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HomeMy WebLinkAbout069-070-046Hasp/c� _ 69-07-33 MR. PARSONS #2 Blue 0ak,Ct, OroviTle Contr: S & H MH Sales, Oroville Permit#1598-84MHI(existing site) Issued 3-- p Ymi ;209-8 (new.,open deck/MH) ' 069-070-046 ' . • . 06-0183 '. PEREZ, JOEL-' '1 2 BLUE OAK'CT O \ .:� Cont. CHICO MH PERM,FND 0 F1 R q6, I- - _ - - // 1 7 7~� Herbert Smith� /L 9 2 Blue Oak Ct., lot 95, KR#2B, Oroville Permit #4774-77P,E(util.,MH) ELEC.—/0-1,4/-77 S --X-50GAS % r• SUPPORT STRUCTURE REQ. COMPACTION TEST REQ, 4ntr : Johne-Wt'-Beurtler-j- -Yuba-.-Git- PErmit #6327-77MHI Issued_ X02 --G - 77 ro9-ly7-3,3 _ contr: Coleman Const., Oroville Permit #2A74-78B(n'4�W covered deck/MH) Hasp/c� _ 69-07-33 MR. PARSONS #2 Blue 0ak,Ct, OroviTle Contr: S & H MH Sales, Oroville Permit#1598-84MHI(existing site) Issued 3-- p Ymi ;209-8 (new.,open deck/MH) ' 069-070-046 ' . • . 06-0183 '. PEREZ, JOEL-' '1 2 BLUE OAK'CT O \ .:� Cont. CHICO MH PERM,FND 0 F1 R q6, I- V . 4. i ..I' . A „........ Ic" � Sa � -, ri �V4 RI'CORDING REQUESTED BY: i AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I REC FEE 10.00 Official Records 1 County of I CONFOREIED COPY 1.00 Butte I CANKE I GRUBBS I County Clerk-Recorderl I 1 DD 011:04A61 06 -Feb -2806 I Page 1 of 2 IIII"III�IIII'IIII"II"IIII'I"I SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOEL H. AND DIXIE L. PEREZ REAL PROPERTY OWNER/LESSOR _ P.O. BOX 663 MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 2 BULE OAK COURT INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0183 (530) 538-7541 BUILIdING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGEfJCY OFFICIAL / CIATE NONE DEALER NAME (if not a dealer sale, write "NONE') NONE DEALER LICENSE NO. HOMETTE 1977 914 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 0375A/13 56 X 24 CAL029148/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-070-046 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. EXHIBIT ".A" PARCEL -ONE: Lot..95, as shown on..that certain. Map entitled "KELLY RIDGE ESTATES UNIT .NO. 2B11, which. Map was filed in the office of the Recorder of the County of.Bu.tte, State of California; November 19,:1973 in,Book 43 of'.Maps, at:•pages.27, 28 and 29.:' ; PARCEL TWO: A portion of Lot 96 of Kelly Ridge Estates Unit 2B., as shown on the Official -'Map thereof, filed November 19, 1973 in Book 43 of Maps, at pages 27; 28 and 29, Butte County Official Records, more particularly.described as Follows: BEGINNING at..the:Northwest corner of said Lot 96;` thence along the .Northerly line of said Lot, South 80' 12' 18" East, '121.23 feet to the Northeast: corner .thereof; thence along 'the Easterly line of said lot, South 29° .001 06". West, 5..30 feet; thence leaving said line;' paraTleloto and- 5:00 -feet 'distant. Southerly of said No* 'therly line, North 80.12' 18" West, 119.54 feet to the Westerly line of said Lot;. thence along said line, Northerly along the arc of.a non- tangent.230.00 foot radius curve, concave to the Northwest, through a central angle of 10 14' 44" .for 5..00 feet to the point of beginning. I RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 6 -Feb -2006 2006-0006040 Has not been compared vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOEL H. AND DIXIE L. PEREZ REAL PROPERTY OWNER/LESSOR P.O. BOX 663 MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 2 BULE OAK COURT INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0183 (530) 538-7541 PINING PERMTT NO. TELEPHONE NUMBER SI ATURE OF LOCAL A17 CY OFFICIAL rATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO HOMETTE 1977 914 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAN E/NUM 3ER 0375A/B 56 X 24 CAL029148/9 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIAA ABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-070-046 HCD FORM 433(A) REV. 8/91 EXHIBIT "A" PARCEL ONE: Lot. 95, as shown on that certain. Map entitled "KELLY RIDGE ESTATES UNIT NO. 2B11, which Map was -filed in the office -of the Recorder of the County of Butte, State of California, November 19, 1973 ih.Book 43 of -Maps, at pages 27, .28 and 29. PARCEL TWO: A portion of Lot 96 of Kelly Ridge Estates Unit 2B, as shown on the Official Map thereof, filed November 19, 1973 in Book 43 of Maps, at pages 27, 28 and 29, Butte County Official Records, more particularly described as Follows: BEGINNING at the Northwest corner of said lot 96; thence along the Northerly line of said Lot, South 800 12' 18" East,'121.23 feet to 'the Northeast corner thereof; thence along the Easterly line of said lot, South 290 00' 06" West, 5.30 feet; thence leaving said line, parallel pto"acnd-5:00 -feet 'distant Southerly of said Northerly line, North 80 12' 18" West, 119.54 feet to the Westerly line of said Lot;. thence along said line, Northerly along the arc of a noir- tangent 230.00 foot radius curve, concave to the Northwest, through a central angle of 1° 14' 44" .for 5.0.0 feet to the point of beginning. I RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOEL H. AND DDGE L. PEREZ REAL PROPERTY OWNERAESSOR P.O. BOX 663 MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 2 BULE OAK COURT INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY>.•' COUNTY STATE ZIP SA1viE',�'. UN7 OWNER (if also property owner, write "SAME") SAME, MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0183 530 538-7541 B ING PERMIT NO. TELEPHONE NUMBER SI ATURE OF LOCAL A CY OFFICIAL TE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. HOMETTE 1977 914 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFJNUMBER 0375A/B 56 X 24 CAL029148/9 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 069-070-046 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. EXHIBIT ".A" PARCEL ONE: Lot. -9'5, as shown on.that certain Map entitled "KELLY RIDGE ESTATES UNIT.NO. 2B11, which.Map was -filed in the office of the Recorder of the County of.Butte, State of California., November 19, 1973 iri.Book .. 43 of: Maps, •. at pages . 27, .28 and 29.: PARCEL TWO: A portion of Lot 96 of Kelly Ridge Estates Unit 2B., as shown on the Official Map thereof, filed November 19, 1973 in Book 43 of Maps, at pages 27; 28 and 29, Butte County Official Records, more particularly.described as Follows: BEGINNING at,.the:Northwest corner of said Lot 96; thence along the Northerly line of said Lot, South 80` 12' 18" East, *121'.23 feet to .the Northeast :corner .thereof; thence along the Easterly line of ,. said lot,. .South 29° .00' 06". West, 5.•30 feet; thence leaving said line; parallel^to and-5�00--feet distant"Souther Iy of said Northerly' line, North 800 12' 18" West, 119.54 feet to th.e Westerly line of said Lot;.. thence along said .line, Northerly along the arc of a non- tangent..230.00 foot radius curve, concave to the Northwest, through a central angle of 10 14' 44" .for 5..0.0 feet' to the point of beginning. I FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-0183 Address or location of unit: 2 BLUE OAK COURT, OROVILLE Legal Description of Real Property: 069-070-046 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JOEL H. AND DIXIE L. PEREZ Owner's address: P.O. BOX 663 ' INSIGNIA OR HUD NUMBER: CAL029148/9 SERIAL NUMBER OR V.I.N.: 0375A/B MANUFACTURER'S NAME: FAR WEST YEAR: 1977 OFFICIAL APPROVING INSTALLATION: 2191066 _ DATE: PHONE: (530) 538-7541 H.C.D. 513C I �I� Butte County Department of Development Services. aur>E artrA IN O T E S � 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vnvw.buttgcountyneVdds RESIDENTIAL J .. APN: Permit No. Owner 069-070-046 - 06-0183 PEREZ, JOEL Site Address: 2 BLUE OAK CT, OROVILLE Cont: CHICO MOBILE HOME Contractor. _ MH PERM FND (EX) Type of Permit: SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: z` 3.0 SIGNATURE: �y = OK U = IVOI Vn MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET DATE D E C K S`C O V E R S`C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/0-Concrete 4 Wtr, Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LPO Inch Sz Ft Lngth I Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams-Rftrs-C n n ctrs -S hth g I Frmg-Brcng I 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-Spacing-Marriage Line I 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr I 7 Electric �9� Elec MH Cntnty Test-Crossovers-Breakers-Clrncs - MH Test -Fall -Flex Cnnctr 1QSewer Connected -VO to Grade 1UVaz ite, d Electricity Tagged 1; ie Downs ❑ Foundation 8 Frmg; Sills-Anchrs-Stu ds-Rftrs-Trusses t 9 Siding; Nailing -Veneer -Stucco -lath 10 Roof-, Shthg-Roofing i 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 14 Exits f 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers L0211tAT(�`1 i I DATE POOL S 1 Setbacks -Easements 3 r 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctrs-Thickness Dead Men -Lining i 4 Elec Rcptcls/Lting; Distance-GFI 4e 0� °'� ds 5 Elec Pool Lting; 15 volts-GFl I 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5*-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/S' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide o'er 0. Pool Drawing . . i • 1 OK = Not OK RESIDENTIAL (Single & Duplex) DAIt JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test , 10 UF, Gas Pipe; Sz Anchrs-Sz Test it Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support _ 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtm[Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DAIt (FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Wi dth-Hdrm-Rise-Run-Landing -Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 Insultn-Walls-Ceilings 39 Infi Itration-Walls-W ndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 9 ❑ CU or DAL AC Wire Sz ga ❑ CU or D AL 48 Range Circ 9. D CU or DAL Oven Circ ya D CU or D AL Insulated Neutral D Yes D No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector \c 0\ O't. ° \ FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Lotti 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters DYes DNo 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler \C Y BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060183 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 01/31/2006 APN: 069-070-046-000 the Business and Professions Code, and my license is in full force and effect. License Class: _C License umber: -e t� Site Address: 2 BLUE OAK CT ORO Date:�Ocontractor. Map Index: Description: EX MH PERM FND OWNER -BUILDER ECLARATION I hereby affirm under penalty of 9 rjury that I am exempt from the Contractors' State License Law to( the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PEREZ JOEL H & DIXIE L to its issuance, also requires the applicant for such permit to file a PO BOX 663 signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965-0663 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DOREMUS, GERALD GLEN pP Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, P O BOX 4121 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95927-4121 year of completion, the owner -builder will have the burden of 530-895-1774 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: DOREMUS, GERALD GLEN and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 4121 ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95927-4121 530-895-1774 Date: Owner: License #: 445103 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 Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 0 O Applican - WARNING: ailure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred th sand dollars ($100,000), in addition to the cost of /� C 6 Z5 /�m�t� t�� 2 1 CY- % compensation, damages as provided for in Section 3706 of the Labor j W code, interest, and attorney's fees. / / CONSTRUCTION LENDING AGENCY This permit is ereby issued under tP pplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions do work indicated bov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY• Date: Name: �/ 7 PERMIT EXPIRES ON: / (/ Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am t e own he duly authorized agent of the owner. I agree to comply with C I hereby all county and state laws relating to building construction. I acknowledge it is unlawful to alter the su ce o fficial form or document of Butte ty. authorize represent Ives of Butte County to enter upon the above mentioned property for inspection e . Print Name: as -5 Signature: Date: ❑ Owner Zontractor ❑ gent r Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND. SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: wwvv.buttecounty.net/dds *PLEASE PRINT CLEARLY** OWNER INFORMATION Last Nam eFirst _F e Name Y(ct C) Name - �c7 / L Address # v G ©"-?� k C City C�GLC,I/I �l State Zip S Phone _ 077 Fax So 207G('j O o E-mail 7 L/ APPLICANT INFORMATION CONTRACTOR Name Y(ct C) /f — -S Address 00 - ✓ 3 x. D �'lt Z r CitD y Fax State/9" Zip Phone 1 7 L/ Fax P9�5_ / % 7 y E-mail Planner Li c. # � Lf�O_3 Clas- L(7 I APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State . Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail For ticese only: Zo ng Pro erty Ad essCiiy �5 � y Flood Zone Cross Street b�)c SRA I Yes I No Occ. Type Const. Subdivision Name Map Book PageT705— Address Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN 0 # PROJECT LOCATION AP#� (O O ?0 O Y Pro erty Ad essCiiy �5 � y 020�<<l� Cross Street b�)c SMIP WORKER'S COMPENSATION - Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: -x SUT ivii Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other departinent costs are not refundable. Received by: K-6. Amount: I2 I a •Q lD Bldg Date: Other 21q -I& Total SRA Receipt(#�:�Ii,���,3 �Q2o�1 Sheriff 4 jggq SMIP Date: Other 21q -I& Total SUBMITTAL & PERMIT REQUIREMENTS . .The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK _ ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of th6plans.- No graph paper! ❑ 2. Complete plans, 3 or'4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. . ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6.. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans; all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in. triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings.. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review. (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). _ ❑ 4. NPDES Form. ' ❑ 5.. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑. 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of. M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant of (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew.action on an application after expiration,'a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request.must be made within two years from the date of fee payment on permits not issued, and two years from the date of. permit issuance for permits issued; however, on issued permits refunds can. only be made if no construction work has. been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\13IdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 RPOGM 3 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS►ON 7 County Center Drive, Oroville, CA.05965 Phone (530)538-7541 fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Feld 7 ASSESSOR PARCEL NUMBERclaq - o-? - n `1G Proposed Building Use: Ex MT1 on ?erm f�1cl,N S1� Permit Technician: h'. 6 . Date: I -2-5-OG It (n required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. v�J2i� 1. Site plant, 3 or 4 sets, signed by the preparer of the plans. 0 2. Complete -plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 1?4 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down 0 f d� _ a -q all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ 0 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required.............................................1A.3, 20. Fees as shown on the attached Schedule of Fees Due Sheet....a..'...... ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23„California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form...........,.................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization......................:............................................. ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33.. Existing violations and/or expired permits......................................................... -❑/ 34. Dee_.d, �Restriction.....__.... ��^^ ..�1...................................................................... 7? 35. �>_egal description`�M.H. Title, title search, a'strai tion or MCO ......................... Cl 36. Other: ❑ 37. Other: When issued Telephone Cs� .q 5-1194 0ot'4lrnAor -and hold for pickup. I have,been info-rmed,of the above items and requirements for obtaining a building permit. 1. Index 2 Add't' Date: % 2S Plan Check Letter I I�nai,ncnw � yuucu ntractor signer, owner, was advised of the above data by phone, ❑mail, ❑counter, Date: on rac or, designer, owner, was advised of the above data by- .0 phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: loll I-1- Yellow: Building Division riI Xi2 Foundation System Installation Instructions for California for Ground & 'Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION I9541 APPROVED KWECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY ONSSIONS OR DEVIATION FROM REQUIREMENTS OF APPLJCABLB STATE LAWS AND REGULATIONS State of Califomia DWwtmeat of Rousing and Co nmmity Development r, Cft OF COPES AND STANDARDS BUTTE COUNTY BUILDING DIVISION APPROVEfy,e 1 of 8 S 0 LO 0 0 0 X12 Foundation System 00 Installation Instructions for California for Ground & Concrete Systems �- HUD Wind Zone I, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS r • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. 'Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least�equivalent to that provided by a coating of zinc on steel. of not less than 0.30 ounces per square foot of su'rface'coating...." Page 2 of 8 , j_Ilk jL APR 0 0 0 0 Order No. N/A Escrow No. N/A " .Loan No. N/A WHEN R O8r.CifD MAIL TQ: kk _tliv I J. 42 , xdnt-z- 7?2_\u L 0 C& 96-027446'1 Rec Fee 9.00 I COP 1.50 Recorded I Cash 10.50 Official Records I County of I Butte I Candace J. Grubbs I Recorder I 1:32pm 23 -Jul -96 1 PUBL XX 2 DOCUMENTARY TRANSFER TAX ...... .........l........................ ...... Computed on the consideration or value of property conveyed: OR ...... Computed on the oonsidwatlon or value leas (lens or encumtxances — remalning at time of sale. W -A ()�A "C)9D -C GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, DIXIE L. PEREZ, a married woman hereby GRANT(S) to JOEL N. PEREZ and DIXIE L. PEREZ, husband and wife as Joint Tenants the real property In the Mpj County of Butte See "Exhibit A" at Dated June 27, 1996 1 STATE OF CAUFORNIA }ss. i COUNTY OF Butte } On before me, personalty appeared D i x i e I P P r P 7 (or proved to me on the basis of satisfactory evldence) to be the pow (0 whose narneM WA subscribed to the within Instrument and advxWedged to me that NWshekWexecuted the same in lU1R+erXW authorized capocMyjtOtaJ. and that by 1q *rMW signs• h"(O on the Instrument the person(p or the entity upon behalf of which the person(M acted, executed the instrument. WITNESS my utd and of lal seal. MAIL TAX STATEMENTS TO: , State of Califomia, described as OOMIA411 aW 1►&ftcm. My cnnrm. t�ao� ra rovv � (rhes area for of5dal notarial %W 1oU2 (1194) EXHIBIT "A" PARCEL ONE: Lot 95, as shown on that certain Map entitled "KELLY RIDGE. ESTATES UNIT NO. 2B11, which Map was -filed in the office -of the Recorder of the County of Butte, State of California, November 19, 1973 in Book 43 of Maps, at pages 27, 28 and 29.. PARCEL TWO: A portion of Lot 96 of Kelly Ridge Estates Unit 2B, as shown on the Official Map thereof, filed November 19, 1973 in Book 43 of Maps, at pages 27, 28 and 29, Butte County Official Records, more particularly described as Follows: BEGINNING at the Northwest corner of said Lot 96; thence along the Northerly line of said Lot, South 80' 12' 18" East, 121.23 feet to the Northeast corner thereof; thence along the Easterly line of said lot, South 290 00' 06" West, 5.30 feet; thence leaving said line, paralleloto and 5.00 feet distant Southerly of said Northerly line, North 80 12' 18" West, 119.54 feet to the Westerly line of said Lot; thence along said .line, Northerly along the arc of a non - tangent 230.00 foot radius curve, concave to the Northwest, through a central angle of 1' 14' 44" .for 5.0.0 feet to the point of beginning. I PERMIT NO. 2509-84B PERMIT EXPIRES OWNER HAROLD & LORRAINE PARSONS CONTR. owner ASSESSOR PARCEL 69-07-33 LOCATION #2 Blue Oak Ct, Oroville r IN I I ' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALEI Signature C V = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date E I RS, CARPORTS, ETC. (Plans) OK except N's 1. Hing Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch Fo ings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams- Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI l r a -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J"= OK + . , 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width-Headroom-Rise-Run-Landing-FirB Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ex`. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. 76. Following instld.: Drive [I Yes ❑ No; Walks ❑ Yes E) No: Planters ❑Yes ❑No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-C earance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas-Electr c 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. 45. Cing. Joist-Rflr. Ties -Pur -lin- Roof Brac.-Truss-Shthng_.-_Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) t: t COUNTY'OF BUTTEa DEPARTMENT OF PUBLIC WORKS , 196 Memorial Way, Chico — Phone: 891-2751 f E :7 County Center Drive, Oroville — Phone: 5344541- �Skyway and Elliott Road,.Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE: OWNER ,. PERMIT'N0. o A routine inspection indicates that the following violations of County Ordinance exist atithe 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�-additlonal explanation,please contact this -office immediately. Inspector Date e A f. U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. �-• 7 County Center Drive - Oroville, California -95965 -Telephone 916/534-4541 APPLICATION AND PERMIT ASSE SOR PARCEL NUMB _ r ZON- G " BUILDING PERMIT OWNER �� TELEPHONE S0. FT. OCC, BUILDING VALUATI N OW R'S M91 �'SN 1 G ADy.D�RE!r\ ' ` V � 0 nn CONTRACT ME o TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ r ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DDRESS ^ U PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome [Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 4— 10.00 e / TYPE OF WORK New ❑ Addition © Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2thQsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus iness20®s0C and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUT LET NON.RESID. BRANCH CIRC ITS 2,50 ea NEW CONSTR.( POWER APPARATUS &1 NON -R ESID. SINGLE OUTLET CIR. OR FIXTURES Ex. Occup(o SAL®90 FIXXEEDDAPPLNS, ORTs Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the.County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ounty in consequence the granting of this permit. X Date �/�/' Signature of Applicant — Owner N 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 $ TOTAL PERMIT FEE -� 0CCUP, GROUP I TYPE OF CONST. PARCEL PD HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By l PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 4774-77 t;E""�" ` PERMIT NO. PERMIT EXPIRES " OWNER Herbert Smith CONTR. _ owner 34-70-33 LOCATION (A.P. ) 2 Blue Oak Ct., Lot 95, KRIM , Oroville � f Temp. Power Pole I Called PG&E emp.Elec. Serv. �—%° 77 { Called PG&E ^� St. 7 /� Temp. Gas Serv. Called PG&E JOB FINALED r 7 (Da 72 L2;?, _ %/ 1�� (Signature) A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING NBUILDING (Cont'd) PLUMBING Se ack F ewall All Piping Fors Par ets st Floor Ma Bldg. Rest om Finish 2 d Floor Fo tins Windo A Floor Stem all Siding To ou Slab ea\hing Water in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov, for ph sical handica ed x Conformance of ex. structure Appliances Gas Piping & T st Temp. Gas Slab Final Sanitation Patio FIRE! ACE Final Footings Footing ELE RICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLEA Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal "?o 0,4 Water Piping Sewer 7 Gas Piping BI E E MINSTA LAT . . . . ..... . . . . . Support�' ( Elec. Continuity Water Piping Zi c Drainage r Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located withhrequired separation from lot_ lines and buildings and generally conform to plot plan? Yesc No 2. Does the mobilehome have,required clearances above ground? (Sec.5085) Yes 1__ o 3. Are footings and supports properly sized, spaced, and braced as pp -Y' approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes` No . 4. Is the mobilehome level? (Sec. 5088) Yes_ No_ 5. If mo,Vthan a single unit, are crossover connections properly installed? (Sec. 5088) Yes c/ No 6. Water A. Is flexible -connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Ye s_/90 B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yest No iNCq�ackflow - If coach is not State of California approved, does station have backflow device V and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes N B. Does it have minimum" per foot slope and is it properly supported? Yes ' o C. Are any leaks detected in drainage system after running ons of water through each fixture including washing machine standpipe? Yes_ No= D / "ach is not State of California approved, does station have required trap and vent? / Yes No 8. Gas Piping and Gas Vents A. Con -)e ctor - Is mobilehome c netted to the gas supply with an approved 3/4" minimum mobile me Is not m re than 6 ft, long? Note:. All piping is to be at least as large as a mobilehome g s line iiilet without reductions other than the mobilehome connector. s No B. Test OK as per fo`l\owg procedure? Yes_ No 1. Open all applianc,4 connector valves. 2. Shut off appli ce burner and pilot valves. 3. Air test with manometer t`o 10"-14" water column, or test with slope gauge (minimum 6oz.-maximu 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect g s meter to mobilehome with connector, turn on gas, test connections with soapy wa er. C. Are all app iance vents properly installed? Yes_ No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes WT - No B. Is there proper clearances around panels? Yes /-­N-o--� C. Is power supply cord,or feeder assembly properly fused? Yes D. Is continuity test satisfactory as per the following procedure? Yes_ No_ 1. De -energize electrical wiring system of the mobilehome at the pedestal ,2! Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3 Switch all breakers and switches in the mobilehome to the "on" position. 4 Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding,, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 101it-job card signed by Health Department for water and sanitation? If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle f3 r,- . t i F,57- Length % Width Vehicle Serial No. 6,/ ZL 7 f State Identification No. C44__n`72VO 2 CIa.L 07.7 e/01f Additional Information or Comments: �!-� 7-A 7" ,vCp�ae c,7� s �7� ci 1 G S/ Z is� ,r� C7z/ A- L Slz l�Xl� in/5!��r/o.� /37Jr�i, i�OvsP" ,cf 5 i' / A15 Uu`� COUNTY'OF BUTTE { DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 z� CERTIFICATE OF OCCUPANCY' This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit numberQ7for the following location: j-z1jxr e4,�K /° 7— Owner 142=12,1=/? 7— . 57M/7/4 Owner's Addressa14ME- b + "Mobilehome Mfg!S0z-r>Z-,y /,,%;E57 Mode`15�O -67-�G4, Year-7- . Ins ignia No.0-4 4- n77y0? Serial No. �� / �? ,-VN- LOCPy'4 b //q16 It is hereby certified for occupancy at'the above described location and may be occupied. - Director of Public Works Date `/ /` By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Cou'v Center Drive , Uroville, California 95965 ` Telephone: 534-4541 APPLICATION AND PERMIT ol;F7-77 v1, auuwlicc ICIJIC?Rp IVCs UI UI LUuniy Ut Butte to enter upon the above-mentioneerty for ' pection purposes. X Date /aZ .2 71'� ignatur of _P777ee or Agent Receipt No. A I K White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee 'd. DIRECTOR 0 PU LIC WORKS By Date Building permit expires Date z—� � 7 BUILDING Owner 6SM t -g -h SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor -4-0 h'Lie,LAj-14,_ ,_ Total Valuation Mailing Address ©,✓S �0 T P.d. Permit Fee Plan Checking Fee &/or Penalty Telephone �7 Ye Permit Fee $ Building Address a (,Lt a OAK e— PLUMBING No. @ FEE PERMIT FILING FEE $3.00 rV vIL Lt_ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 .l o / 9 u A,, 7 Each gas water heater or vent 1.50 A. P. No. — 7 ®- 3,� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Satti•te+ien FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P� 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans R Parcel Apprd�l Pla s Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ,ll';' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r__ /,j LJ_A 7—/,v % XT 4 7 y y / I —'% / Main service 600V OR LESS 100 AMP OR LESS S.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home NT Others ❑ Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST_DWELING OR ADDNS. ( ACCL BLDGS.CCUP. &) 2¢sq ft NEW CONSTR. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS &) NON•R ESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @230 BAL@1 Ex . Occup.( FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �� License No. Classification A Misc. Wiring , 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this . permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 _ s. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 3 a. C>6 TOTAL PERMIT FEE auuwlicc ICIJIC?Rp IVCs UI UI LUuniy Ut Butte to enter upon the above-mentioneerty for ' pection purposes. X Date /aZ .2 71'� ignatur of _P777ee or Agent Receipt No. A I K White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee 'd. DIRECTOR 0 PU LIC WORKS By Date Building permit expires Date z—� � 7 MOBILEHOME SUPPORT DATA _ Fob Mobilehome Mfr. 40AQco w S Setup Model No. _ Year 77 Width (ft.) Length (ft.) Expando Size_ft.x ft. ` (Draw support details below) , On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on .file with .the County of Butte). Footings (check -one) 00��l - Wood.. either . �I .r pressuretreated or Center Center Support fdn. grade. Support Locations Footing Sizes 4 (in.)[ 2. Concrete pad. r in.jZin. �, D 7- / / 3. Other,: specify � �U Supports (check one) Concrete block II }} / / 2. Concrete. piers (fti �i7 (ino)(in•) a / / 3. Steel piers 4. Other, specify Typical Support Footing Size in. in. Max. Pier Spacing c t. in.) x �t�� — - - ----- (in.)(in.) I �< Max. ��r Overhang w *If center piers are other than drawn above, .BUTTE COUNTY draw in locations., spacing, and dimensions. BUILDING DEPARTMENT APPROVE® • - v 1. Owner's name: 2. Installer's na A BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes /C—/ No service? --------------------------------------------------- Yes / / No /--/ (If yes, identify the load and size: (Load) ( If yes, furnish permit number L�'j% Ll ^ :Z7 ) OR (in.) 10. What Is the site an existing .site? Yes / / No "'^ 4 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. (If yes, furnish two (2) plot plans.) is the mobilehome gas demand?. ------------------------------ (BTU) 4. Will the mobilehome be'located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- n Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less_than.50 ft. on LPG.) . ' 4, • . - - U site service? --------------------------------------------------- Yes / / No /--/ (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural -7 --- "'^ 4 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand?. ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less_than.50 ft. on LPG.) . ' 4, • . - - U M Owner Herbert Smith COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ` 7 County Qenter DriJe groyiIle, California 95965 / 7;7 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING SO. FT. OCC. BUILDING VALUATION Mailing Address 4158 Apricot Road I Tel hone No.805 Simi Valley, CA. 93063 5217-2797 Contractor (Owner Mailing Address Telephone No. Building Address 2 Blue Oak Court I Oroville, California 95965 Lot 95, Unit 2B - Kelly Ridge Estates A. P. No. 34 - 70 - 33 f` /za�i F W i Fire Dept. Fire Zone Use Permit EOA Parking Parcel rove arcel Ma 60' R/W Im nts Plans Declaration P P J. oT 6- Bldg. P15rf�Rec' Parcel Appoval Planspcoval NEW ADDITION ❑ UTILITIES ®OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home EJI Others ❑ FOR MOBILES CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No Classification am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of W kmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above G 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. DateL YT7 Signature of Permmiitee r AgC�enn3 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Fireplace $ _ev 10 - Total Valuation @ I FEE Permit Fee $3.0 ,.-I Plan Checking Fee &/or Penalty .� Permit Fee $ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 O.a Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 �p,a Lawn sprinkler system 2.00 Permit Fee $ _ev 10 - ELECTRICAL No. ELECTRICAL @ I FEE PERMIT FILING FEE $3.0 ,.-I Main service 10001 OR 0 AMP ORLESS5.00 .� Main service EA. ADO'L 100 AMP 2.50 Main service OVER s O 100 AMP OR LESS 25.00 EA. ADD'L 100 AMP Main serviceNEW 1.00 CONST./ WELING OR ADDNS. C ACCLBLDGS.CCUP. &� 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON•RESI D. SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES) 50@ 25g EX. OCCU FIXED APPLNS. OR P•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00,,-_-_4-7,o Misc. Wiring 6.25 Permit Fee $n?s-.-I MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Coo I i Ventilation Hood Permit Fee 2.00 �..� TOTAL PERMIT FEE $� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 BLIC WORKS � cc BY Date7' Building permit expires Date Cl — -,Z- / - NOTE. -All Materials & VShale O.y H Z. L ZD 2 / f!E LOT 95 Accordance witR � Recognize Good Prac 1 UNIT 2B of, a quality prescribed for a Specified use in the Uniform Building, Plumbing, Mechanical Codes and f his set of plans and specificati • S M , T A, -/t4= the National Electrical CO . ons v �Z' r3tsC kept on tho icb at all times and int is unlawful tc 24' x 68� Wf make any changes or alterations on same wifhoui p' x 50' T'tlsa• , written permission from the Department of Pub lic Works, County of Butte, S. F7=;AA c'/T 0 I utilit > 7 to ated Y con tions th'rd within 4 shall 5e ' section f' °utside the rear °' the left r °f the mobile ho s . h me. oadJ side o f the me mobile tt1 Z ¢ ` � ., � ire• I ZN o�' M a / The �l I, a side p !'fbock shall be 5 . from Q . E center) ne o f th line and °m the 1 +� mum ° : a y ft. a road, pernv ttfrom the .U. out of ,all eave overhan Ing a maxi. easements. g ut entirely I�01 tti Q � tho 0 \ J� RC1: �E•4 sEM_ E�/T_ _�_ �� /V o %- — Y3 -z-9 Loi 9�r A ►7- 3y-7or-33 13UTTE C I II BUILDING DE ARTMEN . APPR VE D 'I eo Z/27- -,5 'S C .9 L E /"z 20, MOCitL= AD D=D l0•28•'f7oD.D. rzv� 8-7-74. COOK ASSOCIA James Glander Department of Public Works County of Butte 7 County Center Drive Oroville, California 95965 Dear Jim: ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (916) 533-6457 CALIFORNIA P. E. NEVADA P, E, OREGON P. E. Re: 77551 October 13, 1977 Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: Smith KRE Unit 2B Lot 95 Clayton KRE Unit 4A Lot 49 Representative tests indicate that the 90% relative compaction requirement has been satisfied. A location map is attached. Very truly yours, COOK ASSOCIATES Lew Hiatt Civil Engineer LH/cap Enclosures DR. LLOYD M. COOK ED, D. JOE E. COOK M. E. DAN J. COOK C. E. tf Client H. Smith c®®SSIOCdIAT'ES Project KRE Unit 2B Lot 95 ENGINEERING CONSULTANTS Mdear in -puce Job No. 77551 2060 PARK AVENUE OROVILLE 95965 Moisture Density Test Operator Kimbrell/Martin , CALIFORNIA ( 91 6) 533 -6457. TEST NUMBER 1 2 3 4 5 6 7 B 9 10 TEST DATE 11. 9-22-77 10-3 10-5 10"-5 10-5 10-10 1stLift 2ndLift 3rdLift 3rdLift 3rdLift 4thLif TEST 5'F ill 3'Fill 4'Fill 4'Fill 4'Fill 5'Fill LOCATION SE Cor SE Cor SW Cor SW Cor SW Cor SE Cor FINAL MODE a DEPTH 811 DT 6" DT 8" DT 8" DT 6" DT 8" DT MOISTURE COUNT 1060 984 1209 1304 1304 1077 MOISTURE .COUNT RATIO .757 .697 .864 .931 .931 .777 MOISTURE PCF 19.00 17.25 22.25 24.3 22.25 20.0 DENSITY COUNT 230 393 176 234 385 210 DENSITY COUNT RATIO .868 1.483 .664 .883 1.453 .792 WET DENSITY 136.0 138.5 148.0 135.5 140.0 140.0 PCF DRY DENSITY PCF 117.0 121.25 125.75 111.2 117.7 120.0 % MOISTURE 16.2 14.0 17.7 21.9 18.9 16.7 OPTIMUM DRY DENSITY PCF 128.6 128.6 128.6 128.6 128.6 128.6 OPTIMUM MOISTURE 13.0 13.0 13.0 13.0 13.0 13.0 % RELATIVE COMPACTION 91 94 98 87 92 93 DAILY STANDARD COUNT COMMENT: DATE MOISTURE DENSITY 9-22 1400 265 10-3 1411 265 10-5 1400 265 10-101 1385 2 5 2-1 MN z IF 7 r' Q MN -931 -Z- 211-2 00 7 ki 11 / 017 > m IJN 41 4- V.C7 _Z 0 0 COF OD Jc:> 0 1 OZ IlNn gro JLOJ -7-,4 21 C7 7 7 e i PERMIT NO. -2674-78B ti. PERMIT EXPIRES �_ /77 OWNER Herbert Smith )CONTR. Coleman Const., Oroville LOCATION (A.P. 34-70-33 2 Blue Oak Ct., lot 95, KR#2B, Oroville s Temp. Power Pole a Called PG&E t Temp. Elec. Serv. " Called PG&E Temp. Gas Serv. -Called-PG&E JJOB FINALED e e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS P -b 'BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom'FI sh 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phcally handicappe Conforms a of ex. structu ILTemp. Appliances Gas Pi in &Test as Slab Fina Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond BeamZ� onFIRE SPRINKLERS Motors Framing Test Water Htr. Stucco / Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec" Service Elec. Pedestal Water Piping Sewer Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS /� 7 County Center Drive Oro�1Ile, California 95965 �% { % 'r Telephone: 534-4541 _ /� / 17 APPLICATION AND PERMIT 0 .. "......,,...., ...., , ..w lay v, vua — —1-1 OF -1 uic above -mentioned -property for ins tion purposes. X Date a Signature of ermitee or Agent 1-77z Receipt No. ! Lzoy White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. fIRECT F PU LIC WORKS s BY Dat Qf Building permit expires Date �1/ BUILDING Owner �^-- SQ. FT. OCC. I BUILDING VALU TION colt � 0 O Mai I i ng Address Telephone No. Contractor m � -- Mailing Address (� T Fireplace Total Valuation If7 Z o Q J Telephone No. e9owLA1,4 L,� Permit Fee O(p Building Address Plan Checking Fee &/or Penalty - Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 A Cie Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No..7O A Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F �' IW.C. Sanitation Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvemen Each additional outlet .30 Building sewer 5.00 J � Bldg. �5 Rec'd I Parcel royal Plan provol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family ❑ Duplex ❑ Mobil Home JN Others ❑ Main service 600V OR LESS 100 AMP OR Less 5.00 Main service EA. ADD'L too AMP 2.50 y� OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACC`BLDGS.LING CCUP. 51) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of CalifoLma Business & ofessions Code under the name st le 0 Y TLET NEW CONSTR BRANCH CIRCUITS) NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONST. (POWER APPARATUS B R NON RES,D. ,SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTURES g @L:! FIXED APPLNS. OR Ex. Occup.OUTLETS (RESID.) EA) 2.00 � Temporary service 10.00 Mobile Home Facilities 15.00 A License N Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agreb to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ AL PERMIT FEE TOTis .. "......,,...., ...., , ..w lay v, vua — —1-1 OF -1 uic above -mentioned -property for ins tion purposes. X Date a Signature of ermitee or Agent 1-77z Receipt No. ! Lzoy White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. fIRECT F PU LIC WORKS s BY Dat Qf Building permit expires Date �1/ VAIN-basm NOTE. --All Accordance of a Uorlty? rUniform in Bull 011 in the National C3 fF ZFA \qorkM0nsh-'P Sho ficils _1 Good Practices an RecOqnmed e.Specified use it, the ,ribe8 for �hmachanical Codes and Plumbing & 6.1f-61 Code. UNIT 2B .2S1f9.0 00. CO tl This s t of plans and specifications MUST b' " ton he job at all ti es- and It is unlawful t Op 0 make an changes or al eraticons on same witho I written Jermisson from the Department of Pub is Works, County of Butt I his s t t ic o BUTTECO NTY BUILDING DF-PARTMEN1 APPROVED The Bld getback shall be 'S ff. rom the side Pr P ' y line and 50 ft, rorn the cenferli of f! Ae road, permiffin a maxi- mum rn 0 2 ft. eave overhang b t entirely out Of all easements. oz Y V an'f() to an.: • .1 too tcri) (TI q NO, io VnIVOD bo T) el tit qf, -101 lu(- ll1 8 ceNf e c� ---- 8U1- IN. i !4" 1% 1 If4 QQ .44 BUTTE C ...- I OUNTY-',-. OILDING.DEPARTMElff APPROVED- March 16, 1983 T0: Mr. & Mrs. Hal Parsons and Pamela Vorhis FROM: Gordon Riggs RE: Boundary Line Modification on Lot 95, Unit 2B, Kelly Ridge Estates Butte County Title order 417352 I, as president of Oro Ridge Properties, Inc., agent for the seller of Lot 95, Unit 2B of Kelly Ridge Estates and agent for the owner of the adjoining property (Lot 96, Unit 2B) hereby guarantee. that within five months after•close of the above mentioned escrow, a strip of land the uniform width of five feet lying southerly of, adjacent to and parallel with the northerly -boundary line of lot 96, Unit 2B will be deeded to the then current owners of lot 95, Unit 2B at.no cost to them. GORDON RIGGS, REAL ESTATE BROKER 5263 ROYAL OAKS DRIVE • OROVILLE, CA. 95965-916 /589-0152 PERMIT NO. 5 1598-84MHI ex sit PERMIT EXPIRES8- OWNER MR. & MRS. PARSONS CONTR.. S & H Mobile Home Ser. ASSESSOR PARCEL 69-07-33 LOCATION #2 Blue Oak Ct. Oroville Temp. Power Pole J Called PG&E j Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E V JOB FINALED (Date _ �— Signature = OK . = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—.Easements 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts— Beams— Rftrs.—Con nec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; LocatiorTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBI HOME INSTALLATION (P ) OK except N's Date POOLS (Plans) OK except k's Zo 'ng Requirements—Setbac —Easements 1. Setbacks—Easements ,iFootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3 as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4 lectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5� in; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI d Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater t.Xas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xits; Insp.—Sketch 10/Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test C B-1ate— and -BI Date Card -BI Date Card -BI Date Card B -I Date and -BI Date Card -BI Date Card -BI Date = OK . = Not OK t = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Larding -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / - /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 4� 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access - 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter- 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No, of Conductors -Stapled 71, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No ' 75. Followinginstld.: Drive Yes No; Walks ❑ ❑ ❑Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Pane ls-Motors-Mech: Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-FireDl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. 82. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84, Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Card -BI Date Card -BI Date Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-Rfn_g_._ 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE,. OROVILLE, CALIF. - 534-4541 CERTIFICATE OVOCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number'M7. T . `o�the follow ng location: Owner "/jam,% ', ✓PZ -4e Owner's Address s*'i'' A T r ��,, t��, Mobilehome Mfg.. Y "` Model � � �'�'�� Year_— Insignia No.%�`ri Serial No,i°'",/+`. It is hereby certified for occupancy at the above described location and may be occupied. Director o Public Works - Date 'a' A -i By �r _ .�• r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer.-P_ink-..M_a w COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT N0. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector _ Datesl5—- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville„California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL Nl�r•QBER ` �((]] IN BUILDING PERMIT O WNE nV. . -► "RS a RS0-1,n TELEPHON SQ.. FT. OCC, BUILDING VA TION OWN 'SrMMA•ILING ADDRESS Ir-��\/ J C V COy.TRpCT R'S NAME,' — Q}^� b, p �' `J TELEPHONE aq- CONTRACTOR'S MAILING A DRESS �7 S� D (0UQ u `I Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /JCdy Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , BUILDING ADDRESS �JT�T- PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 rn Water piping 5.00 LOT NO. IVIS ON NAME SUBT �� PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USEOUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home _FS_FG W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ I stallationLi Other E] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20SgIt CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1r��J I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess'o s C d�and my license is in full to an effect. Ix`•r`y1/�� � (o License No. �/ "O Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTPOWER APPARATUS &' NON- R RESID. (SINGLE OUTLET CIR. 20@50e Ex. Occup(O OR FIXTURES SAL®30 FIXED FIXED APPLNS. OR A Ex. Occup. OUTLETS (RESID.) EA•) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, i demnify and keep harmless the County of Butte against all Iia 'lities, judgm ts, cos s, and expenses which may in any way accrue against aid County i onseq ence of the granting of this permit. p - X � Date �� ^ D �{ Signature of Applicant — Owner ❑ Contractor �(J Agent ❑ An OSHA permit is required for excavations over 5'0"\deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ zldbp TOTAL PERMIT FEE $ , occuP. GROUP TYPE of CONST. PARCEL PD HD ISVE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT PUBLIC By. PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date�Z)%8`` S- 2���V Receipt No. l J WHITE-D.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT q4-192,8 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9U c1C,�l RECOF;;;�, FOR RESIDENTIAL DEVELOPMENT r; «'': �` � OLINTY- AW Section 26-8.1 of the Butte County Code requires this acknowledgemm 71q ' -1) be recorded prior to issuance of a building permit. � in CoA:; L(,.i?Atiil The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this g.1^1 property may be subject to inconveniences or discomfort arising from '1��� E. the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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: Lot 95, as shown on that certain map entitled, "Kelly Ridge Estates Unit No 2B" wgmoh map was filed in the office of the Recorder of the County of Butte, .hate of California, November 19, 1973 in Book 43 of Maps at pages 27, 28, and 29. Subject to all easements, ri;hts of way and restrictions of record. Date: 4.3 ICY PROPERTY OWNER"S': / �� UC9�LflGa/ State of ) On this the day of 1� before SS. me, the undersigned Notary Public, perso lly appeared County of.�_) e-ji�!'��1� l /y' r/7 /-of I -5 f�f Personally known to me. �/ Proved to me on the basis '��ll of satisfactory evidence. to be the person(s) whose names) w—� sus rib ed to the within instrument and acknowledged that —� executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal.o IND CZ ' Fia Present A.P. No. EX!, ®A,.'UAE.ER .�. ;. h��'i 1Fs'� 'r'•.'.:::G'—f.ALIF0r1h:A P. uao Ccs.:/ -n Exp!: „ 1!t' 17, 1936 To Whom it may Concern: I hereby give Mr. and Mrs. Parson permission to place their Homette Mobile Home on my property, present A.P. No. 69-07-33. Accordas Of a qu( Uniform - the N06 & WoArnanship Shall Be it' z— r%'' 1"�?" Wiih .� +res ;mac ,l ror fhe Sperifled use in the �na, n ,�;�� ; 9 & lachanical Cod®s 0114 electrical -cod-as O• A setback of 5 ft. from the property lines and a setback _ C0gi& of 50ft. from the road p centerline shall be clear of tV structures or equipment exc } M for a 2 ft. eave overhang. A cc.eAR, OF ki /s BUTTE COUNTY BUILDING DEPARTMENT APPRU"VED LO T 9,< �yx5 G ��i��77Q O � � Ci 0. OO 00 x.00 plans and specifi a 'ons MUST be Tisset o kept, on the 06 at all times an i is unlrywf ,l +o M06 any ch sr,.qos or v -,e YA-hout written per scion from fhe Dep 1 ent of Public Works, Cou ay of Butte. O• A setback of 5 ft. from the property lines and a setback _ C0gi& of 50ft. from the road p centerline shall be clear of tV structures or equipment exc } M for a 2 ft. eave overhang. A cc.eAR, OF ki /s BUTTE COUNTY BUILDING DEPARTMENT APPRU"VED a, BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 11112,� 1. Owner s name. � S 2. Installer's name: SA Z % SV` 3. Is the site currently under permit? Yet / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of.all setbacks.and easements? Yes MZ. No ( If no, clarify 5. What is the mobilehome electrical rating? ----------------------- d Amps 6. What is the mobilehome site service rating? --------------------- `��� Amps 7.. What is the mobilehome site circuit breaker rating? ------------- -Zoo Amps 8. Is there any other electric load,to belserved by the mobilehome siteservice? -------------------------------------------- ------- Yes No %[ (If.yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------------ ---------- 10. What is the type of gas service? ----------------------------- Natural /% LPG-/ / 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. .What is the mobilehome gas demand? ------------------------------ (BTU). ' (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. �71�SZQ . furnish Setup Model No. ! Year _77 - Width (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets,(if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) c� Single 1'. Wood either pressure treated or ._ foundation grade. ---•-- x30 (ft.)(in;)� in. in. 2. Other: (specify) Center support locations* Center support footing sizes Sut�orta (check one) v[ (in.) � 1: Concrete block. 34 x -3o 2: Other. (specify) (ft.)(in.) (in.) (in.) 4 gagalong or Expando, Z show support details. 310 30 (ft.)(in.) (in.) (in.) 40:�6 -- Typical Support ((in.) Footing Size )y (ft.)(in.) h (in.) (in.) -- Max. Pier Spacing (ft.)(in.) A Z 6 -- Max. Overhang (ft.) (in.4 (in.) (in.) (ft.)(in.) BUTTE COUN T 1( su p BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, �Z draw in locations, spacing, and dimensions. f�- ao -u2' '0ZM on go I"0 <e