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064-700-046
f A. P. 5:�5'g V - b (p E. -SEALY _ *' T- .- - 30 Cody Courts P.P. 2, Lot 138L�,� .;. tC�ontr: C & M E_ lectric, Magalia � . Permit-56-0:7-3' ermit 2360-73 RALPH SEALY rT 30 Cody Ct lot 138 4 4- Magalia Perm�i t ##4571-75B (new patio c_over-1 _ mobile home) i ham/ ,:. X 4(,o of 1 CRD ' ,'rM . NETHERYdy Ct, -Magalia ` ` Permit#1-89P,E(relocate util)MH ELEC . SO fz-I SUPPORT STRUCTURE O-Zc7 COMPACTION TEST REQ. ContR : AlC' 64-70- PErmit .1-77-89MHI / eD { 64-70-,K �q ContR: Robbie Gorman w S// 7/f PErmit#557-89B(new garage & cov deck) , , ' 1 27-89 - NETHERY,`: ROD 6201` -Cod` r: { y Ct;,Magali"a ,- (addl sq.:r' ftg.&open deck) CONTRRobbieGor_man. 64-70-` 2744-91B,;, NETHERY, Rod & Eve' f' 6021 Cody Ct, Magalia { (carport/mh) ! 064-700-046..- _. . 01-2271 �.... 1 l TROEGNER' WILLIAM & PAULA !,% 6201 CODY.LN, MAGALIA , ` ` ,CONT: SIERRA 1VIH SUPPLY EX MH ON • •7 /�, . , �- /'�� i l,� Cfll '� � 1� r NOTES r RESIDENTIAL PERMIT NO. 064-700-046 01-2271 TROEGNER, WILLIAM & PAULA 6201 CODY LN, MAGALIA CONT: SIERRA MH SUPPLY EX MH ON EX SITE THE HCD FORM 433A FOR THIS MH CANNOT BE ` i RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ` JOB FINALED (Date) Signature V= OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Reacy Card B-1 Date Card B-1 ' RESIDENTIAL (; Date Date Underfloor (Plans) OK except #'s 17. 1. Zoning -Setbacks -Easements -Flood -Slope Water Pipe; Test & Anchor -Nail Protection 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 20. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Test Tub & Shower, Second Floor -Tub Access 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 55. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 58. 6a. Hold Downs and Special Anchors Shear Walls; Nailing -Bolts 7. Slab, Steel -Wrapped 61. 8. Piers -Fireplace Ftg.-Steel Infiltration -Walls -Windows 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 78. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Insulation -Foam -Looked in Attic 11. Water Pipe; Test -Anchors -Regulator -Service Test 81. 12. Electric Underground Clearance Looked under Floor O Yes 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Date 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date FRAMING (Continued) Card B-1 Date Card B-1 Date 47. Card B-1 Date Card B-1 Date Firep ice Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ELECTRICAL (Permit) OK except #'s Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 23. Fixture & Transformer Clearance -Ins. Protection 52. 24. Elec. Receptacles Spacing -Lights & Switches at Doors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 25. Size Boxes & No. of Conductors Stapled 55. 26. Romex Installed Close to Edge of Studs & C.J. Siding -Nailing Veneer 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 58. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Shear Walls; Nailing -Bolts 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 61. 33. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No Infiltration -Walls -Windows 31. Service -Riser Conductors & Ground Main Disconnect 78. 32. Equip. Clearances Panels-Motors-Mech. Equip. Insulation -Foam -Looked in Attic 33. Clothes Closet Light -Shower Light -Spa Light 81. 34. Smoke Detector Clearance Looked under Floor O Yes Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 'Ingle & Duplex. Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.- ifng. 48. 49. Firep ice Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Hir.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Card B-1 Date Card B-1 Clearance Looked under Floor O Yes 82. Following Instld./Drive :1 Yes 7 No/Walks J Yes :1 No/Planters ] Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: >:. .:::::.......:.T.'`5' r >:. .:::::.......:.T.'`5' ' RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 24 -Sep -2001 2001-0043857 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, . INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described 'hereon, upon the real property described with certainty below, as of the date of recording. 'When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAM J. TROEGNER & PAULA J. TROEGNER BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 6201 CODY LANE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA, BUTTE, CA 95954 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP ITYCOUNTY STATE ZIP SAME 1-2 1 (530)53 8-7541 INSTALLATION MAILING ADDRESS. IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write 'SAME•) MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION IT TELEPHONE NUMBER /21/01 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE 0 DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDEN WEST/09248 1989 KINGSTON/KG60703 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER GW6CALKG7571AB/C 24'X 60'& 12'X 33' RAD474399/400/401 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #064-700-046 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. Aii l -J 1 ILL., . ! 1•'i ii,�: F'HF'H[� I .E y87768-75 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: Iin- .Qt.4 Order No. 00197123.003 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 138, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT 2", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 10, 19709 IN BOOK 35 OF MAPS, AT PAGE(S) 71, 72,737 AND 749 TOGETHER WITH A PORTION OF LOT 137, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT Z", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 10, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 71, 72, 73 AND 74, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SAID LOT 137 AND THE TRUE POINT OF BEGINNING OF THE HEREIN DESCRIBED PARCEL OF LAND; THENCE FROM SAID TRUE POINT OF BEGINNING, SOUTH 09 20158$1 EAST ALONG THE WESTERLY BOUNDARY OF SAID LOT 37s 18.84 FEET TO THE NORTHEAST CORNER OF LOT 40, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WOODRIDGE SUBDIVISION", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 19s 19789 IN BOOK 66 OF MAPS, AT PAGE(S)14 AND 15; THENCE SOUTH 879 42142" EST, 98.75 FEET TO THE NORTHEAST CORNER OF SAID LOT 137; THENCE NORTH 77° 00' 48" WEST ALONG THE NORTHERLY BOUNDARY OF SAID LOT 137,101.38 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS, AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES BENEATH THE SURFACE OF THE SAID LANDS WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, IT BEING AGREED AND UNDERSTOOD THAT IN ALL OF THESE OPERATIONS THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL OPERATIONS RELATED THERETO SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAYING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE REALTY. AP NO. 064-700-046 w m T 1 • C 9i86/v71 13: 38 B I DWELL TITLE PHRAD I SE y 8 7 ?6875 rIG . 064 D05 STATE OF CALIFORNIA-- DEPARTMENT OF HOUSING AND ' ,MMUNITY DEVELOPMENT nrl �-T,^ATC nr_ TV rl c uneTI UUMMO / oEulKo- i Aueene MANUfACIURER NAME/IO TRADE NAME MODEL DOM DOT OF$ SPC OMRATION GOLDEN NEST/09248 KINGSTON KC607D3' 01/18/69 01/18/89 01/25/69 U SERIAL NUMBER LABEL/INSIGNIA NUMB[R WEIGHT LENGTH 0,110TII ISSUED 15CC EXEMPT USE TYPE I GH6CALKG7571A RAD474399 023300 000770 GOD144 IZ/04/921 04 SfD lF'T 2 GN6CALKG75713 RAD474400 019400 000720 000144 :3 GN6CALKG7571C RAD474401 012800 00039S 000144 TOTAL 1 FEES s PAID: 5 $36.00 A RODNEY M NETHERYi o EVELYN M NETHERY TRUSTEES 0 6201 CODY CT R MAGALIA CA 95954 B s E R RODHEY H NETHERYl 6 EVELYN M IIE;THERY TRUSTEES woo I A 6201 CODY CTs�oz T L h� E HAGALIA �CA 95954 E 3 ' pCJ RT LF -84' E 'iOP EOISTER D OWNER O 9! o s 6201 CODY CT w i N T E U MAGALIA CA 9595§-`l.- -`._ _ Ikfg. a 0 h: INI �. R RELEASE 012 LEGAL OWNER B ) `` �•�? RETENTIONfOF4�.LE0AL OWNER J U F N I Z R 0 0 R T ASSIGNMENT OF LE6AL,j;0*NER 3. RELEASE OF DEALER *ft NEW RE/O,IoYElREO OWNER, F•L,y FILL, ' IN IITEMSr4 - 9 WxrM 4.A) WILLIAM e, . a0f-.?1JGk AND OR 0 ) NAME - PLEASE PRINT t!:'W. CURRENT MAILING ADORESS If B C 6 �t>�, NEW,•LEGE CNTY FUTVRZ MAEILIkO�ADDRESS oue, LOCATION"AOpRES9 .a' L1 12. CITY *Kw, NEW l9T JR. 13. ST ZIP y�'gr•u CNTY ST ZIP 0 e)/.3 L LO ►Sc PRICE _ DATE— STEREO OW , FILL IN NAME - P ADO 0 - 12 *** Gf; y CNTV ZoT ZZP FILL IN ITEMS 13 - IS rria�t PLEASE PRINT AODREGS CITY CNTY UT ZIP x*M NEW 2NO JR. LISNMOLOSR, FZLL IN ITEMS 16 - 18 *" 16 17, NAME - PLEASE PRINT ADDRESS 30. CITY CNTY ST ZIP IMPORTANT 01-336-0 THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT np NnusTNc AND ceMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT J' - RECORDING 'RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Nims WILLIAM J. TROEGNER swim tma P.O. Box 1523 an,stw Paradise, Ca 95967 z$ oNa na 00197123.003 1 A CL f�ti Carp U'C:aNry 3y r �c pY IoW CO THIS LIN Parcel No. 064-700-046 910-025.904 GRANT MED T1 -IIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undaraigned Grantors) Declare(s) Documentary Transfer Tax is $145.20 O CitylTown or to computed on run value of interest or propcny conveyed, or ® UrtineoTorated Area D full value less value orliens or encumbrances remaining at the Limo or sale O Monument Fee, of 510.00 FOR A VALUABLB CONSIDERATION, receipt orwhich is hereby acknowledged, RODNEY MORRIS NETHERY SR. and EVELYN MAX=NE NETHERY, As Trustees of the Rodney Evelyn Netherly Fancily Trust of Deed, dated July 10, 1992 hereby GRANT(s) to WILLIAM J. TROEGNER and PAULA J, TROEGNER, husband and wife as Joint Tenants the following real property in the O City of ® Unincorporated Area County of autte, State of California. SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Dated: August 29, 2001 ODNEVOORRIS NETHBRY SR. r•" . E LYN MAVINE NETHERY and STATE OF CALIFORNIA COUNTY OF utte p� SS: On b before me, the undersigned, a Notary Public in and for said Count and Statia, personally appeared RODNEY MORRIS NETHERY SR. and EVELYN MAXINE NETHERY or proved to me on the basis FOR NOTARY SEAL OR STAMP of satisfactory evidence) to be the person(s) whose name(sl is/are subscribed to the within instrument and aeknorrle ed to me that he/she/the used the same MONAt,Af1s1Q�L in h19/Mer heir authorized ca ty(iea and that by T'• COMM. g 120912 N his/her/the signatures) n the in trument the y Notarypubdc • CaItomla person(s), r the entit upon behalf f which the SWAGLAPACOUNTY Cn pereon(s) ac execute the instr meu — My Comm. F.+plres 5-24-20o4 WITNESS myh and of i seal. Signature MAIL TAX STATEMENTS TO: Same as Above STIVOW nee 1 I'-1, U6 611 1.-:: E; 111I.ILLL I I I LL I '� il•I. 1 'H1 'H[� I'.•E i; _;^� EXHIBIT A R THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: Order No. 00197123-003 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 138, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT 2", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 10, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 71, 72, 73, AND 74, TOGETHER WITH A PORTION OF LOT 137, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT 211, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 10, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 71, 72, 73 AND 74, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SAID LOT 137 AND THE TRUE POINT OF BEGINNING OF THE HEREIN DESCRIBED PARCEL OF LAND; THENCE FROM SAID TRUE POINT OF BEGINNING, SOUTH 09 20' 58" EAST ALONG THE WESTERLY BOUNDARY OF SAID LOT 37,18.84 FEET TO THE NORTHEAST CORNER OF LOT 40, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WOODRIDGE SUBDIVISION", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 19,1978, IN BOOK 66 OF MAPS, AT PAGE(S) 14 AND 15; THENCE SOUTH 870 42142" EST, 98.75 FEET TO THE NORTHEAST CORNER OF SAID LOT 137; THENCE NORTH 77'00' 48" WEST ALONG THE NORTHERLY BOUNDARY OF SAID LOT 137,101.38 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS, AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES BENEATH THE SURFACE OF THE SAID LANDS WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, IT BEING AGREED AND UNDERSTOOD THAT IN ALL OF THESE OPERATIONS THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL OPERATIONS RELATED THERETO SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAYING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE REALTY. AP NO. 064-700-046 Fram CHICO 500 Wall St, PO Box 5173 Chico, CA 95927 (530) 894-2612 FAX (530) 894-0713 Since 1913 OROVILLE 1835 Robinson St. PO Box 811 Oroville, CA 95965 (530)533.2414 FAX (530) 533-1589 Date: September 4, 2001 Escrow No.: 00197123 Name: WILLIAM J. TROEGNER Department of Housing 2986 Bechelli Lane, Suite 201 Redding, CA 96002 Enclosed Please find the following documents: ORIGINAL CERT. OF TITLE ' APPLICATION FOR DUP. REGIS POWER OF ATTORNEY (2) DESIGNATION OF CO-OWNER TERMS SMOKE DETECTOR PPF / STATEMENT TO ENCUMBER TAX CLEARANCE For transfer of the manufactured home described as: Decal # ; LAN5609 Serial # GW6CALKG7571A/B/C Insignia # RAD474399/400/401 Year/Make : 1989 / KINGSTON Together with our check in the amount of $ 200.00 for transfer. PARADISE 7126A Skyway PO Box 490 Paradise, CA 95967 (530) 877.6262 FAX (530) 872-5129 Please notify me at the office indicated above when the transfer has been completed. Sincerely, YOUR BIDWELL TITLE & ESCROW COMPANY TEAM By Le Q/tk lkle) JP Clark, Escrow Officer GRIDLEY 560 Kentucky PO Box 949 Gridley, CA 95948 (530)846-4005 FAX (530) 846.0584 Mhdepft z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 1-2271 ASSESSOR P OgNM700-046 ZONING BUILDINGPERMIT OWNER WILLIAM TROEGNER TELEPHONE SA. FT. OCC. BUILDING VALUATION 1836 9914409 ' ' . OWNERS MAKING ADDRESS 6201 CODY LN, MAGALIA 95954 CONTRACTOR'S NAME SIERRA MH SUPPLY TELEPHONE 877-8575 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 639.50/2 $ 319.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 6201 CODY LN MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE s 367.75 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Kling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome th Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00. ' 00 TYPE OF WORK X New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other e3 Describe Work: EX MH EX SITE PERM FNDN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 15.00 PERMIT FEE s ELECTRICAL PERMIT Fling Fee 20.00 Main Service z*OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �70� p� License Class Lic. No. C o OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the pim:formance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensationin� ce carrier and policy number are: Carrier Policy Number 6 y (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. c� X Date / f L 6 / _ Signature of Applicant - ❑ Owner ❑ Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 100A TO 10CU00A as. so NEW CONST. DWElIJNO OCCUP. SO OR AODNS. ( 017 ACC. BLDS. 3.50FT. T. NOI+ROE,4IIDD MULT"CIR UT 97.50 POWER APPARATUS a SINGLE OUTLET CSI R. EX. Occup. OUTLET OR PDRURFS BAL O I.00 .50 Ex. Occup.. oirrELE°rsA AEES,6.LNSo� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FES S Mobile Home Installation Fee s Energy Inspection Fee s occ CONST. TYPE TOTAL FEE $ 412.75 HAZ. _ p. PEES IMP _ X FLOOD _ CD F – P EL AR PpT x HD X ' This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated abov or wh' h fees have been By Date PERMIT EXPIRES ON De provisions to do work paid. /� O Receipt No. 75 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF QEVELOPMENT SERVICES - BUILDING DIVISION (S'' r v 7,County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 tev.1/96) PERMIT NO. N t APPLICATION AND PERMIT BUILDING PERMIT � rnfs so. FT. occ. BUILDING VALUATION owwerV AooRrn oo"►RAero NA►e117 79 1) ou u<__ 6 WJLPGG Agmpzvv —-CUT WN CNQMEIER , nrn.... CYC V WKWUN7 MYJNO AOW{Ltt DuaDWQ AOOPwAs OT "0. �j I al�ONt)DN1 WMA U&E UF8'MUCii URE IF O Duplex O Mobllehome O Other TYPE OF WORK Jew O Addition O Remodel O L%Vas O Installation O Other O )ascribe Work: n Permit Fee Plan C Energy Plan Ch S Fcj - L s S I Fee i �FEEERM PLUMBING PERM Each Trap Solar or heat pump venter Water piping Each gas water heater or Gas piping system 1 - 5 Ot Mobile Home PERMIT FEE SS ELECTRICAL PERMIT - — — ---"-- Main Service O00V °R mss 2ooA «+rtes • Main .Service 200A TO 10MA NEW. OWBLNO OCCUP. OR Aoi N,;CONS i AOC. albs. Now11FS,o. • MULTI -OUTLET DRANQ POWER APPARI as o cut Ex. Occu ourtEr OR wnuRcs I Ex. Occu OF=O APPUM. OR METS ISIO. Eve 1 Tem orar Service i Mobile Home Facilities *PERMrT FEE PAID SRA - - SHERIFF OTHER AMOVNT RECEIVED $ 1 75 $ *RECEIPT NV"Ek 3-32 S" * TO 8E PVT INTO COMPVTER 20.00 75 -nrng Feed 20.00 7.uv 23.G0 15.00 �o 15.00 15.00 15.00 00 (9020.00 ng Fee 20.00 23.00 46.00 3.540. @7.50 23.00 20.00 I PERMIT FEE 18 1 20.00 t Hood 1 16.501 Ventilation IPERMIT FEE _ Mobile Home Installation Fee S Energy Inspection Fee i xc coNST. TTor T,O AL FEE $ 1.I ) _ S I -ti u. riW 1t7j,�Pr ► EL /�y B41E This permit is hereby Issued under the applicableprovisionsof the Butts County Code and/or Resolutions to do work indicated above for which fees have been paid. i By Date PERMIT EXPIRES ON rt .Alla. Ft .1i4• bf 1„t:�.i�; ., ;�i. ''5�,/„{+'i '{' t n . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ,� ASSESSOR PARCA NUMBER: � - Zo - r) 6�� Proposed Building Use. � - e$ S, jr Building Inspecto : Date: 17- /? -o l 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 iiems have been submitted .------------------------------ '. Plot plans, 3/4 sets, signed by the preparer of plans. ------ E33. ----- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. . 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! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------- El 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation iustmetions-inrluding��peeifiEatiora---------- -------- ❑ 10. Fees of $ ---------------- -------------------------------------------------------------------- 0 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: C> W- (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainageegal Parcel. ----------------- dE] . Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- re inspection for !Prop;7 of S'4- K � 1'nq required Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 024. Letter of signature authorization. --------------------------------------------. ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------- 1126. Letter of intent on building use. ----------------------------------------------- ❑27. Manufactured Home utility clearance. ---------------------------------------. ❑ 8. Existing vio ations and/or a ired permits. ---------------------------------- ❑ 3 A, ant Deed, M.H. Title,WCheck to H.C.D $ 33 030. Other: (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone %%' S '75 and hold f6r pickup at 0 (OV11 �� office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By. ` Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ 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 Divi4`on counter, by Dat0l. Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil ' i Sion counter, by e: Plans reviewed by: Date: Plans approved by: Date. Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VAl-, 0-, - n_-+__+ C,.-.-.:--- n..:u:--^=- -- PRE -INSPECTION REPORT OWNER: • • CONTRACTOR: M ra • PRE-INSPETION FOR: DATE TO INSPECTOR: 9 I3 -D / PERMIT HISTORY:( ) NONE Building Description: Electric: Gas: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant DATE: q- M A.P. ZONING: (4 FOLLOWS: BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: LSSUE: to' HOLD FOR Inspector. ✓lam Dat 9yL�.�� Sketch buildings on reverse and indicate location on p-roperty T.� 4—CO&lING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 iiia iii iii i iiia i iiia iii iii iiiii iii 20GD 1—GD04385-7 Recorded I REC FEE .00 Official Records I CONFORM .00 CountyBUTTEOf CANDACE I 6RUBBS I Recorder I ROSEMARY DICKSON I Assistant 01:56PM 24–Sep-2001 I Kristy I Page i of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAMT TROEGNER & PAULA J. TROEGNER BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNERILESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 6201 CODY LANE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA, BUTTE, CA 95954 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP ITY COUNTY STATE ZIP -SAME-22'1 //j I /_., (530)538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT IY171OR �ITi��/I/lfJ TELEPHONE /A t'////A {r( 9/21/01 UMBER CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL�� DATE SAME NONE UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION DEALER NAME (if not a dealer sale, write NONE DEALER LICENSE NO. GOLDEN WEST/09248 1989 KINGSTON/KG60703 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER GW6CALKG7571AB/C 24'X 60'& 12'X 33' RAD474399/400/401 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #064-700-046 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. JFI, l it 1 _ : _ L:I DWELL I I I LL _ ! :. f>QI I, PHF'HG I _,E 87 6 t 10. Order No. 00197123-003 t EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE M THE COUNTY OF BUTTE$ STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 138, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT 2", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 10, 1970, IN BOOR 35 OF MAPS, AT PAGE(S) 71, 72, 73, AND 74, TOGETHER WITH A PORTION OF LOT 137, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT 211, " , WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 10, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 71, 72, 73 AND 74, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SAID LOT 137 AND THE TRUE POINT OF BEGINNING OF THE HEREIN DESCRIBED PARCEL OF LAND; THENCE FROM SAID TRUE POINT OF BEGINNING, SOUTH 00 20' 58" EAST ALONG THE WESTERLY BOUNDARY OF SAID LOT 37,18.84 FEET TO THE NORTHEAST CORNER OF LOT 40, AS SHOWN ON THAT CERTAIN MAP ENTITLED, WOODRIDGE SUBDIVISION", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 19,1978, IN BOOK 66 OF MAPS, AT PAGE(S)14 AND 15; THENCE SOUTH 870 42' 42" EST, 98.75 FEET TO THE NORTHEAST CORNER OF SAID LOT 137; THENCE NORTH 77'00' 48" WEST ALONG THE NORTHERLY BOUNDARY OF SAID LOT 137,101.38 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS, AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES BENEATH THE SURFACE OF. THE SAID LANDS WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS AND ALL OIL, GAS, ASPHALTLTA AND OTHER HYDROCARBON SUBSTANCES, IT BEING AGREED AND UNDERSTOOD THAT IN ALL OF THESE OPERATIONS THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DATMAGE AND THAT ALL OPERATIONS RELATED THERETO SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE REALTY. AP NO. 064-700-046 _ RESIDENTIAL >. ;64-70-31 2744-91B NETHERY, Rod & Eve 6021 Cody Ct, Magalia (carport/mh) t JOB FINALE Signatuie J=OK O ' Not OK Not = Not Readyable MOBILE HOMES , 6 Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P 1t. / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 & 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 DECK,%. COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zon' g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5.Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date "a-7,%uard B-1 /�d7 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easerri@nts-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-Wra pped 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 #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------ -------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -------- --------------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ---------------- - ------------------- 19. Shower Pan: Test. First Floor -Tub Access ------------- -------------------------- 20. Test -Tub & Shower, Second Floor -Tub Access --------------------- ----------------- -- -----21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ----------------- -------------------- - ------------ ---------- D ate -------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'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. ---------------- 26. Equip. Ground made'up w/Mech. Fastners-Bond Gas & Water ---------- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- -----------------------------------'------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size r / ga. ------------------ Cu or --- ---AI ----------- ---------------------------------------------- 29. ---------------------------------------------29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---------- --------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------ ----------- - -------------------------------- ------- -Pane anels-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 #'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 #'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 "in ;gle $i Duplex) Date FRAMING (Continued), 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 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 #'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. 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 ---------------- 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 Planters ❑ Yes ❑ No ❑ No; ------------------------------------ - 81-------------------------------- tucco 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. 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 CardB-1 Date Card B-1 ---------------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: Y COUNTY OF BUJI - EPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 2744-91 ASSESSOR PARCEL NUMBER 64-70-31 ZONING RT1 BUILDING PERMIT OWNER Rod & Eve Nether TELEPHONE 873-0214 .SO. FT. OCC. BUILDING VALUATION 904 C 6,592 OWNER'S MAILING ADDRESS 6021 Cody Ct, Ma alfa 95954 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 62.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 31.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS XgXXXXXX 6021 CodV Ct Ma Alia Permit fee $ 103.75 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 STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Carport SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New P9 Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Carport for RV _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main Service EA. AOD'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. ense 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. DWELLING OCCUP.s OR ACDNS. ACC. BLDGS. , qft /zQsea NEW CONSTRESID. RANCOUTLET NON.R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES zo .ALO 30 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 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. E",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 o 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 Penult 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 ' ag id Count 'n nsequ ce of the granting of this permit. Date Signature of Applicant— Owner C n ❑ tractor ❑ Agent ❑ An OSHA permit is required for excavati over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 103.75 z. r CUA PARK SCHL FLD coF P PD ) HD Issu This permit is hereby issued unser the appiicabie provi- sions of the Butte County. Code and/or resolutions to do work indica d abov which fees have been paid. IREC PUBLIC WORKS ZZ BY Dat PER&T EXPIR S Date Receipt No. 97061 -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT WHITE-D.P.W., YELLOW tiV T'rr�-14,'~�Y'^'�.�.tt1�411{it/ `SY .Vil�Ya.i�,�1a.i.G'��li"� ti4I �•ti y'SR1h e 4 , COUNTY OF BUTTE - DEPARTMENT'OF .PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE . OROVILLEACALIFOR,tflq;95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATI"Q,N DATA SHEET I> t Permit No. OWNER'MrA.z C r e `/ A. P. No.. Gy' %O" 3� Proposed Building Use Co r I rit Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material For'm.......................................... 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........................................................ r 10. Fees of $ } 11. Chico Urban Area fees paid 12. Park fees paid .................................................. 13. School District fees paid .............. 14. Sanitation approval from a rccd(S a Health Department X15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. ©� Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... :. 25. Letter of signature authorization ................................... 26. { „� 27. When you issue the ermit, process as follows: Mail to owner. Mail to contractor. _Telephone and hold for pickup R� - office. Deliver w/inspector. Other i Applicant Date Copy of Haz-Mat form sent Health Dept. Fire -Dept. Air Polluti Date Copy of plans sent Health Dept. Fire Dept. Other ;Date By The following data mu5t_be_submitt dp-rito permit issuance: (Circle new.. item,.no.t:checked above). 1. Index permit for above items No. - 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date Plans checked by W% Date 4 1& Plans approved by ill Date (0 9i Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Hea-lt i.�-' SUBJECT: Sanitation Clearance kAA "-4- e"�'-4 I A - n�10( r, J,,2 4 K(( - ?d -3! Ovine Locatio AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply i Clearance for ---bedroom mobile home. Other � CC-- j W S** _IfDIX Sanitarian Date COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 07` � ASSESSOR PARCEL NUMBER a - 746 1 ,70 NG T� BUILDING PERMIT OWNER o,/ Eve /��1, � f?iF TELEPHONE b'7 vzi4 SQ. FT. OCC. BUILDING VALUATION S OWNER'SVppMAILING ADDRESS OZ/Cd CONTRA T<I-NAME TELEPHONE CONTRACTOR MAILING ADDRESS Fireplace CONSTRUCTION LEN -ER UNKNOWN Total Valuation 1 $ 57 Filing Fee $ 10.00 LENDER'S MAILING ADDR Permit Fee $ Sa ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Q57 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS QZ1 04C/ �+ ___ Penalty $ BUILDING ADDREgS (�[^ L J Permit fee $ O3' .7-5 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 STRUCTURE SF [I Duplex❑ Mobilehome❑ Other Clie02404 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New M Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: j y X 31l 04ryor- 4D✓ RIK _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO1++'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. �t 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.N) OR ADONS. \ ACC. BLDGS. , /2¢Sgft NEW CONSTR. UTI.OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e ( SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES eA 20@ 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also a ree to save, indemnify and keep harmless the County of Butte against all abilitl s, judgments, costs, @ind expenses which may in any way accrue against. sai County o sequen'e of the granting of this permit. X Date // Signature of Applicant — Oven ntractor ❑ Agent ❑ An OSHA permit is required (or excav, t' ns over 5'0" deep and demolition or construct- ion of structures over 3 stories inffheight� Mobile Home Installation Fee $ Energy Inspection Fee $ _ OCC CONST TYPE TOTAL FEE $ 103. 7-5-- HAz. can PARK sc�u rLo cor PAR PD j HD • ISSUE This permit is hereby issued unoer 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. �70 6 I f r73.7S WN,TE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLOCNROD-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) ha yt, signed an application for a building permit for the proposed work. 3. I have contracted with following person (firm) to provide the proposed construction: Name Address Phone Contractors'ticense No. City 4. I plan to provide portio of this work, but I have hired the following person to coordinate, supervise,d provide the major work: Name Address Phone Contraors License No. City 5. I will provide sonof the work but I have contracted (hired) the following persons to providet e work indicated: Name Add ss Phone Type of Work Signed: el Property Owner _ Social Security Date _A? -_ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 20 I "A)G-IlCPI ' ry� �- ill-- -- -- - _ ... .. \. Z 1- 41 .sir c ..of 5 ft. f ItIm thO 1-l'ines and a setback of 50ft. from centerline :hall be clear of structures or equiPMent ekceP' < NO'-rE;*-�-tAl'-aii.;-,ii-t-.,,-;*-t-:-I-E,--.-Pe--':n,".o)-rl-r-r-it�,—ns-rtID---SKet-1-0�.' tri Prac'tices P:'dl of a qtjalify#�Ot lie "pecK) � us'? r e-.T� Uniform Bu'l-ling, Plun-idling & Mechanical bodrt• tl1e Notional E'ledrical Code. This 4 of plans -1 kept vn "'lle ab -of alt-fi2mos -end 7if is -unlawful to � Make any Changes or 1.1 ®n some withouf Works, County of Buffe. 31 4 CYC- XaEk-k7e'r F1LE Copy SPECIAL Pr,)O,c COVERING REQUIRED. SEE AT TAM-"nED SHEET ZONE i 9C"Y.r4' 5/6"d 0)( POO Ic O,LA.5s r7 I St' Fa( T- UN ootcAY rtltl\JT L/10 11 Post Bio Crni�x 2,Y,6. 9pfFLf-)2- Zq-"ec D.F*06Z L3r-/Z- *m prl&vi& br-- 91 DE jqe2'0 NA- L 12 /Z AC /N6 . / in Al rD ere aging. C- MA)C P. or TIM z yp req u 00 Z31i soy ru Y3(%�:P 3 to nil li2oal 2L 91" /6? 0 CON I w C-Cnw *m prl&vi& br-- 91 DE jqe2'0 NA- L 12 /Z AC /N6 . / in Al rD ere aging. C- MA)C P. or TIM z yp req u 00 Z31i soy ru Y3(%�:P 3 to nil li2oal 2L 91" /6? 0 psoN ¢a� y C�►t� ��sE z'ca GhaLC Sig s-1v>>vG R>a DE DPu p -r pc -t TosT-t, Prdvide all 1. yz'� /0 C, --Y) - 1\ .". - r .. k 2 o y r CO nip, D F z x Vp S1m i 2 i Dir- f3oAiq u -a z 1'Y►Nc spiv � ►'� �" PF R�Fto25 —� L cr- T_ i 5 a N Bit pC. ANG z END ONLY -uxy OF P05T i C-3 � meq-# s pip � � c LI Ll s►►�PSON' LcQ. yy _ W cfi Ac � P 2 k pEe-p mlNlmvw► -4 iCt/e Ne -�- 4trC/ lo2b / L'20,::/y d�74 1wa-9 a A , d .. -3.7 (o 17.36 1 3),-76gF8-7t,S x 2 - 04 3 -''fi ; pK ,�v Si" NYZC� Y 1-14-3 - 28 4- CERTIFICATE OF COMPLIANCE: Residential ---------------------------- r----=------------ .ry Project Title: J BLACK/SA2Nb (BASE CASE) Project Address: CERES MANOR CRT. CHICO, CA. Building Title: J BLACK.1.57L.Nb (BASE CASE) Document Author: BOB METZGER Telephone: 865-9688 or 342-9688 Compliance Method: CEC CALRES, Version 1.10 Climate Zone: 11 GENERAL INFORMATION Conditioned Floor Area: Building Type: Building Front Orientation: Number of Dwelling Units: Floor Construction Type: Infiltration Control: BUILDING SHELL INSULATION Page 1 CF -1R , ---------------------------------- Run: 410 28 -Mar -91 J J BLACK.1637Nb (BASE CA Building Permit # Plan Check / Date ` Field Check / Date ---------------------------------- 1572 ft2 SFD Single Family Detached 0 deg (North) 1 Slab on grade CEC_Standard Component Insul Type R -value Location/Comments ----------------------- ------------------------------ Door 0 Outside Door 0 Unconditioned PERMIT NO. 7-89B PERMIT EXPIRES OWNER ROD NETHery. Robert Gorman CONTR. ASSESSOR PARCEL — 64 70-3 t LOCATION 6281 E36dy r Magalia -kPPlf2 Gour6,2. s Fai,,DAnav R/oi /Z CO /JZ�l 3-zt-81 -lvo APPRovrfiS tlt.k-is—/J�-U---� .. �a '89- No {}QPILv��D Pis- P�JSP<t[t'�oJ 2�E4aEsr uor mAad CLt4ar bZ.A,\---S `• � sr 1 i Temp. Power Pole Called PG&E Temp. Elec. Service � Called PG&E Temp. Gas Service Called PG&E J •FINALED•(Date)� SI ature :a.L�q AWWO .FiT OZ! oloq i'?."JOq .gmoT 9 8.i}dz^ earl .gfr.ST = OK PiU a �:; Y' � G �i r 1"13 a c}� a )110 i ro 0 = N61 OK 1; 3 �E Jw° of v �ayf � icsn � �9 hw -1>�s ;;Iaff�oll!a rl Yrsf/t Not Readicable MOBILE HOMES MISCELLANEOUS .,..'+..EYJl.:..Zd:v,J"a,fr:_Sw�:1�.7:JaL�'f .. ....'2•ti.:.l!..�i'IIdNR.^.=' :•::Lr«K'.iit.� aL:-:'3'w•tr_Tua.Ub�a:ytX. �?:._:�6t�XN"'S2.c'l�R,-Tr,�.aa.:.r�_S:..Z. .Cx_a:7t':F_'yit_WG::,^„.,.3_..u_,-F?•�5_�.'lu�bF3'f3[':SC.:Mi4:.::k'+J'17eb73.;'SafiS�"N �^.��W"p ----Date 's OK"ec® tKSCOVERSCARPO�TSGARAGESI#' -----1 Zoning.Regqulrements-$eEtiacks Easements - - dl ZoningVRequirement5 Setbacks Easements - faf;,'r a -•Y Spils S' ecial FrSu ort=Sketch t 4Y - �-✓2; F tin s;-Soils=Size De 'th,S ac'in' Con,neetors=Steel- P 9. P I 9 3 Sewer Location Test Fall O/O Concrete ---'- �_ - e�kS Girders and/or Joists Decking Bracing -Stairs -Rails ....l 1. v.a �.,:a uv w•aa, .v r _. r..a,., ,'. .�. _<tt... t_l ..r,a.. t.._.r✓r-.. ...-.C.O .� •r. a✓.w a, .. .. r,.♦e r ,„,-. .!n.- .. t., L �..r Fb ..••F, 1 .4 ^ri'^ qC1 V oli _...__Naf:_or/_.._/.:,L._ft l___L"LPG�._ f 11 fry i_..: - 6.-Carports;_Windows.DOors1/' Is�f? dh3tC�' _ _ -- __ _-._---zr!xr� =7.tiUtility'CJea'carica.;` :• snu,noo__ tx:j �.. rS trl%:l�fs3l�i 71i-ifCr'iis.?f b�t•f;sa trr,;u. ,.ccr+nabs!it;-ni'C,i=",r.;a.EGi<: .tr; .. -:;f - __ a �_.,__ 7- Ei �,.. r `.._: ._._ .. rmg=sills Anchors Stutls Rftrs Trusses_ -.id ran Cye.• 12 W.2 E:f1 \ y , C` asE•33F:�_xw ^,mil 14 �-!'Inc::•r rarfl h^�xJ - fj i °' GPFJ .()i' __._�_�y__mg;_Nailing-Veneer_:,Stucc0�M8s1),_, .. _-_.-__._�¢._.. __ _ _ Card-B1 -.__ Date Card"81°_. '""'"Date"" __---. 6d - - ---- ��s; ''R hg::R n,"g�r,r_rar�.r oof"Slit oofi _ � - - -h1-t.,._Steps_Door-s LariiiingsrorYt 3 r1:at�S .S r��y ----Date-- "-"'MOBILEHOME-INSTALLATION-(Plar")"0"-exce••- t-#'Sa P �ti!-31LAf LI :-i�ElSdidiit-y�Cr3q!;Jf ➢ ;ui>uiS ni 9PP1111 9s�! .:C cl�tiw^ a. h.:.9J..:im7r•,: enrE^ gE..^ F/ ^P. AP _. . ---- =--- 1: -Zoning -Requirements Setbacks Easements" --- -�--- .a4 Card-B1 Card:'131 -" --------2:-•Footings; Size-Spac�rin„g MInV Larragemea a7tl1"09� Date -fes% Card:B1 Dafe" -7' " v' --- ---•3-Gas;MHTest-Demand-Valve-Connector-:.L----- - 4 - 4 -- "- --'-+'"Electricity; MH-T_estCrossovers=rea Bkers`Clearances;,� ,, -•- Date ""_-POOLS:(Plans)"OK6except ft'S-' "'"-,,,�;,� : •_ "' ��; �;,„.�;. aIIFlex Connector,;t- "' "1:"Setback"s=Easernerits• m " "" '- °" - "6"Wate�;-MH'-st=Regulator=Connector ----'" " ' � __ 2. Soils; Compaction Structure-Stabilit r Y aPEia 7. Water and Sewer Copr ected3p Oftoi Grade _HD Appcov_al � = aIIsBookStruMire ;Steel Go nnectiOns,T,hlckness n,,Deatl Men Lihingi • � '•�, , ace ,;,,,,. rr - r - - - - epni i:Gas:andsEfectncit Ta ed. r, t_ Ya -99 t•0Q ;w91c .3 .t8 N 9. Exits Insp.-Sketch :Ifo f rG eklm,, Receptactes,andrLighilng-DWances ,))1;0:! Cert:!of Occupancy Yr, w-: "nev ,eu s.olu� E� - ilUP1•'}!)ie3Y''d :n0!9!\/i �c:.tot.!C1-11}(•r!'j S�'Qi,Sr4 lrp ;::a_lt^1 r?1 ! 5: EIec. gP,Ool Llghtigg ,l5,volts --.__.._..-. . � .. - 6l.Elec.; Enclosures,,,COnduit•,Entnes,Terminals=L-isteil""'"_ r,�;9 .a .• A= - `1"" -" `'-`-7 Elec: BOndiri ; ;Metal w/5 Circulator E, ui -H at 9 g�.q P - a - -•Card-B1--- -A-""bate"''"? "l'--� Card"B1'-'_ t°".`Date `'?3 --•- - --.-- ' ...:,s��sr.� .,r_. I�nn°r,.�..•N,::ar�.ur ,t, uet e:_ sig .r. ¢, _w B-Elec GrOundmg Equip; -w/5 circulating-Equip:=Pool Cghtg. �"-Boxes=Enclosures=Panelboard"s=ln's-Yd_-Main in Coriduit' - beta-a.o----------uace-•-------t.ara-C-1-_.___.__vale•---: - .--__..,�_ a 9. Health' Department;ApprOYial st6,1 $3-Jli t e_vofa ,u east iga1 .18 Water Su 1 Test;Q ` 1.0. Plumb.; Cir. Test=Supply ra-€l zo .)xD .3 J1 ;len.u9 tToOw is sf919uO .Jdl_ _.. - - _ ery�,� xa aea, tsler sst x� anr� o'er M parft e.1fl 0 ,31'j p)6h')E��•.,1P3�, ith,` ;Q]i`:'4r`:E ;Q cihilggA .u't• 1 �V'i'- f111. �� -' ty....,- .;-`Cerd-B1 Date,ta"e'.Cdfd !afnuoJ Yc); 1r, aeQaf,fcoarl Z OeNuo o813 .Ct,Date, s Ysac l Lrr+o^rJ ontwa loon �fli; egt;lRa7 .;C 3 ot�iq ar -aatsf Yi isno.� vRa :OV ii �pttlaF esiS $ " v-_ efffr+sQ sLra stt ni touO D A .£C 4-.V.R.�••lofo:�nt?o� 1 0 k 2h*.E2`' at oaoo b,111st ry xeffios u _ _ � --- •. _ _ � ,softs. s91C-afn3V -s v alis .d��!c .•:f1 �+ .�c noif.J9aJ1�i :Fl, Wib1-lOUf 3'glldia ri lsf >U �� 2, 7'lP J-te,lyiSty daz)% wqu syr 11n b_rcL010 giuP3a3S_.__.__ .•� .. . .. _.... ,opsat,D. floif s ooJ lot bst?.0 giup_J z*N1 A 9S'? saEi1 6 i '�" � 1 '¢.•j�l �i' oto,!bino,) Z E11°�..'S 'lliA ni 2fUolfO ow*,da 14 A-5; A9, - _.. ._. ._ .� .,,_ �q .._ . '- - 'y4fv? xt 11Cl1 / I �'1 opal 1 EE o3Q;3bfC19Jei`"4 sly _ •9U� 0?1L www 3 �",, 116 of 11..?3g3 \ .aSIV J711;6r.t 13t(tUC�i &R. . ,f3i - S a!1tR 1 i15}lUC.1-mF0-fiOifAl?3?rE1Q .`j� - - - i - - - __._ _.___-_ • r:l4t. In tY !>E \ t .35IJ.s +:YJ 1^ iT z •a!? , oiio spnoR .LS+ _ _ eg5J laOf^I iU f^t+ ,.,nf.3:.r �Q .A 2Jiwq bisurO .63 i in••.. �7' - ow Ps'iL!.T3$° 1�S3iu1J2nQ_ E- i1i1S'�-bOD\JJ t1D EaCEt. .- cl-loc(., o.OH lw. 10 .8 afneV nb-i .Q"' r c _ +osfi, o iLa ra st<,3 Iluoi . st aYc, at1i1:Yo0 1saiR ea+n el .13i', � -v . a13Y ' looR is_bnfu be3looJ sonmealy ______ ryu,ls afas�P-+>lCfP� JI c4s�is zsani>= sefO giup3 N _ :rw$r o PSY%,� Al '_ 3 &91-� &1q2 tfkNi 1i3wf3fSG tftEla �3t,olO E®1`ifl)V:J� �,d" . - CV1 0OV 0 2114 .,- 1'T�E19 � _ 'r?Idf'1+Ftp fJ'�'YnOOr.,O fIf1U1$ _..._ • - Ifi�llf731:'S - _._..y..,.___....-.__ GISO t b`sso csi of, sonalO�.icJs-!i�l-�:.oeasiQgr.;A-•:;�dl�Q ,�?:oo�l 3��gdf� �fl mi! 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'.? 0_,4 .Priv UOv oem;f,dans •a�ilwfi ad 1d63+m':+:Y?9i!¢ fIQ':.�i'Y�.IR,.i. ... � .. ... - = UK o=NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Su pprt- Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'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/Mach. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 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-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -61 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing 45. Hangers -Post Capg-Anchors-Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof 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 T -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 -Wal Is-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 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 -Mach. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 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 ❑ No; Planters ❑ Yes ❑ No Si. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE ar, DEPARTMENT OF PUBLIC WORKS ` 196 (Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 .a� CORRECTION NOTICE CST � 2' X57-8� OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office >` when correction of work is completed. If you have any question pertaining to this i matter, or need additional explanation, please contact this office immediately. a, 2Mut2 srtc L\ S'cr'\ , Z - S s fin, � •tea Q n1 l- � r � o � � S � T '� t�, � s ► M � � 9+ Inspector / l al,, b Date_ COUTYTY OF BUTTE DEPARTMERT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 *, 3 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 zw CORRECTION NOTICE N,;--T1�y(L`/ -3S7-sa OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ZoN ft, cr io,l INL 1.L, fo2'k ',S�04L ( G 1AT Inspector Date �G�c4'SCI 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 I1 Fr_-V\\'�' a\� SSS7- �5 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. APPf-t-A2 Td Z- CJl(.on�i ?,AS(i tg, Noy ,NST -(A C,(I KfK(L SQbCS. QRo>>,�t� \�� Cl ��1�2Ds�►c� t1T nn,nJ� 1 r�S�rti cc �6� �.1��A�,� RT Inspector Date SO-�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Orovill@, California 95965 - Telephone: APPLICATION AND PERMIT WORKSIT NO 9'1 f /538-7541P__6 ASSESSOR PARCEL MB R c ZAEON BUILDING PERMIT OWNER TE SQ. FT. OCC. BUIL NG VALUATION OWNER'S MAI ING ADDRESS G CO PrIrR AC TVO NA E N TELEPHONE CONTRALTO 'S MAILING AD F� SS � ' Jam" S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 d Each Trap 2.00 Solar or heat pump water heater 20.00 LOT FISU BDI VISIQ�I NAME PARCE MAP Water piping 5.00 Each clas water heater or ve 5.00 USE OF STRUCT RE SF ❑ Duplex❑ Mobilehome❑ Other `�( � /,%PEZ-rFY Gas piping system 1 - 5 0 lets 5.00 Building sewer 5.00 Mobile Home G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodeln Utilities ❑ Installati n❑ Other ❑ Describe work: foZ X(j ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 w Main service EA. ADD•L 100 AMP 2.50 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. . 3z:?e 6 Classification , ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, 'as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.al YzQsgft ' OR AODNS. ACC. BLDGS../ NEW CONSTR. MULTI -OU ET 2,50 ea NON-RESI0 BRANCH RC ITS) POWER PARATUS e\ (SINGLE UTLET LIR. / 00501 Ex. Occup(OUTL 2 SOR FIXTURES eAL030 Ex. OCCUp. Olx ETS 11 PK (RESID IEA.) 2.00 Temporary s rvice 10.00 Mobile Hor6e Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 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 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 sai ounty in,con5oguence of the granting of this permit. X Date Z':. Z�•y�� Signature of Applicant Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height./c/ipt Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP, rON5*1,TYPCJ ISCHOOL12LoTARCELf PD I HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datee --D.P.W.. / �� f Lion,Coff No. e (/ V YELLOW-A3e L330R. PINK -INSPECTOR.- GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION SION ._- 7 COUNTY CENTER DRIVE - OROVILLE, L~AL'IPOHNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET j `v Permit No. Proposed Building Use At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED i 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ....................................................... 9. Fees of $ i ........ .............. . 10. Chico Urban Area ees paid .......................................... f 11. Park fees paid' ..................................................... 12. Scho�pl District fees paid ..................... 13. Sanitation approval from ;'1.2-4 Q-� Health Departme,4 , 14. City of Chico plumbing -permit ...................................... 15. Plot plan and business license approval from City of �. (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ' 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) 19. Pre -Inspection for required .... Pre-Inspecarequest Building Inspector to , (Date)` 20. Contractor's license information (No., Name Style, Classification) ....... . t 21. Certificate of Workmans Compensation Insurance ..................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ...................................:. s 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. —Zf Telephone �C 12 0—'and hold for pickup at.P_n office. Deliver w/inspector. Other Applicant /;%LSU-- ate -Z_Z9-� v / / Copy of plans sent Health Dept., Fire Dept., Othe� Date 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 ---- mall_counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll_countef by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW F/ COUNTY OF BUTTE ;.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 PERMIT NO. APPLICATION -AND PERMIT `�A ZONI t / � CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADD BUILDING ADOREss _ LOT NO. I SUBDIVISION NAME USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other CI PA TYPE OF WORK New❑ Addition Reodgl/(�� ilitiesInstallation❑ Other Describe work:_ /u/ I / r !1 14,7 /11 of vJ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): -$3-1- am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full f rce and effect. License No.. 33i% %� 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason 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. ,�hall 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse encs of the granting of this permit. X Date S� - i' Signature of Applicant Wner ❑ Contractor ❑ Agent ❑ An OSHA permit is req for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories irvheiaht. Receipt No. WHITE-O.P.W.. TELLOW-ASeC,SOR. PINK -INSPECTOR GOLDENROD -APPLICANT BUILDING PERMIT f" SO. FT. OCC. I BUILDING VALUATI Fireplace $ Contractor Total Valuation $ Filing Fee ELECTRICAL PERMIT 10.00 Permit Fee $ Main service EA. ADD'L 100 AMP Plan Checking Fee Energy Plan Checking Fee $ $ �tQSQ ft Penalty $ OCCUP. Mr Permit fee $ SC=00L PLUMBING PERMIT Filing Fee 10.00 Each Trap 200 Solar or heat pump water heater 20.00 Water piping 5 Each qas water heater or vent Gas piping system 1 - 5 outlets 5,00 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea Permit Fee $ Contractor 3.00 ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR LE 10000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 " NEW CONST. DWELLING OCCUP.ad) OR ADDNS. ACC. BLDGS. �tQSQ ft NEW CONST, TI.OUT LET NON.RESID. .BRANCH CIRCUITS) 2.50 ea Ex. OCCUp(OUTLETS OR FIXTURES 200301 eAL030 Ex. OCcu FIXED APPLNS. OR p• OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10 oo Heat(no Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee Energy Inspection Fee $ $. TOTAL PERMIT FEE $ OCCUP. Mr CONST.Tre ,.,. SC=00L FLO ; ilo� PARCEL PI) 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-4�"� Date ���70 PE�RV EXPIRES Date//- C� i ,,�: '•'.ti.✓..rH.ivYi"-:^�`.''s-. `y-. ; .�. ac...y.: '►+fa'•.�;r.�:.�3'i mer �!}-'v�>��' ��.:••$ 'b'RStv'iJ`�%,p.%":z���: " � r"' i. ::tiz•'Ary��': '^' ��`.� +^r' �I •4 COUNTY OF BUTTE - D€PARTiimKiq OF'pUELIC WORKS B LD NG DU).Lr% UIIIN 7 COUNTY CENTER DRIVE - OROVILLE,iGAUFA.FWjA 95965 - TELEPHONE: 916/538-7541 e PERMIT APPLICATION ,DATA SHEET Permit No. A OWNER # �` A.•,P..No. – – 1 Proposed Building Use n al y 'Building Inspector Date At time o permit application, I was advised the foilowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been "submitted. .................................... .2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ......................:.............................. Sc 1 of Dis ict fees paid ................. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ........... ........... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ..... Bu iding Inspector t 10 � (Date)`r' 20. Contractor's license information (No., Name Style, Classification) ....... t 21. Certificate of Workmans Compensation Insurance 22. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone wand hold for pickup at Azffice. Deliver w/inspector. Other Applicant Z44� U _ – Date __:5�f _g5 Copy of plans sent Health Dept., Fire Dept., —Loth r Date 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---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by ' Date Plans approved by �` Date �� Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for:. Sewage Disposal_ Water Supply Hold final for:. Water Supply Final clearance O.K. for: Wates Supply Clearance for _ bedroom mobile home. 'Other U Date y 4-441�r z 4L'A to o6 f' P-kwl 4N LIS At c .Q s s A- 7 WITNESSED BY: Al Mittlestadt CAT 'NO. NNO063 TO 1950CA(11-8 ) JTICOR TITLE INSURANCE (Witness—Individual) STATE OF CALIFORNIA COUNTY OF Butte SS. On Decenber 23, 1988 before me, the undersigned, a Notary Public in and for said State, personally appeared Al Mittlestadt 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 Ch1co, CA and that said witness was present and saw "" n°nut°t::a°:a°°ezt::a°s:a:er..°c:ar,°aattzntz:;:Toa R.M. Nethery 0'# F)C.IAL. St -.AL °'�"'`' ersonall known to said witness to be the same person P Y P .i- f�y,. JOLLE-rriN k'JJ•iITSTT described in and whose name is subscribed to the within � NOTARY PUBLIC - CALIFORNIA and annexed Instrument as a party thereto, execute and deliver the same, and that affiant subscribed his/her = tq COUNTY OF OUTT! name to the within Instrument as a Witness. _ Comm. Exp. Feb. 22, 1"991 WITNESS my hand and official seal. L Signed % (This area for official notarial seal) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder " building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) '2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise,and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date l — / 7 — 89 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. � y. �o • 3i cetuxm to UYW FOR RESIDENTIAL DEVFLOPMENT Section 26-8-i of the Butte County Code requires this acla owle NA t �® CtjM6 be.; recorded: prior to issuance of. a building permit. FORRE AT x.01 A. A4. F'ONG . The property,described herein is adjacent to land or i uded within an area. zoned for,agricultural and residents. �--og o this property may be subject to inconveniences or discomfort.arising O from. the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not'limited.to cultivation, plowing, spraying, pruning,.and.harvesting which occa- sionally generate dusi, smoke; noise, and odor. Butte County°has established agricul tural,zones which have as a priority use for productive agricultural. purposes, and, residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort -from normal, necessary farm operations.. All that real property situate in the County of Ru.rre,.State of California, described as follows: Lot' 138, as shown on that certain map entitled "PARADISE.PINES UNIZ Z`,.which map was filed in, the office of the Recorder.- of the County. of. Butte,. State, of. California, on. June- 10,. 1970 in Book 35 of Maps, at pages 71,.. 72, 73' and% 74_- ESCEPTING AND RESERVING 1HEREFROM all minerals, oil,. gas,. asphaltum and other I hydrocarbon substances:, with provision that any -and all mining operations- shall be- done from. orifices-. outsidethe surface. area. of the land herein. described,. andthat no damages shall. be: donee to the surface, of.' said land.. Date: / / / P TY OWNERS: �� N State ofd#11Ae/1 ) On this the `T cJk- _ day of 19 ,. SS. before me, the undersigned Notary Public, personally County ofurr� ) appeared �0,D. AJE known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged OFFICIAL SEAL that executed the same for the purposes POLLY MACK therein c` ntained. a NOTARY PUBLIC -CALIFORNIA Principal Office in BUTTE County IN WITNESS WHEREOF, I hereunto set my hand and official My Commission Expires May 27, 1989 seal. _ /j Notary Public Present A. F. N0. �y - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO���//l 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT a ASSESSOR PARCEL NUMBER .- 7- ZONING 2T BUILDING PERMIT owN -- 11 OJw,_ to er TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIp,DQR ESS IAl C�ONG�D s z( CON GTO NA R; TELEPHONE S1'1 D75 CONTRACTOR'S WAILING ADDRESS 5r7 De e- LYr 4 Cree t< Fireplace CONSTRUCTION LENDERUNKNOWN 11. Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ . ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �K Each Tra{i 2.00 e. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF ST CTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G 1W I 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: /30-%G� O A1. � %f% _ � � Permit Fee $ .Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Cr—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. y Fp yy 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. DWELLING OCCUP.&) , OR ADDNS. ( ACC. BLOGS. /20sq it ' NEW CONSTR. TI -OUTLET 2,50 ea .NON-RESID .BRANCH CIRCUITS) /POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES SAL030 eAL030 Ex. Occup. OUTLETS PR ESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee' $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 0 onsent 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 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 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 aga' said County in consequence of the granting of this permit. q �,� 6 Date f— �� �/ Signature of Applicant — Owner ❑ Contractor ❑ Agent----- An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ O_ -V Energy Inspection Fee $ TOTAL PERMIT FEE $ �a OCCu P. CONST.TYPE J.C.O P P L PD No39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above f which IR TO PUBLIC By C PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS . V101 Date qV( '_ Z? Receipt No. % 59 7 WHITE-D.P.W., YELLOW-A9e E330R. PINK -INSPECTOR, GOLDENROD -APPLICANT .�,-,,. �..v..w�-"•rte-<v's :.. ; � r=,� mss. r`T.`:-r�'trv`y«-.w:�{L;:?E`s-isr.«:..�,re`r.,�.1^w.,.�.q,� t � ... ;a;��...<�.ric., ��'+�"_.. :.;+,^.,;'. s: r;.:r. .. _ COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORKS.- BUILDING DIVISION) / €.'• ' i. / 7 COUNTY CENTER DRIVE - OROVILhE,{GSA@'IFl�R131A 95965 -TELEPHONE: 916/538-7541 PERMIT ARPLICATION DATA SHEET Permit No. OWNER t e •e A. P. No. 4/— 7/9 — 2 Proposed Building Use — Building Inspector Date /2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ - 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 1. ark fees paid ..................................................... jja School District fees paid ................. — 13. Sanitation approval from Health Department J.. . 14. City of Chico plumbing -permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re ulred .. , , Pre-Insperequest to p q •Building Inn request (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone1_and hold for pickup at,``jn-12)_office. Deliver w/inspector. Other Applica t Date Copy of plans sent Health Dept., Fire Dept., Other Date t The following data must be submitted prior to permit issuance: (Circle new item not checked ab@ve). " k 1. Index permit for above items No. 2. Additional items required: e� Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by_phone_mall_count date Plans checked by Date Plans approved by Date �� « t Sets of plans on hold in File cabinet AP folder Copy—DPW X' -•w .�Y:.s�i•.-,lir!''+[y :..'�ffiy �i.. s,v. I,.., �s .�.� Y.n^5�;.°fh". j',j�'/:+�p ; H ` PERMIT: 2360-73 SEALY' .-E._ x 3P -Cody CQurt'. Unit. 2"L6t _ 138 _ r (Utilities for mobile home, except gas) -2-9-73 Pyp4 a�®kcit Pam j 3 7-3 )(Ab5 e" 54 ,r -g 4.111te . A16 a/1 va,ptoto — 1 a . i �/I v O'er ��� • t tr7 { ' 7 w ^rtes •�x{ \ti 'f, 1, �. 1�a i� �` �. _• _ ,.. COUNTY OF BUTTE �. DEPAT MENaT>tOF PUBLIC WORKS 7 County Center Dri vee' tiCrpwllei Cal ii fornia,95965 •'Tel ephone=py534-9541.%r ,A. ,, . APPLICATIQN�ANR;PERMhT r S rrHT .t•1r1Vn V6 •7 - rsv.tavnYR .+mnri 4riJam in't iglWi.t'.0 `. �:Mailing '; t "'qi-s'.BUI,LDING•, Owner F 51 ,. -.SQ. FT. OCC:,. BUILDING VALUATION Ad dress Fireplace Contractor G fi f f CT/i/L 1. Total valuation Ma_iling;Addiess�', y':.-�.L"�,�� \ \ :: •1 , , jPermit Fee Plan Checking Fee&/or Penalty . _ , J Telephone No. .Te. -. Permi.t Fee \ -\^ pJ "r ' t\ r i !�'I .' Building, Address: ty.'��j-] '��J1 �.AU/�T -i '�tfrpERMIT PLUMBING No. @ FEE FILINGFEE $2.00 ap ) Each Trap 1.50 i g lIIYJ7. ._ .Z ! T ! Repair drainage or vent piping 1.50 - SO Water: piping 1.50 _ Each gas water heater or vent 1.50 A. P. No. ,•„• _ S7-sQ—' �� jAe,,' .�� .fir (��[[�� Zoning•& Pl,anning,j Gas piping system 1 - 5 outlets 1.50 (Each additional outlet .30 "Feest' W.C! 'San' tattoo. Fire Dept. Fire Zone Use PenniP : Bui lding sewer 5.00 Parking EOA plans parcel Declaration ''• Pargef fvl ap.I a '' %0:'R/W t. Improvemeys��. Lawn sprinkler system 2.00 - ' f1GT ?= Bldg. Plans Recd Parcel .. Pael Approval, ' s.� f��� \ ;Plan s. 4provol �: Permit Fee. $ %' $ " NEW ❑ ADDI TIONj❑ `:UTILITIES Q:_ OTHER ❑': ;t;' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,! Main service incl: 1 meter OQ Additionalmeters, each 1.00 Sub -panel (12 or less) (m.,,h.n 12) `Single Family ❑ y Duplex ❑ Mobil Home ❑1, Others .Range. Cook -top or Oven 1.00 :.,�.Water Heater or Space.Heater 1.00 Light. fixtures, bel u_ o Receps., switches&fix. outlets CONTRACTORS LICENSE LAW I am Licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the nameAir - style of:1 �a w"t �l %�1 r r d ; Hood, Ex. Fan or F.A.'Furn. Motor 1_00 Evap€cooler, gar. disp. or D.W. 1.00 conditioner or heat pump Water pump ' Mobil Home Facilities 5.00 rQ A' Temp. Power Pole 5.00 5 _ Classification License Nop I�*1 1 Misc. wiring .❑I- am exempt from the Contractors License. Laws of the. State ofCalilornia;Rermit Fee $ i" WORKMEN'S COMPENSATION INSURANCE. t am aware of the provisions of Section3700 of the California Labor ,.{)'Heating Code which requires every employer to be insured against Liability for;Workmen's Compensation. • ;Ti: I have placed on file with the County of. Butte acer.tificate of • Workmen's Compensation Insurance. .I. ❑ certify that in the performance of the work for which this permit t is issued I shall not employ any person in any manner— anner so: as to become subject to the Workmen's Compensation Laws of 11' so; 491iiorn,a. r.' r'Permlt . MECHANICAL No. @ FEE .PERMIT FILING FEE $3.00 'Cooling Hood' r,' — 2.Oo FeetT $ $ - lkcarii ly than -1. have read this application and. state that. the above information is,correct: I agree to comply to all County Ordinances- rand- Stale Laws relating to building consirucGon; and. hereby c TOT7�L PERMLT• F.EE _ $ /�- able provisions -of do work indicated IRKS e'7 -.L' 7 D COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS (�1I 7 County Center Drive= — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the C;ounty of Butte to enter upon the above-mentioned property for inspection purposes. a2g��X Date Signature of Permitee or Agent Receipt No. / Q " / _11L 0 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 for which fees have been paid. DIRECTOR PUBLIC WORKS By Date '7— fm' 7Z? Building permit expires Date 6 _.7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor G ! Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No: Permit Fee $ $ Building Address 6 Gv PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 pp Each Trap 1.50 UNC bl� -Z 37 Repair drainage or vent piping 1.50 Water piping 1.50 1-57,6 Each gas water heater or vent 1.50 _s A. P. No. — Azon i Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. Sani Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma R/W P lmr p ovemen Lawn sprinkler system 2.00 Bldg. Pfo rRec'd Parcel Approval Plans Approval Permit Fee $ dr NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 a0 Main service incl. 1 meter , too Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bai (410 Receps., switches & fix outlets 2025 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Pr9Vssion4 Code under the name style of:O.—o—M Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 ae Temp. Power Pole 5.00 License No l' [� G Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. j5j I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ Sc authorize representatives of the C;ounty of Butte to enter upon the above-mentioned property for inspection purposes. a2g��X Date Signature of Permitee or Agent Receipt No. / Q " / _11L 0 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 for which fees have been paid. DIRECTOR PUBLIC WORKS By Date '7— fm' 7Z? Building permit expires Date 6 _.7 PERMIT NO.' P E M ".'MH UTIL. PERMIT NO. j PERMIT EXPIRES/, o `i OWNER Ralph Sealy ZONTR. owner LOCATION (A.P. 64-70-31 ) t3O Cody Ct.,PP#2, lot 138, Magalia 9 Temp. Power Pole /eec. G&E Serv. G&E erv. G&E FINALED < , (Date) (Sig V, re) d I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback � — Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab X Roof Sheathin Water Piping Piers Roofing Sewer Nip? Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters A pliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Foo ins Footing ELECTRI L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam 4 FIRE SftlNKLEO Motors Framin d � 1 Test Water Htr. Stucco Final Subpanels Mesh ME 94ANICA Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts X Under rou Interior Lath Ventila ' n Permanedt Door Closer ' Final Final DATE REMARKS OR CORRECTIONS r a COUNTY,OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive OroviIle, California 95965 f� Telephone: 534-4541 / APPLICATION AND PERMIT ' BUILDING Owner, � 4-L S0. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor pow ,L /Z, Jc � �/l Z_D Total Valuation Mailing Address �Q , . rr� �'T Permit Fee + Plan Checking Fee&/or Penalty a Telephone No. Permit Fee ' $ $ Building Address jQ-7- PLUMBING No. @ FEE_ PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 IA��jj� / / e ��-� 3 Each gas water heater or vent 1.50 / / A. P. No. (p U--�/ Zoning &.Planning Gas piping system 1 - 5'outlets . 1.50 Each additional outlet .30 F _ Fire Dept. Fire Zone r Use Per_m_it Building sewer 1 5:00 EQA J.Parking Plans Parcel Declaration Parcel Map 60' R/W , Improvements Lawn sprinkler system 2.00 Bf29. Flans Recd Par Approval _ Plan pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ 'OTHERELECTRICAL ❑' No. @ FEE ,. PERMIT.FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 r Sub -panel (12 or less) (more than l2) Single,Family ❑ Duplex ,❑4 Mobil Home P111,: Others ❑,_ .' Range,_Cook-top or,Oven1.00 LA� V1 Water Heater or'Space Heater 1.00 Light fixtures balal0 s "ti Receps., switches & fix outlets '20 25 CONTRACTORS LICENSE LAW - ` I am.licensed underl'the provisions. of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style`of: , F , ` .t , ' s - Hood, Ex. Fan orF°A, Furn. Motor 1.00 ` �- Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump'. - Mobil Home Facilities 5.00 ` Temp. Power Pole 5.00 License No. - _Classification Misc' wiring Bl-'a'm exempt from the Contractors License Laws of the State of California. ' Permit.Fee • $ $ . ,r • WORKMEN'S COMPENSATION INSURANCE, 4 ' x' I aware of the provisions of'Section3700 of the California .Labor �. Code which requires every employer bto`be insuredagainst liability, for Workmen's Compensation. •� ❑I have placed on file with the.County of Butte a certificate of Workmen's Compensation Insurance. ala(��I/certify that "in 'the performan e'.of the work for which ihis issued I shall not employ any person in any manner• so as to become subject to the Workmen's•Compensation Laws of California. '' _ r �• •-'I certify that I have read this,application and state that the above information 'is correct. I"agree to comply to all County Ordinances l and. State Laws relating to'building.construction, and hereby, MECHANICAL No. @ FEE. - A ,.. PERMIT FILING FEE. = $3.00 Heating r Cooling + Ventilation Hood �t2.00 Permit Fee $ . $ ' TOTAL PERMIT -.FEE a U"1u[Z•+cN+caanlauvas UTAI]t! I,UUrlly'UI MUlltl lU enter Upon ine above-mentioned property for inspection purposes: This permit is hereby issued under the applicable provisions of < ti the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. -.75 DIRECTOR OF'PUBLIC WORKS X ate • _Signa re of Permitee or Agent `3j a .ry' r By Date - ' Receipt o. - , 'P.W.YellowAessor.-- Pink `ector Ins•ss-Godenrod-Allin . ,- r p pp ca't Budding permit expires Date ....... ,�.r............ ;..• . - ' ,. �' X1.0 �� ; j 110-89P,E(MH) ;..• . - ' ,. �' X1.0 �� ; ' 110-89P,E(MH) - - PERMIT NO. ' G� go PERMIT EXPIRES ` RODN M. NETHERY OWNER CONTR. ` owner 64-70-31 , ASSESSOR PARCEL LOCATION 6201 Cody Ct, Magalia I OFFICE 'COPY • f • ' '6e,01 cobi • Address ' GAS Meter By Date�� ' ELECTRIC.1 i2 , Meter By Date Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service • Called PG&E r a JOB FINALED (Date) Signature = OK 0.= Not OK Nor Readyable Not MOBILE HOMES Date MQBILE HOME UTILITIES (Plans) OK except #'s 1. ping Req uirements=Setbecks-Easements Soils; Special MH Support -Sketch ewer; Locatidn-Test-Fall-C/O-Concrete ater; Location -Test -Easement Needed (Sketch) a!Erctricity; Location-Clearances-Grnd.-A38a/ Amp -Concrete Gas; Location -Test -Wrap: / /"L"ft. /'Nat. or/V/"L"ft./Xj/"LPG . Utility Clearance Card -61 GX Date t-,zo_89 Card -B1 Date Card -131 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s —oning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line Z. Gas; MH Test -Demand -Valve -Connector EI ricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector ZXW-ater and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged its; Insp.-Sketch 14rCert. of Occupancy Card -81 k&Date Card -B1 Date Card -131 Date Card -131 Date MISCELLANEOUS Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -61 Date Card -61 Date Card -61 Date Card -61 Date 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 ICard -B1 Date Card -81 Date Card -131 Date Card -131 Date = OK • 0 =Not OK _ -=.�1at,Apacable RESIDENTIAL (Single and Duplex) = Not Rey Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'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/Meeh. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 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-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Card -131 Date Card -131 Date Card -81 Date Card -81 Date Date FINAL (Plans) OK except #'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. 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 Protec. 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 ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Of. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -81 Date Card -131 Date Card -131 Date Card -131 Date Card -81 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 7 COUNTY.CEN(TER- DRIVE. OROVILLE CALIFORNIA - 534-4541 k PERMIT N0. Address or location of mobilehomet t , Owner's name Z) ri r y N r i i4t=g y Owner's address t V«[ C, 1syy C t" Insignia or hud number �r' 4� q-V�C) A-1 q 1100 q'! j1-10 � 'Manufacturer's name ���> �; Srt 1 C5 (V, .S t = Serial number of V.I.N.t +(fC 7!',11 kit,. 'lG3 Year of manufacture $ . y (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION a ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE _ MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541APPLICA-TION AND PERMIT ASSESSOR PARCEL NUMBER ZO t BUILDING PERMIT 1TELEPHOIIE SQ. FT. OCC. BUILDING VALUATION OVj,[JER�'S MAILING ADDRESS 3/A^ CONTRACTOR'S NAME Z ITELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS Permit fee PLUMBING PERMIT Heating Each Trap Solar or heat pump water heater LOT NO. foLJ SUBDIVISION NAMEoa�� aARCEL MA cJ 71 Water piping Each qas water heater or vent USE OF STRUCTURE SF ❑ Duplex[]Mobilehome[g Other sPECIFvMobile Gas piping system 1 - 5 outlets Building sewer Home S G TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [5a Installation❑ Other ❑ j Describe work: v r Mobile Home Installation Fee $ Permit Fee Contractor $ 10.00 a $ $ Filing Fee 10.00 2.00 20.00 5.00 5.00 5.00 5.00 0.00 ea $ 41e). ELECTRICAL PERMIT Filing Fee 10.00 Main service DDDV OR LESS10.00 100 AMP OR LESS APPARATUS &) (SINGLE OUTLET CIR. zoesoe Ex. OCcup(OUTLETS OR FIXTURES SALO 30 CONTRACTORS LICEWE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.a) yz2sgft OR ADDNS. ACC. SLOGS. NEW CONSTR U TI.OUTLET 2.SOea NON.RESID .BRA C C149TITS) APPARATUS &) (SINGLE OUTLET CIR. zoesoe Ex. OCcup(OUTLETS OR FIXTURES SALO 30 FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA.? 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 js- 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 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date_3 . 7c -� Sign re of Applicant — Owner Contractor ❑ Agent[ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ o occup* CONS" ON ST.TYPE SCHOOL FLOOD PARCEL PO ND 0E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR CTO' OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date `l Receipt No.�kq WNITC-D.P.W., YKLLOW-ASOCSSOR, PI x-INSPlCTOR. COLDlN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSA- BUILDING D;IYISION 7 COUNTY CENTER DRIVE - OROVII_tt; CZfl 16ANIA 95965 t L&HONE: 916/538-7541 %r PERMIT APPLICATION DATA SHEET / Permit No.. OWNERt l P. No. - - Proposed Building Use Building Inspector j Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. ' School District fees paid ................. r 13. Sanitation approval from Health Department ... 14. City of Chico plumbing.. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: . ......... 17. Improvements,may be required. '. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... B� ldingeIn'spe tori �� (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance ........... .... . 2. Owner -Builder Verification (Given to owner ❑, Mail to owner ay`_ ... If— or-23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail t9 owner. Mail to contractor. Telephone _T , - and hold for pickup at office. Deliver w/inspector. Other A p p I ican Date/— Copy ate Copy of plans sent Health Dept., Fire Dept., Other Date 1 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: rl dl Contractor, designer, owner, was advised of above required data by_phone_-nailcounter by date Contractor, designer, owner, was advised of above required data by_phone_mail_counter byf date /l Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date } r.S Y T0: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance f �a DNC"f NGs7tYt'YC y ZO l �d /J `� �u:/✓` 1 ` owner location r AP # (' . _„ Driveway permit t/ c/— G U 3 7 — has been issued for the above property. A//, s s art date -_/*3_-i r % Utility connections shall . Within AP --� "--- Cj �_ _-_ �' of the mobiiehome, elth `5--- - —, - -hindorwi in __... alf • }A��(�� r. -�� R� home. I , _ Cly setba of 5 ft. Yfror t ; I F rope !nes an e' ® , / read ienter in hall be clear f v ! i ' trbctures r equipment OzW r�.ri, a 2i ttove OFS 10 ADti �� w 11, /' t �,•... ,� s E+cifkati `ns MUST bE kept on the 16et cilf tunes' art! s; ii5 urlayJful tc f rr ake, aa+y c=,;_,ng ari'<;railon$ on;6aime wrt. au wri g perrnissin� rom` v c� - - - - utter - ' NOTE Mdteri - - coot ar+ce :wit Recogna; Gond Practices i t0r'i�uurcr t,e - pec; iec use !R th@ Uniform Buildin I bihq r.ffie ational Ele-africal Code. 141 J=AAA ra --- __ w14 CYO 1A 11'�l SUM. `"� . e I j- 0 I Li _/ � � _� 17.7,00ZZ a 1001 n� u R r L SUPPORT PIERS APACIT-Y FOOTING SIZE I Ko CAPACITY FOOTIN 20001 12"x 24" _ -J> 11p 8000; "�Zl8'-`x 400011 'NW24-z-24"� 'R -10,000-4--- 6 -D" -x-. 60001 36"x 2 4" FOR FIELD SUPPORT DETAILS, SEE DNG'S. 5-1 and 5-3 OF INSTALLATION MANUAL.. 1�.�ol , ; � X50 0 Cl--- . lel ' ,C• 1 I _ s�'.v.✓o.¢,ea ,Q�e,o.ET• vPr�o.✓.Q,c c�9.PP.�r.- .!?EGESSEO.�iI )ne CA '.E'ET= K/Nles7-0 A/ /49-Z4 CO►DEMWCST Z E .PEt L4EO?�atil7S� G2c�¢T PQY17 SO. F T . HOMES E- �ler CARPET LAYOUT AND RIDCE -*Ott .o StwrwwrwCwulpy BEAM FIELD SUPPORT PIERS 156&O%D^ IAS onwww e• - /7U1 4/n/J`p�_ KGloDil!' Di �O m y' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's_ Name: AZ c%�- 2e 3. Is the site currently under permit? Yes El-- No a (If yes, furnish permit number I�D ) OR Is the site an existing site? Yes No a (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes � No (If no, clarify , -- v A5. What is the mobilehome electrical rating? --------------r Amps 6. What is the mobilehome site service rating? ------------ �� Amps 7. What is the mobilehome site circuit breaker rating? '"--- Amps 8. Is there any other electric load to be served by the - � mobilehome site service? ------------------------------- - Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) ------------------- Natural LPG 10. What is the type of gas service? 11. What is the gas pipe length from meter or tank to the mobilehome?',-----,----------------------------------------- (ft.) * 12. What�is'the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural. gas - 6r Bless than 50 ft. on LPG. ) �ATTED To I.9-6 a4 M PS MOBILEHOME SUPPORT DATA If other-t°nan single wide n_3 F Mobilehome Mfr. , furnish Setup Model No. 0 / Year Width (ft.) Box Length__4�V (ft.) Tagalong or Expando Size /-)-- ft. x -33 ft. 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). FOOTINGS (check one)I z'1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one) Concrete block. F12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line 2 _ — — — — — — — — � — — — — Main Beams — — — — — — — Line — — — — — — — — — — — Line Tag or Triple s _ Lina 6 Line 1 Piers: Line I Openings: Size -Min. ------- „x Size -Min. ------------ ,k Spacing -Max- --------- _ Each Side of Openings From Ends -Max. ------- With Width Over --------- " Line 2 Piers: Size -Min. ------------ ! x 3a Spacing -Max.---------_ , From Ends -Max .------- Line 3 Roof Loads: Size -Min .------------ x Location (From Front) P _ e e 4 Piers• Size -Min ------------- k „ Spacing -Max.--------- „ From Ends -Max. ------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ x Spacing -Max.--------------- „ From Ends -Max -------------- Line S Roof Loads: Size -Min. ----------- x "x 'k "x " Location (From Front) _ Size -Min ------------------- Spacing-Max ---------------- From ------------------ Spacing-Max---------------- From Ends -Max -------------- d_%1 " 1TTG C4uN1 TO.: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE 0� Y 0 -OWNER LOCATION O'�r��d7srJ Plans approved for: Sewage. Disposal Water Supply Hold final for: Water. Supply Final Clearanc�e_,O.'fo-r-;Water Supply Clearance or bedroom mobile home. Other Clearance for addition of No 4**, /0 � �5411k6i DATE rCOUt.V'L'Y,•OF BUTTE Department of Public Works ..7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Location (eU' u� 0 k Mobilehome Installation Permit No. FILL IN TwniDuATION FOR ITEMS 1 THRU 10 Watts 1. Width x Box Length x 3 2. 2 Kitchen Appliance Circuits ................. 3,000 3. 1 Laundry Circuit ............................ 1,500 4. Ovens ........................................ _ (0 d rJ d r S. Cook Stove Top ............................... 6. Hot Water Heater _ 7. Dishwasher & Disposal 8. Clothes Dryer ................................ _ U 9. Other (specify, i.e., motors, exhaust fans, etc.) - Z� Sub -total - Watts ..... ,,2 (4p• FU First 10,000 watts @ 100% ................................ 10,000 Remaining watts @ 40% ....................... 1 c 10. Air Conditioner watts @100%.. _ ) Laroosr Desna Central Heat System watts @ 65%.. a ) TOTAL DEMAND WATTS RDQUIRED tj 4 C 6 "Demand Watts Required" ; 230 ............ _ % AMPS De -rate Mobilehome to.....�................................ �� AMPS ''F"'SAP,?�+j'1i�°['vi:`€�?'y(t+7�7'.r�+b.:�d,�='F�ywi,,,f:-.,d�*.�.M�+�,'�i7�v::r+15.•'.��yP��'t"'�"�i"y�1 j •�,.�,'"*n�:�_ti'�li;%�5�. ,.y-,�} r..s.:..•.:..., BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form,pgr Fju•ilding) A. P. Number ,66/ t- 70 m'3 Building Department -No. School District ey �arQ .� City Q' � County [ ' Jurisdiction .Property Owner A � e- - � � f Project Location/Address 6.1 a ( c BAS,, 1..ki j/A & !� a> Subdivision Lot Number, -.,,,,,,. - ., Re s i den t i al . D eve l opment : �- . --F6 t age ,-s # of Living MHI Addition (GroupRff Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior / Roofed Areas) Building De tment Representative / Dat .,.� District' Id No School District certifies that / (Applic Name ) _( hone/ Number�� AIL I' (Stree Address) } � U.ity )� f has complied with by the pa_y_ent of State 5�qs �- p Code) the requirements of Resolution No. $ epresenting �0� s uare feet. 'W t Scho6/1 Distric-t Representative D to PAID BY CHECK NO. REMARKS : 112"1q" BANK NO.. �— PAID'BY CASH (% white -applicant, yellow -building department pink s(.." -d strict SCHOOL . FEE ( 5/88) AP # 'C`Q5 —76 r3� OWNER PERMIT MH UT IL . CLEARANCE DATE. INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re .h, Service Size Other Load Type Pipe Size Len*jzth YESJ NO YES NO r6 LPA Sly -- zo 7