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064-330-050
I 064 3-3=:0-050 91:-39517" S.O I 'TO,,'ROBERT CONTR : EXECUTIVE 'HOMES k 14296 SKYWAY, '-MAGAL I A; ��M"fit.• �P_��t,_ ,coN,�� ®��a �. ` `064=33 0-050 -----93-1-193- B, E SOITO, BOB 14296ISKYti4AY;. MAGALIA�-:,- «}` 'CONTR: AROBBIE GORPIIAN =-= GARAGE. S 064-330-=050 .'PERiMIT#95 21.72 SOTTO',bob 14296 Skyway.; Magalia `Cont;' RichardNixon 7 Qpen Decks,/MH l --IV RESIDENTIAL 064-330-050 PERMIT#95-2172 SGITO, bob 14296 Skyway, Magalia Cont"; Richard Nixon Open,Decks/MH 71 M. JOB FINALED (Date) Signature J=OK O = Not OK =N tReadYabfe MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s t 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" ft. / P'Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 ,Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line , 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DE KS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s ning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. 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 C 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, 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 -Panel boards -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 r J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except it's ' 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -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 DateCard B-1 --------------------- ------------------------- -------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection - - --------------- 23. - ------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. -------------- Equip. Ground made up w/Meth. Fastners-Bond Gas & Water - - - ------------------------------ _ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -------------------------------------------------------- 28. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------- - - ------ 30. Service -Riser Conductors & Ground -Main Disconnect. ------- ---------------------------------------------- --- 31-.-Equi-p. Clearances Panels-Motors-Mech. 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 h's 34.-A.C.-Ducts Insulation & Support 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 & Platform 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 h'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 jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions __50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story. 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------- 54.--- plywood on Roof Overhang -Attic Vents -Rafter Outriggers -- --- _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 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-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ---------- -------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa ----------------------------- --- -__ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ---------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. - ----- -- -- ------------------ ------ ---------- - 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------------------------- 71. Elec. Outlets & Receptacles at Kit. Counter -------------- ------------------------ --- 72. Garage Fire Door; Swing -Landing -Closer --------------------------------- --- 73. A.C. Duct in Garage -Damper ---------------------------------------- - --- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------- ------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------- -------------- ------------------ 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck -Const ruct ion -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth --------------- Clearance Looked under Floor ❑ Yes 80. Following instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; ------- Planters ❑ Yes ❑ No ---- 81. Stucco: Brown -Finish ------------- ----------------------- --- 82. A_C_Unit: _Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ---------------------------------- -- -- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground --------- - - - ------ 86. Ventilation Throughout House -- -- - -- ---------------------------------------- 87. Glass Protection 88. Corrections from Previous Inspections ----------- ------ -------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric _.._._.------------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------------------ 91. Energy Compliance Certificate -Other Certificates ------ -------------------- ---------- - --- --- Date Card ------ B-1 Date Card B-1 ----------------------------------------- ---- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: TA, Y, COUNTY OF BUTTI� DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 RMIT NO. APPLICATIMAND PERMIT ASS EUg7r q�F,J<f(l1MgFp0 [F j,}`J �V1�J ZONING RT -1 BUILDINGPERMI OWNER Bob Soito TELEPHONE Sp. Fr. OCC. BUILDING V 360 ope i XX 2520. OWNERS MAILING ADDRESS 14296 Skyway, Ma?alia CONTRACTOR'S NAME Richard Nixon TELEPHONE 873-0119 CONTRACTORS MAIUNG ADDRESS 6831 Forest Haven Ln. Ma alfa Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 14296 Skyway,PERMITFEE Ma glia $ 109.10 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Elk Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others Describe Work: _ 2 0 en IIeCks � Mobile Home I S I G W 1 @20.00 PERMITTEE $ C ontractor ELECTRICAL PERMIT Filina Fee 20.00 Main ServiceOOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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. I 0— 5/'� �3 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 NEW CONST. / DWELLING OCCUP. OR ADDNS. \ & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. / Ex. Occup. (OUTLET OR FIXTURES ) 20 o° L.00 SAL .50 Ex. Occup. ( OUTLETS RESD.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor compensation provisions of section 3700 of the Labor Code, I shall I fthwith comp y with those pr Aions. X __ Date Signature of Applicant - ❑ Owp6r Er Contractor ❑ Agenf An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HAZ. i D. FEES IMP �— FLOOD _— CDF PARCEL PD H SSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date L (�o� ReceiptNo. 18,5-4Y3 , 124 WHITE-D.D.S.-B.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT AAF COUNTYOFBUTTE - DEP'i4RTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION ri 4 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 �. c PERMITAPPLICATION DATA SHEET OWNER v� A. P. No.()(01/- 336.05-0 Proposed Building Use c1 3) ecicz, Building Inspector Date S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........ .......... I...................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. ...... t 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flooby,California Engineer. ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ......... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). ...r6gaest 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. '22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . ..................'' 25. Letter of signature authorization . ..................................:..... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail o owner. Mail to contractor. X Telephone 2-73,0119- and hold for pickup at C yuW office. Deliver with inspector. Other 1_0�7 Parcel Creation Acreage Applicant Date - Wz-'9'r Copy of Haz-Mat form sent Health Dept. Fire'Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 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 _ mail Counter by _ Date Plans checked by Date Plans approved by ( Q 90.j S- Date Sets of plans on hold in File cabinet c_:� AP folder Copy - Department of Public Works J '! TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY r,* Pim atria Yc s Flwr PI= AMwW Scat t4 B.D. �4/ 33 -Oso Owner / Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for — bedroom mobile home. the "x' 'Y.2 a Hold final for:, Final clearance O.K. for: NOTE: Environmen-TeHealth Specialist Date 8/92 µ E Ak 4 i uta .lf OROVILLE, CALIFORNIA GENERAL CLAIM / CLAIMANT: Robbie Gorman Const. ---t/ ADDRESS: 6584 Pentz Road CITY d. STATE: Paradise CA 95969 IMPORTANT: 6/28/93 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE .SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY .TO AVOID DELAY) AMOUNT Contractor .was overcharged on plan checking fee's due to clerical error.. (Building Permit Appin. #93-1193,-A.P. #064-330-050,' Receipt #140588, dated.4/30/93, Owner: Bob Soito). Total fees paid- -------------- :=--------==-----=----$181.80 Fees should have been--------=-----= --------------- $136.80 Total refund due ----------- -=---------- ----------=--=----=-$45.00 $45. 0 TOTAL $45. 0 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this......... day o! .1<.TY..... 1993, et...�lR.;r�/5., Calif .......��L................!(Y ................................... TTTTTT..-,,, • ... Signature oCla ant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles speclfie ove ve n performed or de- livered and that there is a Budget Appropriation O or Specific Board Approval nn (Check one) for the 28th June 93 Orovi=e Dated this day of ............................. 19....... at ............................... Calif.. ... ......................................................................... Department Head or Authorized Deputy Dept. 440-002 E:.p. 4210500 Const. Permits Code Code PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. _rd iyy l JOB FINALE Signature .. _- -- - ....-.-- ._.-�^.,u-..,.-...s"'Y'�'1..-�+rr+-•..r�r'�-,.r�'�`si'�-�.++.,%1--�.,•---y' t/�--^ }..-7r..,�',•'- . s COUNTY OF BUTTE i BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 53$45411 747' Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 3 -ice_ OWNER PERMIT NO. Anno5neinspection indicates that the following violations of Butte "County Ordinances exist at dw above address and should be corrected. Please notify this office when correction of work -iscospleied-Ifyouhave any questions pertaining to this matter, or need additional explanation; pfeace contact this office immediately. I &vwo / -fCLA 21 Date `� I / 1� Inspector REV las¢ ' COUNTY OF BUTTE ... .. . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 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 d 50 /7-0 OWNER PERMIT°NO. t A routine inspection indicates that the following violations of Butte County Ordiriances.exist,at the above address and should be corrected. Please notify this office when correction of work =' , is torr pleted.lfyou have any questions pertaining to this matter, or need additional explanaJt lon, (please contact this office immediately. :✓ FUyi'hf 4 Date �✓ 0--D Inspector REV 10092 V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning-Setbacks_Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4.Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Biockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation , 16. Insulation Date/Initials PLUMBING (Permit) OK except #'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/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 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 or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 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 & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'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 (Single & Duplex) Date/Initials FRAMING (Continued) ' 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Puri In=roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Wal Is-Cei li nas 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. 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 instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes Cl No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: f V=OK O = Not OK -=Not'Ready MOBILE HOMES ' Not Ready Date/Initials- MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch C - 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. 3 / /"Nat. or/ P'L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector w 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy SAM MISCELLANEOUSU Date/Initial DECKS; COVERS, CARPORT4COARAOESJ(Plans)OK except #'a 3. Decks; Griders and/or Joists-Decking-BraSing-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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, 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-Ina. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM 7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-330-050 ZONING RT -1 BUILDIN4 PERMIT OWNER Bob Soito TELEPHONE .873-0325 SQ. FT. OCC. BUILDING VALUATION 80 8, 640.00 OWNER'S MAILING ADDRESS 14296 Skyway, Ma alfa 95954 CONTRACTOR'S NAME Robbie Gorman Construction TELEPHONE 872-8695 CONTRACTOR'S MAILING ADDRESS 6584 Pentz Rd., Paradise 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$8,640.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $90,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 45.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ 150.00 PLUMBING PERMIT Filing Fee 15.00 149Q6 SkywAy, 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❑ Other Garage 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 NewE Addition LJ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: Garage _ EA I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000A1 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. a y license is in full force and effect. /?j / License No. Classification LJ 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. ( DWELLING OCCUP.&\ X3.64 ft. ' OR ACDNS. l ACC. BLDGS. I sq. NEW CONSTRMULTI-OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@764 Ex. Occup. OUTLETS FIXED fRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee s31.80 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. 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. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ounty in consquence of the granting of this permit. XDa Signature of Applicant wner ❑ Contractor Agent te�� — O ❑ 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 Energy Inspection Fee $ OCC Co STT PE TOTAL FEES 181.80 HAz DFEES IMP I FLOOD I CDF I PARCEL _ I PD IS U This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do i work indicated above for which fees have been p id. DI CT IC WORKS By Date PERMIT EXPIRES Da 140588 Receipt No. WNITE•D.P, W•, TELLOW-ASSCSSOR, PINK-INSPECTOR,GOLDENROD-APPLICANT II COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUIL ING DIVISION .7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIk95965 - TELEPHONE (916) 8-7541 B� PERMIT APPLICATION DATA SHEET OWNER /Jd)l-� ��� i O A. P. No. Owl- .35d - D S 0 Proposed Building Use Building Inspector /.C> Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED By 1. All items have been submitted . .............:......................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year floo by �aliiffornia Engineer. .. ............ . 14. Sanitation and plot plan approval /t Health Department . ........... . 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... P'�AAsDect'°" `6Q°� 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .:...................................... I 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... ................ 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 87Z -R/95 and hold for pickup at (}�„�,�/,� office. Deliver with inspector. Other Parcel Creation - Acreage Applicant- Date G Copy of Haz-Mat form sent Health Dept. Fire Dept. Ai ution 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). w 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 _ mail Counter by ! Date Plans checked by Date Plans approved by _ �- Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 'WORK_; PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER )641 fto ZONING-,r�BUILDING PERMIT OWNER �` J\ 5 TELEPn/HONE SO. FT. I OCC. BUILDING VALUATION R'S MAILING ADD S f� RACT R'S NAMM TELEPH Q% rn) 17 CONT�AG'T �'S M A I L;7ADDRESS �� S� S / (/e Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ .60 ARCHITECT OR ENGINEER I LICENSE NO. Plan Checking Fee $ , 67 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / Permit fee .6 PLUMBING PERMIT Filing Fee 15.00. Each Trap 1 5.00 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❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK �t Addition _ Remodel? Utilities Installation[ Other ❑ Ne ai� LJ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 600V OR LESS Main service 200A OR LESS 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 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) ❑ 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 OCCUPM OR ACDNS. ( ACC. BLDGS. II 3.64 sq.ft. o NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. #Ifl* Ex. Occup( OUTLETS OR FIXTURES14 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 3/-80 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 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. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in anyHA2 against said County in consequence of the granting of this permit. 7AW;7� X DateThis Si nature of Applicant – owner g pp ❑ 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 Energy Inspection Fee $ r occ CDNSTT"I" TOTAL FEE $ 8a - I DFEES IMP I FLOOD CDF PARCEL PD I HD I ISSUE permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date /7�5 Receipt No. 7 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT • i . I'li,�r Pkii AiUicli"J • _ Soil to 13:1): I -- - L - - �- �• TO:' uildinp Departnient L FROM: Environmental Health K - SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water' Supply: Public Private Well Clearance r bedr Hold final for: Final clearance O.K. for: _ NOTE: Environmental ealth Specialist I ate 8/92 r4 ENVIRONMENTAL HEALTH, ld• 6 - 33 -� �'v APR 12 1993 I PARADISE, CALIFORNIA I /J/ s� % APPROVED Butte County Enviro ment I HealtFr . -2il _- Signature ori Pik .j:'y7ttk-e 3 03 'RESIDENTIAL 064-33-0-050 91-3957 SO I TO,` ROBERT. j CONTR: EXECUTIVE HOMES 14296 SKYWAY, MAGALIA MHO .I :. fes. 9 q- �o CAIF -411 1 C'4'41 X79 { t' +T ,I si V i OFFICE COPY Address G AS Meter By Date ELECTRIC Meter By Date/ JOB FINAL -ED (Date _ Signature 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 PERMIT N0. 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. Date LCA& Inspector J=OK O = Not OK Not = Not Ready MOBILE MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date -DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK excegt #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements -- 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel, 3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) _ 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L" ft./ /"LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date MO LE HOME INSTALLATION (Plans) OK except #'s Z ping Requirements -Setbacks Easements otings; Size -Spacing -Marriage Line G , MH Test -Demand -Valve -Connector te!IEKicity; MH Test -Crossovers -Breakers -Clearances Ae'Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 18. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1, Date Card 8 11 Date Card B-1 i 1 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing t 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 #'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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval i S 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1. Date Card B-1 i 1 V OK O = Not OK ., = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready V. Date .UN 'ERFLOOR (Plans) OK except #'s ' Ening-Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilatio .x,16. Ins-ulation Date i � r1'11 Card B-1 s) Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------------ ----------17/W --------------------------- 17 ater Pipe: Test & Anchor -Nail- Protection -N-------- -------------------------- A. D.W.V.: Test -Fittings & Anchor -Nail Protection --- ----------------------------------------- 19. Shower Pan: Test. First Floor -Tub Access ----- 20. Xst Tub & Shower. Second Floor -Tub Access ----------- -- _ Gas Pipe: Size _& Anchors Date �i Card B-1 AJDate Card B-1 --------------------------- ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except M's 22. Fixture & Transformer Clearance -Ins. Protection 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 i ga. Cu or AI-A.C. Wire Size ! / ga. Cu or Al --------------- ------ -------------------------------------------------------- ---- 29. - -29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---------- ----------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect - - ------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------------------- ------------------------------------------------------ 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------------------------- 33. Smoke Detector ------------------------------------------------------------------- --------------- ----------- ----- - ------------------------------------------------- -Date -------------------------------- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. A.C. Ducts Insulation & Support ------------- . 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 & Platform 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 Date FRAMING (Continued) _ 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rfir. ties-Purlin-root Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection -54.--- plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------- - 55. Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights-Plastic 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-1 Date FINAL (Plans) OK except it's -- 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. 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. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth --------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ----------------------------- 70. ----------------------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance -7 1. Elec. - Outlets & Receptacles at Kit. Counter -------------- ----- 72. Garage Fire Door: Swing -Landing -Closer ---------------------------------- -- ---------- -- - 73.--A.C.-Duct in Garage -Damper - - ----------- 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection -------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location -------------------------------- --------- 76. Elec_ Receptacles in Garage: (G.F.I.) -Romex Protection ---------------- 7;.-Insulation-Foam-Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Ca ------------------------------------ ---- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No - - ------------------------------------- -- 81. - Stucco: Brown -Finish ------------------------------------------ --- 82. -A. -C. -Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ------------------------------- ---- 85.- - --- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - -- - - -- --------------------------------- ---- 86. Ventilation Throughout House - - - ------------------------------ 87. --------------------------------------- --- 87. Glass Protection ------ .. - - ----------------------- 88. Corrections from Previous Inspections - ---------------------- ------------------------- 89. Gas Test -Meters Tagged; Gas-Electric ------------------------------------- 90. ---------------------------------90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------------------------- ------ ----------------------------- Date Card B-1 Date Card B-1 ------------------------------------------- -- -- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllie, California 95965 - Telephone: 916,15387541 APPLICATION AND PERMIT PERMIT NO. 91-39 I ASSESSOR PARErIL NUMBER 64-33-50 - "--- ZONING RT 1 BUILDING PERMIT OWNER ROBERT SOITO (408) 7.IT 17-EMHONE 258-3871 SO. FT: OCC. BUILDING VALUATION 1540 R 78,540 OWNER'S MAILING ADDRESS 2028 NOTTO WAY SAN JOSE CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ 251.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 125.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14296 SKYWAY MAGALIA Permit fee $ 392.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. 342 SUBDIVISION NAME PP # 4 PARCEL MAP 35-98 Water piping 7.00 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomel 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❑ Utilities Installation❑ Other ❑ Describe work: 3 BDRM PERM. FDN. Permit Fee $ 42-00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20GATO1000A) _ 37.50 CONTRACTORS LICENSE LAW I dec4ape under penalty of perjury (check One): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions, Code and my license is in full for a d effect. License No._Z��/O Classification C 47 ❑ 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. / DWELLING OCCUP.&\ OR ACDNS. t ACC. BLDG S. / 3.60 sq.f[. NEW CONSTFtMULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. 4A Ex. Occup(OUTLETS OR FIXTURES 0 764 2L. EX. Occup. OUTLETS (RESID. )REA.T I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 33.50 — 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jud ments, costs, and expenses which may in any way accrue aga' st aid Coun in nsequence of the granting of this permit. 'Date ��_9� $i et re of Applicant — Owner ga pp Connector Agent ❑ An 0 'HA permit is required for excavations over 5' "deep and demolition or construct- ion o structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE OTAL FEE $ 467.75 HAz I D7IMP FLOOD I CDF PARPD HD ISSUE l This permit is hereby issued under the sions of the Butte County Code and/or work indicate ab a for which fees OR -PUBLIC BY PERMIT EXPIRES Date — applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 103930 128 50 11 103271 '139-25 WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT ar.. r"YF..'tinas ^i%.;3i'�2"r•=�'s.:2'"":n:i_}�'r�. '4^rr�. �7J.'Y.j:�=:iiuliil-•"m{b'.`Yrr•�nr�„�,-'�;r�,.d,14.yr �..a r.. iCy%,i•,r wC.....t:Y".rc... 3. Wy'F: reg:. yf, ry BUTTEM1CtO'UN} Yyes,c Oas. DE. ELOPMEIQT-'F CERTIFICATION FORM - ",; r ( One Form ,per Building) '33 A.P. NumberlT Q�, artment No. School District (/, L CityE::] County Jurisdiction Property Owner. �QS© 1 Project Location/Address d�jj sl -o (CSA U A d - " Subdivision Lot Number Residential -Development: � � E] l Sq. Footage/ S # of Living MHI Addition (Group R) Units Commercial/Industrial: New BuildingAepartment Representative OSq.0 Footage Addition (Including Exterior. Roofed Areas) Da e �! (Floor Plans reviewed by School District Personnel), Distric Id No. School (Applicant Name), (Street Address) 4 n . ty State - r District.certifies that- (Phone hat-(Phone Number.). 4' (Zip Code has c-omplied with the /�requirements of Resolution No. by the pa ment o_f $ o`4-33,op-o represent'i g'.,:: yQ square feet. Sch of District Representative D to s PAID BY CHECK NO. REMARKS: BANK NO4A&& S-��tRJ PAID BY CASH white -applicant, yellow..building department, pink -school district SCHOOL.FEE-- (8/88:):' rr COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovfIle, California 95965 - Telephone: 916/538-7541 APPLICATION LAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 64-33-50 ZONING RTI BUILDING PERMIT OWNER ROBERT S ITO 408 TELEPHONE 25R-3871—,� SQ. FT. OCC.1 BUILDING YALUATION OWNER'S MAILING ADDRESS 2028 NOTTO W CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHTCO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER ICENSE No. Plan Checking Fee $ Energy Plan Che ing Fee $ I ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PL BING PERMIT FilingFee 15.00 Each Tip 5.00 Solar r heat pump water heater 20.00 LOT NO. SUBDIVISION NAME )p� PARCEL MAP CE _ �, � Wa r piping 7.00 03LI,L ch qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome X❑X Other SPECIFY as piping system 1 - 5 outlets 5.00 (9 (� uilding sewer 15.00 l4bile Home @ 15.00 ' TYPE OF WORK New ❑ Addition ❑ Remodel Utilities Installation❑ 0th ❑ Describe work: 3BR�C —yX Pe t Fee $ Contr for EL CTRICAL PERMIT Fl ling Fee 15.00 Main sery Ce 200A OR LESS 18.50 18.50 Main servi4 200A TO 1000A1 37,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3/f he Business and Profess! ns Code and my license is in full and effect. License No. Classification ❑ I, as the owner, or my employees with wages a their sole compen- sation, will do the work,and the structure is no 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.&\ 3.64 sq.ft. OR ADDNS. ACC. BLOGS. NEWCONSTR ULTI.OUT LET @ 5.00 NON-RESID RANCH CIRC ITS WER APPARATUS &) (sT GLE OUTLET CIR. ) Ex. Occup(OUTL TS OR FIXTURES 20 76 46 FIXEOPR ESID IRE A.) I 3.00 EX. OCCUp. OUT E 5 IRP Temporary service 15.00 Mobile Home Facilitie 15.00 Misc. Wiring 9 -15.00 Permit Fee $ 4, — 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. to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Notice to Applicant: If after making this statement, should you become subjectFEnergy Contractor 3 MECHANICAL PERM T FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation mit Fee $ tractor I certify that I have read this application and state that the above informationbile is correct. I agree to comply to all County Ordinances and State Laws relatingInspection to building construction, and hereby authorize representatives of the County of to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against I bilities, judgments, cots, and expenses which may in any way accrue of the granting of this permit. yai'st said County icons queOV, X Date signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA ions over deep and damoliIn o;c j truct- ion of structures tover required S Home Installation Fee S Fee $ PButte cc CONST TYPE TOTAL FEES ` HAz DFEES IM FLOOD CDF PA EL P D ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No. /03 / 30 — 1at `J Q�j� WHITE-O.P.W., YELLOW -ASSESSOR, PINK-INSPECAPPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive.- Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. 91-3 AssessoR PARCEL NEER641 —_ �� ZO N` 1 BUILDING PERMIT OWNER � a 4o� TEL PHONE as -r6- -3o/ S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S ����V / / r' 1 J `r/f!� ( NE� CONTRACTOR'S MAILING AD.DIIESS �I �j�AC 0 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 0 LENDER'S MAILING ADDRESS Permit t=ee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ � /) 6UILDIN A D ,, (// (�/VJ_ Permit fee $ t 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❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S VnW I @ 15.00Kao TYPE OF WORK New❑ Addition [I Remodel Utttiilit/i�es, Installation E] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 2orATO100oA1 1 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. ClassificationRAL. 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 OCCUP.E\ NEW CONST. ( DWELLING OR ADDNS. ACC. SLOGS. // 3.6C sq.tt. NEW CONSTR. MULTI -OUTLET NON.P.ESID. SPANCH CIRC 'ITS 1 I@ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. Occup( OUT OR FIXTURES 120 76d P 4r4 EX. OCCUp. OUTLE ! P SR ESICLNS OIRE A.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities ) 15.00 / Q 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. 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. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 5.50 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. 1 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 Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures ever 3 stories In height. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEES t HAz 1 0FEES I IMP FLOOD CDF I PAR EL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. l!J -r �� BUTTE AIR POLLUTION 316 Nelson Avenue - Mall: P. O. Box 1226 Subject: BUTTE COUNTY AIR POLLUTION ( 1982 the Butte County Bo, ,/system to be applied to sty iControl District. This pert firing reasonable expenditures in( ,ation, surveillance, site inspect the District is undertaking the Aerate. In addition, sources pre, �om 1 with this ermit s stem. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION OWNER Proposed Building Use 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET _) Permit No. 41.9 A. P. do Building InspectorDate - 3 3 -a. 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........ O 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 installation instructions. n .. 10. Fees of�7 . 11. Chico Urban Area fees paid ....................................... 12. Park fees p d ............ 13. 0 ' 15 S I i rict fees paid ... 0 .......... 14. Sanitation approval from F Health Department 15. City of Chico plumbing permit. . 0 .................................. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... provements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 0. Pre -Inspection for required . Pre-lnspe Building 1 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 7.3 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑)22_ .... . 2 ecorded copy of Agricultural Acknowledgment Statement ......... 2 c. re est to nspe for (Date) 5. t f sig re a horizmion . A. 26. r' 7� /Q 27. + ` -I' j : e) When you I sue the permit, rocess follows: "`Mail t owner. Mail to contractor. �. le"Telephone �� Z -and hold for pickup at�� office. Deliver w/inspector. Other i-� A 1.f Appl ica to// 7/7, Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be sub mitte ori toy- it issuance: (Circle new item not checked above). 1. Index permit for above items No S S SFS sC-lrn.t 2. Additional items required: —=I%e Contractor, designer, owner, was advised of above required data by_phone--jnail_counter by _.date Contractor, designer, owner, was advised of above required data by —phone _maiI—counter by date Plans checked by %AJ Date 1[0Q Iq) Plans approved by _ FAA Date __Al21 ( 5I Sets of plans on hold in Copy—DPW File cabinet AP folder TO: Building Department FROM: Encroachment Permit,Section' RE:, Driveway Clearance owner * location' AP # Driveway permit has been issued for the above_ property. ; si ature date '' TO Buildina Devartment. FROM: Environmental Health SUBJECT: Sanitation Clearance j y2aw - owner LocatiorV AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: 7inal clearance O.K. for: Clearance tor. _�L bedroom mobile home. • Wates Supply � Water Supply Other NOTE ,. rnn: l �l-IS' /0 z /— Date Sanitarian tool .rte 5 f A 6 A - 33-0 � 3 �O E � rhe d oe re -061 -APPROVED 61 APPROVED �----- -- Butte County } Environmental .Health Date -- Signa Ur® 0 C T 2 2 1991 t Is 0 � rn wool .H■HN.--. I■ i omma nowum l rJ■■■■■■■ Y■NMYH■ iemu .■MAEN■■ ■■N■HH■N■HY■p■. n won ■■.I■YYVA■u■■ N, Y'LiM■■IN ■■Y■■No ■■■■■■■H■■■■■■■■■Y■■■Y■■■4 / ■!mN ■ It ■N■■N■tN■■■N■■1 Rmm ■■■MNY■■ ■■ 1■Nw■N � I ■■■1 m�omYY■■N�� �� =' II�IIN■■■■H HH■■V ■■p, N . 11 I■■■N■NNH■■/ ■■■■■■1 • 11 I■■■Y■■■H■M■I ■N■■p ■��■■pu■w■0SEEMSI MN■■d .A ■Y • I■'�i �i lo■iw■ • 1■m■ 'II � 1 Y■ �. J■NH■ _ _ I • " r • IJr i ' � � e1:o Iii :* _ I ■. _ � . �• : I O -♦ rti fi M d a AA N4v 4vt TT- Hq E E Rq J AN 60 0 ' �� '�i m��4` � ;�t •.!, � S.G.D.:1,. '.. (—��� •� OPT OHEAD ALT. 47H BEDROOM BEDROOM I DESK SHELF ALT.OEOROOM MODEL 5603D 3 BEDROOMS, 2 BATHS SMDfiMWOODm APPROXI 1,540 SQ. FT. BY FLEETWOOD® SW/17/JAN91 UTILITY 71/ V OAR DINING �j WENM AREA `I MEN - oma' r "' Lt "ZA ' _ - KITCHEN DEN I ROMAN 0 OPT 0Hti1D -- � : LIWN - Pl $ WALK IN CLOSET i i i L_____ PAN(RY 7 MA57ER LIVING ROOM 0, ` BEDROOM BEDROOM BEDROOM 14=2712'6" 110-4X122" m ia3'X12-2" OPT. RECE55ED . ENTRY --------wo O- - ' ENrRAACE L----- iT OPT. ANGLED RECE55ED ENTRY ALT. 47H BEDROOM BEDROOM I DESK SHELF ALT.OEOROOM MODEL 5603D 3 BEDROOMS, 2 BATHS SMDfiMWOODm APPROXI 1,540 SQ. FT. BY FLEETWOOD® SW/17/JAN91 9a My (b CONSTRUCTION Cathedral ceiling throughout 2" x 6" floor 2" x 4" exterior walls 16" O.C. Copper wiring 100 amp electrical service Complies with HUD specifications Energy efficient insulation 30 gallon water heater Smoke detectors Utility room 5/8" flooring R14-7-7 insulation (The higher the R -value number, the better the resistance and effectiveness of the material.) Vinyl floor covering -.kitchen, utility, most baths Water shut-off valves 30 Ib. roof load EXTERIOR STYLING Hardboard siding in a choice of colors Exterior light at all doors Ground fault interruptor controller exterior receptacle Class A roof shingles Attic ventilation 12" side eaves on all 26' wides Inswing front door LIVING ROOM Color coordinated draperies Decorative wall panels Lg. windows w/removable screens BATHS Recessed medicine cabinet - both baths Window for lighting and ventilation (most models) Designer coordinated wall covering 4" backsplash - both baths Privacy lock Shut off valves on toilets Molded mirrors - both baths DINING. AREA/ROOM Color coordinated drapery Lg. window including removable screen Decorative wall coverings Carpet KITCHEN Free standing 30" range 15 cu. ft. dbl-door frost -free refrigerator Range hood Mahogany sided drawers w/metal drawer side rollers Lined overhead cabinets Crown molding kitchen cabinets TT HH E E �R +� L u 4" backsplash Mini blinds on all kitchen and morning room windows Double -bowl steel sink Color coordinated drapery Name brand appliances MASTER BEDROOM Large egress windows Designer -carpet Adjoining bathroom GUEST BEDROOMS Large egress windows Color coordinated draperies Designer carpet Designer coordinated wall covering POPULAR LIVING FEATURES Prefinished deluxe doors One piece vinyl floor covering Cabinet hardware 1/2" door jamb w/1-1/2" wood door casing POS ventilation system Plumb for washer Wire for dryer Note that square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floor plans is floor length only. Renderings and diagrams are meant to 'be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal. Ask your retailer for specifics. (Add four feet to arrive at transportable length.) PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. OPTIONS 1 -pc. oval tub (most models) Dishwasher/disposal Pre -wire for ceiling fans Skylight R21-11-11 insulation (The higher the R -value number, the better the resistance and effectiveness of the material.) Plywood floors Sliding glass door 19 cu. ft. frost -free refrigerator Stereo 40 gallon water heater Dual pane windows (cross back) Fireplace Solid. oak cabinets OTHER OPTIONS AND FEATURES MAY BE AVAILABLE. BE SURE TO ASK YOUR RETAILER. SANDALWOOD BY FWEWMD. Sandalwood Homes are built by: FLEETWOOD HOMES OF CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 18 North County Road 101, P.O. Box 1308 Woodland, California 95695 (916) 662-3223 SW/17/DEC90 CAT. N0. NN01501 Tfl;2±,31 (12-90) (Vuitness Acknowledgment) STATE OF CALIFORNIA COUNTY OF, f-, N personally appeared J TICOR TITLE INSURANCE } SS. ie, the undersigned, a Notary Public in and for said State, personally known to me to be the person whose name is subscribed to the within instrument, or proved to be such by the oath of a credible witness who is personally known to me, as being the subscribing Witness thereto, said subscribing Witness being by me duly sworn, deposes and says: That this witness resides in and that said witness was present and saw Robert i personally known to said witness to be the same person(s) described in and whose name(s) is/are subscribed to the within and annexed instrument as a party thereto, and acknowledged to said affiant that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument1�1111111111119uw111iuetlulnwnuwllnutllnnl� the person(s), or the entity upon behalf of which the person(s) acted, _ OFFICIAL SEAL C —executed the Instrument, and that affiant subscribed his/her name to L NORMOYLE ;,;the within Instrument as a Witness. WITNESS my hand and official seal. Signature (�q (---)CA—, • a NOTARY PUBLIC CALIFORNIA n •� COUNTY OF BUTTE C (This area foll;0 Pd14901aR6dn 3, 1993 '• t�111tI1t111111111111111t11111111t11111111101t1t111111tttt� EN® OF DOCUMENT AIJ that r.e:.al property situate in the CounLy of Butte, State of California, described as follows: /-07- ��02 , .9� �i�/O u�,c at.J; / ��,e�73i.J /27 11 2,c 7-1 Tz eo? PicJEs 2C,�i.— /Uo �� Cr>fi�i�f/."/J, P Ir�AS Flo/2i�fv %J 7J�c� i�<<'� c< ' Date. /--oSo?-- ;,/ State of ) SS. ounty of ) t PROPER T OWN 'RS On this the day of , -19 Inc .fort me, the undersigned Notary Public, personally appeared E]Personally known to me. M Proved to me on the b�is.i s of satisfactory evid.enr.:e. Lo be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same :for the purposes therein contained. TN WETNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. tom --JV A!� 0 Notary Public 3 Re.Lu.j to.DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code J - ---- - - requires this acknowledgement be recorded 1 prior. to issuance of a building permit. 91-048755 1 Rec Fee .5.00, " I Check 5.00 The pr. opert: y. described herein is adjacent Recorded to Land or included within an area zoned• Official Records 1 for agr.i.Z;u Lt..ur. aa. purposes, and residents County of of this property may be snbjecL to incon- Butte ven.i.r-_•nces or d i-scomfort arising from the Candace J. Grubbs use of agr:icul.t:ural chemicals, including, but not l.imiLed to herbicides, pesticides, Recorder 1 XX 1 and ferOli•rers; and from the pursuit 1:2Opm 22 -Nov -91 of agr.i_cu.lt.uraI operations including,. ` --- --- - -"- but not. lim:i.Led to cultivation, plowing, spraying, pr•i.ining, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esu.1bli shed of r Lur.al cones which have as a priority use for productive agricultural. purposes, and r.es.i.deni.s w-itlr:in said zones and on adjacent property should be prepared to accept such . i ru.-onven i.erice or, discomfort from normal, necessary .Farm operations. AIJ that r.e:.al property situate in the CounLy of Butte, State of California, described as follows: /-07- ��02 , .9� �i�/O u�,c at.J; / ��,e�73i.J /27 11 2,c 7-1 Tz eo? PicJEs 2C,�i.— /Uo �� Cr>fi�i�f/."/J, P Ir�AS Flo/2i�fv %J 7J�c� i�<<'� c< ' Date. /--oSo?-- ;,/ State of ) SS. ounty of ) t PROPER T OWN 'RS On this the day of , -19 Inc .fort me, the undersigned Notary Public, personally appeared E]Personally known to me. M Proved to me on the b�is.i s of satisfactory evid.enr.:e. Lo be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same :for the purposes therein contained. TN WETNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. tom --JV A!� 0 Notary Public 3 e e � 8 � - I a • 1. + � ,`..L. . � . � , � � � • Jul-, to AND WHEN RECORDED MAIL TO: MW BUTTE COUNTY PUBLIC WORKS STim 7 COUNTY CENTER DR. umm OROVILL•E, CA 95965 cJN. STATE. ad a -.91-01:5 'T7U i 91-053702 91-053702 ,..00 i:A::az•L:I��d ! O.ff ci31 Records I Co=..zlty C-1 C ndace J. i':: ,ebbs I ' Re'zo:-dc- 45pm 3...0=Dr,c- 91 1 3XK 1 SPACE ABOVE THIS USE ONLY NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health. and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the Knit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per- sons thereafter dealing with the real property. ROBERT D. SOITO REAL PROPERTY OWNER/LESSOR 2028 NOTTO WAY MAILING ADDRESS SAN JOSE, SANTA CLARA, CA 95116 CITY COUNTY STATE ZIP 14296 SKYWAY INSTALLATION MAILING ADDRESS, IF DIFFERENT PARADISE, BUTTE, CA 95969 CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME") HAILING ADDRESS CITY COUNTY STATE ZIP BUTTE COUNTY BUILDING DEPARTMENT LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DR, MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY . STATE ZIP 91-3S57 916 538-7541 BUIIDIN IT TELEPHONE NUMBER 12/31/91 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE EXECUTIVE HOMES DEALER NAME (If not a dealer sale, write "NONE") ggngi DEALER LICENSE NO. UNIT DESCRIPTION FLEETWOOD HOMES 12/18/91 560-3D MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLMI7A&B13628SW 25'8" X 60' RAD 620679/680 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 064-330-0.50 LOT 342, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT N0. 4", WHICH MAP WAS RECORDED IN THE 0 VT_rrc nP rrUr DrrrNDnV ni: THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 1, 1970 IN BOOK 35 OF MAPS, AT PAGES 97, 98, 99, 100 AND 101. ve ,j,EpT OF h- .`� HCD FORM 433(A) 4/86 c o 44,& �` • IVITY OL' NOV 19 '91 12:19 - _ P:2i2 f k"°'°°a•., ,� r�trat a a=304-�►Z • . oaonsrrs :2izs c ... . _.. ,�..,,_ Ol18at� tuoiicucAourriT�: Retwtt to 4n4R/t?Ttt Af••;1y Re mail !4x etatasasst t s - mu`^� ........... ....... �11 Yi IM� I �Qi1 ql A� .. sa:A ASADf1t IIMLS MOplt HOME ES1A(E; K Quim t vrkF 4 ....... wtaa CA 35M T ..........._ ........................ SW0 (RAST 1)!•:t:U (t wynrrttwnJ for value received plR4DI83 . PI8s8 K08= JIMM UTATUt INC. cRA..T,,.,._.so R08ffi�T D. SOTTO a s tires FIbBffi� F. 80I'1r0 >tpd ROTE K: 80Zip thep aU. 4. Joint Tenants ' band and rile, All that real property atwste in the Couaty of Stitt • State of COIR Nnis, deseribed ss follows; UNi 1 as. ahoWn op that certain Ma « the 80•. y Which eKo vas recorded Sa. entitled PAWISS. PINS$ the county of Suttee 8tato Of Calitornia�e0oi Der 1l in Back cook of 35 et leaps at pages 97. 98, 99, 100 and 101. , UC"M TjjG THSHUR011 all oiner�ls OSI 10"r srbop 8ub:taflc•ss with grovlslon that anyhanduall aining of•ratioos shall be don• frau orifices outside the snrt4o••ara et the lard desvribed herein, had that no daslage a 9U 0 dope to aastao• Of 8414 land. i und";S"d grants (s) deeloh.fsd: Do"goontpry trensfer.fp. is :.....�,r�•.L�.ii —.,,� i=) eont»t�•;� M ! t•;'» of PrcaortY eorrwyed, a ( ) ccn,- R'wc»'cr, ..'.ot::s ! OFFICIAL 09A c uo of (inns arld / A ancuroAecs r:r.:clninq at time of 106,, UNN15 HARRIS ( j Unincorporated area: ( ) City of _ _ „ a� I at toss om ran ' +b w fuer 4 IN WiTmiuss WHE ItEOP; WW to.ppalion has a;ecpted thesi thio 20th, loyal s. L pr—nts by itsof cm* tfrereuntoduly authvrisod, ....MMid MOBI .......... _.. STATg 01a . CALIIORIt1A ............^„,r... auita, ..... .�µ 8y..... FFORSL amc. VV.p^l"� ...... ,,.� • �Ost 110 �••Cere,�a+fSrrr,Irrredry� 9y /ositee ._-• ...._-�-..�... ....... ..,..........Iwo ra rY Y ... ...._�..:........:_�_ .. � sdw+�►tla. wKngr.ww/Mr�Mbc aM isr s1r w,s swl+rertnr rn7r+hrcr ws�WlwrA�1ee//MYw.al /�••�....-�L..1�bL _............__.. ..����aiRri.i7lfu..., pwMdMtMi GNP" 8W Yru�IN OROta�.[ t1Y [ ANY "OF _ "a a I STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT nw� DIVISION OF CODES AND STANDARDS - .MANUFACTURED HOUSING SUCTION m STATEMENT OF FACTS ; NCD 476.6 Date //— �- �g / /We, the undersigfied, h eby state that the unit described below: SERIAL NO. 11MOBILEN OM 6/COMMERCIAL MANUFACTURER TRADE NAME' I1 COACH DECAL NUMBER'S) C�1 F IY2 "" l ��sS z D 620629/4 r�a114e v Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California', and subsequent purchasers of. said unit, for any loss they may,suffer resulting from registration of the above-described unit in California, .from issuance of a California certificate of title covering the same, or transfer to: I certify under penalty of perjury that the foregoing is true and correct. ' Executed on //- —i at J ` DATE _ - C_ITT STATE Sign tare Address City ... L. ��c L'c , State i SERIAL NUMBER(S) LENGTH,X WIDTH INS A/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 064-330-050 LOT 342, AS•SHOWN ON THAT CERTAIN'MAP ENTITLED, "PARADISE PINES UNIT NO. 4",:WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 1, 1970 IN BOOK'35 OF -MAPS, AT PAGES 97 ,.98, 99, 1100 AND 101. t HCD FORM 433(A) 4/86 z END OF DOCUMENT 4zz4EHT OF yOLy, P � W c, o . > i I/ _ . I W (•O , OQ �MUHIT � OEy �� ter- - _ - ,• . _ .: - 9; f `5 3 l �0 2: , - I 91-053702 1 Total .00 I AND'WHEN RECORDED MAIL TO: t i Recorded I Official Records County of I BUTTE COUNTY PUBLIC WORKS Butte STREET7 COUNTY CENTER DR. Candace J. Grubbs I ApS OROVILLE, CA 95965 � Recorder I Cm, 1:45pm 31 -Dec -91 I STATE, \ . XX and 8 SPACE ABOVE THS LK 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 locai agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the Knit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county 'recorder to the named ownei of the real property and shall be deemed to give constructive notice as to its contents to all per- sons thereafter dealing with the real property. ROBERT D. SOITO BUTTE COUNTY BUILDING DEPARTMENT REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 2028 NOTTO WAY 7 COUNTY CENTER DR. MAILING ADDRESS MAILING ADDRESS r r,I -dT l n SAN JOSE; SANTA-CLARA, CA 95116 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE,.'' ZIP 14296 SKYWAY 91-39,57 916 538-1541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDIN IT TELEPHONE NUMBER PARADISE, BUTTE, CA 95969 12/31/91 _ CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DATE SAME EXECUTIVE HOMES UNIT OWNER (If also property owner, write "SAME") DEALER NAME (If nota dealer sale, write "NONE") MAILING ADDRESS 99n$1 DEALER LICENSE NO. ' CITY COUNTY , STATE ZIP, , UNIT DESCRIPTION` FLEETWOOD HOMES 12/18/91 560-3D MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLMI7A&B13628SW 2.5'8" X 60' RAD 620679/680 SERIAL NUMBER(S) LENGTH,X WIDTH INS A/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 064-330-050 LOT 342, AS•SHOWN ON THAT CERTAIN'MAP ENTITLED, "PARADISE PINES UNIT NO. 4",:WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 1, 1970 IN BOOK'35 OF -MAPS, AT PAGES 97 ,.98, 99, 1100 AND 101. t HCD FORM 433(A) 4/86 z END OF DOCUMENT 4zz4EHT OF yOLy, P � W c, o . > i I/ _ . I W (•O , OQ �MUHIT � OEy