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HomeMy WebLinkAbout065-300-038ELECTRICAL WIRING W/0 PERMITS) 5/14/97 AP65-30-38 MERRITT J. INNES 10 Magnolia Dr., SD 1, to 10, Magalia PErmit# 3057-74P,E (util., MH) 65-30-38 Permit#1038-80�,E(new cabana) MH 065-300-U38 PERMIT#97-1070 INNES, Merritt 14738 Magnolia Dr Magalia Clean-up Ele/SF ¢ t4 / 7 065-300-J038 STOBB p 14738 05-2816 Cont: JE,_, GLIA, M FHg1VS0N AL l. iq H. /a Z0 36 r I f AP65-30-38 MERRITT J. INNES 10 Magnolia Dr., SD 1, to 10, Magalia PErmit# 3057-74P,E (util., MH) 65-30-38 Permit#1038-80�,E(new cabana) MH 065-300-U38 PERMIT#97-1070 INNES, Merritt 14738 Magnolia Dr Magalia Clean-up Ele/SF ¢ t4 / 7 065-300-J038 STOBB p 14738 05-2816 Cont: JE,_, GLIA, M FHg1VS0N AL l. iq H. /a Z0 36 �7 BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED DATE NAME %XPi �� DATE NAME DEPT, Y�. -11 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 13 -Mar -2007 2007-0012120 Has not been compared with original BUTTE COUNTY 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. JOHN A. & MARGARET W. STOBB, JR. BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY P.O. BOX 315 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA BUTTE CA 95954 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 14738 MAGNOLIA DR 05-2816 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER MAGALIA BUTTE CA 95954 10/20/2006 CITY COUNTY STATE ZIP SIGNATURE OF LOULAGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION CHAMPION HOMES 1994 SH672H MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 09946725064A/B 62'8" X 26', 60 X 26' TRA218979/80 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 065-300-038 HCD FORM 433(A) REV 8/91 X1r1JTTF — (`--ty RrrnrdP.r rAWARY — HrD PINK — Annlicant GOLDENROD— Buildine Dent. Escrow No.: 05-308277=MB Locate No.: CAFNT0958-0958-0003-0000308277 Title No.: 05-308277 EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: Lot 3, as shown on that certain Map entitled, "Sierra Del Oro Estates Unit No. 1", filed in the Office of the County Recorder of Butte County, California, on August 23, 1963, in Book 30, of Maps, at Page(s) 47, 48 & 49. EXCEPTING THEREFROM all oil, gas and other hydrocarbons and minerals now or at any time hereafter situated therein and thereunder and which may be produced therefrom, together with the free and unlimited right to mine, drill, bore, operate and remove from beneath the surface of said land at any level or levels 200 feet of more below the surface of said land for the purpose of development or removal of all oil, gas and other hydrocarbons and minerals situated therein or thereunder or producible therefrom. FOUNDATION SYSTEM CERTIFICATEOY OCCUPANCY BUILDING PERMIT NUMBER: 05-2816 Address or location of unit: 14738 MAGNOLIA DR MAGALIA CA Legal Description of Real Property: 065-300-038 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JOHN A. & MARGARET W. STOBB, JR. Owner's address: P.O. BOX 315, MAGALIA CA INSIGNIA OR HUD NUMBER: TRA218979/80 SERIAL NUMBER OR V.I.N.: 09946725064A/B MANUFACTURER'S NAME: CHAMPION HOMES YEAR: 1994 OFFICIAL APPROVING INSTALLATION:310MA:-�� � ' DATE:[ D I 2-D 12000 PHONE: (530) 538-7541 H.C.D. 513 STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LAU3497 Manufacturer ID/Name 90086 CHAMPION HM BUILDERS Trade Name o HUNTINGTON DOM 06/21/1994 DFS 07/19/1994 RY Exp. Date Serial Number Label/Insignia Number . Weight Length Width SPC SCC Exempt Use Type 09946725064A TRA218979 22,260 62-8" 13' 04 SFD LPT 09946725064B TRA218980 21,540 60' 13' 10 Issued Total Fees Paid Nov 02, 2005 $117.00 Addressee JOHN STOBB 15614 FITZGERALD RD #5 FOREST RANCH, CA 95942 Registered Owner(s) JOHN STOBB MARGARET STOBB Joint Tenants with Right of Survivorship 15614 FITZGERALD RD #5 FOREST RANCH, CA 95942 Situs Address 15614 FITZGERALD RD #5 FOREST RANCH, CA 95942. �OvSING q�O N:Z W —D Oaf DE'J IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THF; DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 4158193 11022005- 655 JOHN A STOBB MARGARET W STOBB PO BOX 315 MAGALIA, CA 95954-0315 PAY TO THE ORDER OF usbank.com . 589 - � 90-2267/1211 3827 DATE < do Q; 4+t tJ--� DOLLARS 8 - �W' Fi've Scar Scrvice�5'urn�teed� FOR 1: 12 11 2 26761:. 15345.5 23909 2[is0589 HARLAND 2001 _ Butte County Department of Development Services. OurrF� L:14 "N ® T E S 7 County Center Drive, Oroville, CA 95965 e ^ _ (530) 538-7601 www.buttecounty neVdds OecUNty� '• L RESIDENTIAL APN: Permit No. r065-300-038 05-2816 Owner.STOBB, JOHN -- - Site Address: M — - ! 14738 AGNOLIA MAGALIA I ' 'Cont: JEFFY T.SON M.H. Contractor. TYPe of Permit:— 0 OFFICE COPY Address iy_13b m P6 NOu GAS Meter By yV' Date ELECT C c Meter By SIMOIU Date (O-Zy .� f 7 CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE ?—,5 D `>r DATE JOB FINALED: jQ)W D 10 SIGNATURE: �r -e cvh�►�5 6vt� 1 i 1 r OFFICE COPY Address iy_13b m P6 NOu GAS Meter By yV' Date ELECT C c Meter By SIMOIU Date (O-Zy .� f 7 CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE ?—,5 D `>r DATE JOB FINALED: jQ)W D 10 SIGNATURE: �r -e cvh�►�5 6vt� =OK 0 = Not OK RESIDENTIAL (Single & Duplex) ' DATE JUNDERFLOOR DATE PLUMBING 1 ZoningSetbacks-Easements-FloodSlope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test DATE IMECHANICAL 12 Elec Undrgrnd 61 AC Ducts Insultn & Support 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrnr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Ins ultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or DAL 98 Address Posted AC Wire Sz ga ❑ CU or ❑AL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or F-1 AL Oven Circ or ❑ AL —5;30CU Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector s = OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATEERMANENT FOUNDATION SOFT -SET 4-- oning-Setbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 ElecL ctn-Clrncs-Grnd Amp -Concrete Yar Gas; Loctn-Test-Wra Nat ❑ or LPe Inch Sz Ft Lngth .7>Bckng;'Sz-Spacing-Marriage Line t8=Gas; MH" fest-Demand-Valve-Cnnctr 9-Ele'MH Cntnty Test -Crossovers -Breakers -CIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr 8 Sewer Connected -C/O -to Grade 12 Gas and Electricity agged / 43 ie_Downs � Foundation 14 Exits T 15 Cert of Occupancy Ir 16 HUD Label/Insignia Numbers Serial Numbers ' C LI"1' • y� •1� _ DATE D E C K S'C O V E R S'C A R P O R T S'G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails .� 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 00 45. 01 Qis DATE 1POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability I 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 1 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 1 10 Plmb; Cir Test-Wtr Supply Test i 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide x`41 I r r ;�Oaa 0` Oso 0 c 1 Pool Drawing . . . . . . . . . . . . . . . . . . . r r r s 1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE a1� OWNER PERMIT NO. t Mi A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of •' work is completed. If you have any questions pertaining to this matter, or need additional k explanation, please contact the Building Inspector as indicated below. / & v r Date - G Inspector x REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24.HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or stfe did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Business and Professions Code Date:./ •f' -� • ? Owner.4 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: Issued Date: APN: 065-300-038-000 Site Address: 14738 MAGNOLIA DR MAG Map Index: Description: MH PERM FND, EX SITE, NEW MH(1510) Owner: STOBB, JOHN A. & MARGARET W. 14738 MAGNOLIA DR MAGALIA, CA 95954 (530) 873-3944 Applicant: STOBB, JOHN A. 14738 MAGNOLIA DR MAGALIA, CA 95954 (530) 873-3944 Contractor: JERRY'S MOBILE HOME SERVICE 479 BOQUEST BLVD PARADISE, CA, 95969 530-876-0369 License #: 696262 Architect: Engineer: Total Square Ft: 1510 S.F. Valuation: $98,150.00 Census Code: *S3gI (QI L-11026? _11026 V PERMIT s hereby issued under the applicable provisions of the Butte County CodA and/or to do work indicated above for which fees have been paid. t C� � _ie ht_ ��imv Date: l O_J D 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repre tativesAof%Butte Count to outer upon the above mentioned property for inspection p rpose _ Print Name: 6 14A + Signature: Date: 1 © 9 I '- t-^�J AOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24.HOUR INSPECTION.#: (530).538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)536-2140 WEBSITE: www.buttecounty.netWds MEMO. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: APN: 0657300-038-000 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 Site Address: 14738 MAGNOLIA effect. DR MAG License Class: License Number: Map Index: Date: Contractor. Description: MH PERM FND, EX SITE, NEW MH(1510) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: STOBB, JOHN A. &MARGARET W. Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 14738 MAGNOLIA DR signed statement that he or she is licensed pursuant to the provisions of MAGALIA, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95954 she is exempt therefrom and the basis for the alleged exemption. Any (530) 873-3944 violation of Section 7031.5 by any applicant foi:,a Permit subjects the applicani to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: STOBB, JOHN A. pp Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 14738 MAGNOLIA DR such work himself or herself or through his or her own employees, `are MAGALIA, CA provided that such improvements not intended or offered for sale. If however, the building or improvements are sold within one 95954 year of completion, the owner -builder will have the burden of (530) 873-3944 proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves the Contractor: JERRY'S MOBILE HOME SERVICE and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 479 BOQU EST BLVD PARADISE, CA 95969 Date:7'� owner 530-876-0369 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 696262 ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1510 S.F. Policy#: Valuation: $98,150.00 C3I 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I � O H Applicant: 10-2�-05 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. " CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte Cnunly Coda anrUor I hereby affirm that there is a construction lending agency for the Resoluti ns to do work indicated above for which fees have been paid. performance of the work for which this.permit is issued (Sec 3097 Civ.) B ME Q 1].- 05 Name: Date: Address: PERMIT E' PIRES ON: 1 \J-21- G Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repre_se tatives of Butte Count�to enter upon the above mentioned property for inspection p rpose . A� � ' `� �� Print Name: Signature: ®� / , 0 Date: / JLC Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY* x CONTRACTOR OWNER . Last Name b Address irst me City C Zip State Zip� Phone % 3 LiGb?6-2 Z dCc�r Fax E-mail State License Number CONTRACTOR Name A�►� ffk)Z t AA ILS 0/1( Address /� g City y�,SZ ,S�t�, Zip Phone Fax E-mail LiGb?6-2 Z dCc�r Class, //a APPLICANT SIGNATURE X Fo office use only: ARCHITECT/ENGINEER Name b 1 Address SRA City State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X Fo office use only: APPLICANT NAME Name O b 1 Address SRA City J I S e Zi Phone Of Fax E-mail Planner APPLICANT SIGNATURE X Fo office use only: Zoning Flood Zone Cross tre t� SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION 0 6 5_` -- G Property Address ci_�- Cross tre t� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address , / Description or Scope of Work: I L' L_ 7yt o 13 f L- E Sq. Footage l ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. ' K:\FORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 1 of 2 Received by: U':�7 I^ I^� V Receipt #: �c Date: ( o Amount: ---7,' Bldg Dq SRA Sheriff Other Total REV 6-16-04 11 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order io apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: '6-�'� 1. "\Y Sit_e.Plans, signed by the preparer. NO GRAPHPAPER! -* 1-f {'ms mar �p� are (f q UI f l Cd 2. 2 Data sheets and,installation instruction manual. +0 QPp1� 1 structi - ., - -- - dor q ptnrn4. NA� 3. \2-MAiriage line information. 4. 2,Floos' 5. t2Engineered Tie Downs hndation pl ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ � �5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER PROPROSED BUILDING USE NEW M /f( 5.1 rit 1. BUILDING PERMIT FEES PC✓ 1 --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ A.P. # DATE RECEIPT # DATE REC. Vu I om ---Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ % Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) q roo C 8. SMIP 9. DRAINAGE FEE a 10. OTHER ' I 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior.to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) .�+'n..t row�T.fly...-v.r'-r.;•�.^...--.vY`'+a „�-q..r .. ....-,..-_....i..wv+;..^+'-l�:i-�,/.'�...!:.,-•...-..,y..:•n-,.���!�_'.f1'ir-''4✓�. .`„�--�'ti"' ....*. ..�n,� �.-titi.. f C:9UN4 Y#OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION' " 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 a . PERMIT APPLICATION DATA SHEET OWNER:e `% / y � ASSESSOR PARCEL NUMBER 65 I 30 Proposed Building Use: NLS ofll/ �sx S��% Permit Technician: GL Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. /IV 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped an�gjgned calculations. ❑ _ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. IN 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. o 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -sinned by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent fog non-residential buildings. O 12. Hazardous Material Form �p !� 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) E 0.5:, Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ - , �`.t'l U, Fire Sprinklers............................................................................................ 0-1.". '' =.."';' 1T"Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ - ",-_ ,19. Erosion Control Plan Required.............................................................t.......... ❑ . :1'20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ .. 21. City of Chico Plumbing permit........................................................................ /� /'� -0y ❑ 22. Site plan and business license approval from the City of *- C P y P PP Q-14r�Sent b: ....... C /�►/a5 SPI ' 23. California Department of Forestry Ian approval y BIG 24. Planning approval for (A) Use: �(8)Parking: _.�(C) Parcel Check:...........ogro -\ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ IfJ26. NPDES Form............................................................................................. D 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... 0 34. We estriction..........................................................::.............................. 35. al description, ❑ M.H. Title, title search, registration or MCO ......................... �M4 36. Other: es/t,4y--7-,b&7% � �F o1-vNL-2 ❑ 37. Other: When issued Telephone �hHW St -5/3 anhold for pickup. W P�-r ✓ f&WAoPx^,4t I have been informed of the above items and requirements for obtaining a building all Applicant: Date: 1. Index permittapplication for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the abov data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: ans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: if e Note transfer by: Date: Yellow: Building Division BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District S Building Department%bS a816 A.P. Number Jurisdiction: 0 City County Property Owner Property Location/Address IV -755 , `' ` 5 No &1 A ,, Subdivision Lot No. Residential Development Q Q Q Sq. Footage No of Living Mobil Home Addition/ 'Supplemental to (Group_ R) Units Installation Conversion Permit # '(No foundation inspection) :........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Sq. Footage New Addition (Including Exterior Roofed Areas) Buildin artment Representative Date Ns 'ct Identification No. J v(O ool District certifies that (Applicant) t06 7 Street Address) (Phhoone Number) (City) (State) (tip Code) has complied with the requirements.of Resolution No. by payment of $ representing 115/0 square feet. B 2926 $ ULL MITIGATION $ y School District Representative Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District. In cam -pa -Rte with Govemment Code Section 66020(x), within 90 days from the date hes are paid. Failure to submit a timely wften protest will prohibit you from challenging the Imposition of the fees In any court action. H, subsequent to the School District Representative signing thls Butte County Schools Impact Fee Certification Form, the School Distrkt Is notified by the applicable Local Planning Agency that this project Is being reviewed under On California Environmental Qualitti Act (CEQA). this project may be subject to additional school fees to fully mitigate Its Impact on the school distrlcrii schools. White (school district), Yellow (building department), Pink (applicant) feeform.As (3M5)drbm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) �G7 ���—� '- ©� Building Permit Number /�P6 Property Owner Project Location /Address /C(735 1WAfZ 1VQ Z-1 A, Subdivision Name Assessable Sq. Ftge /y/0 Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: A -6 L_-7! o --S 4 r -`i . l'1� oi3i L €� �oy►� L /D-`2--,, �� Building t Re esen a i e Date 0 FRRPD ❑ CARD R PRPD 0 DRPD certifies that: -Jok r S -{a 6 h Applicant Name Phone Number )'(-239 01 a! no I rz_g cz'Lez. cle¢-`(_ Mailing Address ity State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. c� / by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: A% G Paid by Check No: and P Paid by Cash: e per unit for a total of $ _ per sq foot for a total of $ Receipt No: Date 0 C t t 9 2005 BUTTE COUNTY o 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS 0 - -- '• 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 00U �'�� A FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Nameirst b city .. A) -z blame Address o Cit"C ` E-mail � Stp(e �p���S Phoned 7 3 Fax Fax mail Iff7 State License Number CONTRACTOR l Name �')ZI t J Yz Address t ( city .. A) -z Address Zip Phone Fax E-mail LI rG'7Z Class I" a APPLICANT SIGNATURE X ka . 1'f"e. a i Fo office use only: ARCHITECT/ENGINEER Name a 1 Address ,VA B A l I City 1- 1 14 State Zip Phone � � � � Fax E-mail Planner State License Number APPLICANT SIGNATURE X ka . 1'f"e. a i Fo office use only: APPLICANT NAME Name D a 1 Address f ,VA B A l I City 1- 1 14 See 09 Zi Phone � � � � Fax E-mail Planner APPLICANT SIGNATURE X ka . 1'f"e. a i Fo office use only: Zoning Property Address �j' �1 Flood Zone Cross Street SRA Yes b No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. ' Bpd'S-Z�/ BIN # LOCATION v Property Address �j' �1 Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address / ,,/ Description or Scope of Work: Y Pr n131(-- o E Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of. application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made ptior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. KAF:0RMC\RI III DING F0RMS0doAoo1SubRamts.doc Page 1 of 2 Received by: Amount:� Bldg �s // c' SRA Receipt #: Sheriff SMTP \ Other Date: � � ` Total REV 6-16-04 z CDF FIRE SAFE REQUIREMENTS .AP# 065-300-038 PERMIT # 05-2816 NAME: Stobb Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards N Surface. All driveway surfaces and structures (bridges, culverts and' other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. pq Grade. Not to exceed 16 percent unless paved. Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. N Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. pq Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. C IC F 10 E Q U I R- E M E N T S Setback for Structure Defensible Space C [X] Maintenance of Defensible Space. To ensure continued maintenance of D properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [ l 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [X] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. T [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or 1 removal to a landfill site approved by the local jurisdiction of flammable vegetation and T fuels caused by site development and construction, road and driveway construction. x Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof R ✓ Fully enclosed eaves [X] If Building Setback is Less Than 15 Feet: ✓ Class A roof with fully enclosed eaves and choose any 2 of the following: Q ❑ Metal or no doors on side toward property line with insufficient setback T T ❑ Interior automatic sprinkler system per NFPA 13D U ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback T ❑ Siding from the following list: 1 o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o .Metal o Other Butte County Fire Department approved materials E M E N 10/19/2005 Darren Read T Date Signature 1 . C BUTTE COUNTY DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CERTIFICATION OF EXISTING SQUARE FOOTAGE School District i2,o 121-1&.`AP 00 Owner's Name Property Location/Address_CIAb I.A Square Footage 1115/6) CT Residential ❑ Commercial ❑ Demo permit issued (Date issued ) XMobile home replaced ❑ Verified by Building Department Records ❑ Verified by Assessor Department Records Building Department Representative Date BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑-DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) �o �� X00 - �S 3 g Building Permit Number (515--12816 Property Owner (s) Project Location /Address Subdivision Name Assessable Sq. Ftge t Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Add:-tion(s) Non -Residential to Residential Multi -Family Dwelling Mobile home - Mobile home replacement verified by Assessor Department Demo Permit (date issued _ ) verified by Building Department ❑ FRRPD ❑ CARD . ❑ PRPD ❑ DRPD certifies that: Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Remarks: Paid by Check No: Dwelling Units @ $ Square Feet @ $ _ Paid by Cash: per unit for a total of $ per sq foot for a total of $ Receipt No: Recreation and Park District Representative Date •�Department of Public Works C o u n t y o f B U tA o 9LAND DEVELOPMENT DNISION J. Michael Crump, Director Storm Water Management Ragram ® 7 County Center Drive 1 / Oroville. CA 95965 538 7266 - A�LIC WOF�S (FAX) 538-7171 Phase National 'Pollutant Discharge Elimination System (NPDES) revers#ioln Construction Storm Water Permit and Storm Water �PC llllution P Plan (SWPPP) Acknowledgement jLESS THAN 1 Project Description: Project Location and/or Parcel Number: C D By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB ; do not need to apply for a Construction Storm Water Permit 1 acre or more of land and that I, therefore from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law: Signed: ✓ fD� Title: Date: �� l { - champion Home Builders co of Lindsay, caldomia �2 Opt Inswin t ine p tLEI R P { _ ' . Dining R000m F + Kitchen 1o' -s" ...; 4._ ^Walk -In a� _.... 1 Master Bdrm Living Room Bdrm #2 19'-8" Opt Lino Family Room 18'-6" 7Bdrm BUTTE COUNTY BUILDING DIVISION APPROVED 2"x 2"x 3/16' STEEL ANGLE DETAIL "A" CHASSIS FRAME ]/4" GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 3/8'. CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2' ADJUSTER HOLES AND 3/8' THICK TOP PLATE 02' SCH 40 .PIPE STAND WITH TWO 01/2" ADJUSTER HOLES � ABESCO ABS PAD 0503 x 1/4" STAND BASE PAD #503 t r 40,( 714JI tl �;-o .. �' *� C 36" MAX TO BOTTOM OF PAD 01/2'x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN i 61 COACH "C" FRAME 2" CHANNEL 1/4"x1-1/4"- TEK STS (2) REQUIRED 1/4- GRIPPER PLATE 1/4" GRIPPER)rrm BASE 1/2" A307 BOLT (2) REQUIRED 3/8'x 6'x 6" STEEL PLATE 1/2' A307 BOLT C—BEAM (2) REQUIRED ATTACHMENT 10.00--1 0 0 T_ 10.00O -L o 09/16 HOLE (TYP) STAND BASE TOP VIEW Q.O� STEEL FRAMEN COACH "J" FRAME 1/4"x1-1/4" TEK STS (4) REQUIRED j I i 1/4- GRIPPER BASE 1'A- A30i7 BOLT (¢) REQUIRED J—BEAM ATTACHMENT 8" 1/2" DIA. HOLE (8) PLACES I r 30" STEEL FRAME TOP VIEW STATE APPROVAL j WMIBACTURED IMM MOSTIZ HOME FOUNDATION SYSTEM 111MTB AMID I T. >UG DIVISIQN AP QED ARROVAL DOB!! NOIP AUTHORIZE M APPROVE ANY Olt OEVIATION FROM REQUIREMEM OF APPLWASM SPATE LAWS AND REGULATIONS sbft of clift a dRcuft and Cmmm ty Dowdopm t AND SPANDARM . ...,� �ls.Y oY L C WAYNE T. POLVADO, PE—LISTING NO. F94249 SHE& 1 o1 3 op GENERAL NOTES GUS GUARD TUF-1 AFy I. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SEE NOTE #15\0.. 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR. MANUFACTURED HOME SHALL BE READJUSTED WHEN OS EXCEEDS 1/4", OIL WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS. ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS.. 6. STRUCTURAL STEEL- FABRICATED. ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF-1 2200/ 60000 GUS GUARD MGP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 22001 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION.`4i'' 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHTL OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED/ THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. ' (SEE SHEET #3) ' 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT FOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. .GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERIKi1 ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. PH: (800) 382-8831 FAX: (916) 383-5207 Q1 f74)113 1 W NDATION BLOCKS 16% 16"x.12" POURED IN PLACE AT GROUND LEVEL MAY 8 USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES OF C�L1S= 6' MIN. /16' MAX. S= 6' MIN. % 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) GG �6 E S S 5��� U U U ❑ ❑ U RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a (TYPICAL) a ❑ ❑ ❑ ❑ E3 -F ❑ ❑ ❑ ❑ 8' NOM. 2' NOM. ❑ PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) 2 .it Excoo OF CA��E STATE APPROVAL i MANUFACTURED HOME/MOHTLE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 19551 APPROVED 8UBJBC? TO CORRECTIONS NOTED AT MOVAL DOES NOT AUTHOR= OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APMJCABLB STATE LAWS AND REGULATIONS Bate of Cd forois Deily" at 13ossL1 and Co--dty Devetopmed CODES AND STANDARDS I� *ATB Y'k 8!A N1.1 - I NG+dl%k_j p -I 1 1 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 v 3/4" 01A. x 18" LG. 1/2"x 3 1/2" 1/2"x 8" LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT A WASHER (4) REQUIRED (4) REQUIRED_ COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. \ (8) REQUIRED `•: �•`' CONCRETE PAD ILA �pFESSIpNq �p PLACE 16x16x12 CONCRETE DATION INSTALLATION CHASSIS FRAME ac M0617918 EXP. 'r1� LIGHT HEAVY—WEIGHT * PLASTIC PAD INSTALLATION36' MAX i O! 1/4" GRIPPER PLATE QF C 1 rTO BOTTOM (2) REQUIRED OF I!PAD 1/4- GRIPPER BASE 01/2"x 3" C.R.IIII 1/2-13UNC-A307 x 4" LOCK PIN WITH BOLT WITH NUTS 01/8- BRIDGE (4) REQUIRED PIN 01 1/2- SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP _PLATE .�,. 02" SCH 40 PIPE STAND WITH TWO 01/2- ADJUSTER HOLES ABESCO ABS PAD X503 e STEEL FRAME 11[QL?I-1 mlR ft11iRQ LENGTH OF HOVE 24 WIDTH OF HOME 26 28 44 UP TO 44' 8 1 8 8 12 44'-1 iti 66' 12 112 12 1 18 64rr-1" baiY20 10 20 20 24 gmr-TR wmw narwe LENGTH OF HOME 10 WIDTH OF HOPE 12 14 16 UP TO 44 6 6 6 6 ,w -1 a a 8 a 10 nummm ur tut -1 REQUIRED NUMBER OF TUF-1 REQUIRED MQ1f: SINGLE WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL BiTERVALS ALONG EACH FRAME RAIL STATE APPROVAL MANUBACTURED HOME/MOBILE HOME FOUNDATION SYSTEM RMTS AND SAFETY CODE, SECTION 18331 APPROVED SUBJECT TO CORRECTIONS NOTED W/ Exp , , ATTROVAL DOBE NOT AD7IIORIZB OR APPROVE AtiiY l� OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS ®F. C A`,40 State of Californla aul 37s TUE-1 PERMANENT ES AND STANDARDS FOUNDATION SYSTEM o 18 1/2" /w ATa ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD 7tiisPlasAppto.tu SACRAMENTO, CA 95823 L �AtS>rJP E - Z TIE PAD (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 o1 3 FA r 2D � ^�F� FR® No. 937 811 E l Engineer's Computation Pad l STAEDTLERNo. 937 811 E Engineer's Computation Pad 7,0 of �I TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Plot Plan Anachod ✓/ Floor Plan AttscRod Renato B.D. Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public ✓ Private Well Clearance for ,.,/dwelling. Other �1=� Gc✓-�Li x- 105 Hold final for: Final clear �nce O.K. for: NOTE: E 8/96 nmental Health (Spkcialist e66.V,- Date /S l3 A OVED Bt Litt County iiron tal Health /o- -v5 i STATE OF CALIFORNIA4� BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ; DMSION OF CODES AND STANDARDS E ISTRIrT� • r` ^' �rrce� R G oto AND iT, DING rh2vaJrv-%i i BILL OF SALE SECTION I. DESCRIPTION OF UNIT This unit. is a (check one): . ❑X Manufactured Home/Mobilehome ❑ Commercial Coach ❑Floating Home ❑ Truck Camper The Decal (License) No.(s) of the unit is: LAU3497 The Trade Name of the unit is: Huntington I ne Serial No.(s) of the unit is: 09946725Ub4A/6 SECTION II. STATEMENT OF FACTS nor the sum of FORTY THOW)AND AND NO/100 dollars (�ru,000.00 ) ano/or ocner vaivaoie Luiibiueration in the amount of the receipt of which is hereby acknowledged, I/we did sell, transfer and deliver to John A._Stobb and Margaret W. Stobb, husband and wife euyer on the day of , 20, my/our right title and interest in and to the above- described unit. SECTION III. SELLER'S CERTIFICATION I/We certify under penalty of perjury under the laws of the State of California that the following is true and correct: (1) I/we are the lawful owner(s) of the unit, and (2) I/we have the right to sell it, and (3) I/we guarantee and will defend the title to the unit against the claims and demands of any and all persons arising prior to this date and (4) the unit is free of all liens and encumbrances, except for the lienholder shown below*, whose lien presently exists and has not been paid. Executed on' /) 0 r at y U V1- Cb, Da Cty Signature of Seller Signature of Seller CA state Date Z Z. Date SECTION IV. LIENHOLDER'S INFORMATION NOTE: The space below is NOT for liens created by the buyer in this transaction. *Uenholder Address Sb eetAddress or P.O. Box Gty State - Zip Code HCD 475.1(11/00) Reproduction by FNF, HCD approved April 9, 1999. .,' RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow No.: 05 -308277 -MB Locate No.: CAFNT0958-0958-0003-0000308277 Title No.: 05-308277 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. John A. Stobb, Jr. R.O. Box 315 Magalia, CA 95954 '2005--0043704 Recorded I Official Records I County of 1 Butte I CWRCE J. GRUBBS I County Clerk-Recorderl I 09:00RA 27 -Jul -2M I REC FEE 16.08 TAX 81.40 KL Page 1 of 4 APN: 065-300-038 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED The undersigned grantor(s) declare(s) Documentary transfer tax is $81.41 A [ . X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area City of /unincorporated area, FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Dianna Malley and Doreen Pezzella, formerly known as Doreen Cota and William Bartlett and Linda Radcliffe, all dealing with their separate property hereby GRANT(S) to John A. Stobb, Jr. and Margaret W. Stobb, husband and wife as joint tenants the following described real property in the City of /unincorporated area, County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: July 20i-2005, STATE OF CALIFORNI COUNTY OFe_�i /EL UVZ--, ON _A1 • GYM 1"— before me, the undersi hied Notaty Public personally appeared PeMGRal r proved to me on the basis of satisfactory evidence) to be the person(`skwhose name is/am- subscribed to the within instrument and acknowledged to me that he/sWt* executed the same in his/gQth*.. authorized capacity(W.., and that by his/Ptd/tWr signature�4on the instrument the personNO, or the entity upon behalf of which the person acted, executed the instrument. MAIL TAX STATEMENTS AS DIRECTED ABOVE Witness my hand d official seal. Signatur "THIS DEED IS SIGNED IN COUNTERPART AND CONSTITUTES ONE DOCUMENT" Dianna Malley rinrnnn Dnr nll� ELSA P. LIMAS Commission # 1373192 Z Notary Public -California D Z � Santa Cruz County My Comm. Expires Sep 6, 2006 FD -213 (Rev 7/96) GRANT DEED (grant)(04-05) >' RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow No.: 05 -308277 -MB Locate No.: CAFNT0958-0958-0003-0000308277 Title No.: 05-308277 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. John A. Stobb, Jr. 0. Box.315 agalia, ='.CA 95954 AHN: Ubb-3UU-038 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED The undersigned grantor(s) declare(s) Documentary transfer tax is $81.40 [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ r ] Unincorporated Area City of /unincorporated area, FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Dianna Malley and Doreen Pezzella, formerly known as Doreen Cota and William Bartlett and Linda Radcliffe, all dealing with their separate property hereby GRANT(S) to John A. Stobb, Jr. and Margaret W. Stobb, husband and wife as joint tenants the following described real property in the City of /unincorporated area, County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: July 20, 2005 STATE OF 4dV1*:bktV personally known to me (or proved -to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed 'to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted executed the instrument, as their free and voluntary aci and deed, ".1or'.the uses and purposes therein mentioned. Witness my hand and official seal. Signature "THIS DEED IS SIGNED IN COUNTERPART AND CONSTITUTES ONE DOCUMENT" Dianna Malley Doreen Pezzella jARA ul vBLIC �! 00 O WASH�N�;.°°°°0 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED (grant)(04-05) A STATE OF California r. - COUNTY OF Butte On July 26. 2005 before me, L. Boman, notary (Name of Notary Public) personally appeared Linda Radcliffe Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. ^"" A y". e L. BOMAN - V 'Oti J Comm.#1341474. 0Ill NOTARY PUBLIC CALIFORNIA 0 BUTTE COUNTY (Signature of Notary Public)myCammiaeionExpirasJarL27,2006 . e (This area for notarial seal) 41 i scrow No.: 05-308277=MB • Locate No.: CAFNT0958-0958-0003-0000308277 Title No.: 05-308277 EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: Lot 3, as shown on that certain Map entitled, "Sierra Del Oro Estates Unit No. 1", filed in the Office of the County Recorder of Butte County, California, on' August 23, 1963, in Book 30, of Maps, at Page(s) 47, 48 & 49. EXCEPTING. THEREFROM all oil, gas and other hydrocarbons and minerals now or at any time hereafter situated therein and thereunder and which may be produced therefrom, together with the free and unlimited right to mine, drill, bore, operate and remove from beneath the surface of said land at any level or levels 200 feet of more below the surface of said land for the purpose of development or removal of all oil, gas and other hydrocarbons and minerals situated therein or thereunder or producible therefrom. 4 ' BUTTE COUNTY DEVELOPMENT.SERVIOES complainant: - Address: Phone Number. Other Comments: -- - - - -.....---•-•-.... -.......... �,�._._w.:...a..au:m:;.�4atu' StiJ:ilfi'•i�i:!fi:E_.i:6Yi!i!LK:� ;:! Inspector must draw a plot plan with all building locations: i11P Additional Comments from Inspector COUNTY OF BUTTE BUILDING DIVISION .r "" """'DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 -� -• 7:County Center Drive, Croville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 . CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at 3 the above address and should be corrected. Please notify this office when correction of work --is completed. If you have any questions pertaining to this matter, or need additional explanation, ` pleas contact this office immediately. abl. �3 r� �M ti M { 1 Dated = � 3 �j'% Inspector REV 10/92 5 PERMIT NO. I P i E M ,-,MH UTIL. PERMIT NO. 3057-74P,F PERMIT EXPIRES OWNER Merritt . J. Innes r CONTR. F LOCATION (A.P. 65-30-38 10 Magnolia Dr., SDO#l, lot 3, Magalia 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. j Called PG&E + Temp. Gas Serv. Called PG&E JOB FINALED (D ) ,gna�ve) t. Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE — COUNTY OF BUTTE — DEPARTMEIWT OF PUBLIC WORKS BUILDING INSPECTION RECORD 'BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Pi in — Roofing Sewer — Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final S - Footing ELECTRICAI Throat Rou h Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heatinq Service — �— Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final g --- REMARKS OR CORRECTIONS 3 .f. CS , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive , Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT dutnunze representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. Signature of Permitee or Agent Receipt No. ( g,2- 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 OF P LIC WORKS BY Date 7 Buil ng permit expires Date................'...7. BUILDING Owner _ �(/�e LL, SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address0 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 1 C114F11 C. 67 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ^� / — oning & Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. ire Dept. Fire Zone Use Permit Building sewer 5.00 EQAParking Parcel Plans Declaration Parcel Ma P 60' R/W Im vements P Lawn sprinkler system 2.00 Bldg. ons Recd Pa ce pproval Ions Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter D Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home g300F Others ❑ Range, Cook -top or Oven 1.00 ;57oO Se�S Water Heater or Space Heater 100 _M 02T Light fixtures bal610 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 name style of: Hood, Ex. FanorF.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 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 01 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 California. 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 $151 dutnunze representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. Signature of Permitee or Agent Receipt No. ( g,2- 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 OF P LIC WORKS BY Date 7 Buil ng permit expires Date................'...7. 065-300-038 PERM I IT#97-1070 INNES, Merritt 1.4738 Magnolia Dr., Magalia Clean-up Ele/SF .��/�a/� 4;;p COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. (Rev. 12/96) APPLICATIQN AND PERMIT- 1.7. ASSESSORPARCF,4N�IpABER� — �'�/', / y /; ry ((v�/`/`LLwwJJ-/•/`+)v�!`Jl a ZONING BUILD G PERMIT OWNER TELEPHONE � SO. FT. OCC. BUILDING VALUATION OWNER'S M�LINGjA�ESS� � � . `J( G CONTRACTOR'S NAME V TELEP NE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS /1 'J( Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT F1' g Fee 20.00 USEOFSTRUCTURE SF tDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or v t 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation .❑{- Other Describe Work: �'�!(�� (�( {� j(L1-(r(M G11f�(Lp Gas i in s stem t - 5 leets 15.00 Buildin sewer 15.00 Mobile Home TVG W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa mss 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.PO License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f3rthe following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BLD S. SO 3.5¢x; "O'NEg"Ip MULTI -OUTLET 97.50 EPPARATUS a SINGLE R AE C. EX. Occu OUTLET OR FIXTURES .00 BAL @ I. 0 Ex. Occup. ouT RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.001,03bo PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. O ff -� XI; A . o- {1— — -- Date � Signature of Applicant - ❑ Owner ❑ Coniactor 12 Agent ' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OGNST TYPE TOTAL FEE $ 3 HAZ.D. FEES IMP FLOOD CDF I PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON S the applicable provisions Resolutions to do work been paid. .�' G Date / _ ' Data Receipt No. 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVI N 7 County Center Drive - Oroville, Cal;.fornia 95965 - Telephone (916) 538-75 PERMIT NO. (Rev.12/9s) APPLICATIONAND PERMIT — ASSESSORPARCEJyWU�QBEA, y � /� ((�-�-���r�\UU�� (�/rt VX ZONING BUILD G PERMIT OWNER Q T�3 - o l SQ. FT. OCC. BUILDING VALUATION A��jj�i-E �/� /may^, OWNER'S JUt7 / SSS rn a 10' . I , ` c,/C CONTRACTOR'S NAME TELEP NE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking F $ BUILDING ADDRESS 1977 VC Energy Plan C ecking Fee $ ' $ PERMIT FEE $ LOTNO. SUBDMSIONS NAME PARCEL MAP PLUMBING PERMIT F' g Fee 20.00 USEOFSTRUCTURE SF V Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap Y 7.00 Solar or heat pump water heater Z 23.00 Water piping 15.00 Each as water heater or v t 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑-� Utilli/itiesn�❑ Installation ❑ Other��''. ,.,,,"A �- �_ Describe Work: (�CJLL�►'l l� C Wv V Gas piping system 1 - 59dilets 15.00 Buildin sewer 15.00 Mobile Home J VG 11 W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A LESS OR 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.P License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for following reason: Mr -1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR ORAD ( & ACC. BUDS. so 3.5QFT: CONST. NON-RESID. C cI c I 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES 20 Q 1.00 BAL @ .50 LNS Ex. Occup. ouTLEEDTs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation �e hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall 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 theHAZ' workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date Si n tura of pplicant - ❑ Owner ❑ ConVactor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 2DCt V TYPE �TO�TALE $ 3,p�not D. FEESCOF PARCEL PD HD IS U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which fees have been paid. By Date S PERMIT EXPIRES ON 5- �;L Date ReceiptNo. 6'0 S (4300 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT D.B.- I A� 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. & �5: T�? . .. r `?�._' .... ... ... •r '... .:'tet'• ..'; r; ".' � ,...... .,. .l .. .. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES ; . NO ❑ A s, 2. I HAVtX 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: :2:,- ;cam^ ADDRESS: CITY: PHONE: � - - CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired.the following person to coordinate, supervise, and provide the major work: NAME: _ Y ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: —X DATE: Mn Li % _ Z' !� 1 � � 7 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I .r. � 1 I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. _ For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, 'sp/e Mic el C. Vi ira, C.B.O. Ma ger, Building Inction NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA -.(916) 87Z -W07 CORRECTION NOTICE 14,,-vQL -r-r- 4Fq J -72 OWNER PERMIT NO - A routine inspection indicates that the following violations of Butte county Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Pie A�contact this office immediately. C C 61 1. 77f "-r It 4f -x (- 771 Al '1 7 '-Z I, -- C - Dates ' 3- Inspecto'r, REV 10/92 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLT-ANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREPIENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGYNSERVATION REGULATIONS AT /D �9�0�/Gc 9!T _ �G �/ a (location) BUILDING PERMIT NO. f22,F— SD A. P. NO . ,/ 57— Y6-,- 3,P THE FOLLOWING I -LAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or ,Trite N/A if not applicable) INSULATION: Slab Edge O�A- Fdn. Walls Floors /2—// Walls /j.-// Ceiling/Roof Ducts .(& Circulating Pipes, APPROVED HEATER APPROVED WTR. IITR. y GLAZING: Single Glazed Special (:insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERI:D FANS INTERMITTENT IGNITION DEVICES_ CERT. APPLIANCES I DECLARE THAT ALL REQliIRI:D ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH T1IL' ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF T1llS C1 RTIFICATE AS SUBMITTED. Insulation Applicator Si -nature of (please print) Insulation Applicator State Contractors License No. General Contractor/(timer Name ` -I—. Signature of (please print) c� General Contractor/Clymer e�u c1� Date State Contractors License No.�Q THIS CERTIFICATE; MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL :INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN Till? DWELLING. } + PERMIT NO. 1038-80B,E PERMIT EXPIRES Merritt Innes OWNER t CONTR. owner 65-30-38 LOCATION (A.P. ) 10 Magnolia Dr., Magplia .s• s z x 1� 1 J Temp. PoAr Pole Called PG&E Temp. Elec. Serv. Called PG&E Temwli. Gas Serv. Called PG&E JDB 0 FINALED (Date) ' (Signature) �. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK S. a BUILDING INSPECTION RECORD BUILDI G- BUILDING (Cont'd) PLUM NG Setback d`d Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. f2C' Restroom Finish 2nd Floor Footin s Windows —?i - D 3rd Floor Stemwall Siding % To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents "----' Insulation i Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Tek Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings- Footing ELECTRICAL Masonry Walls Throat —Z --.9 S i.. Rough 6-- > ..' Relnf. Steel Final , Fixtures �, r '"� Bond Beam cp FIRE SPRINKLERS I Motors Framing Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Prot. �2 a Scratch Heating — Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final L7 MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 1 OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity - Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS Cr ro 7X-1, A ,� it /yam„ caL�izo��c�o /Zvx. �✓ �Z��J r/ CcgraG / A/T E,4 boc-sP CZ,' (N E: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tele'ih4ne; 334-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X e �� Signature of Permite/e gent Receipt No. 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 OF PUBLIC WORKS By Date Building permit expires Date -3-7 �/ BUILDING Owner #QfAl17- 7-Mailing SQ. FT. OCC. BUILDING VA A ION Mai I ingAddress 116 Telephone No. Z3-OSi f Z Contractor Q Mailing Address Fireplace sj� Total Valuation Telephone No. SZ Building Address vu A Plan Check' gFe &/or Penalty 741 P ermi _e _e PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 // 2 A. P. No. (�� r ?j - / 12T-( Zo�Ving Ilanning Water piping 1.50 Each gas water heater or vent 1.50 F44'1V. S nion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 wilding sewer 5.00 Bldg. PlankRec'd Parcel AEproval !; Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ jZ Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPeoov OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING "I 2�Sq ft i�0 OR ADDNS. \ ACC, BLDG?. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEW CONSTR MULTI.OUT T NON.RESI D.BRANCH CIRCUITS) 12.50ea. NEW CONSTR. (POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR, 4 1 50 0250 Ex. Occuc(OUTLETS OR FIXTIIRES � BAL�1 BAL@1 FIXED APP LNS. OR Ex. Occup. (OUT LETS (RESID.) EAY 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 RI am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,?e) $%(, MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 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 California. PERMIT FILING FEE $3.00 Heating W &d 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 Land Development Fee $ TOTAL PERMIT FEE $ (/ 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X e �� Signature of Permite/e gent Receipt No. 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 OF PUBLIC WORKS By Date Building permit expires Date -3-7 �/ tVV �f L -)'L7 If A. q73 L rho X 31.5 7, ....... Acc) C L4- -it Cc L de vi V i is2,� i kJ ,t ;s 1 tf� �s.......:n.v.w.>w.aw..�.iww+�.w._-_.....✓«..c_.,._..�.r....�nl.r.._...,...�..z..«.....a.._..._w......w_..v.._._._....__..._....�_._...__.___._.........._«..�_�_.___..-..__.. ... .. .................._....J O 0 P S' S li t r Y 1 • Y vi V i is2,� i kJ ,t ;s 1 tf� �s.......:n.v.w.>w.aw..�.iww+�.w._-_.....✓«..c_.,._..�.r....�nl.r.._...,...�..z..«.....a.._..._w......w_..v.._._._....__..._....�_._...__.___._.........._«..�_�_.___..-..__.. ... .. .................._....J O 0 P S' li M r Y 1 vi V i is2,� i kJ ,t ;s 1 tf� �s.......:n.v.w.>w.aw..�.iww+�.w._-_.....✓«..c_.,._..�.r....�nl.r.._...,...�..z..«.....a.._..._w......w_..v.._._._....__..._....�_._...__.___._.........._«..�_�_.___..-..__.. ... .. .................._....J 000 S.3a (273 3�41Y 0 JAS C— .<�— Ato -RA . 19P -(o fr 7 F lea 1— 1-7 SCS 1 (.T JAAADC- LL 66 BUTTE COUNTY F�UILDING DIVISION APPROVED WIVIblUN- MlYING PLAN APPROVAL �e�t ate: jvvc—T oT Landscaping: 7 HIV 5-36 95, { -4p09A5 4 Ato �-A 5 AAMC 33, - ILLIL, -4 a4. a � i i 3 APPROVED 4 inty ii Health 4 e