated c foundation grade. 2. Other (specify) Supports (check one) Concreteblock.' 2: Other (specify) Tagalong or Expando,' show support''details. _jL2Lx O -- Typical Support (in.) (in.) Footing Size y0 aux o (ft.) in.) (in.) (in.) �_ �� -- Max. Pier Spacing (ft.)(in.) -� xEE a -- Max. overhang (ft:)l(in.) (in.) (in.) (ft -)(in.) 1j C0��i BUTTE COU NT1 BUTTE _.PtB MF_t C BUILDING DEPARTME01 p APPROVED *If center piers are other than drawn above, (/ draw in --locations, spacine. and dimensions_ It � RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 15 -Oct -1998 1998-0044867 Has not been compared with original Butte COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency.has issued 4 certificate of occupancy for installation of the unit described he eon,. upon the real property described with certainty below, as of the date of recording. When recorded, this document 'be be - "' - *' d by the * county recorder to the named owner of the real property and shall be deemed to give constrictive notice as to its contents to all persons thereafter dealing with the real property. VERNON H. & ELTONA L. KARLSTEDT BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER(LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 8 ROCKERFELLER ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS BERRY CREEK, BUTTE, CA 95916 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE SAME TIP CITY COUNTY STATE TIP . !A-2247 (530)538-.7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT NO. TELEPHONE NUMBER 10/15/98CITY ;. OUNTY STATE NICHOLAS Lc& ZOE I. ORTEGA ZIP "SLE AGENCYOFFTCIAL DATE UNIT OWNER (dalso property ownq write'SAME7 DEALER NAME (dnot a dealer sale, write 'NONE*) 20 DEERWOOD DRIVE MAILING ADDRESS DEALER LICENSE NO. OROVILLE, BUTTE, CA 95966 UNIT DESCRIPTION m CHAMPION 1973 MANUFACTURERS NAME S 1532AB DATE OF MANUFACTURE MODEL NAME/NUMBER 60'X 24' MH98455/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #062-730-025 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Appfiant GOLDENROD - &aldiq Dept BUILDING PERMIT NUMBER: 98-2247 Address or location of unit: 8 ROCKERFELLER RD., BERRY CREEK, CA 95916 Legal Description of Real Property: A.P. #062-730-025 SEE ATTACHED (x) Mobilehome/Manufactured Home O 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: NICHOLAS L. & ZOE I. ORTEGA Owner's address: 20 DEERWOOD DRIVE, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: MH98455/6 SERIAL NUMBER OR V.LN.: 1532A/B MANUFACTURER'S NAME: CHAMPION YEAR: 1973 OFFICIAL APPROVING INSTALLATION: DATE: 10/15/98 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. #062-730-025 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: PARCEL 4 AS SHOWN ON THAT CERTAIN PARCEL MAP FILED IN THE OFFICE OF THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 4, 1983 IN BOOK 93 OF MAPS, AT PAGE 81. RESERVING THEREFROM A 60 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND . PUBLIC UTILITIES AS SHOWN ON SAID MAP REFERRED TO HEREIN. SAID EASEMENT TO BE FOR THE BENEFIT OF AND APPURTENANT TOT HE REMAINING LAND OF THE GRANTOR HEREIN AND SHALL INURE TO THE BENEFIT OF,,'ND MAY BE USED BY ALL PERSONS WHO MAY HEREAFTER BECOME THE OWNERS OF ANY PARTS OR PORTIONS OF SAID APPURTENANT LAND. PARCEL B: A 60 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES OVER THA SOUTHERLY 60 FEET OF PARCEL 1, 2 AND 3 AND THE WESTERLY 60 FEET OF PARCEL 1, AS SHOWN ON PARCEL MAP RECORDED IN BOOK 93 OF MAPS, 81. AT PAGE PARCEL C: AN EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER THE WESTERLY 60 FEET OF THE FOLLOWING DESCRIBED PARCEL: COMMENCING AT THE NORTHWEST CORNER OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGES EAST, M.D.B. & M.; THENCE SOUTH 00 DEG 35'10" WEST, A DISTANCE OF 29.47 FEET ALONG THE WEST LINE OF THE SOUTHEAST QUARTER OF THE SOUTHEASE QUARTER OF SAID SECTION 35 TO A POINT ON THE CENTERLINE OF CANYON CREEK RAOD, ALSO KNOWN AS ROCKEFELLER ROAD; THENCE LEAVING THE WEST LINE OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SAID SECTION 3 5, AND RUNNING ALONG THE CENTERLINE OF SAID CANYON CREEK ROAD NORTH 71 DEG. 0605" WEST 52.99 FEET AND NORTH 53 DEG. 19'05" WEST, 143.94 FEET; THENCE NORTH 28 DEG. 15'05" WEST, 158.33 FEET; THENCE NORTH 1 DEG. 15'50" WEST, 200.00 FEET TO THE MOST NORTHERLY CORNER OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN DEED TO JACK HAUSER, ETUX, RECORDED JUNE 9, 1970 IN BOOK 1617 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 366; SAID POINT BEING THE TRUE POINT OF BEGINNING, CONTINUING NORTHERLY ALONG THE CENTERLINE OF SAID CANYON CREEK ROAD AND ITS NORTHERLY EXTENSION TO THE NORTERLY BOUNDARY LINE OF SAID PAGE 2 LEGAL DESCRIPTION AP #062-730-025 BALD ROCK ROAD; THENCE WESTERLY ALONG THE NORTHERLY BOUNDARY LINE OF SAID BALD ROCK ROAD TO THE WEST LINE OF THE SOUTHEAST QUARTER OF SAID SECTION 35; THENCE ALONG SAID WEST LINE SOUTH 0 DEG. 41' 10" WEST TO A POINT WHICH BEARS SOUTH 89 DEG. 15'24" WEST FROM THE TRU POINT OT BEGINNING; THENCE NORTH 89 DEG. 15'24" EAST, 1055.80 FEET, MORE OR LESS TO THE TRUE POINT OF BEGINNING. • c .c: v� "Ll Ao.&I rAA 44v 444 4101 t3t.N [a 001 STATE OF CALIFORNIA - DtPARTMENT OF HOUSING AND CUMMUNITY DEVELOPMENT REGISTRATION CARO Manufactured Itome Dcc21 No: AAT4120 Manufacturer 1o►wme Trade Name Model DOM OFS RY Exp. Dale CHAMPION CHAMPION IQQ=rn 0/2673 1977 Mar 31. 19" Serial Numbw Labetllt►slgnla Number weight LengUl VYldth SPC SCC Exempt Use Type 1532A MH98455 60' 12' ACX 04 SFO ILT 1528 MHB9456 60" Issued Total fees paid Mar 6. 1990 06.00 Addressee VERNON H KARLSTEDT 8 ROCKERFELLE:R RD BERRY CREEK, CA 95916-9724 Registered Owner(s) VERNON H KARLSTEDT L ELTONA JTRS 8 ROCKERFELLER RD BERRY CREEK. -CA 95916-9724 n Situs Address SNOW LINE RD BERRY CREEK, CA 95916-9750 Legal Owner(s) NICHOLAS L ORTEGA ZOE I ORTEGA JTRS 20 DEERWOOD DR OROVILLE, CA 95965 Lien Perfected On: 05/09/86 08:53:00 a r. wt RtwAAt wwww�wwwtNtwwNtNwf AttttAA+tt wAHt�Nf'wtttwAww ATTENTION OWNER: THIS IS THE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE PLACE WITHIN THE UNIT. INSTRUCTIONS FOR RENEWAL: REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE WDICATED ABOVE IN THE BOX LABELED "Exp. Date". THERE ARE SUBSTANTIAL PENALTIES FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS. •ttt�ttttt A•tttAAt�tttA►tttAA�tttAAttttAAttttwAttttitAtt IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY RE CONFIRMED THROUGH THE DEPARTMENT. RECORDING REOUES•i EO BY 86- 12902 RECORDED IN OFFICIAL OS ' ORC11iLLF TITLE COMPANY OFDUTTECOUNTYCAUh AT THE REOUEST OF OROVILLE TITLE CO. AND WHEN RECOROFD MAIL TO 1986APR 24 AN 9r. 95 ' Mr. and Mrs. Vernon Karlstedt ELEANC:; M. BECKER Name CLERK -RECORDER FEE sir«t Star Route IIox 75N Oddr.r. 3erry Creek, Ca. 95916 j cur e, L J 1 state i MAIL TAX STATEMENTS TO Nam* Str«t same as above Add,., City e Stat. L s6-12902 } Peggy i ' 1. J I •■ L NORIAOYLE ■ NOTARY PUBLIC -CALIFORNIA ■ SPACE ABOVE THIS LINE FOR REC09DER'S USE caw Oawr . ` CAT. NO. NN00002 Individual Grant Deed .......................... .. 701920CA(2—t101 APN 062-23-0-135-0. TNI11 FOAM ru11N11N[Q .IV Tice" TI! INGURCRe - i ltV i °! Irl i i The undersigned grantor(s) declare(s):J�x Documentary transfer tax is S 4 7.30V" r. y,1 4 C(X) computed on full value of property conveyed, or T,w'ND r ( ) computed on full value less value of liens and encumbrances remaining at time of sale. 00C Unincorporated area: ( ) city of ,and , < ^ :i=�; ' •:, FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, -`,�., ;=��''�'�'��•` '. Nicholas L. Ortega and , Zoe I . Ortega husband and wife _ },.. .:..•: �:.s�:l-y� hereby GRANT(S) to VERNON H. KARLSTEDT and ELTONA L. KARLSTEDT '. ,,'.;;+ ;_,.,,. a`; husband and wife as joint tenants •• the following described real property in the unincorporated area County of Butte , State of California: .. See Exhibit A attached hereto and made a part hereof. i'. 1 Dated: __March 18. 1986 icholas STATE OF CALIFORNIA l COUNTY OF Butte J ss Zoe I. Ortega On April 15, 1986 before me, the undersigned, a Notary Public in and for said State, persontl:v appeared Nicholas L. Ortega and zoe 1. Ortega personally known to me or proved to me on the basis of sat- isfactory evidence to be the person ,_whose names are subscribed to the within instrument and acknowledged i that they executed the same. WITN@SS my hand and official seal. i Signature i s •■ L NORIAOYLE ■ NOTARY PUBLIC -CALIFORNIA ■ ■ caw Oawr . NYCenrNrbn ERI)W OM S.11M .......................... (This ores for ofncld nororl8 sedl ritle Ordcr Nn. Escrow or Loan No. MAIL TAX STATEMENTS AS DIRECTED ABOVE P. " ,r4Ze.HRMT A , 86 12902 .--- All that certain real property situate in the County of Butte, State of California, described-*as.follows: PARCEL A: Parcel 4 as shown on that -certain Parcel Map filed in the Office Of the Recorder, -County of Butte) State of California, on November 4, 1983 in Book.93 of Maps, at page 81. RESERVING THEREFROM a 60 foot non-exclusive easement for road and public utilities as shown on said map referred to herein. Said easement to be for the benefit of and appurtenant to the remaining land of the Grantor herein and shall inure to-the.benefit of and may be used by all persons who may hereafter become the owners of any parts or portions of said appurtenant land. PARCEL B: A 60 foot non-exclusive easement for road and public utilities over the Southerly 60 feet of Parcels 1, 2 and 3 and the Westerly 60 feet of Parcel 1, as shown on Parcel Map recorded in Book 93 of Maps, at page 81. PARCEL :C: An easement for road and public utilities. purposes over the Westerly 60 feet of the following described parcel:, COMMENCING at the Northwest corner of the Southeast quarter of the Southeast quarter of Section 35, Township 21 North, Range 5 East, M.D.B., M.; thence South 00* 35' 10" West, a distance of 29.47 feet along the West line of the Southeast Quarter of the Southeast Quarter of said. Section 35 to a point on the centerline of Canyon Creek Road, also known as lockefeller Road; thence leaving the West line of the Southeast quarter of'of the Southeast quarter of said Section 35, and running along the centerline Of said Canyon'Creek Road North 11006'05 West 52.99 feet and North 530 191 05" West, 143.Q4 feet; 'thence North 28; V 151 05" West, 158.33 feet; th6nce North 10 15150" West, 200.00 feet t t most Northerly -corner of that certain parcel of land described in Deed to Tack Hauser, et ux, recorded June 9, 1970 in Book 1617 of Butte County Official Records, at page 366; said point being the True* Point of Beginning for the parcel of land herein described; thence from said Ttue Point of Beginning, continuing Northerly along the centerline of said Canyon Creek Road and its Northerly extension to the Northerly boundary line of said Bald Rock Road; thence Westerly along the Northerly boundary line of said Bald Rock Roau to the West line of the Southeast quarter of said Section 35; thence along said West line South 0* 41' 10" West to a point whic.h bears South 890 151 24" West from the True Point of Beginning; thence North 890 151 24" East, 1055.80 feet, more or leas to the True Point of Beginning. END OF DOCUMENT a _ - 5557-79P,E PERMIT NO. - PERMIT EXPIRES /�✓/� U -OWNER Nirholas Ortega owner CONTR. LOCATION (A.P. 62-23-93 W/S Rockerfeller Rd., app.250'S.of Bald Pak Rd., Berry Creek . r 3 A Temp. Power Pole Called PG&E Temp. Elec. f �-7 —7P Called PG&E' TemfGas Serv. d W"kl Called PG&E /JOB ALED 2-, r �� (Date) o ,09 (Sig ture) COUNTY OF BUTTE — DEPARTMENTOFPUBLIC WORKS 131.1I6D'ING INSPECTION RECORD \ BUILDING , / I \ BUILDING (Cont'd) / 1, PLUMBING - aetqaCK Fittewall So Piping For4 Par ets is loor Mal Bldg. Rest om Finish 2nd oor F&,ti Windo 3rd Flo>r StemwaII Siding To out Slab Roof Shelakliting Water Pf in Piers Roofing f Sewer Garage Fdn. Vents % Flxtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. forphysic Ily / handicaped Conformance of ex r structure Appliances Gas Piping &Test Temp. Gas Slab Final A Sanitation Patio , IR PLACE Final Footings Footing tLECTRI L Masonry Walls Throat N Rough I Reinf. Stee Final Flxtures 7 mesni MECHANICAL Grd. Fa4lt Prot. Scralch Heatl Servl B wn CoolAg T9160. Pole nish Du s nder round I erior Lath V ntilation ennanent oor Closer anal anal TIE-----------------Elec. Service Elec. Pedestal 44 Water Piping 2i1 Sewer Gas Piping 6� 1 E INSTALL TI N - - - - - - - - - - - - - - Support ] 2/ Elec. Continuity Water Piping Drainage -L, 2- Gas Piping DATE REMARKS OR CORRECTIONS J12,D,f�-� r y 2 24 -7 9 (NOTE: Anen must ba made on this f6rmeach ti t th jo site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico —r, Phone 343-4211, Ext. 70 7 County Center Drive, Orov Ile — Phone 534-4541 Skyway and Elliott Road, Parsdise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, phase contact this office immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number/ z,. `' -"'• for the following location: '� J - •• y Owner i ♦tet •%� -f. _ /� t, .�^ Owner's Address's �� **-'� '-� 3 • �-+ Mobilehome Mfg. �• +.- / - Model Year Insignia No. �� Serial No. 10, a �� It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date / By .1 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White -Owner, Yellow - Installer, Pink - D.P.W. i MOBILE°HOME ZSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit equired separation from 'lot lines and buildings and generally conform to plot plan? Yes_ No_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yeso . 3. Are footings and 'supports properly sized, spaced, and braced as per —proved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes o 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more t�n a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 6. Water A. Is flex i�e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes r/No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes �O IleBackflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesP No B. Does it have minimum 4" per foot slope and is it properly supported? Yes VINO . C. Are any leaks detected in drainage system after running 3- 'llons of water through each fixture including washing machine standpipe? Yes_ No If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobileKome gas line inlet without reductions other than'the mobilehome connector. Yes_ No B. Test OK as per following procedure? Yes No_ 1. Open all -appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air 'test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_IZo_ 9. Electrical ti A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of//"10 aamp) and other facblities% on lot, i.e., water pumps, garage, cabana, etc.? Yes G/No_ B. Is there proper clearances around panels? Yes 4-1 o_ C. Is power supply cord or feeder assembly properly fused? Yes N<r__ D. Is continuity test satisfactory as per the following procedure? Yes 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length (0.6 Width Vehicle Serial No. State Identification No.�-f Additional Information or Comments: COUNTY OF BUTTE 1 DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 0 APPLICATION AND PERMIT d / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X OJ&Date Oso Signatu o Permitee or Agent Receipt No._�/ W ! U White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r hich fees have been paid. D EC F 14WC WOR/KS 13ate�D�l��< Building permit expires Date �" ` BUI DING Owner IC-- Q9Tz—.A- SQ. FT. OCC. BUILDING VALUATION Mailing Address3 _ Tel ep,�IsnPD/ Contractor e,_ S �Q Mailing Address ff Fireplace Total Valuation t� Tel phone No. Z—"2$2 - Permit Fee Building Address ��) Plan Checking Fee&/or Penalty Permit Fee e PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 /` `%e.0, Repair drainage or vent piping 1.50 A. P. No. &Z- 23—/ Zoning�Planning Water piping 1.50 Each gas water heater or vent 1.50 /� Flees �/� w"C. !tpoka4en Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map _ 60' R/W I Im ovements additional outlet .30 Building sewer 5.00 Bldg. Plans Parcel royal Ions Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBL GS.CCUP. !) 2¢sgft LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex. 4E�X// Ce- �(� , NEW NON-RESIESID. MULTI -OUTLET CONSTCONTRACTORS ( BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS B NON -RESID• SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTIIRES B L ,� OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.3sS , iS _ Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Aj� I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that l have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X OJ&Date Oso Signatu o Permitee or Agent Receipt No._�/ W ! U White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r hich fees have been paid. D EC F 14WC WOR/KS 13ate�D�l��< Building permit expires Date �" ` MOB ILEHOME SUPPORT DATA Ft If other than single wide, Mobil ehome Mfr._ furnish Setup Model No. Year Width,�2 (ft.) Box Length(ft ) ':Tagalong or Expando Size ft. x 'ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets,'(if not,on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single D/1 Wood either AA- pressure treated or foundation grade., (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) FI6 '•: Concrete block. 2: Other (specify) (ft.)(in.) (in.) (in.) n . (ft.)(in.) (in;) (in.) -0 O (in.).(in.) x d (in.) (in..) (in.) 4 --Tagalong or Expando,' show support details. -1 x0 -- Typical Support n. (in.) Footing Size sr — "► -- Max. Pier Spacing (ft.)(in.) . 1� D1 -- Max. Overhang a �- (ft.)(in.) BUTTE COUNT1 BUILDING DEPARTMEN1 APPROVED ,*If center piers are.other than drawn above, draw in -locations, spacing, and dimensions. %a- 'BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroyille, CA PHONE: 534-4541 MOBTLEHOME INSTALLATION SHEET 1. Owner's name: N i c 1( L Q r -� tg 2.. Installer's name:��;\P 3. Is.the site currently under permit? Yes No (If yes, furnish permit number - r` ) OR Is the site an existing site? Yes No / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least.5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /' / No (If no, clarify 5. What is the mobilehome electrical rating? -------------------- Amps 6. .What is the mobilehome site service rating? ---------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Q Q Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- No / / (If yes, identify the load and size v (Load) Q (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural// / LPG / y/ 11. What is the gas pipe length from meter or tank to the mobilehome? U �(ft�.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) COUNTY OF BUTTE ^ = DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive — Oroville, California 95965 ' Telephone: 534-4541 APPLICATION AND PEhMIT Owner Mailing Address Telephone No., _ BUILDING SQ. FT. i OCC. I BUILDING VALU �T l (%� /L� Mai I i ng Addres Fireplace Total Valuation Telephone No. Permit Fee Building Address ` Plan Checking Fee &/orPenalty Permit Fee PLUMBING No. @ FEE i PERMIT FILING FEE $3.00 �0 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Plann Water piping 1.50 Each gas water heater or vent 1.50 F n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ,0 Bldg. PI ec'd royal PI pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service io00o AMP ORV OR SLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 r Main service OVER 100 AMPso0v OR LESS 25,00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ! DWELLING OCCUP. 51 20sgft OR ADDNS. 1 ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. [MULTI -OUTLET % BRANCH CIRCUITS )l 2.50ea ..NON.RESID NEW CONSTR. (POWER APPARATUS 9 NON.RESID. SINGLE OUTLET CIR. Ex. OccuD{OUTLETS OR FIXTIIRES) lot Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification L am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ab - ent' ed propert4orAgent ection purposes. X � Date `� �� SI nature of Permi Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee r $ " MECHANICAL No. @ FEE PERMIT FILING FEE $300 Heatina Cooling Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ 5 TOTAL PERMIT FEE $ 'Y- `Y, This permit is hereby issued under the applicable provisions of the Bu ounty Code and/or resolutions to do work indicated abov o hich fees have been paid. R OF PU IC WORKS Date :/ Z Building permit expires Date l0 �-1 Z L PERMIT NO. 542-86B PERMIT EXPIRES OWNER NICHOLAS ORTEGA CONTR, OWNER ASSESSOR PARCEL 62-23-135 LOCATION W/S Rockerfeller Rd., app 250' S Bald Rock Rd., Berry Creek p <� r. �7 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service I / Cal led PG&E i JOB FINALE( Signature J = OK 0 = Not OK - = Not,Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS ' M' Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's _ 1. Zoning Requirements_Setbacks-Easemenis 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4• Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date' Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater' 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane Iboards-Ins. to Main in Conduit . 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval Card -BI 10. Plumb; Cir. Test -Water Supply Test Date Card -BI Date Card B-1 Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK O = Not-` Not Applicable Not Ready RESIDENTIAL (Single and Duplex) - � = Date UNDERF OR Plans OK except N's Date fTAfj6l4G (Continued) L. -Toning requirements -Setbacks -Easements 4 Pr ert Line Firewall & Openings 2 teel-Elec. Grnd.- / /" Ftg. Depth x oors-One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 5d< -Iia i rs idth-Headroom-Rise-Run- Land ing- Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 yw on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52q_ -Ming -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underf[r. Access 7. Piers -Fireplace Ftg.-Steel 54. Nazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Sh ar Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI ate - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI C42 Date --/7 ,? Card -BI Date Date FIVA (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 5 Ext. Steps -Door & Sidelight Protection -Landings 577 Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; ove oor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection _'99. Bedroom�Extt���_. _ 17. Shower Pan; Test, First Floor -Tub Access _ G.F.I. & Bath Fixtures ,& Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access anel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 6 tairs & Rails t ce or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Datee6U�c Out7e-M & Receptacles at Kit. Counter Date ELEC [CAL Permit OK except p's Garage Fire Door; Swing -Landing -Closer . • is in Garage -Damper Fi a ansformer Clearance -Ins. Protection 69 Wtr. Htr-'_1Lents-Clearance-Comb. Air-Connector-P.R.V.- �- In r e; Above Floor-Mech. Protection 2 EI . ec tacles Spacing -Lights & Switches at Doors 2 Size xes & No. of Conductors -Stapled 70. 71 7 PI ., Elec. & Mech. Equip. Listed for Location lec. Receptacles in Garage; (G.F.I.)-Romex Protec. - oam-Looked in Attic ❑Yes -- - 2 2 o nstalled Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73 uard Rails & Deck Construction -Post Caps 25. 26. Appliance Circuits in Kitc n Conductor Size S_bfeed Wire Size /� a r AI-A.C. Wire Size / / ga. Cu or At 7 Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Ye -__ 27. 28. Ra ge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Ins lated_Neutral -,Yes DNo Sery ce-Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes No; Walks ❑ Yes No; Planters ❑Yes No tucco; Brown -Finish 29. Equi .Clearances: Panels-Motors-Mech. Equip. Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Cloth s Closet -Light -Shower Light - -4-Dale Card B �/✓/1y� Card -BI Date _ Card B -I Date I lll��� Card -BI Date n s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 80 I; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground n t a n throughout House Protection Date MECHA CAL (Perm' K except a's _ 8 orrections from Previous Inspections B --Meters Tagged; Gas -Electric er Sewer Connected -C/0 to Grade -HD Approval - _ Card -BI Card -BI 31. 32. 33. 34. 35. A.C. cts_I_ ulat on & Support _ Vent Fa xhaust bov�ion _ _ Condens Drain &Overflow; Size &Grade __ __ Furnac_-Ve l--Access-Comb. Air -Return Air Vent_ -_115V outlet Attic Access & Platform if Furnace in Attic - - Date Card -BI _ Date _ Date Card -BI Date 86. Energy Compliance Certificate -Other Certificates - Card -BI Date14 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA G lans) OK except Ws Comments at Final: 3_6. 37 41. 43 44. S' s; Proper Material & Anchors Walls: Stu ailing_, Spacing_ & Bracing -Plates -Sound ring Walls over Girders & F_loor Nailing -_ raft Sto IIs (rat proof) �""_'Stops: Furred Ceilings -Stairs -Chases -Tub ace r & Beam -S' &Bearing - ost Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. fireplace Ties or Type A Flue -Fireplace Throat ttic Ac Size -& Romex Protection -Draft Stop -Ins. Baffles rm. W' rfxiting Doors -Sill Hgl. &Dimensions --- - _ - - -arage Fire Protection Framing _ _ (NOTE: An entry must be made each time youvisil jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ii�L 196 Memorial Way, Chico — Phone: 891-2751 . 7 County Center Drive, O,oville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 — CORRECTION NOTICE MIT A routine inspeldtion 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 Tatter, for need additional explanation, pleasF)contact this office immediately. 'Inspector ',—Date. v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N6. 7 County Center Drive - Oroville, Califorpia 95965 - Telephone 916/534-454 _ APPLICATION ANO PERMIT ASStVSOB PARCEL NU B R — ZONI G BUILDING PERMIT OW i L H TEEPE SO. FT. OCC. BUILDING VALUATION O R'S ArLIP ADDRES 7p EEO CONT ACTOR' NAME ELEPHONE CONTR TO 5 MAILING ADDRESS Fireplace CONST CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI CT OR ENGINEER iA6 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITEC2 CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL DIN DR Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME'PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUR SF ❑ Duplex❑ Mobilehome❑ Other I 214 t Ca1' • SPECIFY 6fMobile Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Home S I G I W 10.00ea TYPE OF WORK New yJ Addition❑ Remodel❑ Utilit' sInstallation❑ Other Describe work:_ _At/r��J C _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BU$IneS$ and Professions Code and my license is in full force and effect. License No. Classification i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.a , h(Csgft New CONSTR.A ULTBI-OUTLET NON-RESID BRANCH CIRCITS 2.50 eaPOWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occu o 20®e0C Occup(OUTLETS OR FIXTURES eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 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. ❑ 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. EiC�' I shall not employ any person in any manner so as to become subject JX 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 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against a abi ' ies, judgments, Costs, and expenses which may in any way accrue ain sa'8 Co ty in c s qu ce of the granting of this permit. X Date ^��� Signature o pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for exC ions over 5'0" deep and demolition or construct- ion of structures over^3 stories in heig t. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Cotta P. coNeT.TYPE F o ARCEy r/ P ND $SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date_ -7, -- a� eceipt No. �_) NITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILI*"E;;C UIF,ORNIA 95965 - TELEPHONE: 916/534-4541 / , PERMIT APPLICATION DATA SHEET �"''�` V Permit No. OWNER ✓V ► del D C� ✓ �F A. . No. Proposed Building Use 0 �� - � � � C A, Permit Fee Based Upon: Complete Contract Price DPW Valuation Oth ( p n) Building Inspector Date 1 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED All items.have been submitted. . . . . . . . . plans in licate/ iplicate. •>sr • hF�,D �YatSGr►4 Completeplans in plicate triplicate. .y . 4. Complete engineered plans and calcs. . . . . . . . . A 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Jntent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authoriz 'on. . . . . . . . 44444 Sanitation approval from Health Dept. t11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . i 16. Mobilehome Installation Data. . . . . . . . . . "= 17. Pre -Inspection for Required- BuildingPre-Insp request to P 4 Building Inspector ate) 18. Recordejjdkc jmp, oyf. A racuN ( Acknowledgment Statement . 19. Other - When oft �,onstruction approval required prior to occupancy When you issue the permit, process as follows: —Mai JAo�owner. Mail to contractor. Telephone �q �3 � and hold for pickup at (,,IVO office. Deliver w/inspector. Other r_ r Applican Copy of plans sent Health Dept., Fire Dept., Other '" Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked abovee f a pI' ation, circle item.) 1. Index permit for above Items No. 2. Add't'onal it ms ryquired: n�►_ (Contractor, Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other: Copy—DPW Telephone /Mail Other Date Date -' Date -%�� i To: Building Department.,•► From: r!Invironmental'Health Subject: Sanitation Clearance f cgtcP* (0 -1 rn PC) p Owner Location APf{ Plan Approved for: Hold final for: Sewage disposal water supply water supply Final clearance O.K. for: water supply Clearance for bedroom mobile home. Other � MOTE r 111k 5/z LLa Sanitarian Date 1, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P IT NO. ASSE S R PARCEL N E — ZON BUILDING PERMIT 0 W I TEL P ONE SQ. FT. OCC. BUILDING VALUATION OWR'S^MAI LI ADORES Y CON ACTOR• NAME TELEPHONE CONTR CTOR•S MAILING ADDRESS Fireplace CONS UC��TIION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS I Permit Fee $ ARCH T CT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHIT CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN ADDRES It V Permit fee $ PLUMBING PERMIT Filing Fee 10.00 C Each Trap 2.00 _ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME Pr -RC EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other r,12 a Y-aq el S CI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home S G W In TYPE OF WORK Utilities ❑ Installation❑ Other New ❑ Addition ❑ emodeEr— Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. I DWELLING OR ADDNS. % ACC. BLDG y20sgit NEW CONSTR. ULTI.OUT E 2.50 ea NON-RESID BRANCH CIRCUITS) /POWER APPARATUS 6 -SINGLE OUTLET CIR. ) / oe Ex.Occu p(OUTLETS OR FIXTURES ezAL030soe FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 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. ❑ 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 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against al I bilities, judgments, costs, and xpenses which may in any way accrue ag d fou ty i onseque e h anting of this per ' . J X �'C7 Date Signature of Applicant — Owne,)i�r Cont star ❑ Agent ❑ An OSHA permit is required for excavations ver 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPC FLOOD PARCEL PD HD' ssuE This permit is hereby issued under sions of the Butte County Code and/or work indi ted above f r which DIRE F PU B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. 1 WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSES OR, PINK -INSPECTOR. GOLDENROD -APPLICANT 30tip l X _3 /� 5C 14 i Al XeZO N i m14 '2oo�itvS- 1961A 16C, 3203 U-4$.0 Dee iC /N 0o C1 }A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. �cnab��SL�.�re. R9 a7� This set of, plans and specifications MUST be kept on the job atiall times and it is,unlawful to make any changes or alterations on same without written permission from the De artme Wt f P.AJ mrks, County P n o re . my of •Butte. { Top rail to be 36 in..high with intermediate rails to be not over 9 in. apart. , t ty . gum COUNTY 5WLDING DEPARTMENT A -P P 2y r\ LO�0 1 R9 a7� This set of, plans and specifications MUST be kept on the job atiall times and it is,unlawful to make any changes or alterations on same without written permission from the De artme Wt f P.AJ mrks, County P n o re . my of •Butte. { Top rail to be 36 in..high with intermediate rails to be not over 9 in. apart. , t ty . gum COUNTY 5WLDING DEPARTMENT A -P P 2y C) kj , / C �} FORM 503-R REV. 4.1.55 C7 n e .• '\.• 01 Zi P . r- •^ INDUSTRIES 0. (P U+ INTER -OFFICE CORRESPONDENCE •� -..- .-�, moi' ', -�- -� Date , _ To * Branch Zo or Plant a -,' Subject: :�T a ...�,:# ... t:.. C) kj C7 n T -•�. 01 Zi P U+ - „ 2- N SIGNED kj C7 n T -•�. 01 Zi P c.: t'Y , _ Zo — — i SIGNED Tc kMobtl A --2-3 r' I t ' r--Y-I- 11 'r�-aos�<<L� fe e�--f S44:9 rc ,- I Show✓ �� dctieeslry use,Pn }he Cods and v P/Pao S,01, erg A `�Fmun�R • Lp7� �T,qZ� ba* it finch°r Q P Al X 1� and h�n o a O.C, Pi z �r CG2�� of F ✓ I i I _. rOUNTY euTr c 414 BUILDING DEPARTMEN . APPROVED FORM 503.R REV. 4-1-55 ''a7. 0 f, � -,C, 3 - INDUSMESij INTER -OFFICE CORRESPONDENCE Date To Branch 64. or Plant subj ect,7' 5 an SIGNED RECORDING REQUESTED BY 'UTfi--�61, BG�(P141,t;NTY=`,ii3f1,,17 AND WHEN RECORDED MAIL TO-:-- 9uTTf COUNTY TITLE W. NAME [_�r. & Mrs.. Nicholas' L. Ortega ADDRESS gu g 392 Rousseau Street uL� 23 1 ;5 Hll? Hayward, California 94544 i- - ;�•;, Y�_R awl CITY & C' -"I !YY 'E; t STATE I I 5 L J FEE Title Order No. Escrow No. zcol s MAIL TAX STATEMENTS TO NAME Address Above ADDRESS CITY & STATE L SPACE ABOVE THIS LINE FPR RE ORDER'S USE ... ," r� s., =x TAR z..�L1 ��:. •�(;CGi•.Si�U',13tiC�r:'Jt.t.��:.:.:;F:iF�n.iDCNI�(C�.�;YPI't,:�, .� COMPUTF0 Oii Fi:LL VAWS L[35 L.« ;$ is .9�4JA1ili lld`S E�fAINING Tr,(cRE0i1 AT TIhiE Oi• S:;LE - t4r� of deckatnat nt e�l dstera+tnlnA � • flna ••. 301bibual Taint Tenantp IeebTAX EA -10 WESTERN TITLE FORM NO. 105 FOR VALUE RECEIVED,I/i Larry R. Kosior and Becky Kosior, his wife.. GRANT to Nicholas L. Ortega and Zoe I. Ortega, his ;•rife, as JOINT TENANTS all that real property situate in the unincorporated County of Butte , State of California, described as follows: A portion of the Southeast quarter of Section 35, 'to;mship 21 North, Range 5 East, M.D.B. & H., more particularly described as follows: Commencing at the North�'�est corner of the Southeast quarter of the Southeast quar- ter of said Section 35; thence South 00°35'10" West. 29.47 feet along .the Fest line of the Southeast quarter cif the. Snrttheast nuarter of said Section 35 to a the centerline of Canyon Creek Road, also known as Rockefeller Road, thence leaving the [Jest line of the Southeast quarter of the Southeast auarter of said Section 35, and running along the centerline of said Canyon'Cr.eek Road, North 71.'06'05" idest, 52.99 feet and North 53'19'05 best, 143.94 feet; thence North 28'15'05" !-.!est,-158.33 feet; thence North 1'15'50" [lest, 200.0 feet to the most Northerly corner of that certain parcel of land described in the Deed to Jack Hansen, et ux, recorded June 9,.1970 in Book 1617 of Butte County Official Records, at page 366, said point being the true point of beginning for the Parcel of .land herein described; thence from said true point of beginning, along the Northwesterly line of said Hansen parcel,.. South 45'04'55" West, 412.75 feet and South 53'24'55" ;Jest, 428.01 feet to the most Westerly corner of said Hansen parcel; thence along the Southwesterly line of .said Hansen parcel, 40.0 feet to the Northerly line of that certain parcel of land., described in the Deed from Richard C. Olsen, et ux, to Jerry E. Dollard, et ux, dated July 1., 1971 and.recorded November 24, 1971 :in Book -1714 of Butte County Of- ficial Records, at page 692; thence along the North line of said Dollard parcel, South 89'15'241] [lest, 450.57 feet to the [dent line of the Southeast quarter of said Section 35; thence along. said West line, North 0'41'10" East, 570.84 feet to a point which bears South 89'15'24" West from the true point of beginning;thence North 89°15`24" East,' 1055.80 feet, more or 'Less, to the true point of beginning. EXCEPTING THEREFR()`.1, the South 30n.0 feel, OS reaSUre.d aion;; .the ;desL line thereof. TOGETHER WITH a right of way for road and Public utility purposes over a strip of land 30.0 feet 'in width, 1_ying North of and adjacent to the North line of the above described -parcel of land. a Notary Public, in and for said State, personally appeared_ Larry ?. Kosior & Reck-r Kosior known to me to be the persons whose name subscribed to the within instrument, and acknowledged to me that —he— executed the same. `• -►�� � l: ., ✓'r'T -•'� � ./iii` i --1 I Notary Public f FOR NOTARY SEAL OR STAMP L! "ill: •. 1 7; 7 MAIL TAX STATEMENTS AS DIRECTED ABOVE cru, r.r. nr'v I:,c.1rT -10 4 rn I I:= 0 0 This set of plans and specifications MUST bE . kept on the job at all times and it is unlawful to �male ziny ch6inges or alterations on same wii•hou{ written permission from the Department of Pub (C'{OC �} s �,'4'7Z off_ lic Works, County of Butte, t=,..., i�12I I - ���x �_U;h cies• _.1 (+,� . _... NOTE•—All Materials & Wo_rkrrianship Shall Be in Accordance with Recognized Good Practices. and. of a..quality �rescribed for the Specified use in the -- Uniform Building, PTum6ing '--&:Me-c' hanical Codes and . e /i the National Electrical Code. All utility connaction s II beSetback shall be 5 ft. from the locatod wiih•in 4 ft. outside h, rear �\ The ert lne--.and 50 ft. from the Chir- sect,oni o•f tho m bil ;{iorne .-_—_. ------ side p'op Y--i an the left (road) side o the ,4�,obile i ctnteriine of the road, permitting a maxi- + �- - --- mum -of a 2 -ft. eave overhang but entirely home. �o A 'Pei hlii out of all oasomonts... . �---._ _ � . .. a ``.cam �` till t•---µ=�y.be ------ - -- _........----.-....; 'On of th equired f Orthe 1 _ .4eAc Septic systema location • to be as per Butte .County.. quirements. , + i ' I r ' {I BUTTE COUNTY i - 111 nital(` ncDeDTMCKu'i.