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065-320-019
STORAGE. SHER M SETBACK 6/8/93 �I r 65-32 19 , G. Paige A I,'C� 1 0 Gold Cone Dr., lot �9�3 pPP�kl,Mag 4 con asc—1-9-r--Os. , Paadise Permi # 35 77P,E(util.�,JUH) c ELEC 900 — GS d- �l SUP OR STR TURF REQ. A1,0 COMPACTION TE REQ. y0 65- -19 y Permit #2704-77B(reins 11 awnings/MH) s 65-32- Permit #2702-77MHI r Issued o a &. 65-32-19�. .. *C- 1 vtona� 1250 Go ldc ne Dr. , l Permit �� lot 93,PP��1, Ma_alia orch/ 79E( ew lana , ORLANDO, PAUL 04-0804 14804 GOLDCONE DR, MAGALIA �• _.. Cont: OWNER NSF -REPLACE MH Cal � cnc� env� � t .i 4 i�szo�� ,� �C� C����. �2 __�� �D t n ..R;MqlT .moi+, 1� Oc Goll° vile em e s:. i � GA�S�d " f av � ,p,�1> 'vd Ir$rN'.i.. � .-•t�Y�^� p ...�eY�. �� e p ..� y. � a .''�,-,'� � � r9 �Y" Si�•stF �$f'��`'?�h'a'`.,t"'�imaa. sf, �7I��n 6 -9 '� ,,, C a Permit 704=ti77�$w(ek l acv o- r ?� a er 'S.S..ue a 4_2 MPH ..°�• ' &� °'fin a �' • - �r rxr +:���,�-' •� "� r�.w���,�. �°" � �� o ,,.� ,. a o o I a o @`R250�t Pherm`�'d� a pp u e T NOTES RESIDENTIAL . SPE MIT NO. _04--0--1 ORLAND`0; PAUL .� 14804 GOLDCONE DR, MAGALIA Cont: OWNER NSF -REPLACE MH ♦A• } j t 1 Y, t f • 1 x JOB FINALI s ` Signatu ✓✓ SPECIAL CONDITIONS ' CHECK BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY. USE PERMIT CONDITIONS` " SUB -STANDARD HOUSING"LETTER OFFICE COPY Address GAS / Meter By ( Da �� CO' ELECTRIC Meter By Date CertainTeed 01 � Builders Statement • OAJ cct' Homeowner Name / JoCbs*te InsulSafe°4 Fiber Glass Blowing Insulation CH me Address L,t-- -2) -0 Installer/Contractor (sign) Company Name Date Builder (sign) Company Name Date Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. INSTALLED MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: Obs.) Should not be less than: Cin.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/4 i, 38 22.8 44 0.615 14% 30 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 13.1 77 0.353 9 19 11.1 90 0.301 7% 13 7.7 129 0.209 51h 11 6.6 151 0.179 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION E. • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH, DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2003 CertainTeed Corporation 10/03 R -VALUE THICKNESS AREA (SQ. FL) INSULSAFE 4W)._ BAGS USED BATTS/ROLLS (✓) CEILINGS ~ WALLS 15 5A D FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION E. • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH, DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2003 CertainTeed Corporation 10/03 Manufacturer Insulation Fact Sheet CertainTeedM This is CertainTeed Corporation InsulSa a 4 ;n,eedE N Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW The following thermal performances are achieved at weights and coverages specified when. insulation is installed with pneumatic equipment in a horizontal open blow application: ' R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag-. should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (Ibs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/4 38 22.8 44 1 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 13.1 77 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 51/2 11 6.6 151 0.179 4 3/4 R -values are determined in accordance with ASTM C 687 and 51.8. Complies with ASTM C 764 as Type 1 insulation. THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. Based on a design density of 1.6 pcf/25.6 Kg/m3. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (Ibs.) Should not be less than: (in.) 29 35.8 28 1 0.967 71/4 22 27.2 37 0.733 51/2 16 19.8 51 0.533 4 15. 17.9 56 0.483 31/8 14 17.3 1 58 10.467 131/2 READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. To get the marked R -Value, it is essential that this insulation be installed properly • J=OK 0 = Not OK = No ReadYab1e DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s "MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/0 -Concrete Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Ext.; Steps -Doors -Landings Card B-1 Date Card B-1 Date Braced Wall Panels Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Enclosure; Fencing -Alarms Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test ` 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 E 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-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date � UNDJERFLOOR (Plans) OK except #'s 2VFtg., Main; Soils -Elea Grryd.-/ ' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. K., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Stomwalls, Main; Steel-Blockouts-Wrapped ` 6as-Kold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Pim Fireplace Fta.-Steel / 91D. ..V.; Fall -Fitting -Test -2 Way C/O -Sew est 12!:!, as Pipe; Size Anchors -Yard iping; Size Test I 17rWater Pipe; Test-Anchors-Requlator-Service Test lectric Underground I/ L plenums & Ducts; Clearance -Material -Support -Ins. lation 16. Insulation Date lo/r04—/Card B-1 114Date Card B-1 Date Card B-1 a Card B-1 Date PLU ING it) OK except #'s . Wat tr.; Vent -Access -Combustion Air Baffle 1VD.W.V-{Test Fittings & Anchor -Nail Protection -;4.-9Ii9wer Pan; Test, First Floor -Tub Access 2,1, Test Tub & Shower, Second Floor -Tub Access 2s Pipe; Sixe & Anchors 37 ire Sprinkler; Test Date 't�� / Card B-1 Date Card B-1 Date ' '� . Card B-1 Date Card B-1 Date ELE TRICAL (Permit) OK except #'s 2PZ,RRture & Transformer Clearance -Ins. Protection & Switches at Doors 26./Size Boxes & No. of Conductors Stapled 21. RqKex Installed Close to Edg f Studs & .J. 2 ip. Ground made up ech Fasten s -Bond s & Water' 2 Appliance Circuits in Kitchen & Co�tductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or A ire Size/ /g r Al 31. Range Circle/ /ga , r AI -Oven Circ. / /ga Cu rI A J'(Sulated Neutral &Yes ❑ No 3 . �rvice-Riser Conductors & Ground Main Disconnect 33 Equip. Clearances Panels-Motors-Mech. Equip. 6vslothes Closet Light -Shower Light -Spa Light Smoke Detector Date ? A{ Card B-1 Date Card B-1 Date Czfd B-1 Date Card B-1 Date M HANICAL (Permit) OK Ducts InsulationVIK u rt Vent Fan, Exhaust above insulation 3 . Condensate Drain & Overflow, Size & Grade 39 Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & P atform 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 4Sills Proper Materials & Anchors �yValls Studs -Nailing Spacing & Braces -Plates -Sound gearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) F Stops, Furred Ceilings -Stairs -Chasers -Tubs m� Headers & Beams -Size & Bearing Date JV glinq. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Fi place Ties or Ty u ce Throat Clearance is Access; Size Qom ectio Draft Stop -Ins. Baffles 51. drm. Windows or Exiting Doors -Sill Ht. & Dimensions V. age Fire Protection Framing -RC Channel 014- � 53 Property Line Firewall & Openings 5 . Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55 t irs; Width -Headroom -Rise -Run -Landing -Fire Protection ' 5 lywood on Roof Overhang -Attic Vents -Rafter Outriggers ' 57, Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 50,4GIazina Area -Glass Protection-Skvlights-PlastiO , ftdrZrace Integ&/Ex!* l Il Panels 6 U- -6;?' Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date r),. Card B-1 Date o Card B 1 Date 7 !k Card B-1 Date Card B-1 Date FINA 14C (Plans) OK except #'s 6SY. IA. Steps -Door & Sidelight Protection -Landings 6'j'/Smoke Detector de Furnace Vents -clearance -Comb, Air-Connector- IA-taarage; Above Floor-Ducts-Mech. Protection ff. 91F.I. Wath Fixtures & Tub Access -Spa I . rim & Subpanel, Breaker Sizes & Labels L"takirs & Rails i eplac or Stove, Clearance -Hearth X. lec utlets at Wood Panel, Int. & Ext. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance c. Outlets & Receptacles at Kit. Counter AV C rage Fire Door; Swing -Landing -Closure 7 .C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. Garage; Above Floor-Mech. Protection P .; Elec. & Mech. Equip. Listed for Location eceptacles in Garage (F.F.I.)-Romex Protection 8 I ulation-Foam-Looked in Attic 1 �rd Rails & Deck Construction -Post Caps 8 Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Cl Yes 83. jWlowinq Ioatld./Drive Cl Yes 0 No/1Nalks 0 Yes 0 No/Planters 0 Yes 0 No (LWY.C./IJnit Disconnect, Electrical -Plumbing V is bove Roof, Plbg-Appliance-Fireplace-Clearance to Openings W er Well, Disconnect, Electrical, Plumbing E for Elec. Trim, G.F.I. Receptacle -Underground 8 . ntil tion Throughout House %VGIZss Protection Co ections from Previous Inspections 92. st-Meters Tagged, Gas -Electric W Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates Address Posted -T—Fire Sprinkle Dat Card B -1f Date Card B-1 Date Card B-1 Date Card B-1 Date * Card B-1 Date Card B-1 Com nts at Final: 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 LICENEZD'COr 'fi TORS DECLARATION I hereby affirm under peas. ; pejury that I am licensed under provisions of Chapter 9 (comm��;icing with Section 7000) of Division 3 of the Business and Profassioris Code, and my license is in full force and effect. License Class: License Number: Date: Contractor. 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 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).): l0 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 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 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 thereon, 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 Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pedury one of the following declarations: ❑ 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 #: Pr 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: Applica 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. PERMIT NO. BP040804 Issued Date: 05/24/2004 APN: 066-320-019-000 Site Address: 14804 GOLDCONE DR MAG Map Index: Description: NSF (1,582) W/ATT GAR (430), COV PORCH (24) Owner: ORLANDO PAUL M & JUDY F 327 WAYLAND RD PARADISE, CA 95969 Applicant: ORLANDO PAUL M & JUDY F 327 WAYLAND RD PARADISE, CA 95969 Contractor: License #: Architect: Engineer: Total Square Ft: 2036 S.F. Valuation: $113,534.00 Census Code: CONSTRUCTION LENDING AGENCY This I hereby affirm that there is a construction lending agency for the Res4 performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B( Address: is hereby issued under -tQdo work ififtated a EXPIRES I fees have been paid. O I 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. ❑ 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 ow a duly authorized agent of the owner. agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the ance of any ffici form or um t B t y. I hereby authorize representatives of Butte/�99unty to enter upon the above mentioned property for ins the. purposes. Print Name: play (I/ t& t/ Sign ure: Date: - 0 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP 040 -copy- f"AA4 DATE: _� �/ ®� APN: Idn%5 ..3 20 - O I q ZONING: PT- I/W P OWNER'S LAST NAME: OWN 'S FIR T NAME: PHONE: f7 STRE DR SS� FAX W � N CITY'MI � _ A ! _/ /' E-MAIL: SITE ADDRESS: CITY, ZIP: / W NEAREST CROSS STREET: Jf2ACT/LOT APPLICANT NAME: CONTRACTOR NAME: f y_A 9 ARCHITECT/ENGINEER NAME: A_�L --- AJ' 0,A) "J;57Z— "C FAX: DESCRIPTION OR SCOPE OF WORK: I ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) Y -21-6Z5.- Srto-) 1;Z)kSS S 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 fees will be required. 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. For office use only: 5r--PjT TD 5R -A SRA. Notes: 3f.�4�d¢ - • SMIo BP x,571, te,2. Application Received by: 1c�(4' Receipt number: 3 R5w*72 ,� Date:�- Amount Received: , Z,735.9S Master application 3-4 t : E.H. USE 0 V fw Rea Attached '^ r� 8007 Rea Anachad Salm to 8.D. O C/ J�-� TO: Building Department y FROM: Environmental Health SUBJECT: Sanitation Clearance J Y�()H Owner Location AP# Plan Approved o • Sewage Disposal % Water S ppl Public Private ell Clearance for ening. Other . _ Holo final for: Final clearance PA, for: NOTE: r e. Envir nmental Health Specialist 8/96 Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ©ip- L A NJ 0 o ASSESSOR PARCEL NUMBER C:> • C:> rq Proposed Building Use: �! S i� Counter Technician: ISN Date: ? a k • Q 4 - Items required in order to apply for a'permit. All bones MUST be checked OR marked NA in order to apply. Afi 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 and signed calculations. .Y 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. i�k 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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 -signed by the engineer. ❑ 10.'Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. ;Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. •Fire Sprinklers............................................................................................ j 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by .. ❑ 19. Soils Report and/or Engineered Foundation required ........................................... .......,. 120. Erosion Control Plan Required........................................................................ ...... if YA 21. Fees as shown on the attached Schedule of Fees Due SheetSc-6(ftC ❑ 22. City of Chico Plumbing permit....................................................................... 23. California Department of Forestry plan approval aid. Sent by: ............. 4' 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, Drainage ......................... -26. NPDES Form............................................................................................. 0 27. Encroachment Permit for driveway from the Public Works Dept ........... :...... ......... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) .................... ❑ 30. Worker's Compensation Carrier and Policy Number ...... :..................... .............. 31. Owner -Builder Verification ( vG!ven to owner, _Mailed to owner) ..................... 32: Letter of Signature authorization....................................................... I............ 33, Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance.....................:........................................ . ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone A5 73.0&,57 • Q - n <--and hold for pickup. w� I have been informed of the above items and regpiprements for obtaining a building permit. Applicant:/ Dater ---�%� 1. Index permit pplication for the above items num Bred: r 19V 661 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: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: 4 Date: Structural approved by: Date: l '-.r Note transfer by:, Date. Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNEF: Y�C�+'C J A.P. # PROPOSED BUILDING USE --A ) 75� DATE I I 1. BUILDING PERMIT FEES Balance Due ...................... $ Additional Fees Due ................. $ Additional Fees Due .... .............. $ Revised Plan Checking Fee .... ....$ 2. SCHOOL DISTRICT FEES _�a" 1 s E (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Divisi'n) Residential ...................... x $360.00 = $ U ts Commercial (sq. ft'.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............-x_=$ it Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $ 99 (paid at Building Division) 152..q g 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the pJaVheckingnocess. Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 du-ing which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) 7 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building Permit has been applied for in your name and be Please complete and. return this information at your earliest Opportunity ar�ng y°� signature, in processing and issuin PP rtunity to avoid unnecessary delay g your building permit No building permit will be issued until this verification is received. I Personally'plan to provide the major labor and mate • ' pals for construction of the property improvement :YES ® NO ❑ > proposed 2 I HAVE•D ]SAVE NOT 'signed an he . 1 I have contracted with the followin aPP anon for a building Permit for the proposed work NAA • g Person (firm) to provide the proposed.construction: ADDRESS:.. PHONE: CONTRACTOR'S LICENSE NO. . I plan to provide portions of this, work, but I have hired the following person to coordinate, supervise, and provide the major work: dinate NAME: ' ADDRESS: CITY• PHONE: CONTRACTOR'S LICENSE NO. • . I will provide some of the work but I have contracted (hired) the following persons to the work indicated: provide ,NAME ADDRESS PHONE TYPE, OF WORK SIGNED: NOTE: PROPERTYOWNER: DATE: 3 — -2_ This ®wuer".guilder Ver i fllca*n is required b Crely ,lection 19831 d 19532 of the ifornia .Sealth and Safety Code. This verification must be completed and returned to our offue before we are permitted to issue the permit OVER 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 ofrecord 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: P 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. 0 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 rids 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 infounnation 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 first the property owner is providing his or her own labor and material personally. Building permits are not signed by property owners unless they are performing their own work personally. p required to be ' Information about licensed contractors may be obtained by contacting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on be 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. IYI lvfic 1.0 viam, C.B.O. ger, Building Inspection NOTE. Zhis Owner Builder Information is required by Section 19830 of the Cakfornia Health and Safety Code OVER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 24 -Mar -2004 2004-0016213 Has not been compared with original , BUTTE.COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior_ to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including; but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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 Butte, State of California, described as follows: Date PROPERTY OWNERS: State of California C ) County of Aqui ) On l� v -e m.b4er 25 2.003 before me, , � e s fA.a A -u P v \o\ � C, personally appeared l m r \ 0. nd Q'- ersonally known to me (orp ) to be theep rson&) whose name6).is/alae subscribed To the within instrument and acknowledged to me that he/sWtbey executed the same in his/her/their authorized caac' ids), and that byjh�r/tRcir $i nature() on the instrument, the persons;';) or the entityupon behalf of which the pffkon syr acted, executed the instrument. WITNESS my hand and official seal. Signature _ Seal: MARILYN HAYES .3 .� 60 NOTARY PUBC-CALI LFORNIA Q ". BUTTE'COUNTY 0 A P COMM. EXP. MAY 5,2005'A r STATE OF CALIFORNIA COUNTY OF (39 rrt- ) Onn�wl1�✓ 02$, Zou3 before me, QV't� V1 e5 cJ�OIY (3MLG DATE NAME, TITLE OF OFF ER E.G., "JANE DOE, NOTARY PUBLIC" personally appeared, (off ,art to mw nn the h^ iS of SatiSfa taro Pvidence) to be thep! rson �) whose name ) is/ subscribed to the within instrument and acknowledged to me.thatlie/she/ and that b h'Ws er/tt*r they^ executed the same in ks/her/ti%si_r authorized capaci Y si natures) on the instrumentthe R , or the entity upon behalf of which the pffsm s) acted, te executed the instrument. WITNESS my hand and official seal. P MARILYN HAYES 3 NOTARY PUBIIGGAIIFORNIA303360 +n BUTTE COUNTY n COMM. EXP. MAY 5,2005,-' (SEAL) N ARY P LIC SIGNATURE OPTIONAL INFORMATION OP ON: it • TITLE OR TYPE OF DOCUMENT DATE OF DOCUMENT NUMBER OF PAGES 2 SIGNERS) OTHER THAN NAMED ABOVE •- Rec &d a' Request of Commonwealth title & Escrow Co. )rder No. 31232 escrow No. Loan No. WHEN. RECORDED MAIL TO: Mr. & Mrs. Paul M. Orlando 327 Wayland Road :Paradi e,. c4-.'95969 MAIL TAX STATEMENTS TO: ;acne as above • ►ie 1. 1 1 111 e 91-048641 Recorded off idial Records County of Butte Candace J. Grubbs Recorder I 1 Rec Fee I DOC 1 Check I 1 1 5.00 33-00 38.00 8:00am.22-Nov-91 I ..JJ 1 DOqUMByfARY TRANSFER TAX $...3 :.00...»L:..Q.i? 1 L X.. Computed on the consideration or value of property conveyed; OR ...... Computed on the consldora#pn or value less lle# or encumbrances remaining at time of sale. :__ .._ ......_. -Commonwealth Title Signature of UNCieraM or Agent determining tax — F Irm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, . A. CO,t, and ROBERTA C. CONNELL, husband and wife, as Joint Tenants WUTMhereby GRANTIS) to PAUL M. ORLANDO and JUDY F. ORLAIMIDO, husband and wife, as Joint Tenants ' unincorporated the real .property in the County of Butte State of California, described as Lot 93, as shown on that certain Map entitled, "PARADISE PINES MOBILE HavM ESTATES UNIT was recorded in the Office of the Recorder of the County of Butte, State No. 1", whish Map s 65, 66, 67 and 68. of Californias on April 8, 1970 in Book .35 of MaPs, at Page _ _ _ EXCEPTING AMID RESERVING FROM_ all the valuable minerals beneath the surface o sal against da lands, with the right to mine and extract said minerals i g greed and unde-, and ood that all miming operations shall Protect the surface of said land on from tunnels, shafts, or drifts having their. that all such mining shall be carried orifices outside the surface of the above described realty. natPtl _ F May 17, 2004 Mr. Michael Vieira County of Butte 7 County Center Drive Oroville, CA 95965-3397 Phone: (530) 538-7541 Fax: (530) 538-2140 Re: Plan Review: Orlando SFD Address: 14804 Gold Cone Dear Mr. Vieira: County of Butte- FINAL REVIEW Jurisdiction Application No.: 040804 LP2A Job No. 2040015-031 Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: 1. Plans: Two (2) copies Plan Sheets Al through D2 (9 total sheets) Cover Sheet dated February 04, 2004; sheets A4, A5, A6 dated revised May 10,2004, by David G. Anderson, Architect. 2. Title 24 Energy Compliance Documentation: Two (2) copies dated February 04, 2004 by Dave Anderson, Architects. 3. Prefabricated Roof Truss Calculations: Two (2) Roof Trusses dated March 15, 2004; truss sheet C2 dated revised May 6, 2004 by'Longfellow Lumber Co. 4. Miscellaneous: One (1) copy of Building Permit Application; Two (2) copies each of CDF Fire Safe Requirements and Residential Construction Requirements Handout. The 2001 California Building, Mechanical, Electrical, Plumbing and Energy Codes were used as the basis of our review. Please note there are no further comments. Therefore, we are recommending approval of the above noted items with the following conditions and redmark annotations/highlights per Butte County Residential Plan Review guidelines: 1. A final truss review letter shall be completed and returned to the Butte County Building Department prior to permit issuance, bearing the approval of the project architect (David G. Anderson) verifying that the truss calculations have been reviewed and that the design of the trusses conform with the specifications and load requirements for this project. Enclosed for your use are the above referenced documents bearing the LP2A plan review stamps. Please let us know if you have any questions. Thank you. Sincerely, LINHART PETERSEN POWERS ASSOCIATES Roxanna Recinos- erns I.C:.B.O. Plans Examiner RS c'URNART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard • Citrus Heights, CA 95610 (916) 725-4200 • FAX (916) 725-8242 • Toll Free (877) 235-0653 f:\butte county 015\butte county 2004\2040015-031-pcf.doc Applicant: Orlando., Paul Permit 04-0804 Project Type: NSF:APN: 065-320-019 100% 70% Plan Check Fees $ 1;'028.65` $ 720.06 $ 1,028.65 $ 720.06 LP2A Fee $ 720.06 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other Butte County Department ofDevelopment Services AWT. p. p. YVONNE CHRISTOPHER, DIRECTOR o. o �'�■ o., o. 7 County Center Drive �J O(530) Oroville, CA 95965 E'O ty 538.7601 Telephone UN co N (530) 538.7785 Facsimile O TO: LP2A ' FROM: Scott Rutherford (530) 538-7160 srutherford cDbuttecountv.net SUBJECT: Plans Transmittal For Review Per Contract O DATE: 4/21/2004 Applicant: Orlando., Paul Permit 04-0804 Project Type: NSF:APN: 065-320-019 100% 70% Plan Check Fees $ 1;'028.65` $ 720.06 $ 1,028.65 $ 720.06 LP2A Fee $ 720.06 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other National. Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE Project Title: (e)L—A-"V 21 By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for .$700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of gradinE-2— N ---e s o other sanctions ovided by law. Signed: Title: Date: I �' � Illi 111 Ili l illi I II ILII it III I I IIIII 2004-00 1 r=,2 1 3 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 L� %�� V I Recorded i REC FEE 13.00 Official Records I CONFORM 1.00 County Of i BUTTE i V CANDACE J. GRUBBS I Recorder I (�P2 ROSEMARY DICKSON I Assistant I Kathy 09:06AM 24 -Mar -2004 I Page 1 of 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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 Butte, State of California, described as follows: Date / /— 02 40 3 PROPERTY OWNERS: State of California County of 3 Q On .N ve ryvbe r 2S UCa before me, iYtCX.IC%�-uV\ fS fV6A-m.r14 QUbAk personally appeared Va LL -1 (Y\" e),r\ 0. rtct 0' p±Mnally known to me (or ) to be the ep rsonN) whose name() is/ake subscribed to the within instrument and acknowledged to me that he/sWthey executed the same in his/her%their authorized caaci ids), and that by ltis1h"ar/their si nature() on the instrument, the person(',) or the entity upon behalf of which the perLon syr acted, executed the instrument. WITNESS my hand and official seal. Signature:- Seal: MARILYN HAYES :3 UCOMM. # 1303360 (�106-4'--3.X-0 NOTARY PUBLIC -CALIFORNIA BUTTE COUNTY 0 A.P. #0 -011 COMM. EXP. MAY 5, 2005' CALIFORNIA ACKNOWLEDGEMENT STATE OF CALIFORNIA COUNTY OF 6U'CTf- On N04",6W a�. 2003 before me, n,)C �llu v\ des , ny-,-&rS Py bl LC , DATE T-- NAME, E OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC' personally appeared, 3_jdj.� OY- L ,> ud, d (a Paved t0_me Ont a baSIS Of Sc1tiS a tory P�iclPn_eel to be the ep rson() whose name ) is/ subscribed to the within instrument and acknowledged to me thatlge/she/ they- executed the same in 9;s/her/t�et authorized ca aci p, and that by h%(her/tt*r si natur&(.�) on the instrument the personk, or the entity upon behalf of which the persw'(`s) acted, executed the instrument. WITNESS my hand and official seal. (SEAL) N ARY P LIC SIGNATURE •s MARILYN HAYES V COMM. # 1303360 Q NOTARY PUBLIC -CALIFORNIA BUTTE COUNTY A COMM. EXP. MAY 5, 2005'' OPTIONAL INFORMATION TITLE OR TYPE OF DOCUMENT DATE OF DOCUMENT % k -ZS --p F NUMBER OF PAGES SIGNER(S) OTHER THAN NAMED ABOVE a' -Q &f \ %O 2 Record ai RequW get CoMmonweaith r itie & Escrow Co. Order No.: p_31232 Escrow No. Loan.No. WHEN RECORDED MAIL TO: Mr. & Mrs. Paul M. Orlando 327 Wayland Road ,':Paradise,. Ca-. 95969 MAIL TAX STATEMENTS TO: same ^as above--- 305• 1. 1 1 111 ,, /-, W- t , 3;, " 7 _- �91-4641 _ I 91-046641 1 Rec Fee 5.00 I DOC 33.00 Recorded I Check 38.00 Official Records I County of I Butte I Candace J. Grubbs 1 Recorder. I 8:00am .22 -Nov -91 I JJ 1 DOCUMENTARY TRANSFER TAX I L X. Computed on the consideration or value of property conveyed; OR ...... Computed on the considerappri or value less lieIs or encumbrances remaining at time of sale. (`_ Commonwealth Title y Signature of Declarant or Agent determining tax — F Irm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WILFRPD A. CONNELL and ROBERTA C. CONNELL, husband and wife, as Joint Tenants hereby GRANT(S) to PAUL M. ORLAND0 and JUDY F. ORLANDO, husband and wife, as Joint Tenants the real property in the 9AFW unincorporated County of Butte State of California, described as Lot 93, as shown on that certain Map entitled, "PARADISE PINES MOBILE HOMES ESTATES UNIT No. 1", which Map was recorded in the Office of the Recorder of the County of Butte, State of Californi.a,_on April 8, 1970 in Book .35 of Maps, at Pages 65, 66, 67 -and 68. f EXCEPTING AND RESERVING THEREFROM all the valuable minerals beneath the surface of said lands, with the right to mine and extract said minerals it being agreed and understood that all mining operations shall protect the surface of said land against damage, and that all such mining shall be carried on from tunnels, shafts, or drifts having their orifices outside the surface of the above described.realty. Dated _. NOVember---12-,-19-91---....._ 4 School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 64-. (One form per Building) Gy- Building Department No. v��• � ' V l� Jurisdiction: City County Property Location/A Subdivision Lot No. Residential Development Q Q Q 0 Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '. •(Nofoundation Inspection) . Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Are -411 5 Building Department Represen tiv Date Distrlbt Identification No. School pistnct certifies that t� e.0 ✓�i�^��=�/ ",''^{) /.jr•` /J v ` (Applicant) 7 A6 ;e IStreet�, -ddress) (i (Phone Number) (State) has comp ied with the requirements of Resolution No. representing square feet. School District Representative (Zip Code) by payment of $ 9 72, 2926 $ FULL MRIGATION $ Date r Paid by Check 8 7 Remarks: A 7'i l C /,r(I�� 1,ke /J• _.f Notice: You r oy protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Governniant Code Section 66020(a), within 90 days from the date hes are paid. Failure to submit a timely written protest wlll'prohlbit you from ehatherghq the Imposition of the fess In any court adios. If, subsequent to the a cl n nl District Representatlw signing this Quite County Schools Impact Fes Certification Form, the School District Is rrofllled by the: applicable Local Planning Agency that this p al c Isbeing rwlevwd under the California Environmental Quality Ad (CEQAh this prolect may be su"eet to additional school fees to fully nye. its Impact on the school dl bkft schools. White (app'ican% Yellow (building department), Pink (school district) feeform.xls (10/03)dmm ' .PERMIT N0. 2352-77P ,g PERMIT EXPIRES OWNER J. G. Paige CONTR. Fisci Bros., Paradise. LOCATION (A.P. 65-32-19 1250 G61dcone Dr., lot 93, PP#I, Maglia ,y yet �1 S+ v ,•i. Temp. Power Pole Called PG&E :.;?Temp. Elec. Serv. ' �- Called PG&E Temp. Gas Serv. alled PG&E JOB���� FINALED (Date) (Signature) t n , ii0}3T .lai01%t.G INS7'ALLA`i ION INSPECTION CHECK LIST 1. Is the mobilehomG loc;�!tcd wi;'.ii f.equired separation from lot lines and buildings and generally ' conform to plot plan? 'Ye s' io 2. Does the mr,bilehome have requircid clearances above ground? (Sec.5085) YesNo 3. Are footin,-;s and supports properly sized, spaced, and braced as p approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yes o_ 4. Is the mobilehome level.? (Sec. 5088) Yes/No 5. If mor than a,single unit, are crossover connections properly installed? (Sec. 5088) Ye sN o 5. Water A. Is f 1 ,'ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes N B. Test — Does water piping withstand working pressure or 50 lbs, air test? Yes }%No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes VIN 0 B. Does it have minimum per foot slope and is' it properly supported? Yes 7No C. Are any leaks detected in drainage system after running'3-.allons of water through eacht, fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobi ehome gas line inlet without7reductions other than the mobilehome. connector. Yes V No _� B. Test OK as per following procedure? Yes 6� Ydo I. Open all appliance connector valves. 2. Shut off appliance burner and pilot -valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound'increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehorne with connectoXwNo urn. on gas, test connections with soapy water. C. Are all appliance vents properly i-nstalled? Yes 9. Electrical - ., ?. Is service large enouglk to provide zidequar_e umpc:!rage to mobilchome. (must equal rating of mobilehome (,rith a. :::iniilum of 1,00 amp) and other facilities on lot, i.e., writer pumps, llaraoe, cabana, etc.'? Yes ✓No_ B. is ther-, proper clearances around panels? Yes J No____ C. Is power supply cord or feeder assembly properly fused? Yes V/1\10— D. /No_D. Is continuity test satisfactory as per the following procedure? Yes ✓ No 1. De -energize electrical wing system of the mobilehome at the pedestal+ 2. Make sure,that fire power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breaker;, and switches in the mobilehome to the "on" position. 4. Connect one lc�ad of.. a 'test instrument to the mobilehome grounding conductor and apply ti'Le cj,-' 'r icad to each ruuu:i.�eiwiiie Siip�iiy. Cufiuuctu'i , ilii iiuliig neuirdl. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, writer line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon cornpleticn of: the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te:;t shall then be made between the grounding electrode and the chassis of the riobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. I Its job card signed by health Departmeat for water and sanitation? 1:.. If everything okay, sign off card and to services. MOBILE"TOME DATA p Manufacturer and/or Namestyle Length� Width /S� Vehicle Serial No. �7 c State Identification No. / / 2 ,.diietional Information or Continents: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD F BUILDING BUILDING (Cont'd) A PLUMBING Se ack I F ewall A I Plnlee rvr Nar ets 1%t Floor Mal Bldg. Rest om Finish 2n Floor Fo tins Wlndo 3rd Noor Stem all Siding To out Slab Roof Shealliling Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s StemwaI I Garage Vents Insulation. Water Htr. Heaters Slab Carport Footings V Prov. for phsical handica pe.1 Conformance of ex. structure V Appliances Gas Piping &Test Temp. Gas Slab A Final Sanitation Patio F EP ACE Final Footings Footing E ECTRIC L Masonry Walls Throat Rnunh Fixtures Motors Water Htr. Stucco / Final / N I Subpaneii Mesh MECHANICAL I rrd 1=41t Prnt scralth HeatIrA Servl Brq&n CooVhg T mo. Pole F tish -Dujfts nderground Inilterlor Lath ntilation 113ermanent oor Closer anal Final MOBILEHOME UTILITIES -------- -- ----- Elec_ Service ti ' 7 Elec. Pedestal -/G-?> a Water Piping SewerZ Gas Pipingyj ! 1 S I - - - - - - - - - Support 7 Elec. Continuity , y Water Piping -i(- 77 Drainage Gas Piping �� , DATE REMARKS OR CORRECTIONS 1-16-77 r � (NOTE: 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, CALIF. - 534-4541 CERTIFICATE, OF OCCUPANCY This mobilehome has been installed in accordance with the requirements' of the California Administrative Cod'e,,, Title 25, Chapter 5, under permit number � -22—for the following location: Owner Vy Owner's Address Mobilehome Mfg. h�' Model Year Insignia No. '212 S V Serial No. It is hereby certified for occupancy at the above described location and may be occupied. / Director of Public Works Date !O - By 9L/ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dave- — ''Uroville, California 95965 ' Telephone: 534-4541 APPLICATION AND PERMIT G`z2--/7 A: 't.,� BUILDING OwnerA / _ Q. SQ. FT. OCC. BUILDING VA UATION Mailing A ress P 0 ^' � Telephone No. Fireplace Contractor W �� �, J 0 0 6 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address i PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 /U0 V x,• Each Trap 1.50 �. C � 7 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 5 Z "% �, Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 • F _q_u Aaiiaa I FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. ns Rec Parcel rovol Plo pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER E] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS /J "7 �/ �'7 0( oG / ! Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service_ EA. ADD•L 100 AMP 1.00 NEW CONS. OR ADDNST ( DACCLBLDGgWELING CCUP. &) 2¢.sgft NEW CONSTR MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS a, NON-RESID. SINGLE OUTLET CIR. 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 le of: Ex. Occup(OUTLETS OR FIXTURES) .AL@109 Ex. Occup. FIXED APPLNS, OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. ❑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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 — TOTAL PERMIT FEE Is , authorize representatives of the County of Butte to enter upon the abo -mentioned property nspection purposes. X Date 7' Si nature oof ermitee r Agent Receipt No. '&I-rr %Z-' 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 BLIC WORKS By Date �—�%— ;0.2 B ilding permit expires Date G l7"-7 b' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County' C'en't&r Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: IT. , ! ,�? f 2. Installer's name: 2A),4jce 3. Is the site currently under permit? Yes 7,7�V No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No TV (Ifayes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating?- Vie �-=--�---------- diffs P a • 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 —/IT/ (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------------------j (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? /L1 (ft.) ( ) 2 What. is themobilehome gas demand? ------------------------------ l' BTU (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft.'on LPG.) MOBILEHOME SUPPORT DATA Mobilehome Mfr. j),l_Vef"V{ Setup Model No. Year Width(ft.) Length (ft.) Expando Size _� ft.x ft. (Draw support details belbw) 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). Center Cente Support Support Foot' g' izes Locations (i .) t (ft) .tin) h (i •)( n.)X. 1011 (fb. .....i in.) i Single, 1> *If center piers are other than drawn above, draw in locations, spacing, and dimensions. kin Footings (check one) /[ 1. Wood either pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers / 3. Steel piers 4. Other, specify (Ii/ ---_.- Typical Support -.x%0f , Footing Size n.) Iii . ) I Max. Pier J Spacing (ft.) -a -A -I Max. _j Overhang � ft i"'If, ) BUTTE COUNTY BUILDING DEPARTMPNT APPROVED J COUNTY OF, BUTTE — DEPARTM-LNT OF PUBLIC WORKS 7 County Center D)jve• OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the ' above -m tioned property for inspection purposes. i\ X Date" Signature of Permitee or Agent Receipt No. 47 , 4L5 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. DIREQi—O"R OF PUBLIC WORKS By Date �- 3 - 7 Z. Zilding permit expires Date S 31 —,7 d BUILDING Owner �� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace - Contractor / Total Valuation Mai l i ng Address Y �% Permit Fee Plan Checking Fee&/or Penalty „/ t elephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 60 �✓ /� Q/ �� ��, Each Trap 1,50 Ct Repair drainage or vent piping 1.50 Water piping T'5n Op Zontng Verificati n only Each gas water heater or vent 1,50 A. P. No. (� �Zj -- f9T-� zon g Gas piping system 1 - 5 outlets Each additional outlet .30 F%A/s S ion Fire Dept. Fire Zone Use Permit Building sewer 4 OD EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 d� ns FZec'd P el Approval Plan pproval Permit Fee $ �y $ -7 NEW ❑ ADDITION ❑ UTILITIESJ�r OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS ESS . 100 AMP OR L 500 .J Main service EA. ADD'L 100 AMP 2.50 Q Single Family ❑ Duplex ❑ Mobil Home r;2' Mobil ❑ Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ,�( � NO SQ. FT. MINIMUM NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 20sq ft NEW CONSTR. ( MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea tUR MOBILES NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State ofornia Business & Professions Code under the name style of: r_7 �. Ex. Occup(OUTLETS OR FIXTURES) 50 0250 BAL N'109 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 f" !/ �j License No � Classification r Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. \ /0 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certifv 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 1 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 ,E ? e -:Y TOTAL PER IT FEE $ authorize representatives of the County of Butte to enter upon the ' above -m tioned property for inspection purposes. i\ X Date" Signature of Permitee or Agent Receipt No. 47 , 4L5 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. DIREQi—O"R OF PUBLIC WORKS By Date �- 3 - 7 Z. Zilding permit expires Date S 31 —,7 d o" COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 a APPLIC610N AND PERMIT autnorize representatives of the Uounty of tlutte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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 r Building permit expires Date BUILDING Owner { t SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address � . � � % n - _ j „ U ( + r !1 11 )! ! t�f �L Telephone No. Fireplace Contractor a a �, �j j v, L Total Valuation r t� Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ .1 �I + Building Address {' L f i_ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. :� ! `� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees> Wier +Sanitation Fire Dept. Fire Zone / Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 (Bldg. -Plans Recd) Parcel -App vaI Plaris Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER�Q ELECTRICAL No• @ FEE PERMIT FILING FEE $3.00 i r /Main �7 .-r (� •, "r •:1..r; j service 600V OR LESS 5,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ Main service EA. ADD'L 100 AMP 1.00 r NEW CONST. DWELING OR ADDNS. ( ACCLBL GS.CCUP. &) 21tsgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) BA@@1 104 FIXED APP LNS. OR Ex. Occup. (OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. ❑'have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F, -]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 J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ : �• autnorize representatives of the Uounty of tlutte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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 r Building permit expires Date 'r COUNTY OF BUTTES DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive - Orpville, California 95965 Tel ephone:' 534-4541 � 70 1/ Z,7 APPLICATION AND PERMIT /ff &// Sign ere o e o Permiter Ag ✓— B /�� e-7 y— Date t7 R eipt No.� White-D.P.W. — Yellow -Assessor —Pink -Inspector — Goldenrod -Applicant ��Ullng permit expires Date -3 —7 BUILDINGri/ 77T Owner SQ. FT. OCC. BUILDING VALUATION V Q � Mai I i ng Address Q 6 �,p �• �©� L�� �� e(X Tele hp one No. Fireplace Contractor ® ��/ !2. �y r GQ Total Valuation G cz Mailing Address Permit Fee " .— Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address /,25-73 G() Ut9CVIVe PLUMBING No. @ FEE PERMIT FILING FEE $3.00 / ,,p /- h 07- J A It. Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Or Each gas water heater or vent 1.50 A. P. No. —3,2 -- / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W I FireDept. Fire Zone Use Permit Building sewer 5.00 E A Parking Plans Parcel De ration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Id la Red Parc efpproval Playpproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /' � WvL�1 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home (�a Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING O OR ADONST ( ACCLB OGS.CCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea, NEW CONST. POWER APPARATUS & NON- R RESID. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)50 @25C 109 Ex. QCCUp. FIXED APPLNS. OROUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring F;=25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE l 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.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 unty of Butte to enter upon the above ntioned grope inspec n purposes. y .s -,o A.�/i9D/ .rr11, ? 7 7 TOTAL PERMIT FEE $ '- 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 id. DIRECTOR OF�BLIC WORKS Sign ere o e o Permiter Ag ✓— B /�� e-7 y— Date t7 R eipt No.� White-D.P.W. — Yellow -Assessor —Pink -Inspector — Goldenrod -Applicant ��Ullng permit expires Date -3 —7 - I$ t t4ti TO 4l�-� (/1) Date Time Q Am PM WHILE YOU W RE UT M of Phone ) P93 - 06s 7 Area Code _ Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU I I WILL CALL AGAIN WANTS TO SEE YOU I I I URGENT RETURNED YOUR CALL Message erator E AST M A N / v Imo ✓ 4C200 COUNTY OF BUTTE ' ' ' . i BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Hurnboldtt�oad, Chico, CA - (916) 891-2751 7 Cowtty Center Drive, Oroville, CA - (916) 538-7541 747 Mott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C!11011iff�11111 PERMIT NO. Ana6mispec6miuliates that the following violations of Butte County Ordinances exist at tieafnnesdbi andshould be corrected. Please notify this office when correction of work in cwz4dWa& Rpm hs my questions pertaining to this matter, or need additional explanation, jir c=W cK tis of re immediately. 7-44- (5X 0 S 70 r14 v o -'v yyvC 5ocv7`l� 00 S�vv ro tiny L��� lot if Dale �p� Inspector 1 tom/ low It i COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• eouw* at u9tttte OR•OVILLE, CALIFORNIA GENERAL CLAIM . CLAIMANT: I' Clayton Givens ADDRESS: 1250 Goldcone Dr. CITY & STATE: Magalia, CA. 95954 IMPORTANT: July 31, 1979 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING . GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to build. (Permit Application #4255-79B,E - Building permit fee ----- $40.00 e a ii of fee -------- Amount of refund due --------- - ------ $26.67 Electrical permit fee --- $ 8.60 ' Rota filing fee ------- Amount of refund due ---------------- 5.60 TOTAL REFUND DUE --------------------$32.27 $32.27 TOTAL $32.27 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day o[ ............................. 19....... at................................. Calif. ...........................::....................................................... Signature of Claimant ' I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that tiye is a Budget Approlygo ❑ or SpeciBoard 6prvgl�(Checkone) for the same. Datedthis .................................... day of ............................. 19....... at............................... , Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. CodeCode ................................................PAYABLE FROM '..................... ..................................... ..................... ............. FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. &,SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. r INSTRUCTIONS to CLAIMANTS All claims against the county aiust be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditof "for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE _--1 DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 T&ephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X L,A4_41L4Date Signature Oi ee Or gent Receipt No. /) /J 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 BUILDING Owner aL-Pry(J �rJ SQ. FT. OCC. BUILDING VALUATION •O0 n �^ffo Mailing Address Z�® �f�L��QI.� &0 l00 q 7' h—n� 11�5 ei Contractor Mailing Address Fireplace Total Valuation &0 Telephone No. Permit Fee r Q Building Address Z✓� �� CoN Plan Checking Fee&/or Penalty Permit Fee r0 Q PLUMBING No.1 FEE PERMIT FILING FEE $3.00 Each Trao 1.50 "A-te,,,PfLj A- Repair drainage or vent piping 1.50 / Sy �q' A. P. No. (Q moi- �zo�;ng 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 es Sa i Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking P arcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 �� Bldg. Plark ec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ©/ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ (!4B A 4��Vc_10 QIQ� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 v e 00 Main service s00V 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 600V 25,00 100 AMP OR LESS _ Main service EA. ADD'L 100 AMP% 1.00NEW CONS. DWELING -D OR ADONST ( ACCLBLDGS ) 20sgft 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 st le of: y NEW RESI. MULTI -OU T NOND.CONS (MULTI-OU-FLET, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID, SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES g L@ 1� 09 Ex. OCCU FIXED APPLNSOR Occup. (RESID.),EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ KI&O$K 16 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. '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 Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ &and authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X L,A4_41L4Date Signature Oi ee Or gent Receipt No. /) /J 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 A - OWNER -]BUILDER VERI]F'ICATION 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 ❑ 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: 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: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE. This Owner -Builder Verification is required by Section 19531 and 19532 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. O.. - 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 ofrecord 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. 0 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. PIease complete the "Owner guilder 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. rely, Mic 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Own er-BuMder Information is required by Section 19830 of the California Health and Safety Code. OVER I A I I Y cnn 0 nc' " "w 8750 8750 8750 8750 O 95t-9 0 91 QN14 V 72.50 72.50 72.50 72-51 V, C/7 t QD 89 9 3S Z, 110 % 72.50 115 51 72.50 72.50 72.51 GOLDCONE 988-51 8750 8750 87.50 8i750 8750 a /0t 00 Q0 Q, V tio 9 87 '8 6 83 3L -/V. N 82. 7 V) 78 --j ZZ 'It 0 '% /00, .60AC 14 /0 ff 8 , *Ir 72.50 F 72.50 72.50 72.50 86.00 - NOTE; These parcels are for asses ' sment purposes crly and may not constitute legal parcels. 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