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069-130-012
Carl A. Zastrow 491-13 - Jz 7 o.Lodgeview Dr., lot 132, KR#l, Oro contr Oro Ridge Prop:, Oroville Permit 72-80B(support structure) !Permit #4773-80P, util.,MH) LEC. GAS /0-/0-80 SUPPORT SRUCTURE REQ. COMPACTION TEST REQ. S 5F Contr: Oio idge Propert es, Inca Permit_ 018- OMNI Is ed— .000, 4,9-/3-/Z contra Lancaster & Son, Oroville Permit #5511-80B(new covered decks & conv.sup ort truc.to .garage/MH) J00/ Contr: Jame3 E. -Edwards, Oroville Permit#241-81E(ele/5511-80)SF. 69-13-12 _ Contr: Bill Conner, Paradise Permit#1837-� 1P(law s rinkler system)MH ?w, V1'61 still.) w /A)S/ D9 1/Aaz� C–i - I 1 { i t s Carl A. Zastrow 491-13 - Jz 7 o.Lodgeview Dr., lot 132, KR#l, Oro contr Oro Ridge Prop:, Oroville Permit 72-80B(support structure) !Permit #4773-80P, util.,MH) LEC. GAS /0-/0-80 SUPPORT SRUCTURE REQ. COMPACTION TEST REQ. S 5F Contr: Oio idge Propert es, Inca Permit_ 018- OMNI Is ed— .000, 4,9-/3-/Z contra Lancaster & Son, Oroville Permit #5511-80B(new covered decks & conv.sup ort truc.to .garage/MH) J00/ Contr: Jame3 E. -Edwards, Oroville Permit#241-81E(ele/5511-80)SF. 69-13-12 _ Contr: Bill Conner, Paradise Permit#1837-� 1P(law s rinkler system)MH ?w, V1'61 still.) w /A)S/ D9 1/Aaz� C–i - C"l Gomez, Carrie From: Janis Arendsen <arendsen@mac.com> Sent: Wednesday, September 04, 2013 1:41 PM To: Gomez, Carrie Subject: 412 LODGEVIEW DRIVE OROVILLE, CA 95966. Attachments: TDUS.pdf, getjobid368997.pdf, PastedGraphic-3.tiff ` Hi Carrie, Please review the Trustee's Deed and the title search. Given this documentation, would this be sufficient for you, along with the typical site plan, engineering, and prepared 433A to pull a permit fora retrofit 433A? We would be curing the title for the title company as they improperly insured the land without making sure that the home and land were conjoined as a single entity. Thanks so much for reviewing this and letting me know if this will be sufficient. JANIS ARENDSEN Lender I Realtor I Title Relations Manufactured Home Specialists 760-415-1982 Direct 760-452-7702 Fax www.onthelevelcontractors.com License: B & C 521400 Worker's Compensation: 238-44455 a�q X30 oil 1 /;1X STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY EDMUND G. BROWN JR. Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT us►NG Division of Codes and Standards •'t`O �� �O • O 13 [3 all Title Search 3G��0 Date Printed: 08/30/2013 DE Decal #: LAR4206 Manufacturer: MOUNTAIN VALLEY HM Tradename: MOUNTAIN HM Model: Manufactured Date: 00/00/1980 Registration Exp: First Sold On: 00/00/1980 Serial Number 3036A 3036B Registered Owner: HUD Label / Insignia CAL 199926 CAL199927 Use Code: SFD Original Price Code: AIR Rating Year: Tax Type:. LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Length Width 66' 12' 66' 12' CYNTHIA K SHAY MICHAEL L SHAY (Joint Tenants with Right of Survivorship) 412 LODGEVIEW DR OROVILLE, CA 95966 Last Title Date: 02/24/2005 Last Reg Card: 02/24/2005 Sale/Transfer Info: Price $144,000.00 Transferred on 03/23/2004 Situs Address: 412 LODGEVIEW DRIVE OROVILLE, CA 95966 Situs County: BUTTE Legal Owner: WELLS FARGO HOME MORTGAGE 2865 SUNRISE BLVD #101 RANCHO CORDOVA, CA 95742 Last Title Date: 02/24/2005 Lien Perfected On: 02/22/2005 09:17:25 Inactive DecaUDMV: DMV 705QYD * * * END OF TITLE SEARCH Recording requested bq: When recorded mail to: WELLS FARGO BANK 1 Home Campus X2504-017 Customer Service Des Moines, IA 50328 Forward tax statements to the address given above THIS IS TO CERTIFY THAT THIS IS A FULL, TRUE AND CORRECT COPY OF THE ORIGINAL RECORDED IN THE OFFICE OF BUTTE COUNTY RECORDING FEE: $19.00 RECORDED ON: July 8, 2013 AS DOCUMENT NO: 2013-0027325 BY: s/ DPS AUTOMATION LSI TITLE COMPANY TS No.: CA -12 -538394 -JP Space above this line for recorders use Order No.: 120403084 -CA -GTI APN No.: 069-130-012-000 Trustee's Deed Upon Sale Transfer Tax: The undersigned grantor declares: The grantee herein IS the foreclosing beneficiary. The amount of the unpaid debt together with costs was: $112,065.04 The amount paid by the grantee at the trustee sale was: $69,000.00 The documentary transfer tax is: None Said property is in the City of: OROVILLE, County of BUTTE QUALITY LOAN SERVICE CORPORATION, as Trustee, (whereas so designated in the Deed of Trust hereunder more particularly described or as duly appointed Trustee) does hereby GRANT and CONVEY to Wells Fargo Bank, N.A. (herein called Grantee) but without covenant or warranty, expressed or implied, all right title and interest conveyed to and now held by it as Trustee under the Deed of Trust in and to the property :situated in the county of BUTTE, State of California, described as follows: THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: LOT 132, AS SHOWWON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT ONE", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 1970, IN BOOK 38 OF MAPS, AT PAGE(S) 5 THRU 10. CERTIFICATE OF CORRECTION RECORDED MARCH 17,1971, IN BOOK 1663, PAGE 624, OFFICIAL RECORDS. This conveyance is made in compliance with the terms and provisions of the Deed of Trust executed by CYNTHIA K. SHAY AND MICHAEL L. SHAY, WIFE AND HUSBAND, as trustor, dated 3/1512004, and recorded on 3/24/2004 as instrument number 2004-0015746 of Official Records in the office of the Recorder of BUTTE, California, under the authority and powers vested in the Trustee designated in the Deed of Trust or as the duly appointed trustee, default having occurred under the Deed of Trust pursuant to the Notice of Breach and Election to Sell under the Deed of Trust recorded on 12/3112012, instrument no 2012-0051136, Book , Page , of Official records. Trustee having complied with all applicable statutory requirements of the State of California and performed all duties required by the Deed of Trust including sending a Notice of Default and Election to Sell within ten/thirty days after its recording and a Notice of Sale at least twenty days prior to the Sale. Date by certified mail, postage pre -paid to each person entitled to notice in compliance with California Civil Code 2924b Default occurred as set forth in a Notice of Breach and Election to Sell which was recorded in the office of the Recorder of said County. All requirements of law regarding the mailing of copies of notices or the publication of a copy of the Notice of Breach and Election to Sell or the personal delivery of the copy of the Notice of Breach and Election to Sell and the posting and publication of copies of the Notice of Sale have been complied with. Said property was sold by said Trustee at public auction on 6/25/2013 at the place named in the Notice of Sale, in the County of BUTTE, California, in which the property is situated. Grantee, being the highest bidder at such sale, became the purchaser of said property and paid therefore to said trustee the amount being $69,000.00 in lawful money of the United .States, or by the satisfaction, pro tanto, of the obligations then secured by said Deed of Trust. Date: JUN 2 $ 2013 QUALIT (OAi I CE: 9 ��RATIOf� By: Fr'ancisp6-NCordles, Assistant Secretary State of: California) County of: San Diego). �IUN 2 � 2Q13 'del. Sanchez On before me, a notary public, personally appeared Francisco Morales, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instruonent and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing .paragraph is true and correct. WITNESS my hand and official seal. W. SANCHEZ Signature (Seal) T Commission # 1958442 Notary Public - California D W. Sanc ez San Diego County My Comm. Expires Oct 28, 2015 c av-a� ®a THIS OFFICE IS ATTEMPTING TO COLLECT A DEBT AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. .t�.a 4772-80B PERMIT NO. PERMIT EXPIRES_ OWNER Carl A_ 9.actrow Oro Ridge Prop., OroviBe CONTR. ASSESSOR PARCEL 34-62-12 LOCATION 72 No.Lodgeview Dr.,lot 132, KR#1, Oro Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service CaVedG&E een JOB FINALED (Date) Q Signature / J = OK O = Not OK - = Not Applicable = Not Ready 66,k,21.� RESIDENTIAL (Single and Duplex) 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 -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-Underflr. Access 7. Piers=Fireplace Ft .-Stee.1 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. 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 Card -BI Date Date FINAL (Plans) OK,except p's 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. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & S_ubpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights &Switches at Doors 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Ga,rage;.Above Floor -Meth. Protection & Mech. Equip. Listed for Location Plb., Elec. 22. Size 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. 72, Insulation -Foam -Looked in Attic E) Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails.&_ -Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents.& Crawl Hole Door -Drainage & Wood -Earth Clearance Looked, undenFloor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral [--]Yes ❑No 75. Following inslld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters, 0 -Yes ❑No 28. ,Service -Riser Conductors & Ground -Main Disconnect 76. Stucco;. Brown -Finish 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.-Clearance to Opngs. -. -- -_____ 79. Water Well; Disconnect, Electrical, Plumbing Card B -I Date----- Card -BI Date 80. 81. 82, Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection _ Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer. Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates - _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade Card-BIDate __ Card -BI 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date _-___. 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 37. Walls: Studs -Nailing, Spacing & II gating -Plates -Sound 38. Bearing Walls over Girders & Floor_Nailing. 39. Draft Stop in Walls (rat proof) Comments at Final: 40. Eire Stops,; Fuurred Ceilings -S irrs-Chases-7ub 41. 42. 43. 44. Header & Beam -Size &,Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties - Purl in -Roof Brac.-Truss-Shthng.-Rfng. 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 Hgl. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobstte)> ,dt J = OK 0 = Not OK Not Applicable MOBILEHOMES = Not Ready 4 MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans)',OK except N's 4k."Zoni,!jg Requirements -Setbacks -Easements 1. Zoning uirements-Setbacks-Easeme s 4v-56-ils: Special MH Support -Sketch 2. Footings; ize-Depth-Spacing-Conne tors 9"—Sewer; Location -Test -Fall -C/0 -Concrete 3. -Decks; Gi ders and/or Joists-Deckin -Bracing-Stairs-Rails *7^Water; Location -Test -Easement Needed (Sketch) 4. Wood Awnj: Posts- Beams-Rftrs.-c nnec.-Shthg.-Rfg.-Bracing Sr6lectricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Aw ; Columns -Connection Splice -Decal -Enclosures "b-_Uas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; indows-Doors -7--IItility Clearance 7. Elec. Card -BI to q53 Card -BI Date ; Card -BI Date Car/ -Bl Date Card-B12j Date O Ot- and -BI Date Card -BI Date C rd -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except q's Date POOLS (Plans) OK xcept 's 1. Zoning Requ ements-Setbacks-Easeme is 1. Setbacks -Ease nt 2. Footings; Siz -Spacing-Marriage Li 2. Soils; Compactio lructure Stability 3. Gas; MH Test- errand -Valve -C nector 3. Pool Structure; S I -connections -Thickness -Dead Men -Lining 4. Electricity; MH st-Crossov s -Breakers -Clearances 4, Elec.; Recepta les d Lighting; Distances-GFI 5. Drain; MH Test- F I -F le onnector 5. Elec.; Pool ghting; 15 volts-GFI 6. Water; MH Test -Reg r -Connector 6. Elec.; Encl sures; Co uit Entries -Terminals -Listed 7. Water and Sewer Con GIN4-C/0 to Grade -HD Approval 7. Elec.; Bo ding; Metal w 5' -Circulating Equipment -Heater 8. Gas and Electric! Tagged 8. Elec.; G ounding; Equip. 5' -Circulating Equip. -Pool Lghtg. Boxes nclosures-Panelb rds-Ins. to Main in Conduit 9. Exits; Insp.- S etch 10. Cert. of O50 ncy 9. Healtj Department Approval -6p. 10. Plu b; Cir. Test -Water Supply est Card B -I Date Card -BI to Card -BI 11ate Card -BI Date Card B-1 Date Card -BI Da)tk Card -BI I Date Card -BI Date %, ::j_ .4a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95y65 - Telephone 916/534-4541 APPLICATION AND PERMIT `ERMIT NO. V ASSESSOR PARCEL NUMBER 34 - 62 - 12 ZONING 07-1 t7JL_JAJ6 BUILDI PER OWNER Carl A. Zastrow TELEPHONE 589-0371 SO. FT. OCC. BUILDING VALUATION �5� �_ OWNER'S MAILING ADDRESS 23 Royal Oaks Drive, Oroville, CA. 95965 CONTRACTOR'S NAME Oro Ride Properties, Inc. TELEPHONE 589-0152 CONTRACTOR'S MAILING ADDRESS 5263 Royal Oaks Drive, Oroville, CA. 95965 CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation Is 5100-00 LENDER'S MAILING ADDRESS Permit Fee $ .00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /g, 00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r 00 BUILDING ADDRESS 72 No. Lodizeview Drive PLUMBING PERMIT Filing Fee 3.00 Oroville California 95965 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME Kelly Ridge Estates PARCEL MAP Each qas water heater or vent 2,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 509P0107- S7_?UG7Ze.0 SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New [ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LE LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ] I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 295666 Classification B—Gen. ❑ 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 NO N.RESID BRANCH CIRC ITS 2.50ea NEW CONSTR. POWER APPARATUS & NON. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@� BAL@tos FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. n I have placed on file with the County of Butte Building Department 3� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify„and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai �idRC� �9}�etpgre�oflt granting of this permit. X ' �� Date 9-16 aU ignature.of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ . C20 occuP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRE O OF PUBLIC By Pod,T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. Zia WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT w Telephone ' 53&2000 North Burbank Public .Utility District 1960 Eton Street OROVILLE, CALIFORNIA 95965 211-80 DISTRICT APPROVAL AND - VERIFICATION OF INSPECTION (BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North.Burbank Public Utility District, must be submitted to Butte County. Applicant: GAS A ZARTROW Applicant Address: 23 ROYAL OAKS DRIVE. OROVTLT.E- CA 95965 Applicant Phone No.: 589-0371 Property Location(s): 72 NO. LOAGEVIEW DRIVE KELLY RIDGE ESTATES TOT 117TINTT I A. P. No. (s): 034-62-0-011-0 r Fees Paid: ALL FEES FA T) TN ADVANCE RV ROTITNF.Rm r4T.TFORfJTA Application for service approved: SEPTEMBER 16, 1980 North Burbank Public Utility District i. Inspection(s) made and successful test(s) observed: Location: � / Y 2 k Date:1-2 By: North Burbank Public Utility District release to close permit: Date: '� -�6 - RO , By: 17.t��. �-r� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY -CEN -TER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of -`iie California Administrative Code, Title 25, Chapter 5, under permit number. -� ��� for the following location: Gn-06^ ti/ tv Owner %-1-1/l 4- 2- Owner's Owner's Address Mobilehome Mfg. 010112--2 10-2LL/''! Model L PIC ap�fVjyear Insignia No�AL )595 4, f X95-- -3i 7 SerialNo. -5 3n3-4' It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date �d ' .? rfi - r4' U By if'�///!�-/.�(i f THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. ' PERMIT NO: 4773-80P,L- y/ 7a-8D� F e : PERMIT EXPIRES�iL�/ OWNER' Carl A. ZaStrow 4 CONTR. Oro Ridge Prop., Oroville ASSESSOR PARCEL34-62-12 LOCATION 72 No.Lodgeview Dr., lot 132, KR#1, Oroville f T 1 I Temp. Power Pole - Called PG&E G Q� -Zamp-Elec. Service Called PG&E LY l 4 Temp. Gas Service i Called PG&E JOB` AGLED (Date) Signature ' J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) ' * = Not Ready Date UNDERFLOOR Plans OK except N'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. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg.,. Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 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. 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 k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57.4 Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage;_Above Floor -Ducts -Meeh. Protection 15. Water Pipe; Test & Anchors -Nail 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. 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 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65, Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 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;JAbove Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Eled: & Mach. 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. 72. 73. Insulation=F_oa_m-Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked underfloor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Oyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown. -Finish 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.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground _._ Card B -I Card B -I - ____. _Date _ Card -BI Date Date Card -BI Date 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except 4'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 Card -BI Card -BI 34, 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date 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 Comments at Final^ 36. Sills; Proper Material & Anchors _ 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.. 42. 43. 44. Header & Beam -Size & Bearing .. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthrip -Rfng. 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 Hqt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) - J = OK 0 = Not QK- - = Not Applicable MOSILEHOMES = Not Ready 'I, y ... ,., MISCELLANtOUS Date MOB!HOME UTILITIES (Plans) OK except k's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s Zoning Requirements–Setbacks–Easements 1. Zoning Requirements–Setbacks–Easements gZe-foils; Special MH Support–Sketch 2. Footings; Size–Depth–Spacing–Connectors – S. aS e •-ocation–Test–Fall-C/0–Concrete 3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails ater; Location–Test– _ 4. Wood Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rfg.–Bracing 00"Electricity: Location–Clearances–Grnd.– Amp–Concrete _ 5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures _ R Pas; LocatiorTest–Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows–Doors Utility Clearance apo /- A{6 dw 4 7. Elec. gt 10 Card-1368V__Date ,/D"JOCard-BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s Zoning Requirements–Setbacks–Easements 1. Setbacks–Easements ootings; Size–Spacing–Marriage Line 2. Soils; Compaction–Structure Stability --@-Gas; MH Test–Demand–Valve–Connector 3. Pool Structure; Steel–Connections–Thickness–Dead Men–Lining Electricity; MH Test–Crossovers–Breakers–Clearances 4. Elec.; Receptacles and Lighting; Distances -61`1 AwOlTr-ain; MH Test–Fall–Flex Connector 5: Elec.; Pool Lighting; 15 volts–GFI alpp,,MH Test–Regulator–Connector 6. Elec.; Enclosures; Conduit Entries–Terminals–Listed er and Sewer Connected–C/O to Grade–HD Approval 7. Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater .!=^^ d Electricity Tagged 8. Elec.; Grounding; Equip. w/5'–Circulating Equip.–Pool Lghtg. Boxes–Enclosures–Panel boards–Ins. to Main in Conduit AbO"Exit,s; Insp.–Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test–Water Supply Test Card rd -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date CO k" r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUTEDING OR PROPERTY ADDRESS 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. F IS G30S�4rn7 /��Yr 77t.t.f C -72-//V- P441-1 S 9. Electrical' A. Is service large enough to provide adequate amperage to mobile�iome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.?,. Yes_ No B. Is there proper clearances around panels? Yes_ No C. Is power supply cord or feeder assembly properly fused? Yes_ No 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 theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width I - Vehicle Serial No. State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances above ground? -(Sec.5085) Yes_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yesi No_ 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No C. Backflow - If coach is not State of'California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ No B. Does it have minimum V per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No__ D. If coach is not State of California approved, does station have required trap and vent? Yes . No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome cor}nector. Yes_ No B. Test OK as per following procedure? Yes_ No 1, Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE // 4aoaoc"/,C' 04— BUILDING OR PROPERTY ADDRESS 11.1 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. S�,4 QU (A)II �r e�i�a ir2F._.I� c Inspector Rr Date .�, COUNTY OF BUTTE,= .DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 �O! APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X DateAL1 Signature of Permitee or Agent Receipt No. 4170-3 White-D.P.W. - Yellow -Assessor -Pink-Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS By . Date /e 3-eo Building permit expires Date f BUILDING C)r®a Owner Carl A. Zastrow SQ. FT. OCC.1 BUILDING VALUATION Mailing Address 23 Royal Oaks Drive Oroville, CA 95965 1 15n89 No0 371 Contractor ORO RIDGE PROPERTIES, INC. Mailing Address 5263 Royal Oaks Dr. Fireplace Total Valuation Oroville, CA 95965X0152 Permit Fee Building Address 72 North Lodgeview Drive Plan Checking Fee &/or PenaltyPermit Fee Oroville, CA 95965 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Lot 132, Unit 1 KELLY RIDGE ESTATES Repair drainage or vent piping 1.50 A. P. No. 34 - 62 - 12 Zoning $ Planning Water piping 1.50 Each gas water heater or vent 1.50 F461 ire Dept. Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P s Recd I Parcel ApErovol I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 101v OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD•L 100 AMP 2.50 y /,' '•-�' Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. AD—L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. 4) 22sgft 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: ORO RIDGE PROPERTIES, INC. NEW CONSTR BRANCH CIR T NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEWCONSTR /POWER APPARATUS B NON .RESID. (SINGLE OUTLET CIR. EX. OCCUP(OUTLETS OR FIXTIIRES BALD; FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 295666 Classification B -Gen. Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 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 California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Mfal. Hm Installation $ 40.00 TOTAL PERMIT FEE $ 50.00 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X DateAL1 Signature of Permitee or Agent Receipt No. 4170-3 White-D.P.W. - Yellow -Assessor -Pink-Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS By . Date /e 3-eo Building permit expires Date f BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. - PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET - 1. Owners name: Carl A. Zastrow 2. Installers name: ORO RIDGE PROPERTIES, INC. 3. Is the site currently under permit? Yes /X / No (If yes, furnish permit number 4772.0 ) OR Is the site an existing site? Yes / / No / X/ (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 /X / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 200 Amps 6. What is the mobilehome site service rating? --------------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? ------------- 200 >• Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No / X/ (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------------------- -07 (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? _O_ (ft.) 12. :What is the mobilehome gas demand? ------------------------------ -0- —(BTU) (This information not required if pipe length less than 6 ft.'on natural gas or less than 50 ft. on LPG.) tis o E- ZA_STROW IL NO, Loageview LL. 132/1 MOBILEHOME SUPPORT DATA ,If other than single wide Mobilehome Mfr.Mt. Valley.Homes, Inc. furnish Setup Model No.2BhR,LPKw/Bonus year 1981 ----- ------ Width 24 (ft.) Box Length 6 (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) Single 1. Wood either pressure treated ox foundation grade. X30 (ft.)(in:) (in.) (in.) ❑ 2. Other (specify) Center support Center support Supports (check one) locations* footing sizes (in.) l ; * Concrete block. ❑ 2: Other (specify) (ft.)(in.) (in.) (in.) <----Tagalong or Expando,' show support details. (ft.)(in.) (in,) (in.) /r2 x 30 -- Typical Support (in.) (in.) Footing Size x D (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang 0 (in.) (inn .) (ft.)(in.) 501? -90 01) tiwBUTTE COUN i I 3UIL.DING DEPARTMENT ,3/ 71 *If center piers are other than drawn above, A P P Q0 V.E D Zl draw =in --locations, spacing, and dimensions. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 _ XPPLICATIQN_AND PERMIT ,ASSESSOR PARCEL NUMBERNING 3 - 62 - 12 ZO BUILDING PERM OWNER Carl A. Zastrow TELEPHONE 589-0371 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 23 Royal Oaks Drive Oroville CA. 95965 CONTRACTOR'S NAME Oro Ride Properties, Inc. TELEPHONE 589-0152 CONTRACTOR'S MAILING ADDRESS 5263 Royal Oaks Drive, Oroville,_ CA. 95965 CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee M, i $ /0-067 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 72 No. Lod eview Drive PLUMBING PERMIT Filing Fee 10.00 Oroville California 95965 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping p�pp LOT NO. 132/1 SUBDIVISION NAME Kell Ride Estates Y g PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets romp USE OF STRUCTURE SF ❑ Duplex[] Mobilehome,K Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities,K Installation ❑ Other ❑ Describe work: Permit Fee $ OD Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 00 AMP ORSLESS 5.00 S.00 Main service EA. ADD'L 100 AMP �0 2.50NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP,&) 20sgft CONTRACTORS LICENSE LAW I declare under penalty perjury p y of p 1 y (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 295666 Classification B—Gen. ❑ 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 NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS H NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SO@� BAL@10Q FIXED APP LHS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ) ,� Misc. Wiring 6.25 Permit Fee $ 3A _yo Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' ilities, judgments, costs and expenses which may in any way accrue agai ®id P tri 8 pf Lli(b6ranting of this permit. X Date /'/6- SU Signature of Applicant — Owner ❑ Contractor El Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ �a OCCUP. GROUP I TYPE OF CONST. IPARCEy PD ND ,i ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO O PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS n�� � E) Date /�j7. y] /'`�-/// / t3�storiess Receipt No. TZ -(JV WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT �.�+..,k�,�y.....w. __ f'.. _ �n/•`���/�. J { . r . L�YY�.r...-1-1"1-rriw }.rti ... a f �. _ . -.+ �{ COUNTY OF BUTTE-DJEPARTMENT OF PUBLIC WORKS — BUILDIN51DIVISION ' 7 County<;Cente?'=D'/ive�� Oroville, California 95965 — Telephone: 534-4541 h. PERMIT APPLICATION DATA SHEET OWNER !�ra`iA'G,_0 Proposed Building Use (Y\/ f4 v�C Permit fee based upon: Compl Other (explain) Contract Price Permit No. A.P. No. ✓_ DPW Valuation Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate................................................... I........... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... = 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow).................................................................................................. 15. Pre -inspection for required. Pre•inspec.request to bldg. -inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. ✓ Telephone -S-59 _o lS '6-,— and hold for pickup at J*, -('—> office. Deliver w/inspection. Other Applicant 'bl �_O Date Copy of plans sent Health Dept., Fire Dept., Other Dater During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by DateCg C) OTHER: Copy/DPW 4 C 0 0 j< ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 .. - PHONE (916) 533-6457 October 82 1980 James G lander Department of Public Works 7 County Center Drive Oroville, California 95965 Re: 80551 Dear Jim: We are pleased to submit .the enclosed Report on Controlled Compacted Fill for: Zastrow K.R.E. Unit 1 Lot 132 ! if you have any questions, please do not hesitate to contact us. Very truly yours, COOK ASSOCIATES dy- 9,e\,. e\ Lew? Hiatt Civil Engineer LH/cab No. 22264 Enclosures cc: Doyle Carter I - cool ASSOCIATES Er1GINEERiNG CONSUL7ANT5 2050 PARK AVENUE OROVILLE- CALIFORNIA 95965. -• - PHONE . (916) 533-6457 October 83, 1980 REPORT OF CONTROLLED COMPACTED FILL PROJECT: Kelly Ridge Estates Unit 1 Lot 132 Z as trow Re: 80551 GENERAL Compacted fill was placed to provide support for a mobile home. The maximum depth of compacted fill 'is about 8.5 feet. DESCRIPTION OF FILL Prior to placement of fill, the area to receive structural fill was cleared of weeds and debris. The material used for the fill was native cut and fill, behind a retaining wall.. Fill was placed in loose layers about six inches -in thickness and compacted by track rolling. Water was added to the fill prior to placement of additional fill. During construction of the mobile home pad, fill was placed outside the structural fill. This fill was not tested during grading and is considered to be a non-structural fill. A typical cross-section (Plate.l) depicting this condition is attached. The.approximate extent of the grading is shown on the attached drawing "Location of Density Tests".• TESTING Field density tests were taken at frequent intervals near the fill surface. Representative samples of the soil were taken to the laboratory for compaction tests. The. compaction 'tests were performed in accordance with the laboratory standard ASTM 1557 Method C. The relative density of the fill was determined from the compaction tests. Where tests indicate insufficient compaction the material was removed, recompacted and retested. The location of the field density tests are shown on the. attacheddrawing. The results of the tests are given on the table "Summary of Tests". CONCLUSIONS Based on intermittent observation, it is concluded that the structural fill was placed in an orderly and efficient manner and that the field density tests are representative of the structural fill placed. It is our opinion that all portions of the structural fill are compacted to at least 90% of.the maximum density, in accordance with the requirements of the County of Butte. COOK ASSOCIATES Qom- By ` Lew iatt Civil Engi er SUNUTARY OF TESTS PROJECT: K.R.E. Unit.1 Lot 132 Zastrow Re: 80551 FIELD DENSITY TESTS: Field Test Density Percent Maximum Degree of No. Date Elev. pcf Moisture Density Compaction. Remarks 1 10-2-80 1' 119 16 128 93 2 10-2-80 3' 118 16.. 128.. 92 3 10-3-80 5' 114 14 128 89 4 10-3-80 7' 116 16 128 91 5 10.-6-80 8.5' 118 12 128 93 COMPACTION TEST: Maximum dry density, pcf: Maximum size tested: Optimum moisture, percent: VISUAL CLASSIFICATION: Soil type: RC: TYPICAL* CROSS SECT.IONi Not To Scale FINISH GRADE DUILDING SE T BACt� LIVE NON- t�`., STRUCTURAL FILL i ,, .,,. � fit: �4f 0 PERMIT NO. 5511-80B PERMIT EXPIRES / f jel l OWNER Carl Zastrow CONTR. Lancaster & Son, Oroville ASSESSOR PARCEL 34-62-12 F LOCATION 721b•Lodgeview Dr., lot 132, KR#1,0ro Temp. Power Pole— Called ole_Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Called PG&E A JOB FINALE/Date) /� kZ Signa V = OK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements . Zo ' g Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . 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) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. .- Cr Card -BI Date Card -BI Date Card -BI at % - Card- Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N'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 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 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 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date- Card -BI Date Card -BI Date Card B -I Date Card -81 Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable � = Not Ready RESIDENTIAL (Singlez P and Duplex) Date UNDE OOR Plans OK except #'s DIte FRAMING (Continued) Zo requirements -Setbacks -Easements 48. +hapertq-Line.Ejrewall &Openings t in; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth49--Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg. rage; Soils -Steel- / /" Ftg. Depth 50. SlaiP&-*FdthHeadroom-Rise-Run-Landing-Fire Protection g., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. verhang-Attic Vents -Rafter Outriggers c&.. -Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Sidi"g=fdathTrg-Veneer emwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. SWcca•Meeh-Brig Screed-Fdn. Vents-Underflr. Access !Piers -Fireplace Ftg.-Steel 54. G - Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. S s; ailing -Bolts 9. Gas Pipe; Size -Anchors 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-Bate ,Z,' Card -BI Date Card -B Date IF Card -BI Date Card -BI Date Card -BI Date Card -B ate _( - Card -BI Date Date FINAL (Plans) OK except N's Card -Q/ Dail d -BI Date y Date PLUMBING (Permit) OK except N's 56 elight Protection -Landings 57. 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents- co-LeaAi.aic=Connector- I ove Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59 17. Shower Pan; Test, First Floor -Tub Access 60. ss 18. Test Tub & Shower, 2nd Floor -Tub Access4r-ETR. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors airs & Rails 63. earth 64. . & Ext. Card -BI Date Card -BI Date 65 ap-Cooking Clearance Card -BI Date Card -BI Date Date ELECTRICAL Permit OK except q's 66. fz unter b'7. Closer 68' -0-PIxture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- InMarage; Above Floor-Mec . rotection ec. Receptacles Spacing -Lights & Switches at Doors 70 P or Location ize Boxes & No. of Conductors -Stapled c. Re tacles in Garage; (G.F.I.)-Romex Protec. omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 n -Foam -Looked in Attic 1-1Yes YS[ Ftppliance Circuits in Kitchen &Conductor Size ost Caps 2Ci-16Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 7 • Fd encs &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes -1?7:,�ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes [3 No 75. Following instld.: Drive []No; Walks es ❑ No; Planters El Yes ,28,r -Service -Riser Conductors & Ground -Main Disconnect 76. S •28.• Equip. Clearances; Panels-Motors-Mech. Equip. 77, t-Clrnces-Brkr. & Cond. Size -115V Outlet ger-Clothes Closet Light -Shower Light 78.Above 79. o g.-Appliance-Firepl.-Clearance to Opngs. WffteriMI, 15tS,0111muh, Electrical, Plumbing - 'V GJ 77% C,- xterior Elec. Trim; G.F.I. Receptacle -Underground Card B Datef��'� Card BI Date 81 82 Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation &Support 83. 84. P ections ed; Gas -Electric 85. ted -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86. ertificate-Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- Card- at 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 Comments at Final: Date FRAMING Plans OK except q's 36. -AMTS-'roar Material & Anchors 37_WeHe-6EnAs-Nailing, Spacing & Bracing -Plates -Sound _ 38_mover Girders & Floor Nailing _ 39. `9"463UQ_ULfiAIIs (rat proof) 40 eilin s -Stairs -Chases -Tub 4_ VIT7_75i ze & Bearing ngers-Post Caps -Anchors -_Connectors_ 44-erng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. Fkaplaee�ee"r Type A Flue -Fireplace Throat 45. ASize & Romex Protection -Draft Stop -Ins. Baffles 46. 13rhrriMinde+vs or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) ��l/-�/ 5���� �: �. � ��l/-�/ 5���� COUNTY OF BUTTE Department,of Public Works 7 County.Center Drive Oroville------534-4541 ELECTRICAL INFORMATION FOR. DE -RATING MOBILEHOMES Owner (i�:C�t�EF-1 - Location %,.,2. 1 _W1;W1--FS-) Mobilehome Installation Permit No.� FILL IN INFORMATION FOR ITEMS 1 THRU 10 . Watts 1. Width' ,2 x Box Length x 3 2.. 2 Kitchen Appliance.Circuits ................. = 3 0000__ 3. 1 Laundry Circuit ........... = 1,500 4. Ovens ...................................... LDU 5. Cook Stove Top ... _ yrs m D 6. Hot Water Heater ............................. _ 56�^ 7. Dishwasher & Disposal ........................ 8. Clothes Dryer ..................... 9. Other (specify, i.e., motors, exhaust fans, .etc.) /S bo Sub -total - Watts ..... 3 3 First 10,000 watts @ 100% ................................ = 10,000 Remaining ,23 watts @ 40% ........................ 2 2 O 10. Air Conditioner a D watts @100%.. = 7 910 ) Largest Demand Central Heat System _watts @ 65'/0.. _ 11 :7130 ) TOTAL DEMAND WATTS REQUIRED ............. 196 7 "Demand Watts Required" 230 ............. ............ _ /I_AMPS De -rate Mobilehome to ..........gUTTE.C.OUNTY /A �� AMPS BUILDING DEPARTMN "A.PP.ROVED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. n 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 /--- Y� APPLICATIQN,ANQ PERMIT ASSES O :AZ;E O] UMBEZ� (� z 'NG BUILDING PERMIT WNIE rOW T L PHONE SO. FT. OCC. BUILDING VALUATION NER'S MAILING ADDRESS C NTR ACTOR' AME TELEPHONE C 2 CONTRACTOR' MAILING AD ESS CONSTRUCTION LEN ER ��UNKNOWN Fireplace Total Valuation LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRE PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION (VE LpGas PARCEL MAP Each qas water heater or vent- 2.00 piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system2.00 ,--, / TYPE OF WORK New ❑ Addition Lam' Remodel ❑ UtiIit'es ❑ Installation❑ Other ❑ Describe work:(11%ye- rQd e'o-1w em -1 ��—(J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service eoov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare rpenalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and Qmjy license is in full fo ce and effect. �`2 �0 3 Wy 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 U TI -OUTLET NON.RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR. (POWER APPARATUS &1 NON.R ESI D. SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES 50@� BAL@1 Ex. Occup. (OUT OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIIng Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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 C ent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, 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 2.00 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, indemnifyp*-ke_ep harmless the County of Butte against all liabilities, judgment costs, and a ses which may in any way accrue againstsaid County in sequenc the r ting of this permit. X e � /,_� ^G O s Owner❑ Contractor Agent ❑ Sign ure I ApVre An SHA permiuired For excavations over 5'0" deep and demolition Dr construct- ion o cturesstories in height. Mobile Home Installation Fee $ Land Development Fee $ ,r TOTAL PERMIT FEE $ (p OCCUP. GROUP �_1 I TYPE OF CONST, V PARCE PD D 55�y This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PE IT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS Date Receipt No. 4_4 141 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSa P�R1utIT) - 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 APPLICATION AND PERMIT - ASSES R PARC MBEi NIN BUILDING PERMIT OWNER - �X' TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNERAILING DRESS CON�CTOR•S NAME TELEPHONE CONTRACTOR'$ MAILING ADDRESS SATc-a Fireplace CONSTRUCTION LENDER UN1<2 WCL (/ Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER /A[ �� Q LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS %2 PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDI'VISIOn1�J I 1` PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRU URE SF [:1 Duplex ❑ Mobi lehome ❑ Others I � �4 t SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ut' ' 'es ❑ Installation ❑ OtherContractor Describe work: ��I�� Y �-S1� I' O Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. (DWEL e?f.EI' OR ADONS. ACC. G LL..++ 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. �) Classification C ��V ❑ 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 I -OU L T 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �� IxED APPLNS. OR Ex. Occup.(O UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. © 1 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of^'' Butte to enter upon the above-mentioned property for inspection purposes. 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 again t said County in consequence of the granting of this permit. X Date &—G, Si ature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -CTO ion of structures ove�r^3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ of f ` IS OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC By. _' "%� PERMIT EXPIRES Dae the applicable provi- resolutions to do fees have been paid. WORKS Date /— �� _Receipt O No. / �b-C� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAMON AND PERMIT /e3 Z_�W/ ASSESSOR PA CEL NUMBER _ZONING Z L ' BUILDING PERMIT OWNER (/ e / c�-� 6(1 / �- W TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS COL / RS ILL— ONE T77— 1`174o „ CO/TRACTOR•SMILINGADDREWLBU P,412,09 01,55 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS�7 `*Z_ �, / 1 -DD c- V/ D', PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT Z UBDIVISION.&AME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ--o'ther SPECIFY Building sewer Lawn sprinkler system TP5.ap TYPE OF WORK New ❑ AddItio ElRemodel ❑ Utilities ❑ Installation❑ Other Describe work: �i9LU� SP����� �ySM Permit Fee $ SDO Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 + Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.5i OR AODNS. 1 ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ca9/ 3.2T Classification e' -- m27 ❑ 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 I -OUTLET 2,50 ea NON.RESID BRANCH CIRC TS NEW CONSTR.POWER APPARATUS Q NON-RESID. %SINGLE OUTLET CIR. EX. OCCUR(OUTLETS OR FIXTURES BAL@1 (.FIXED APPLNS. OR Ex. Occup.UTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 s d County in consequence of th ranting of this permit. JP X / Date old Cr Signature of Applicant — Owner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct-D6CTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �-j 00 OCCUP. GROUP I TYPE OF CONST. =01 ND ssuE Th• ermit is hereby issued under s ns of the Butte County Code and/or dicated above for which OF PUBLIC WVO' ri��'t U PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date --S-�� _%J 5; 5 ,� — S� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT