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068-343-039
COVERED DECK W/0 -PERMITS 12/4/96 / `kis a I' I 0 MERLE MILLER 68-343-39 30 Dick Lane, Oroville Contr: Theveos Const 111181S7 PErmit#3191-87B,�(new garage/shop) .68-343-39 Permit#331=88P,E(util, M ELEC N, GAS.' SUPPORT STB `_ COMPA TEST REQ 4 �8-343-39 2o;itra--- h co PIH..&pecialist,�- -�/ Permit#1293-88B,P,E(MH on per �fdn 68-343-39 Contr: Chico MH Specialist hh // Permit#1814-88B(new covered det/k_/MH) 6068-343"039'��a` x "Alice, , PERMIT#96 00 y, -� MILLER ' }� Y r30 Dick Ln:�, Oroville3 s' r , �;`Cont George�Roofingt Reroof Cov Porch/MH-I'� 068-343-039 ,PERMIT#96-2747. MILLER,- Alice 30 Dick Ln Oroville na Covered Deck/MH 0 j ,. _a, �_ - n r \��.� f����J�/\fes_ `_ �-�\..�j ��f._�j /_f_ �� 'I � Q � � V V � �� V i PERMIT NO. I 1293 -HHB, P, E , PERMIT EXPIRES OWNER MERLE K. MILLER Chico MH Center CONTR. 68-343-39 ASSESSOR PARCEL LOCATION 30 Dick Lane, ORoville OFFICE COPY Address ! 1 G gy ._ Date ELECTRIC/_ -- I Meter By Datew kk PoWei'rofe Called PG&E • i . 4 Temp. Elec. Service _ I Called PG&E Temp. this Service I Called PG&E JOB FINALED (Date) } Signature . 4 i g w a =-OK r 0 = Not OK i =otReaable NdyMOBILE HOMES ` ` MISCELLANEOUS Date MO LE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Hing Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel e er; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ater; Location -Test -Easement Need (Sketch) 4. Wood_ Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location -Clearances- d.- / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / P'U ft. / /"Nat. or/ PV ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses QO— 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Card -B Dat / W Card -61 Date Card -131 Date Card -81 Date 11. Ext.; Steps -Doors -Landings Date MOB EHOME INSTALLATION (Plans) OK except Ws 1>-'2oo,irhg Requirements -Setbacks -Easements Card -131 Date Card -B1 Date ootings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date N Test -Demand -Valve -Connector tAeffi-e_et'ricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s r ; MH Test -Fall -Flex Connector 1. Setbacks -Easements MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability at nd Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining Electricity Tagged 1,9 --exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI _" "ccupancy ; 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel board s -Ins. to Main in Conduit Card -B Dat S Card -B1 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply.Test Card -131 Date Card -81 Date r Card -131 Date Card -131 Date =OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not.Ready-- Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51, Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive •❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751, 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 -COR-it-EC-T I"OWROTICE== INER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector%6� Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAVON AND PERMIT PERMIT NO. ASS7SOR PA EL NUMBE L� 9 ZONING ' BUILDING PERMIT r 0W - Allar1r-r- Af TEL o SQ. FT, OCC. BUILDING V UATION 0 MAILI ADDRESS ^_^� F6 CNRACTOR' AM en B 6 °S t ELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ FIIIng.Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER . - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR. ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS l Permit fee $ , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 AlSolar or heat pump water heater 20.00 LOTNO.S'i UBDIVISION NAME PARCEL MAP - Water piping 5.00 Each qas `water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[""r - Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 --F HomeISEG W 0.00 ea TYPE OF WORK j New❑ Addition❑ Rg., el❑ Utilities Installation❑ Other Describe work: YV)E� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service e00V OR LESS 100 AMP OR LESS 10.00 f Main service EA. ADD'L 100 AMP' 2.50 CONTRACTORS LICENSE LAW I declare derpenalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and m license is in ,taill�firc7nd effect. (�� / / License No. Classification ac ❑ I, as the owner, or my employees with owages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) +/2¢SQft OR ADDNS. ACC. BLDGS. !I NEW CONSTR U TI.OUTLET 2,50 ea NON-RESID .BRA C CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ( Ex. Occup( OUTLETS OR FIXTURES 1.030 FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities '� 15.00 Misc. Wiring 15.00 Permit Fee.. ' $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The ermit is for $100.00 (valuation) or less. ❑ I Je placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California.Ventilation Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling . Hood 3.00 Permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. agree to save, indemnify an „ eep harmless the County of Butte against y ,in any way acc ab' vties, judgments, costs, and xpenses/of a said County in consequence of t e granpermit. IQainst X Signaure o pplicant-- Owner ❑ Contractor ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion df structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection'Fee $ TOTAL PERMIT FEE oeeuP- coN ST.TTPc SCHOOL •— PLO PARClL PD NO -1SS This permit.is hereby issued under sionS of the Butte County Code and/or work indicated above for which DI ELCTR OF PUBLIC By PE04 EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��� an Receipt No. WNITL-D.P.W., YELLOW-A$e L370R, PINK -INSPECTOR. GOLDlNROD-APPLICANT -�Gt ._.�,, .. .p: • ..yw r.c�:�r..�v'`l;ii�✓t1J'f.•� , . +v'y".r+'ii`�`-(:�r�.+�"S.�` ,, ., � i .y, 1 w¢•rr'� .ki''aS.si;. .-ty � 5�,�.r ...� - h.; � _ rt, -, •-r•..,s�, l.� n l� COUNTY OF BUTTE - DEPARTMENT,;zOF%;,P'44$'EIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE- OROVILIaEF.; AltIF© IA 95965 -TELEPHONE. 916/536-7541 , =-4 PERMIT APPLICATION DATA SHEET ku Permit No.OWNER A2i A: P No. �r�f Proposed Building Use IM Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing 4 and1or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . , . . • , , 9. Letter of'signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.) _15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . -In Prespec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. En gi eere trusses in du l'.ate�qquired_nrior to plan check)froo� _ � cc�-� t o iJC"�%o �5 . 0 410ne,�s When you issue the permit, process as follows Mail t,Q,o�wn�er, Mail to contractor. Telephone and hold for pickup a , Deliver w/inspector. Other Appl ican to Copy of plans sent Health Dept., Fire Dq,ot., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No.?r44 2. Additional items required_ 17_cce t- I Contrac r, designer, owner, was advised of above required data byhone---mal --counter by date J ontractor, designer, owner, was advised of above required data by hone_ma(I_counter by date s Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW CAT. NO. NNO0627 TO 1944 CA (9-84) (Individual) J OFFIMAL SEAL " FRAN SYUFY IC - CALIFORNIA` }M"- A OIJINTY STATE OF CALIF NIA COUNTY OF } SS I� I ........ personally known to me or proved to me on the basis of satisfactory evidence to be the persons whose name S subscribed to the within instrument and acknowledged that exe- cuted the same. WITNESS my hand and official seal. Si nature �: sJ FI'A 11 s„1 , ry tD ° My carom. ex�ire9 P�OV 1, J END OF DOCUMENT (This area for official notarial seal) tt X99 V�S4a d81.No� g , w p N`�%a�tiadioN d . � AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 01514.. to DPW TTE COUNTY R DED 80 FOR RESIDENTIAL DEVELQPMENT-. IA LEC Ci.,A-� OF L ECORDS-BY Section 26-8.1 of the Butte'Count' Code requikeg this acknowledgement y be r-66orded prior to issuance.of a building permit, 3524 M 8, 59� The property ,described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this J. GRUBBS property may be subject to inconveniences or discomfort arising fro the use of agricultural chemicals, including, but not limited to hMfaKe09W4 and fertilizers; and from the pursuit of agricultural operations including, but not limited to Cu ' ltivation, plowing, spraying, pruning, ond.harves ' ting which occasionally generate dust, smoke, noise, and odor. Butte.County has established agricultural zones which have as a .priority use for.productive,agricultural purposes, I and'residents within said zones and on adjacent property shouldU prepared to accept such inconvenience or disconform from normal, necessary.farm operations.' All that real property situate.in the.County of.Butte, State of California, described as follows:, Parcel 1, as shown on that certain Parcel Map entitled, "LOCATED IN SECTIONS'd ,15 an . 16, T.19N., R.4E.., M.D.B. & M.", said Parcel Map was.filed in the Office of the Recorder of the County of Butte, State of California, 6n,Noverrber 10, 1986,,,in Book 105 of Maps, at Page 17. 4 L APN 68-34-3-0 M MeW/. Miller Alice M. Miller All CP I I I I pj6 _9 to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENTRECORDEDz3UTTE COUNTY A DE ELOPMENT FOR RESIV-F, L V Url-ICIAL RECORDS BY Section 26-8.1 of the Butte County Code requirps,.,rhfs acknowledgement be recorded prior to issuance of a building permit. -Zr ��� 352 I980 FEB -3 AM 8 59 The property, described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this CANDACE J. GRUBBS property may be subject to inconveniences or discomfort arising fr.''FFRRu the use.of agricultural chemicals, including, but not limited to herbY�'i� 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 zones which have as a priority use for.productive agricultural purposes, and residents within said zones and on adjacent property should,be prepared to accept such inconvenience or disconform from normal, necessary.farm operations. All that real property situate. in the County of .Butte, State of California, described as follows: L. _. - • Pty`; ,.. Parcel 1, as shown on that certain Parcel Map entitled, "LOCATED IN SECTIONS 15 and 16, T.19N.', R.4E., M.D.B. & M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on November 10, 1986, in Book 105 of Maps, at Page 17. APN 68-34-3-36 Me ,f. Miller Alice M. 'Miller CAT. NO. NNO0627 ,TO 1944.CA (9-84) (Individual) STATE O OFALIF NIA ;,�,,,. OFFIC'TAT_ $FAL COUNTY FR N SYUFY SS.m y 'r.,,„.. A' Ir . CALIFORNIA On l�Pp CQIIIVTY before er, • s Alt1Y ). ;991 sai ate, personally ppeared m"e'> fhe un ersigned aid ry "public in and for personally known to me or proved to me -on the basis of satisfactory evidence to be the persons whose name_1L__L within. instrument and acknowledged thatscr�to the cuted the same.l// exe WITNESS my hand and official seal. Signature T T C1fii 1r^1 r "A �i. FDA �1'.'iry c3n^7`��y're� —__/ . . . . . . . . . . . . . . . . . . . . . . . ................ ............ 'A�P. 2/3• . ...... .... 0�454 BIDWE-LL TITLE-OROVL RL OFFICIAL RECORD BY furow No. 3-94410 Loon No. MID VALLEY TITLE ILE CO. P.81 A3 '3 AN 111411 WHEN RECORDED MAIL TO: CWACE J, ORLUS M. A MRS. ME111Z MILLER MIN-PECOAM F 1332 Dicomery Say Blvd. vpm, CA 94514 87-20093 IPACI ABOVE lkli LINK P001 PIECORCIA'S We@ p MAIL TAX STATEMENTS TO: DOCUMMMARY r TAX W-00 on SAM AS As= Convumd com tion .0 of FWD tv -=C0?hPu m *9 v �m IWO W ommffalwou o 7Z 'Q Dft&WWWrs e 2 so =8 A MCROW W_Q&W 39 GRANT DIED FOR A VALUABLE CONSIDERATION, meipt of which Is hereby acknowledpd. 10Aj HEMY T. MMM, JR. alid CYRIM &I MME, haband wd willb GRAN 101te KIBBLE S. MLU!lt and ALICE H. K=ZR, husband and wife, an Joint TwAnto We ml property In thB 6qlqh Qdr=rp=mtmd Arai, 'County of b*tm Stab of California, dexMbed a SEC ATVaW LBPZ aMaapr= ast9d___ft'HW, 27. 1982 MM T. *N32, JR. STATE OF CALWOWM cWWvoF on balm ffift 110 und~64 a koftM Pubft in and for 9Wd SWO. por•. A. PEI= -Ilk ""mmgy known to wo top on:ned to wo an the baft at mft I evklencv) to be the Dersonce) w! nv"$; W" WAMM64 W the wWn 4rmnansnl wW ad6roolodged b No#* hafthantoy the Mis sm for afliclw notaw no) 1002 (61621 MAIL TAX STATEMENTS -AS DIRECTED ABOVE APR 29 '88 88:55.BIDWELL TITLE-OROVL P.3i39m" A - 01-10093 oiscitir All that certain real property Situate in the County of Butte, Stats of California, described ss follows& PARCEL to Parcel 1; ss shown on, that certain Parcel Hap entitled, *LOCATED IM " i P 1 M fit d i SECTIONS 15 4 16, 1.19H., R.4E., M.O.M. , sa d aces L op Nsa e n the Office of the Recorder of the County of Butte, State of California, on November 10, 1986, in seek 105 of Maps, at Page 17. RESERVING THEREFROM a 60 foot non-exclusive eseeMent for ingresst egress and public utilities as shown on slid Map. PARCEL Ili A non-exclusive eaeem "t for ingress and &gross and for public utilities purposes over Parcel 2, an shown on that certan Parcel Mop entitled, "BEING LOT 231 OF O.W:.F.L. UNIT NO. 6,, LOCATED IN SECTIONS 15 6 16, T.19N., R.4E., M.D.M.", said Parcel Map ties filed in the Office of .the Recorder of the County of Butte, State of California, on October 25, 1984, in Book 98 of Maps, at Page 16. PARCEL Illt A non-exclusive road end public utilities easement being the Southwest- erly 60.00 feet of the following described parcel of land& All that portion of Lot 231, according to that certain Map entitled, "OROVILLE WYANDOTTE FRUIT LANDS, UNIT /60, as filed for record in Bock 10 of Maps, at Page 4A, Butte County, California, being more particularly described as fol. owes COMMENCING at the most. Westerly corner of said Lot 231, said corner being a point in the centerline of Hildele Avenue., and the true point of beginning for the herein described parcel of land; thence North 68 dog. 05' 00" East, along the Northerly line of said Lot and the centerline of Hildele Avenue, 241.26 feet; thence South 50 deg. 451 00" East, Is said centerline, 136.36 feet to a one-half inch rebar tagged L.S. 3625; thence South 41 deg. 58. 01" Meat, 256.03 feet to a point on the Watterly line of said Lot 231, said point being Marked by a one-half inch rebar tagged L.S. 3625; thence North 45 deg. 14. 10" West along said Masterly line, 240.00 feet to the point of beginning. PARCEL IV& A 60 foot non-exclusive easement for ingress, egress and public utility purposes over Parcels 2, 3 and 4, as shown on that certain Parcel Map entitled; "LOCATED IN SECTIONS 15 6 16, T'.19N., R.4E., M.D.M.", sold Parcel Map was tiled in the Office of the Recorder of the County of Butte, state of Celifornis, on November 10, 1966, in Book 105 of Maps, at Page 17. ,'.fIL :ice K V.r�r-�_� N• 1`f On this N day of U N 1�,_,� �, the undersigned, a Notary Public in fez the State of Caliiorrsia, duly orxrmissioned and sworn, personally appeared KWY T. RUNGE._JR., personally known to me for proved to me on the basis of satisfactory evidenoel, bo be the individual described in and who executed the foregoing insttu"nt �,• for himself and as Attorney in Fact of CYNMA A. RUNGEse led same as described, and acknowledged to me that he signed an _ ed a� � s of his voluntary act and deed and as the free and vol. the said CYNTHIA A. RUNGE, for the uses and Purposes and on oath state that the power of attorney authorizing the vm=tl+on o! e instrument has not been revoked that the said CYtJhQA A.thiASINI;E, is now livinewp / J WITNES/^Official sal. hereto#"j4a#ejVa�iiius■ this certifa 4 DANIEL F. MIMT t, g :•u•'%fi,-i NWAnr PUBLtG "OFSAA * • Signature vfCc+Mtaaint�,�Otf f9�f1� • f IJCAiUmr1Y1 . �J��"t1a���aaaeeeMaa• DEPARTMENT o F MOUSING. DF1 CALleo A . 'Y DrV1_.LorrArNT • OU �; ING A N t3 COMMUNITY DIVISION OF CODES AND STAIDARD1 MANUFACTURE-:13 tiOUS#NG f;I:CI'IoN POWER OF /ATTORNEY O 475.4 971LEHOME/COMPAERCIAL MANUFACTURER TRADE NAME o KCAL NO. s the -Department of Housing and Community Development, Sacramento, California, and to whom it may concern: )rint jW1 name), nin I full name), —Z--4w ------------- 7z_�_ Undersigned do hereby duly appoint the following named person, act as my attorney in fact-,only to sign papers and documents that may be necessary in order to SCCUre California registration of . interest in the above-described unit. or to transfer %irther agree to guarantee and save harmless the State of California and the Director of Housing and Community Development from al' ,ionsibility which might accrue from the issuance of California registration or transfer Of such unit. TE: A ttorney fact 0 f idavit or certificate of the truth of facts unknown to him. ned :led day of 19 Merle Miller 30 Dick Lane s1l�IT Oroville, CA 95966 Cr", STATE, =d ZF SPACE TWS LEI FOR RECORDO USE OK y NOTICE OF MANUFACTURED HOME, (MOBI.LEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document 'at the request of the locai agency indicated is in accordance with California Health and Safety Code Section 16551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the Ifni t 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 oil per. sons thereafter dealing with the real property. Merle K and Alice MMiller REAL PROPERTY OWNER/LESSOR 30 Dick Lane MAILING ADDRESS Oroville, Butte CA 95966 CITY COUNTY STATE ZIP Same INSTALLATION MAILING ADDRESS, IF DIFFERENT Same CITY COUNTY STATE ZIP Same UNIT 019NER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION Butte Co. Building TiPnartmPnt LOCAL AGENCY ISSUING PERMIT CERTI KATE OF OCCUPANCY 7 County Center Drive" MAILING ADDRESS Orovi_lle California 95965 CITY COUNTY STATE ZIP 1293-88BBE 538-7541 WIUL ING,)PFRMIT NO. TELEPHONE NUMBER SIGN R Or LOCAL AGENCY OFFICIAL DATE Executive Homes DEALER NAME (If not a dealer sale, write "NONE") 92081 DEALER LICENSE NO. Far West 5/27/88 Far West GAANUFACTURER'S NAME DATE OF MANUFAC-run MODEL NAME/NUMBER 4175A/4175B- 60x34 434625-434626-4346.27 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LAMEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 68-343-39 Parcel 1, as shown on that certain Parcel Map entitled 'LOCATED IN SECTIONS 15 and 16. T.19N., RAE., M.D.B.& M.", said Parcel Map was filed in the 0-`f ce of the Recorder of the County of Butte, State of California on November 10 1986 in Book 105 of Maps, at 4age 17 4tKI Or At 0-0 .��°• HCD FOR,'-! 433(A) 4/86 C,I .e ±•, 0 �'•, o ~�nnr OEC �t8. 8_.019 451 lf. rlrr• �• 916 e 691-69792 Merle Miller 30 Dick Lane s1l�IT Oroville, CA 95966 Cr", STATE, =d ZF SPACE TWS LEI FOR RECORDO USE OK y NOTICE OF MANUFACTURED HOME, (MOBI.LEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document 'at the request of the locai agency indicated is in accordance with California Health and Safety Code Section 16551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the Ifni t 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 oil per. sons thereafter dealing with the real property. Merle K and Alice MMiller REAL PROPERTY OWNER/LESSOR 30 Dick Lane MAILING ADDRESS Oroville, Butte CA 95966 CITY COUNTY STATE ZIP Same INSTALLATION MAILING ADDRESS, IF DIFFERENT Same CITY COUNTY STATE ZIP Same UNIT 019NER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION Butte Co. Building TiPnartmPnt LOCAL AGENCY ISSUING PERMIT CERTI KATE OF OCCUPANCY 7 County Center Drive" MAILING ADDRESS Orovi_lle California 95965 CITY COUNTY STATE ZIP 1293-88BBE 538-7541 WIUL ING,)PFRMIT NO. TELEPHONE NUMBER SIGN R Or LOCAL AGENCY OFFICIAL DATE Executive Homes DEALER NAME (If not a dealer sale, write "NONE") 92081 DEALER LICENSE NO. Far West 5/27/88 Far West GAANUFACTURER'S NAME DATE OF MANUFAC-run MODEL NAME/NUMBER 4175A/4175B- 60x34 434625-434626-4346.27 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LAMEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 68-343-39 Parcel 1, as shown on that certain Parcel Map entitled 'LOCATED IN SECTIONS 15 and 16. T.19N., RAE., M.D.B.& M.", said Parcel Map was filed in the 0-`f ce of the Recorder of the County of Butte, State of California on November 10 1986 in Book 105 of Maps, at 4age 17 4tKI Or At 0-0 .��°• HCD FOR,'-! 433(A) 4/86 C,I .e ±•, 0 �'•, o ~�nnr OEC I � 5b-019451 68-019451 88-019451 + 88-019451 ; R e c Fee . 00 Total .00 Re dxded ; ;�- ' .__Q'fi.icial Records ; County of ; Butte ; Candace J. Grubbs I Recorder ; 9:23am 16 -Jun -88 ; BG 1 4.' �"uli it ry Of 61.1"o Dopt Of PublIC Wors,. Vt r; •;;. 7 County Center Or-.! Orovllle, Callforni2 05C)AIt AND WHEN RECORM MAIL T0: IQftE Guunty uT 0-WLr STREET Deft. of Publlc Works AUX11M Z County Center Drlw CITY. QMV111e. Callfornle STATE. sad a 5A65 �'�' ti\ff 88-019623 JW 29 M8 USE NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document al Ilse 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 un i t described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document sholl be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per- sons thereafter dealing with the real property. Merle K. & Alice M. Miller REAL PROPERTY OWNER/LESSOR 30 Dick Ln. MAILING ADDRESS Oroville, Butte, CA 95966 CITY COUNTY STATE ZIP Same INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP Same UNIT OWNER (If'elso property owner, write "SAME") HAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION Butte County Dept. of Public Works- B1dQ LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY - 7 County Center Dr. MAILING ADDRESS Oroville, Butte, CA 9 969 CITY COUNTY STATE ZIP _1293-88 (916)538-7541 BUILDING PERMIT TELEPHONE NUMBER 6/15/88 2"ecutive OF LOCAL AGENCY OFFI PATE Homes DEALER NAME (If not a dealer sale, write "NONE") —92081 DEALER LICENSE NO. Far West 5/27/88 Far West (custom) MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 4175A/4175B/4175C 64x34 434625/434626/434627 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 68-343-39 Parcel 1, as shown on that certain Parcel Man entitled "LOCATED.TN S CTTONS 15 and 16 T.19N., R.4E., M.D.B. & M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on November 10, 1986, in Book 105 of Maps. at age 17 oQ�4ENT 0rV0 ��. V; HCD FORM 433(A) 4/86 s W 00` O DEJ� 88-019823 88-019623 00-019823 88-019823 ; Rec Fee .00 Total .00 Recorded Officipl Records Oetnty o'f ; Butte :Candace J. Grubbs Recorder +,) 1:55pm 20-Jun-88 ; GF 1 r C AT r))CCU C B RMIT NO. 1293-88 Address or Locationof" 30-Dick�.Ln. , iOroville, +CA Legal Description of Real Property el. 1, as shown on that certain Parcel Ma entitl TED .IN SECTIONS 15 and 1 ..19N., 1R.4E., M.D.B. & M.", said Parcel Map .was f i -w in the Office of . Recorder of the County of Butte, State of California, on'November 10, 1986, in Book 105 of Maps, at page 17. A IiiMobilehome/Manufactured Home • : a Commercial Coach has been affixed to the real_property,described above by installation.on a foundation system y pursuant to Health and'Safety Code Section 18551. . Owner's name: Merle K. & Alice M. Miller Owner's address: 30 Dick Ln., Oroville., CA 95965 434625 - 4175A INSIGNIA OR HUD NUMBER: 434626 434627 SERIAL,NUMBER OR V.I.N. 4175B , 4175C .~ _ MANUFACTURER'S NAME Far West 'YEAR OF MANUFACTURE: 1988 6/15/88 916 538-7541 is Approving Yntallafion) i (p�,b� i r MCD 513C f7/60l r 0 1 4 -County of Butte Dept of Publld WOW 7 County Center Gr Oroville, California 75Afr_ AND WHEN RECORDED MAIL•. TO: 141E County or tutu STREET t. of Public Works 1D°'ESS Z County Center Orlvf cr", Vmville, California STATE, and zr qr96 55 @8-01.9623 l R e c F e e `.' Tota 1 Re'cord,ecl ' OfIl d'ia 1, "Records o_unty of R t Butte Candace J..* Grubbs . -A `Recorder -u :� I t:';55pp 20=Jun-88y l .90 .00 .; a .I j' GF 1 LK FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the locai agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the 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 per- sons thereafter dealing with the real property. Merle K. & Alice M. Miller REAL PROPERTY OWNER/LESSOR 30 Dick Ln. MAILING ADDRESS Oroville, Butte, CA 95966 CITY COUNTY STATE ZIP Same INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP Same UNIT OWNER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION Butte County Dept. of Public Works - Bld LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 County Center Dr. MAILING ADDRESS Oroville, Butte. CA 95965 CITY COUNTY STATE ZIP 1293-88 (916)538-7541 BUILDING PERMIT N TELEPHONE NUMBER 6/15/88 2"ecutive OFIOCAI AGENCY OFFI DATE Homes DEALER NAME (If not a dealer sale, write "NONE") 92081 DEALER LICENSE NO. Far West 5/27/88 Far West (custom) MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 4175A/4175B/4175C 6404 434625/434626/434627 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) . REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 68-343-39 Parcel 1. as shown on that certain Parcel Map entitled "LOCATED IN 4E.TTONS 15 and 16; T.19N., R.4E., M.D.B. & M.", said Parcel Map was filed in the Office of the Recorder., of the County of Butte, State of California, on November 10, 1986, in Book 105 of Maps. at page 17. DENT OF ,0 "o�. ....�•�:� PQM G'ri wHCD FORM 433(A) 4/86 0 O O fLUR OE ROCUMENT = OK 0 = Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements opi6g Requirements-Setbacks-Easements 2. Soils; Special MH Support-Sketch s; Soils-Size-Depth-Spacing-Connectors-Steel 3. Sewer; Location-Test-Fall-C/O-Concrete De s; Girders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Test-Easement Needed (Sketch)14--Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete -6. Gas; Location-Test-Wrap: / P'U ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-B1 Date Card-131 Date 10. Roof; Shthg-Roofing Card-B1 Date Card-B1 Date 11. Ext.; Steps-Doors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements Card-61 Dat� Card-61 Date 2. Footings; Size-Spacing-Marriage Line Card-61 Date Card-B1 Date 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test-Fall-Flex Connector 1. Setbacks-Easements 6. Water; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability 7. Water and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater Card-B1 Date Card-B1 Date 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes- Enclosures-Panel boa rds-Ins. to Main in Conduit Card-B1 Date Card-B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-B1 Date Card-B1 Date Card-B1 Date Card-81 Date = OK 0 = Not RESIDENTIAL (Single and Duplex) - =Not Applicable - Not Ready ' 1 1� Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration=Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liqht-Shower Liqht-Spa Light Card -131 Date Card -131 Date Card -131 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -131 Date Card -B1 Date Card -131 Date Card -81 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73, A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -61 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) G COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS NO.; -7 County Center Drive : Oroville, California 95965 - Telephone: 916/538-754 r)Lrg APPLICATION AND PERMIT ASSES OR PARCEI NUMBE - - ZONING BUILDING PERMIT OWNE TELEPHONE SQ. FT. -OCC.. BUILDING VALUATION' co V OwE$,'S MA 1 G AgOR 17 - ll�`'"'JJJJ i I f v . CONTR CT R'S NA ` \C0 I TELEPHONE CO RA OR ILI G ADD C F i rep l ace CONSTRUCTIOtJILENDER UNKN WN I Total Valuation is ' Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 _ {^� V Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeCK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is 10.00 ea TYPE OF WORK i i New ❑ Addition ❑ Rem[:1. ,Utilitie Installation❑ . Other Describe work: odO V ti &c CIA 14 Lo X W r— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 � ���^ P` Main service OOOV OR LESS 100 AMP OR LESS 10.00 Main'servlce EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and-zmy license is in full rce effect. License No. ��y���%/ Classification �/ e F]1, as the owner, or my. employees with wages.as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SI\ OR ADDNS. ACC. BLOGS. // , �20sgft NEW CONSTR. TI.OUTLET NON.RESID .BRANCH CIRCUITS) 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. I EX. OCCupl(OUTLETS OR FIXTURES 120 0 eA O30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate o Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, stiouId you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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, authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. o -agree -to save, indemnify a harmless the County of Butte again t s, judgments, costs, and exp es which may in any way cc nst aid County in consequence of the gra 'ng of this permit. V iabil .lie4� �� ate _ Signa re of licant—Owner❑ Contractor QfAgent ❑ An HA per is required for excavations over 5'0" deep and demolition or construct- ion f structuover 3 stories in he. Vi Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONeT.TYP! SCNOOL FIAOD PARCEL PD NO 13SUE This permit is hereby issued under sions of the Butte County Code and/or WOrk indicated above for which DIRECT R OF PUBLIC By PERXPIRES Da te the applicable provi- resolutions to do fees have been paid. WORKS p Date ��Z�:-ZZ—;5 `fJd — Re eipt No. WNIT[-D.P.W., [L LO W-A9ele 3011, PINK -INSPECTOR. GOLDENROD-APPL 1', ICANT ��=v+^'r.rK'rr.a.�:+r�-.�.;r^"tNti.,r:if'"yr"y-•.,-n;,+a,.,,,ry.,,�,�d,,_,ti�.-.,r.��V JG:i.r...:`,w..*`..-=•-;a.,.✓v,cS ... r�, '_�:.:! � � rh. r COUNTY OF BUTTE - DEPARTMENT 0!F PjUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CALY7OFINI) 115965 - TELEPHONE: 916/538-7541 y r� PERMIT APPLICATION DATA SHEET Permit No. / ,( OWNER , /C1� /C-' l�/ l{i� a No. - Proposed Building Use'_06V J�� Building Inspector 4% Date 6/:::'z At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2 i. Plot plans in r a:A� plicate, signed by preparer of plans. . Complete in a e./ by (%'� 6 plans , upl replicate, signed preparer of plans.z/4012-,� 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , . . . . . . Letter of signature autho!2!k�K�ealth ,�� �: Sanitation approval from Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) x _15. Improvements may be required. . . . ... . . . . . . 16. Mobilehome Installation Data. . . . . . . . 17. Pre-Inspec. Pre -Inspection for Required. Building Inspector request to (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses Jn duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pick.u.p-at. office, Deliver w/inspector. t Other Cate Applicant ,� — _ - Copy of plans sent Health Dept., Fire D.ept,, P Other Date The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: t issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---nail_counter.by— date Contractor, designer, owner, was advised of above required data by—phone —mai l—counter b date gyp/ Plans checked by Date Plans approved by Date -� o Sets of plans on hold in File cabinet AP folder Copy—DPW ; i -his so -t of Plans o•nd sher.iriccttions PAt)ST be xe 'r on the i' inn Tr�!i 14rn�s on, � 't s un5owti ul to �';":.{cry �-ic..)iis o r s',Ir-, without -nal: any ch���rt:_s �_rf. Ni L9 A E written pormission '`rom the Deportment of Public Works, County of Butte. _,l9 Cn iii va4 yM tV, in \off l iMl 1 . UA/ 0 ERGRD�JN D lav vlew i v ES L•� ,q e APo6�-3y=3-d3y-a CruAI;eGE F i . October 10,2000 a Vitek Mortgage Group. RE: Request for HCD 433A Verification Att: Lisa M. Rodgers (A.P. #068-343-039) 2220 Douglas Blvd. Suite '150 Roseville, CA 95661 ' Dear Ms. Lisa M. Rodgers: The mobile home installed on the property located at 30 Dick Lane, Oroville, in 1988, was inspected and meets County and State requirements for a permanent foundation system, This plan was designed by an engineer and approved by the State of California. Should you have any questions concerning this matter, please contact this office at (530)538- 7541. Yours very truly, , Alice Mefford Supervisor, Staff Support Services i • 'r Gct y [UUU l: 36F'P:9 VITEK F+9 KT0Ak10 �Ki UN Noyell N • 2 Vitek Mortgage Group 220 ®®ugly Blvd, Sulu 150 Roseville, CA 95661 - (916) 787®0319 (916)184-1850 a October 9, 2000 County of Butte Department of Public Works ' 7 County Center Drive Oroville, CA 95965 , Attn: Alice Re: Marc & Sonia Zieske 30 Dick Lane Oroville, CA + Dear Alice: We are in the process of refinancing property located at 30 Dick Lane in Oroville, Califomia for Marc & Sonia Zieske. They are obtaining an,FHA loan and along with this type of loan, there are certain requirements for manufactured homes. . If is required by HUD that we obtain a letter from a licensed engineer certifying that the foundation forth ' e above manufactured home is in compliance with the Permanent Foundations Guide for Manuctured Housing dated September, 1996. This is an updated version of. the HUD Handbook 4930.3, dated August, 1989. 1 have a recorded document # 88-019823,•recorded in Butte County on June 20, 1988, Notice of Manufactured Home, (Mobileh=4 or Commercial Coach, Installation on a Foundation System. ' 1 was hoping that one of your engineers could attest that this document means that the property meets the standards set by HUD in the Permanent Foundations Guide for Manufactured Housing dated September, 1996.. I am in the process of trying to obtain a copy for my records. ict y• 2000 4 HN V 1 T E K MORTJA"GE IG(10,UP. No H21 N• Any help that you could give Mr, and Mrs. Zieske in this matter would be very much appreciated. Any information may be faxed to my office at (916)784-1850. The Zieske's may be reached at (530)534-9700. Thank you for you assistance. - Si rely, ; a odger r. Loan Processor ' • , ,x i 'JOB: FINALED (Date) Signature V=OK , O = Not OK * = Not Ready ble MOBILE HOMES . Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch - 3. Sewer, Loration=Test-Fall-C/0-Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-Test0rap; / 1VfL / /Nat. or/' / L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 ' Date - Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s ' 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-DemandVahe-Connector 4. 'Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS S, CARPORTS, GARAGES(Plans) OK except #'s g Requirements -Setbacks -Easements s; SoilsSize-DepthSpacing-Connectors-Steel ec • irders and/or Joists-Decking-BracingStairs-Rails ,VWood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric ring.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh ;.Shthg-Roofing xt.; Steps -Doors -Landings Date•3 -97 Card B-1 /1 Date ��� Card B Card B-1 /J� 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/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 wl =NK O = Not OK RESIDENTIAL (Single & Duplex) - = Not Applicable * = Not Read ` Date y UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Gmd.-/ /' Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-BlockoutsaNrapped 6. Stemwalls, Garage; Steel-BlockoutsAfrapped 6a. Hold Downs and Special Anchors 7. Slab, SteeHNrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 60. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 61. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card E-1 Date Ext Steps -Door & Sidelight Protection -Landings PLUMBING (Permit) OK except #'s 64. 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. 18. Water Pipe; Test & Anchor -Nail Protection 66. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 67. 20. Shower Pan; Test, First Floor -Tub Access 68. 21. Test Tub & Shower, Second Floor -Tub Access 69. 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Recepticales at Kit. Counter ELECTRICAL (Permit) OK except #'s 74. 23. Fixture & Transformer Clearance -Ins. Protection 75. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 76. 25. Size Boxes & No. of Conductors Stapled 77. 26. Romex Installed Close to Edge of Studs & C.J. 78. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 79. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 80. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 81. 30. Ran , -e Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 82. 31. Service -Riser Conductors & Ground -Main Disconect 83. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 84. 33. Clothes Closet Light -Shower Light -Spa Light 85. 34. Smoke Detector 86. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throught House Card B-1 Date Card B-1 Date Glass Protection MECHANICAL (Permit) OK except #'s 90. 35. A.C. Ducts Insulation & Support 91. 36. Vent Fan, Exhaust above insulation 92. 37. Condensate Drain & Overflow, Size & Grade 93. 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 - PERMIT O. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-343-039 AR ZONING BUILDING PERMIT OWNER ALICE MILLER TELEPHONE 533-3115 SO. FT. OCC. BUILDING VALUATION 540 C% 020.00 OWNERS MAILING ADDRESS 30 DICK LN OROVILLE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNIWOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 99.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 64-15 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 30 DICK LN PERMITFEE $ 183.35 PLUMBING PERMIT Filing Fee 20.00 OROVILLE, 95966 Each Trap 7.00 LOT NO.SUBDNISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 11 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome l Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COVERED DECK — (12 X 45) Mobile Home I S I GI W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20:00 00V OR LESS Main Service 0 ( z00 OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: `;lik I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO. OR ( s ACC. BLOB. ) 3.50T. CNS. NEW CONST. MULTI -OUTLET NON -REBID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 209 1.00 flAL 0 .50 Ex. Occup. ( OUTLETS (RES D.) R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE g Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) — jL 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. 1. >of X _ ,Date � � _ Signature of Applicant - R Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 183.35 HAZ. D. FEES IMP �-+ FLOOD COf PARCEL PD -- ISSUE This permit is hereby issued under the the Butte County Code and/or indicated above for which fees have BY f applicable provisions Resolutions to do work been paid. Date (Oat 2U9458gp ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "I( Ur �'*F A, Oe '° COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION z 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916)538-7,941 PERMIT APPLICATION DATA SHEET OWNER J Y r L.E ✓^ A. P. o. 0 C? la> Proposed Building Use v c Building Inspector Date /C,? At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1, All items have been submitted. *. -- 3 Plot plans, 3/4 seA signed by preparer of plans. .......................... Complete plans, Y4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................' 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from. City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. F;n -4;spedion request Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). ......t....... . 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner ........ �.. . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance........................................�.. . 29. Documentation of legal access . .............`. Y 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the ermit, process as follows: Mail to owner. Mail to contractor. Telephone - and hold for pi kup at Q eo v ; P office. Deliver with inspector. Other Parcel Creation G Acreage Applicant _ 7 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. �� 9✓ 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date 4z9' Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 5 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 : YESjjt]y NO[ ]. 2. I HAVE, HAVE NOT[ ] signed an application for a building permit for the proposed. work. 3. I have contracted with s the following person (firm) to provide . the proposed construction: NAME: 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: 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: ' PROPERTY OWNER: 4 • SOCIAL SECURITY NUMBER:•-— DATE: 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 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 ate 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: 0 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. 0 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. 0 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 "ownerbuilder" 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. Sinc�rel Michail C. Vieiia, C.B.O. Manager, Building Inspection 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) 89,1-215'1.:;,% 7 County Center Drive, Oroville, CA - (916) 538-7541 ' 747 Elliott Road, Paradise, CA - (916) 872-6307' P CORRECTION NOTICE OWNER ;'PERMIT NO.'' A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation; please contact this office immediately. , �. F 14 14A 01 � Z • r Date Inspector a T REV 10/92 yi COUNTY OF BUTTE BUILDING DIVISION * .D DEPARTMENT OF DEVELOPMENT -SERVICES ' 1469 Humboldt Road,thico, CA - (916) 891'`2751 , 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872=6307 `1 CORRECTION NOTICE 2 2 J 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 yo ve any questions pertaining to this matter, or need additional explanation, please contaSXMis office immediately. 1-711 X (A_Vel"s41 -6e�� 5v, "A :a trt 5 6'' e? c -- e- e ri 5 oo ,'a e Date REV 10/92 Inspector W-1- r _ .. �t i•.r . y 7.rc � dun �OIO ihe!+eP'."�f... ' ./ti. z r .. ov .��" -M• nom' Vk `. F _ fi''o'o9 3d 3-079-v iii P�:��.', `,.�e:::�.. '`{►2', ,.. , .,�;..: r 0 16044 of RCRSFOtivD .. r"'°� Owi,'� 52 12"X 12" Piers on 4" X 4" post TYP. 4" X 8" DF #2 Girders TYP rM� 0 0 CD m' CL 0 1 Mrs Miller 30 Dick Ln, Oroville 533-3115 12" m =OK , 0 = Not OK NotReaable dyMOBILE HOMES MISCELLANEOUS Date 'MOBILE HOME UTILITIES (Plans) 10K except #'s Date D S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s . 1. Zoning Requirements -Setbacks -Easements 11. Z ing Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . JXFootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete s nd/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. osts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete ' 6. Gas; Location -Test -Wrap: / P'l- ft. mns-Connections-Splice- Decal- Enclosures. . 6.-2arPDTl% Wffidows-Doors / /"Nat. or/ /"L"ft./ - P'LPG 7. Utility Clearance 7,. Elec. mg; ' -Anc s -St -R rus Naili -Veneer-Stucco-Mesh Card -B1 Date Card -B1 Date a 10. Rogf; Shthg-Roofing 11. t.; Steps -Doors -Landings Card -B1 Date Card -B1 Date' Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Da and -B1 Date .- -..Z -� 2. Footings; Size -Spacing -Marriage Line Card -B1 Dat7Card-B1 Date p�&IL ; 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability _ 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged, ^ _ Dead Men -Lining 9. Exits;Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -B1 Date Card -B1 Date 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosu res- Panel boards -I ns. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils=Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Date Card -B1 Date 66. Stairs & Rails Card -B1 Date Card -61 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 80. Stucco; Brown -Finish Card -B1 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl -Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -81 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) -, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ///--- 7 County Center Drive - Oroville, C&Iifornia D5965 - Telephone: 916/53877541 �el APPLICATION AND PERMIT AS S OMPA CE UMB ZONING BUILDING PERMIT ow R 1(460 TELEPHONESO. 411-1p,OWNER'S FT. OCC. BUILDING VALUA 10 MAI G ADDRESS i` CovE r a Y 91`6 CQ.bLT ACTO 'S NAME 7 C � fi TELE i6 CO ACTOR'S (LING DRESS e 4 �� r (1 Fireplace CONSTRUCTION LENDER UNK ,syn " ' Total Valuation . $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS � - Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee -Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PE MIT Filing Fee 10.00 Each Trap - T 2.00 Q U� Solar or heat mp w er heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP I©� 1-7 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT E' shSF ❑ Duplex❑ Mobilehome❑ Other C& Q ,O sPECIFv Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New M Addition ❑ Remodel ❑ Utilities ❑ _ Installation❑ Other [:1 Describe work: - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10:00 Main service 100 AMP V OR ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my License is in full force and effect. > 4 C License No. _ 1 (C7�-1 Classification � El I, as the owner, or my employees with wages as their sole compen- sat ion, will do the work, and the structure isnot intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNSCONSTDWEACCLLIN GSCCUP.ad) '/zQsgft NEW CONSTR.U TI -OUTLET 2,50 ea - NON•RESID .BRANCH CIRC ITS - POWER APPARATUS h (SINGLE OUTLET CIR. 200506 Ex. Occup(o OR FIXTURES .ALO 30 IXEDTs Ex, Occup. OUTLETS P(RESID )R 11 EAJ 2.00 Temporary service 10.00 Mobile Home Facilities- 15.00 Misc. �yirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,shouldyou become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICALPERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 ' Ventilation .Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agre o save, indemnify and keep harmless the County of Butte against all liabi ie d en s, ctj sts, and expenses which may in any way "accrue against a' un i o uence of the granting of this perm't. eq X Date - Sig ture of Applicant — Owner [EllContractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ DP. _8 YPE SCHOOL LD P RC aISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTORPUBLIC By Date PE T EXPIRES Date the applicable provi- resolutions to do fees. have been paid. WORKS - Receipt No. WHITE-D.P.W.. YELLOW-ASSE55o R. PINK-INSPCC TOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF .PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE16AIIP64WIA 95965 - TELEPHONE: 916/538-7541 rte... PERMIT APPLICATION DATA SHEET - �/J Permit No. � OWNER ' A. P. No. Proposed Building Use aSD 12 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 1�1. . . . . . . . i* - ak9. Letter of signature author a io_AHA 0 . . — 10. Sanitation approval from J t�UC'� 1��( _ H Ith Dept. Al. Planning approval for (A) Use: (B) Parking: 2. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) -14- Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _._-._._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17.. Pre -Inspection for _.. _ - ..- _- _ Required- Building Inspector " 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit, — ,4 20. Plot plan approval from city of _ 21. - - - - 22, — — -- Wr. you issue the r it pro ess as follows: Mall -to owner, Mail to contractor. Telephone o� and hold for pickup , office., Deliver w/inspector. Other, Appl ican Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permi 1. Index permit for above items No. 2. Additional items required: iWuance*. (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---mail —counter by date Contractor, designer, owner, was advised ci above required data by—phone _mail—counter by date iff;Plans checked by Date Plans approved by ate Sets of plans on hold in File cabinet AP folder Copy -DPW ILLZ 20 O O 1735 Montgomery Street Oroville, California 95965-4897 AREA CODE. (916) 533-4764' , lot ' '4,CORPORATEO �9ob September',29, 1987; a. Butte 'County Building Department Attention: Jim'Glander 7 County Center Drive Oroville, California 95965 '30-DICK LANE; AP#68-34-03-039, OROVILLE, CALIFORNIA 95966 :Property owners of the referenced parcel, Merle K: and Alice M. Miller, have been granted permission'°�to connect to'the City Sanitary- Sewer'•System. All applicable fee's'for said connection were paid on_July 27' 198.7.. If you should have any questions, please contact meat-533-6844. dC. arr . Assistant Director, Building and Safety. GCB/ck xc: Theveos Construction I+ File No, i BUTTE COUNTY 0' Action 1, 2, 3) Public Works Dept.' i For Information �/ ) Director Dep. Dir. Sec. r Rd. & Br. Mtce. • L 1 Shop & Yards 1 1 Bldg. Insp. Admin. F i t J fi -'r ? Design Engr. h r. Bridge Engr. constr. Engr. t � Surveys F mapping Tran sp. 1 Land Dev, { Drng. S.I. i i Sub. & Pcl. Maps � Permits y Addr. hyo BUTTE COUNTY DEVELOPMENT SERVICES Complainant: -- Address: - Phone Number: Other Comments: - tailitfi ao t -h blic �.n�-rsro le �r�nato e�ri�� a fo Inspector must draw a plot plan with all building locations: 2 A gg ,,��,,,, .&Wd* Of .�i t to OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Merle Miller -- ADDRESS: P.O. Box 328 CITY & STATE: Forest Ranch, CA- 95942 IMPORTANT: Ma 13 1988 SEE INSTRUCTIONS DATE OF CLAIM: Y , ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE` DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #331-88P,E, Receipt #08516, dated 2/3/88, A.P. #68-343-39). Total building permit fees paid ----------------- $84.50 Retain plumbing permit filing fee--- --- $10.00 -- $10.00 Amount retaine.--------------------------------- $20.00 TOTAL REFUND DUE -------------------------------------------- $64.50 $64. 50 • ���� .. .. _;; , :mss. . , ,.. .. TOTAL $64 50 I, the undersigned, declare under penalty of perjury that the services or articles claimed en perf a or delivered, and that this claim Is true andcorrectas stated. Dated this „ , „cday of . .. 19�f) et , Calif. •. Si ature of Claim I, the undersigned, hereby certify that, to the beet of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation a or Specific Board Approval 0 (Check one) the same. Dated this ............23rd day of ......June 19,88'at Oroville caur. ............................ ... ... ... .............. .. _...... _ _..........ry ........ YZ artm t He r Autho u Dept' 440-002 E"p' 4210500 Const. Permits Code ........................................... Code ................................................PAYABLE FROM...........................................................................:................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ezutdt� of OROVILLE, CALIFORNIA 'GENERAL CLAIM CLAIMANT: Merle Miller ADDRESS: P.O. Box 328 CITY & STATE: Forest Ranch, CA 95942 IMPORTANT: May 13 1988 SEE INSTRUCTIONS DATE OF CLAIM: y , ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERvirEc DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work.' (Bldg Permit Appin. #331-88P,E, Receipt #08516, dated 2/3/88, A.P. #68-343-39). Total building permit fees paid ------------------ $84.50 Retain plumbing permit filing fee ------ $10.00 Retain electriral permit- filing fee -- $10.00 Amount retaine-------------------------------- $20.00 ( I TOTAL REFUND DUE------------------------------------------- $64.50 $64. 50 5/13/88 Mr. Miller: Please date and sign the attached form at the "X" red and return to this office as soon as possible so we may process the refund on your building 'application. permit Thank you. Anne/Butte County Bldg Dept t TOTAL $64 50 I, the undersigned, declare under penalty of perjury that the services or articles cis.meu ..eve been Performed or delivered, and that this / claim le true and correct es stated. , Dated this ........................ day of............................19 et Calif. •.................................................................................... Signature of Claimant 1, the undersigned, hereby certify that. to the beet of my knowledge, the services or articles specified above have been Performed or de- livered and that there is a Budget Appropriation ❑ or'Specific Board Approval ❑ (Check one) for the same. Dated this ................................... day of , 19 at Calif. Department Head or Authorized Deputy Codeod`' 440-002 g=P• 4210500 Const. Permits C ............................................ Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS' LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. 'GROSS AMT. } i 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATBANl.AND PERMIT RMIT NO. ASSESSO PA CEL NUMBER — 3 ZONIN - BUILDING PERMIT OWNERTELE A L � � � - Ho E 3� sL SQ. FT. OCC. BUILDING VALUATION OPER, S AILING ADDRESS A /lw yy(��f 3,Z9�C-i v �•// • L J L CO ACT R'S NAME TELEPHONE - - CO RA TOR'S MAILING ADDRESS .. Fireplace CON UC TION LENDER UNKNOWN Total Valuation $ Filing Fee $-� LENDER'S MAILING ADDRESS Permit Fee $ ARCH. TECT OR ENGINEER - n LICENSE NO, Plan Checking Fee $ O0 Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL;ADDRESS 6 DiC4 1,4AJor9Z- ve G w Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar,or heat pump water heater 20.00 • LOT NO. SUBDIVISION NAME I PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]MobilehorIe[Vf `Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home KSJ G JCN Y 10.00 ea J0. TYPE OF WORK Newlael Addition ❑ Remodel ❑ U i li 'es Installation❑ Other ❑ ! Describe work: Permit Fee $ ' 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 - "- 600V OR LESS Main service 100 AMP OR LESS 10,00 /D Main service EA. ADD'L 100 AMP 2.50 ffi CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of'the Business and Professions Code and my license is in full force and effect. ' License No. Classification 1, as the owner, or my employees with wages 'as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING occuP.a , OR ADDNS. (ACC, BLDGS. /20sgft NON-RESID R. .BRANCH C•I RCT ITS 2.50 ea POWERAPPARATUS e SINGLE OUTLET CIR. Ex. Occup\OUTLETS OR FIXTURES 30Q / 6AL eALeso FIXED ' OR Ex. QCCUp. OUTLETS TS (R (RE ESID.1 EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 hn- Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id Cou ty in consequence of the granting of this permit. X n Date Signature of Applicant- Own -J4 Contractor ❑ Agent ❑ An OSHA permit is, required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee. $ Energy Inspection Fee $ � TOTAL PERMIT FEE $ O cIV. (19 OCCUP. CONST.TYPE ISCHOOLIFL-O-IPA71 PD HO ISSUE This permit is hereby issued under sions of the Butte'County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do. fees have been paid. WORKS Date Receipt No. / WHITE-D.P.W., YELLOW-ASe[330R, PINK -INSPECTOR," GOLDENROD -APPLICANT - lit ! *: -r,,= i ! } t .i_T«� „.. !4 ', 1 , +; �., .(,. T..,r t•'yy l��f 44T + of .'t iri �haCc� j ••tC�1r �►N "R., . t ti r �3n .'�t c+'t� !' '! i ' t1�t�l x' itK'1ikC . �? J' +. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 4 7 COUNTY CENTER DRIVE - OROVILLE, C�LIFQRNIA 95965 "- TELEPHONE: 916/538-7541 PERMIT APPLI T{I- t+ DATA SHEET �. l Permit No. OWNER ✓•i ►^ �(� Xi //f K A. P. No. 8 - Proposed Building Use Building Inspector Date �tv At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED All items have been submitted— t� 2. Plot plans in duplicate ri licate signed by preparer of plans. �S 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ Letter of signature authoriza 'on. �. . . . . _ Sanitation approval from Health Dept. -�Q 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Dote) 17. Pre -Inspection for___ ..__ _. _ - .._ _. _ Required. Building Inspector 18. -Recorded copy of Agricultural Acknowledgment Statement. ' IAl Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (reouired prior to plan check)_ 22. - — -= When you issue th �jermit roc ss as follows: Mail t owner, Mail to contractor. Telephone / �JZ2 and hold for pickup t.gooffice, Deliver w/inspector. Other _ Copy of plans sent Health Dept The following data must be submitted prior t 1. Index permit for above items No. 2. Additional items required: Con Contractor, designer, owner, was advised ci above required data by—phone mail—counter by date Fire Dept., Other Date rmit issuance: (Circle new item it A not checked above). , Plans checked by Copy -DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date • '" L .fir` v UtV - a . r • " 47 COUNTY OF BUTTE - Depa'rtmnt.of Public Works ,.''` - sj 7 County Center Drive,-Oroville, CA 95965 -Phone: 916-534-4541 : OWNER -BUILDER VERIFICATION ,Attention Property Owner: An "owner -builder" building permit has been applied for in your name•and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and,issuing-your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I have/ ave not) signed an application for a building permit fay -die ro osed .work. P P 3. I have contracted with the following person (firm) to provide the proposed construction: Name , ' Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, .and provide the major work: , Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following 'persons,to provide the work indicated: Name -Address Phone Type,.of Work Signed: - Property Owner Socialecurity Numb Date NOTE: This Owner -Builder Verification issentto you as required by Sections 19831 and 19832 of the California Health and Safety.Code. ` This verification must be completed and returned to our office before we are per- mitted to issue the permit. . y1 .r.;,r: ,ri a`,S.t;;:,�' ���;;�.•yy.,,+$ a*..}^r 'fir .'..y'�i u;. ,.T-..�,e.. .":�'. , � .�,,, _, f; ;M�_ ,�� 4{V• J,3.; � ..�;.�.,��9,.,` COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center, Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER(�,� ^� '34�-C) ZONING BUILDI G PERMIT OWNER Iq /I ` Yi7,' r r TELEPHONE Sys- 1 { SO" Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESSf Q /t G t L, L/ 1-r e- rig N i //F C. • 9j A r/ 4 y 11 - �--� h o Nv / CONTRACTOR'S NAME- 1^ 4C I TELEPHONE +� G _ CONTRACTORS WAILING ADDRESS�L/ Ga owl fJ A/ .,,y'3T/moi Fireplace CONSTRUCTION LENDER UNMCU N Total Valuation $ Of I fie - LENDER'S MAILING ADDRESS I Filing Fee $ 20,00 Permit Fee $ 0 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ „!#/� 00 _ • �, . ... ...,._ PLUMBING PERMIT Fling Fee 20.00 L.Each,TrpLp„-+. LOT NO. SUBDNISION5 NAME PARCEL MAP t Solar Or heat pump water heater 23.00 T USE OF STRUCTURE SFj Duplex ❑, MobilehomeOther I SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 'TYPE OF WORK New ❑ Addition"❑ Remodel ❑ U5lities ❑ -Installation ❑ Other ❑ ! Describe Work: (L; 1,4 — L ( LAS •4J r.i�- �.rw, .,. nG-! ✓ I Mobile Home I S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT 20:00 Filin Fee _ ' Main Service200V OR LESS ( OOA OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions'of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / License Class `- -3 If Lic. No. ev-7.2 (,, OWNER -BUILDER �E�LARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt_undef Sec. 1 ; Business and Professions CO' de,for this I NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARAT OUTLET CI ) b SINGLE US R. Ex. Occup. ( OUTLET OR FD(TURES) 20 @ 1.00 BAL .50 EX. Occup. (OUTLETS FIXED (RES D.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor , - WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ` ❑ 1 have and will maintain workers' compensation insurance, as required,by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are`: Carrier Li Gi t M 1'I Policy Number `7+ ¢�Sn 1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers co ensation 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 orthwith comply with those provisions. / Date ;1y _ Signature of Applicant - ❑ Owner 1 Contractor ❑ Agent An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating, .- Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ " HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. /j� / t% Bya kI�S ry rDate VT '4J PERMITEXPIRESON ! J l I {(Date) Receipt No. >I'�/�//� 1 WHITE-D.D.S.-B.D. - CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -11 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON 7 County Center Drive - Oroville, Californip 95965 - Telephone (916) 538-75 PERWT NO. APPLICATION AND PERMIT ASSESSORPARCELNUMBER. . -S t ZONING BUILD114GPERMIT GW E ,t . �e.- M/I moi^ TELEPHONE .r 3- 3 / IS SO, Fr. OCC. BUILDING VALUATION 6_9_ OWN30 EWS MAILING ADLIREG N ., / /n . ^ / y CONTRACTOR'S _n NAM � E f `L TELEPHONE CONTRACTOR'S OILING ADDRESS 'If/ ` 1a2 �J : , �/j - /GJ� Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHTfECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS �/ 'go��G �C�ii-� a/ PERMITFEE $ '00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 410-USEOFSTRUCTURE SF 410- ❑ Mobilehome Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ -pB Describe Work: Cc! �U — IA_ Ko� rte^ o� T A -4 (�'�17. 062 4 Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service eoov oR LEss ( 2ooA oR LEss ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i In full force and effect. License Class � 3 9' Lic. No. �^ OWNER -BUILDER � LARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( s ACC. ) so. 3.5¢ FT. NEW CCONST. MULTI.OUTLENS. TLE r NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES ) zo p 1.00 aAL eo Ex. Occup. ouTLEEDrs (RESID.) ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers�rppeD2ation i 4. �� nauwce cprrier and policy number are: Carrier -r /2ti G MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE ; Contractor Policy Number ` •-- -voy (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL 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 arthwith comply with th se provisions. �j X Date 1<- -9� _ Signature of Applicant - ❑ Owner P Contractor ❑ 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 Is OCC CONST. TYPE FEE $ �i ge HAZ. D. FEESIMP FLOOD cDF PARCELPD HD �suE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY fiLAODate U v- I PERMITEXPIRESON applicable provisions Resolutions to do work been paid. , *9_�, (pate) Receipt No. [' WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT