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069-200-042
Permit #4494-79B(new -c;pen deck/MH) tis�9-za —42 .,� contr�orthstater lu:�inum, Chico Permit #6767-79B(new awnings/MH) 69-20-42 If Permit#3230-8 osolar wa s 069-200-042 06-1769 BUCHOLZ, LESTER 12 STURGEON CT, OROVILLE Cont: PREMIER BUILDERS MH PERM FND(EX) i a .= ti Jesse C. Currier 12 Sturgeon Ct., lot 100, KR#3, Oro. Permi�t,,/�3 84-78P,E(u i1.,MH) ELEC.df-719 9a -CAF. -Jo GA S SUPPORTO STRUCTURE REQ. COMP� CTION TEST EQ. �7Lta ' to > Contr: Shasta`Trailer Sales, *Chi Permit #467 78MHI "-�e �i�1�I Issued � �7g t�e�� Permit #58 1]-78B(new open deck/MH) Permit #6192-78B,E(new private garage Permit #4494-79B(new -c;pen deck/MH) tis�9-za —42 .,� contr�orthstater lu:�inum, Chico Permit #6767-79B(new awnings/MH) 69-20-42 If Permit#3230-8 osolar wa s 069-200-042 06-1769 BUCHOLZ, LESTER 12 STURGEON CT, OROVILLE Cont: PREMIER BUILDERS MH PERM FND(EX) i a c.� m�0 ' 20 -0038789 RECORDING REQUESTED BY: Recorded Official Records I REC FEE 10.00 t County of I COMM COPY 1.09 Butte I CAME J. GRUBBS I " County Clerk-Recorderl I I DD AND WHEN RECORDED MAIL TO: 09:3/AN 28-Jul-2ft I Page 1 of 2 BUTTE COUNTY BUILDING DIVISION IIII"III''II"IIII"I'II'I�II'I!I 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. LESTER O. BUCKHOLZ REAL PROPERTY OWNER/LESSOR 12 STURGEON CT. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME 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 06-1769 (530) 538-7541 BUI LDING,PER N0. TELEPHONE NUMBER CAL119962/3 SERIAL NUMBERS) SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER A/B6712 60'X 24' CAL119962/3 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION 'ASSESSOR'S PARCEL NUMBER 069-200-042 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. Apr 21 6—,7--9:38a Ali cht Law RECORDING REQUESTED BY: Kelly Albrecht. Esq. AND WHEN RECORDED MAIL TO: Name: Lester O. Bucholz Street Address: 12 Sturgeon Court City & State: Oroville, CA 95966 530 4 0867 p.5 it006-0023114 . Recorded I Official yknrds 'I CO1lutte f 1 CPMM J. 6R1lB]35 1 Cwdy Clerk-Recorderl I 1 8l2 r 31111 86-llay�EM6 1 REC FEE. 7.18 JC Page 1 of I 111111" H111111111011111111 itACBADM THS UNE FOR RECORDUS USE APN: 069-200-042 GRANT DEED' The undersigned graator(s) declare(s): � L Documentary transfer tax is S -O- (R&T Code 11930: Conveyance into or distribution from a revocable living trust) ( ) computed on full value of property conveyed, or ( ) computed on full value of liens and encumbmnoes mutaining at time of sale. (XX) Unincorporated area () Butte County , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, LESTER BUCHOIZZ hereby GRANTS to LESTER O. BUCHOLZ, Trustee of the LESTER O. BUCHOLZ REVOCABLE TRUST dated February 10, 2006 the following descnbcd real property in the County of Butte, State of California, more particularly described as: Lot 100, as shown on that certain Map entitled, "KHLLY RIDGE ESTATES UNIT NO. 3", which Map was recorded in the office of the Recorder of the County of Butte. State of California, on July 26, 1974, in Book 43 of Maps, at Page(s) 44, 45, 46, 47 and 48. Dated: April 2006. LESTER BUCHOLZ By: WAYNE ONBUCHOLZ, his attorney -in STATE OF CALIFORNIA . ) COUNTY OF _ r-AAJ.t ) ss. On April aWtO 6, before me, �f&Vfidftr�1 Notary Public, personally appeared WAYNE O. BUCHOLZ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity. upon behalf of which the person acted. executed the instrument. WITNESS my band and official seal. Signature Notary Public MAIL TAX STATEMENTS TO: Same as above Description: Butte,CA Document-Year.DoclD 2006.23114 Page: 1of 1.,...___. _ Order: bA41M Comment: (Seal) clifla INE J LEUC iI C.OIYIY 01 ROM � IIOTAIn P1NllC-CaLIeORiMA 'a. Fit{t�IGC01MfY +� ib t ansa 4: AW. 2R. 2080 . .r COPY of Document Recorded 28 -Jul -2006 2006-0038789 RECORDING REQUESTED BY:O Has not been compared with C Py original BUTTE COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 r 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. LESTER O. BUCKHOLZ REAL PROPERTY OWNERILESSOR 12 STURGEON CT. MAILING ADDRESS . OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME 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 UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE- CA 95965 CITY COUNTY STATE ZIP 06-1769 (530) 538-7541 BUILDING P 0. rp TELEPHONE NUMBER C� _J -/-,?4-0 6 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFJNUMBER A/B6712 60'X 24' CALI 19962/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUISER 069-200-042 .• ' t S Apr 21 06 09:38a Alt cht Law RECORDING REQUESTED BY: Ke11y Albrecht, Esq. AND WHEN RECORDED MAIL TO: Name: Lester O. Bucholz Street Address: 12 Sturgeon Court city.. Statc: Oroville, CA 95966 530 . 4 0867 P.5 X006-002311+ Recorded 1 BEC FEE. 7.18 Official RRecords I Co utte f I CASU J. SR LOW 1 County Clerk-Recw*rl I 1 JC 8120011 9511ay-M I Page 1 of 1 oil IIINII1111111111111111111111 RACEAWn THU LINE FOR WOORMS USE APN: 069-200-042 GRANT DEED The undezrignod s) deo s Dotua=tary transfer tax is S -O- (R&T Code 11930: Conveyance into or distribution from a revocable living trust) ( ) computed on full value of property conveyed, or ( ) computed on full value of liens and encutnbranoes remaining at time of sale. (XX) Unincorporated area () Butte County , and FOR A VALUABLE CONSIDERATION, receipt of whicb is hereby acknowledged, LESTER BUCHOLZ hereby GRANTS to LESTER O. BUCHOLZ, Trustee of the LE= O. BUCHOLZ REVOCABLE TRUST dated February 10, 2006 the following described Lea] property in the County of Butte, State of California, more particularly described as: Lot 100, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT NO. 30, which Map was retarded in the office of the Recorder of the County of Butte, State of California, on July 26, 1974, in Book 43 of Maps, at Page(s) 44, 45, 46.47 and 46. . Dated: April 2006. LESTER BUCHOLZ By: WAYNE O. UCHOLZ, his attornry-in STATE OF CALIFORNIA ) COUNTY OF r-A.Rd.yya ) ss. On April -Z4 06 • before mr, - L' itX&4iLrAo 9 • - - - - Notary Public, personalty $Plxared WAYNE O. BUCHOLZ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose meant is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his sipatuce on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. , N Signature /91 Notary Public MAIL TAX STATEMENTS TO: Same as above escription: Butt.e,CA Document-Yedr.DOCID 2006.23114 Page: 1 of 1.....___ rder: MNIIA4 Content: (Seat) CIN{lSii!!E J. liblCw C..1.4151.0571 IIOiA111 tiNt1C•C11.IrORi1tA a. fRD110 1:01Mry +► rb 6NNaNa. t3�,Aop. t19,l08i . BUILDING PERMITS NUMBER: 06-1769 Address or location of unit: 12 STURGEON CT., OROVILLE CA 95966 Legal Description of Real Property: 069-200-042 4 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: LESTER O. BUCKHOLZ Owner's address: 12 STURGEON CT., OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL11962/3 SERIAL NUMBER OR V.I.N.: A/B6712 i MANUFACTURER'S NAME: UNKNOWN YEAR: 1978 OFFICIAL APPROVING INSTALLATION:, DATE: 7—? -6 &-6 PHONE: (530) 538-7541 H.C.D. 513C ,V a PREMIER BUILDERS THIS CHECK IS IN PAYMENT OF THE FOLLOWING 7575 MARVIN W. PLOURD - GENERAL CONTRACTOR 6055 TERRA VISTA PARADISE, CA 95969 16.66/1220 (530) 872.1096 . �hWWan bit 1 osem.n PAY DOLLARS CHECK DATE TO THE ORDER OF DESCRIPTION DISC. 721 0482 GROSS F.I.C.A. 'FED. W/H u. STATE :E- DI ' F. ADV. PAYROLL AMOUNT Q r V BANK OF AMERICA, NA 11'00757511' 1 2 200066 D: 243581110978411' ` STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCAWARZENEGGER,.Gover DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards UN Title Searchr.:DE�w':�' _ Date Printed : 06/21/2006 Decal #: SL3971 Use Code: UNK Manufacturer: Original Price Code: AKH Tradename: DUAWA Rating Year: 1978 Model: Tax Type: ILT Manufactured Date: 00/00/1978 Last ILT Amount: $35.00 Registration Exp: 09/30% 004 Date ILT Fee Paid:. 09/112/2003 First Sold On: 09/13/1978 ILT Exemption: NONE Serial Number HUD Label / Insigni Length Width A6712 Urtkrt va C,, LZ/f94(.3Unknowna Unknown ✓7 B6712 U�xlaewo- 6WIIVq{, Z Unknown ; Unknown Record Conditions: HCD Lien Placed on Unit for 120 ILT Delinquency PPF Exempt r Registration Renewal Billing Sent to Owner Second Registration Renewal Billing - An application for title or registration change is pending with the department. For information regarding this application, please call 1-800-952-8356 and request to speak with a customer representative. Registered Owner: JESSE CURTIS CURRIER HELEN CURRIER (Tenants in Common Or) 12 STURGEON CT KELLY RIDGE OROVILLE, CA 95966 Last Title Date: NO TITLE ISSUED Last Reg Card: 09/16/2003 Sale/Transfer Info: Unknown Situs Address: 12 STURGEON CT KELLY RIDGE OROVILLE, CA 95966 Situs County: BUTTE Pending Owner: � LESTER BUCHOLZ I l q 12 STRUGEON CT OROVILLE, CA 95966 Reported Sold On: 07/31/2004 Title Searches: FIDELITY NATL TITLE CO 6141 CENTER ST PARADISE, CA 95969 ' Title File No. 309043 -MB * * * END OF TITLE SEARCH 069-200-042 06-1769 BUCHOLZ, LESTER 12 STURGEON CT, OROVILLE E' NOTES " Cont: PREMIER BUILDERS f MH PERM FND(EX) } RESIDENTIAL APN: Permit No. Owner. Site Address: Contractor. Type of Permit: f 1 - P�. SPECIAL 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 f a t DATE JOB FINAL.ED•r SIGNATURE CHECKED BY +=OK `* o = Not OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION SOFT -SET Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-DImrs-Gmd 'Amp -Concrete 6 Yard Gas; Loctn-Test Wrap Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 ElecMH Cntnty Test-Crossovers-Breakers-Clmcs 10 D n; MH Test -Fall -Flex Cnnctr tr & Sewer Connected -CIO to GradL-/x 12 G sand Electricity Tagged t Downs 0 Foundation (`2— '." • 44'Exits . - 15 C of Occupancy ii UD Label/Insignia Numbers Serial Numbers oa i �V`'sdP fid` MISCELLANEOUS - ID ECKS'COVERS'CARPORTS'GARAGES _ 1 Zoning-�Setbacks-Easements _ 2 Figs; SoilsSz=DpthSpacing-CnnctrsSteel _ 3 Decks, Girders/Joists-Dcking-Brcing Stairs-DuardlHandrails _ 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng _ 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs _ 6 Carports; Wndws-Doors _ 7 Electric _ 8 Frmg; Sills-AnchrsStuds4Utrs Trtisses _ 9 Siding; Nailing—Veneer—Stucco-Lath -10 Roof; Shthg-Roofing _ 11 Ezt; Steps-Doors-Landdngs 12 Braced Wall pnis 1 Setbacks -Easements _ 2 Soils; -CompactlonStructure Stability _ 3 Pool Structure; Steel-Dnnctns-Thickness Dead Men -Lining 4 Elec Rcptcis/Lting; Distance-GFI 5 Elec Pool Laing; l5 volts-GFI _ 6 Elec.Encisrs; Conduit Entries Terminals4 fisted 7•Elec Bonding; Metal w/5'-Crdtng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool ightg Boxgs-Etulsrs-pnlboards-lnsultn 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 Drawing do'e Sys f } 1 MISCELLANEOUS - ID ECKS'COVERS'CARPORTS'GARAGES _ 1 Zoning-�Setbacks-Easements _ 2 Figs; SoilsSz=DpthSpacing-CnnctrsSteel _ 3 Decks, Girders/Joists-Dcking-Brcing Stairs-DuardlHandrails _ 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng _ 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs _ 6 Carports; Wndws-Doors _ 7 Electric _ 8 Frmg; Sills-AnchrsStuds4Utrs Trtisses _ 9 Siding; Nailing—Veneer—Stucco-Lath -10 Roof; Shthg-Roofing _ 11 Ezt; Steps-Doors-Landdngs 12 Braced Wall pnis 1 Setbacks -Easements _ 2 Soils; -CompactlonStructure Stability _ 3 Pool Structure; Steel-Dnnctns-Thickness Dead Men -Lining 4 Elec Rcptcis/Lting; Distance-GFI 5 Elec Pool Laing; l5 volts-GFI _ 6 Elec.Encisrs; Conduit Entries Terminals4 fisted 7•Elec Bonding; Metal w/5'-Crdtng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool ightg Boxgs-Etulsrs-pnlboards-lnsultn 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 Drawing do'e Sys RESIDENTIAL (Single & Dut)lexl UA,t JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Pall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-SillsBolts-Joists-Vnts-Cripples 15 Acc & Vntitn 16 Insulation do DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls ovef Girders & fir Nailing 20 Draft Stop In Walls (rat proof) 21 Fire Stops; Furred CeilingsStairs�hasers Tubs 22 Headers 8 Beams-* &•Bearing• 23 Hangers-Post'Caps Anchrs-Citnctns 24 Ceiling Joist4W Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type AFlue=Frplc Throat Clrnc 26 Attic Acc; Si &"Riitx Prtcn-Orifi Stop -Ins Baffles 27 Bdrm Wndws or Exiting 15oorsSill alt &Dimensions 28 Garage Fire Prtct i Framing -RC Channel 29 Prprty Line Firewall & Opngs' . 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run4.anding-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts4ft Oritrgrs 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrnr Acc 35 Glazing Are PrtetnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-W a I Is -Ceilings 39 Infiltration -Walls -W ndws 90 0`ya DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndetrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz . Q CU or DAL AC Wire Sz go Q CU or DAL 48 Range Circ oa Q CU or DAL Oven Circ ga Q Cu or QAL Insulated Neutral Dyes QNo 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clmcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector UArt PLUMBING 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tull & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping 4 DATE MECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrin if Furnace In attic ar DATE FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc Comb, Air-Cnnctr In Garage; abv-ftr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFl 8 Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elee Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cirnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clmc 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 Pimb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insults -Foam -Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Dmge Planters Q Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnck Elec, Pimb 91 Ext Elec Trim, GFl Rcptcl-Undrgnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C10 to grade -HD ApprA 97 Energy Cmpinc Cert -Other Cents 98 Address Posted 99 Fire Sprinkler or o��` da mss. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 536-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP061769 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: 07/21/2006 APN: 069-200-042-000 the Business and Professions Code, and my license is in full force and effect. License Class: 1 License Number:N 317 Site Address: 12 STURGEON CT ORO Date: 21 Ob Contractor. M&Rolp ?4.00 J> Map Index: Description: EX MH, EX SITE, PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BUCHOLZ, LESTER O. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 12 STURGEON COURT 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 95966 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: PLOURD, MARVIN Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does DBA PREMIER BUILDERS such work himself or herself or through his or her own employees, 1584 WAGSTAFF provided that such improvements are not intended or offered for PARADISE, CA 95969 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-872-1096 proving that he or she did not build or improve for the purpose of sale.). O 1, 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 Contractor: PLOURD, MARVIN not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed DBA PREMIER BUILDERS pursuant to the Contractors' State License Law.). 1584 WAGSTAFF ❑ I am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95969 530-872-1096 Date: Owner: License #: 343173 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: S-i7a_V-t7 Co co 7> Total Square Ft: 0 S. F. Policy #: _ ( t .;'l Valuation: $0.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, l�,f� V0 v 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: 7.42t Lo t, '7 -21 -OG Applicant: MAvin 0" P1,00'K> WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anrvor I hereby affirm that there is a construction lending agency for the Resolptighs to do work d,ted a ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: >�� n I _0j� BY Date: / PERMIT EXPIRES ON: Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repre�Isenta,tives of Butte County to enterupon the above mentioned property for inspection purposes. nn Print Name: �t��L) W PI-.Ouky Signature: Date: 7 �ZI rOG ❑ Owner Contractor 13 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X For office use only: OWNER INFORMATION Last Name 13 First Name Address CityLp DV 1 0`' State evQ� Zip S Phone E-mail Fax E-mail Class B APPLICANT SIGNATURE X For office use only: CONTRACTOR Name L0-10 Address City State ;— Zip 6 9 Phone 0<22 _ /o G Fax E-mail E-mail Lic. # 33 i Class B APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name v - r 0 7&C `L) ZZ> Address City City State S te— Zip Phone Fax Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name v - r 0 7&C `L) ZZ> Address to pS S _PE ?z A) V f57 City , s� 4 State Zip ;Zfyd IF, Phone$ 7:2 ` ZD 96 Fax E-mail Lot # APPLICANT SIGNATURE X For office use only: Zoning Property Address 2 5r0z?1C—CDy✓ C'T Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP C BIN # PROJECT LOCATION AP# Property Address 2 5r0z?1C—CDy✓ C'T City m20vlL� Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: Pr re- AA /t, N 4E-::: V -,r 60V e-� A64 10XJ ve�� �x� arty dv,oP�.L� Sq FT- Living 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received bg v' Amount: _ 1 ' Bldg SRA Receipt #:1 5GV Sheriff 3 %a 4 SMIP Datero-D6 )�j nj� Other �"Il 1 Total REV 8-12-05 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 the plans. 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 A/C 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. El 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 at (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 KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 ;_O.W�Wwm X12 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Fi I Cop Xi2 Concrete Systeih 13UTT COUNTY BUILDING DIVISION APPROVED b'P(5V1C0q 7 -au( K.G. Engineer Approval State Approval MAXUFACTURFD HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY ONSSIONS OR DEVIATION FROM REQUIREMENTS . OF APPLICABLE STATE LAWS AND REGULATIONS Suft of California DVWUWM of Homing and Commuity D.Mopn,.d A OF CODES AND STANDARDS Page 1 of 8 • Atlanta GA,. 30336 0, X12 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • 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 o. Page 2 of 8 TIE DOWN ENGINEERING • 590i Wheaton Drive •Atlanta GA, 30336r/E 1. C ® ,Pit lel-l; � !{!�.`" t 2. 3. 4. 5. 6. 7. 8. 9. Installation of X12 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identity the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-314" Tube J -Bolt Nut & Washer � I® Lateral Struts Strut (flag end) j° 1-1/2" Tube #12 x 1" k Screws `, 1 -Beam Figure 2 Figure 1 enle d of Ho ! U -Bolt & mounting Bracket 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. TIE-� DOWN ENGINEERING1 Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" .4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal 5trut Xi2 Stabilization Pier Placement for Ground or Concrete W "M1 f t Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement I I I I I I I I I 1 1 t 1 1 1 Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 TOWN ENGINEERING ENGINEERING " F' Installation of Xi2 Concrete Systems 1. identity the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors` provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the — grade 5,1/2" x 2-1/2" bolt/nut provided.. — 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure t next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. Page 5 of 8 DOWN: ENGINEERING 0 0 0 O Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part#59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figure 1 Nut & Washer Beam Clamp Bracket Lateral Longitudinal — I —L j— — — I — — — _`�r 1-5eam Xi2 Installation Placement Longitudinal Strut Xi2 Concrete Concrete Longitudinal Hardware Kit Of None Tz a o yam_ Y.r Page 6 of 8 €DOWNI ENGINEERING Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 TIE V, D&V ENGINEERING Lo Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 4 59272-2 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 2 59272-2 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x'2-1/2 - Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10801 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc . #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 PERMIT NO. y6192-78B,E PERMIT EXPIRES 'f OWNER Jesse C. Currier 'CONTR. owner LOCATION (A.P. 34-72-42 12 Sturgeon Ct., lot 100, KR#3-, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED—� 0 (D (SRgnature) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding - To out Slab Roof Sheathing - iJ Water Piping Piers Roofing (1t__—/ Sewer Garage Fdn. Vents Fixtures Footings StemwalI E- Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings - -� Prov. for physically Fiandica ed Conformance of ex. ` structure Appliances Gas Piping & Test( Temp. Gas Slab Final Sanitation Patio FIRE LACE Final ' Footings Footing ELECTRICAL Masonry Walls Throat Rough — Reinf. Steel Bond Beam Final FI SPRINK RS Fixtures Motors Framing Test Water Htr. , . Stucco Final Sub aneIs Mesh MECHANICAL Grd. Fault Prot. Scratch Heatin Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation/ Permanent Door Closer Final % Final �- MOBILEHOME UTILITIES - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping B16EHOME 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.) I .t COUNTY OF BUTTE — DE"ftARTIAENT OF PUBLIC W K • ' 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ou U lull IGIJIGa V11LOLIVOA UI u1C LUunly UI DULLU 1U CIILVI UPUn 1ne above-mentioned property for inspection purposes. Date�C% Signature of Permitee or Agent Receipt No. it -3 1 6 White-D.P.W. — Yeilow-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 id. DIRECTOR 0 PU LIC WORKS By Date /z. ' — B ding permit expires Date 79 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address 5 U��� Ea•y 41 -'7 - Telephone No. Contractor 6Q'L0P_P_ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee Vor Penalty Permit Fee Z y dd PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 f Q� Repair drainage or vent piping 1.50 ,! A. P. No. .J `/ '^ 7 2 —7 ng anning Water piping 1.50 Each gas water heater or vent 1.50 F W. 95 Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 ECA Parking plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI s Recd 0000- Parcel /Approval Plan pproval Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3 U Main service 100 AMP OR SS ESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others © Main service EA. ADD'L 100 AMP 2.50 r X:/��` Xi C� / •, Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW CONST. DW.�L Ty) OCCUP. Y OR ADDNS. ( ACLC B 2¢sgft e', CONTRACTORS LICENSE LAW..NON I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business 81 Professions Code under the name le of: style NEW CONSTR BRANCH CIR T N ON_R0 NS � BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. 254 Ex. OCcuD1 {OU'rLETS OR FIXTIIRES) BAL @ Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EAR 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ifO $ C 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. kI certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL :No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT F EE $ ou U lull IGIJIGa V11LOLIVOA UI u1C LUunly UI DULLU 1U CIILVI UPUn 1ne above-mentioned property for inspection purposes. Date�C% Signature of Permitee or Agent Receipt No. it -3 1 6 White-D.P.W. — Yeilow-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 id. DIRECTOR 0 PU LIC WORKS By Date /z. ' — B ding permit expires Date 79 PERMIT NO. 6767-79B PERMIT EXPIRES Z1 -(Q S� OWNER Jesse Currier JCONTR. Northstate Aluminum, Chico 34-72-42 LOCATION (A.P. ) 12 Sturgeon Ct., lot 100, KR#3, Oroville 4 { r 1 F i r f w Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E T rr Gas 8erv. Called PG&E JOB FINALED (Da t� (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Forms Main Bldg. Footings Stemwal I Slab Piers Stemwa l l Slab Carport Footin s Slab Patio Footinas Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To ou Roof Sheathing Water P in Roofing �mZ �?�` Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for phsically handicapped Conformance of ex structure Appliances Gas Piping & Aest Temp. Gas Final Sanitation FIREPLACE Final Footing n /' F ELEC RICAL T Mesh MEC NICAL Grd. Fault Pot. Scratch Heating Service Brown Cooling Temp. ole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME U LITIES - - - • - - - - - - - - Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS i (NOTE: An entry must be made on this form each time you visit the job site.) COUN1T'OF'BUTTE' — 'bEPARTMENT OF PUBLIC W KS 7 County Center Drive — Oroville, California 95965 J Telephone: 534-4541 /�/�� APPLICATION AND PERMIT (� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. NORT STATE AIUMIN X Date 10/11/79 Signot6l of Perr tee or Agent Receipt No. �o9 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 DIF PUBLIC WORKS BYDate Building permit expires Date BUILDING Owner Jeff Currier SQ. FT. OCC. BUILDING VALUATION Mailing Address 12 Sturgeon Ct. Telepho e N03'392. 55��jj77 Contractor Northstate Aluminum Mailing Address 3029-A Esplanade Fireplace Total Valuation • Tel hone No. 343 7956 Permit Fee Building Address SturgeonCt. Plan Checking Fee &/or Penalty Permit Fee / p 6roville, Ca. 95965 PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 34-72-0-042-0 Zoning 8 tanning Water piping 1.50 Each gas water heater or vent 1.50 F s Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking ParcelEach Plans Declaration I Parcel Map 60' R/W I Improvements_ additional outlet .30 Building sewer 5.00 Bldg. Plas Recd Parcel A ro� Plans Approval Lawn sprinkler system 2.00 NEW EJ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP ORLESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 51 X 321 awningMain OVER 600V 25.00 service 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 5211 X 321 it NEW CONST OR ADDNS. ACCLLING BLDGS CCUP. !i\ •20Sq ft / 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: Northstate Aluminum MUL T NEW CONSTR BRANCTI,OUL T NON-RESID � BRANCH CIRCUITS 12.50ea NEW CONSTR. (POWER APPARATUS 11 NON-RESID. SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTIIPES1 5 L25 FIXED ALFT-S. Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 274008Classification B-1 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ®I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEWORKMEN'S PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE OL authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. NORT STATE AIUMIN X Date 10/11/79 Signot6l of Perr tee or Agent Receipt No. �o9 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 DIF PUBLIC WORKS BYDate Building permit expires Date PERMIT NO. 5911 -79'R • PERMIT EXPIRES Z -,,*Z OWNER, Jesse C. Currier owner CONTR. 7 .LOCATId?z2-42 12 Sturgeon Ct., lot 100, KR#3, Oroville Ir Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Da Ile, (Signature) COUNTY OF BUTTE DEPARTMENT' OF PUBLIC WORKS BUILDING 'IN$?,E TION- -9,90RD BUILDING . BUILDING (Cont'd) IPLUMBING Setback kO 7X6 '-2X I Firewall I Soli Plping Forms Main Bldq. Slab Piers Slab Carport Footings Slab Patio Footings isonry Walls Relnf. Steel �X� Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents 1 Insulation Prov. for ph sic ly handicapped Conformance of ex. structure ' Final a_ �2 9� FIREPLACE 1st Floor 2nd Floor 3rd Floor To out Water PI in Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & TeAt Temp. Gas Sanitation Final ELECTRICAL Fix Mesh MECHA ICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath f Ventilation X Permanent Door Closer Final v VFinal MOBILEHOME UTILITIES --------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME IN�STALL�ATION .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE Z y P/6D- t. lJ REMARKS OR CORRECTIONS ASE 'Z- e�• (NOTE: An entry must be made on this form each time you visit the job site.) S _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive •—• Orville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 4 BUILDING J OV Owner GrS r (7.Ct4 ie?a SQ. FT. OCC. BUILDING VALUATION 1 Mailing Address `tZ y%uq05"A) C7' elpeef-�LS T�i-3r2 Contractor Mailing Address Fireplace l.. Total Valuation o ,� Telephone No. Permit Fee Building Address �.? .S%Ll t� ,`r.L� K! CT Plan Checking Fee&/or Penalty Permit Fee 0C) PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ,/ 67n b/b0 A°!!T 3 �ef"�l�" /b1F Repair drainage or vent piping 1.50 -7 ,J A. P. No. ;3 <J / 2 — "� Z Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F ��ll�� W c6. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg.l9 Rev'd Parcel royal Plans pproval Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LE LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service/ EA. ADD•L 100 AMP 1.00 OR ADDNS. ACCNEW CONST. LBLDGS.LING CCUP. 4') 2Osgft C CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR (MULTI -OUTLET NON.RESID, (MULTI CIRCUITS) J2.50ea NEW CONSTR. (POWER APPARATUS 9 NON.RESID, SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXT11RES g L21� FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ is MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ $ CZ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. l/ X Date/ Signature of Permitee or Agent Receipt No. /993,44 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 h e een paid. DIREC R F PUBLIC WORKS uilding permit expires Date e-- y - 7 'PERMIT NO. 3684 8t',E PERMIT EXPIRES / f OWNER Jesse C. Currier ;CONTR. owner 34-72-42 ;LOCATION (A.P. ) 12 Sturgeon Ct., lot 100, KR#3, Oroville Temp. Power Pole . Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E J FIB NALED (Da ) C (Signature) Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Sub ane` BUILDING `' BUILDING (Cont'd) PLUMBING Me firewall S I Pipin P a ets t Floor ldg. t Re oom Finish 2n Floor in s Wind s 3rd oor waII Sldingx To out S b Roof SheNthing Water Pi Pi Roofing Sewer Gara aFdn. Vents Fixtures Footin Garage Vents Water Htr. Stemwa I Insulation x Heaters Slab Carport Footings Prov. for physica handica ed Conformance of ex. V structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio IRE ACE Final Footings Footing ECTRI L Masonry Wal Throat J Rough Reinf. St I Final Fixtures Bond B m if FIRE SPRINKI Elk Motors Stucco Final Sub ane` Me MECHANICAL Grd. F It Prot. S atch Hea tA9 Servi rown Cogfing X T mp. Pole finish D cts nder round— /teriorLath entilation Permanentor Closer Final inal MOBILEHOME UTILITIES ------------------ Elec- Service Elec. PedestalFF77 Water Piping —��•'l Sewer ( Gas Piping o BI EHOME INSTALLATION - - - - - - - - - - - - - - Support /Elec. Continuity Water Piping Drainage Gas Piping t DATE 7 O �� REMARKS OR CORRECTIONS ©2.0 CoQ �!d ��9 S /�Go �.c t� epiJOBW y' (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 1// 7k — ?,k for the following location: J- 571('// e;F/)Af 07— I nT' rttn kP 1t .3 0,4 Du 1 L L I -- Owner— r- SCE 0. 0 / fly X / F1' Owner's Address,<e4mF Mobilehome Mfg.7WA LQ-)/4D)E_ /A/e-- Model ' / -' Year Insignia No.CA1 11-994--L i It Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of��Puubbjlic Works - Date _ �� ' 7 r( By a( . 7)1 1!111-414, r I / THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED L., _. J White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical ' A. Is service large enough to provide adequate amperage to mobilehome (must.equal rating of inobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc,? Yesy— No B. Is there proper clearances around panels? Yes No_ ..r' C. Is power -supply cord or feeder assembly properly fused? Yes No_t�, D. Is continuity test satisfactory as per the following procedure? YesX, No_ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord orzfeeder 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 mohileh,ome ,supply conductor, including neutral. S. All non-current, carrying metalzparts 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. b8: Is ',job card signed by Health Department for water and sanitation? 11. If everything okay, sign off�card and tag services. - i MOBILEHORE DATA Manufacturer and/or Namestyle buA ujii !J- Length_ Width 01 .�---' Vehicle Serial No. State Identification No. 1_,/%ef�J��.aif2,/"3 Additional Information or Comments: ' r 0 ` - 1 r 1 . I INV I MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located ith required separation from lot lines and buildings and generally conform to plot plan? Yes No h 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) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes l/.�o_ 5. Ifthan a single unit, are crossover connections properly installed? (Sec. 5088) Y e s:o e o_ 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? Yesx_ No t A- 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 4" per foot slope and is it properly supported? YesK No C. Are any leaks detected in drainage system after running. 3 -gallons of water through each fixture including washing machine standpipe? Yes No 0P.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 - I mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connctor not more than 6 f long? Note: -All—piping is to be at least as large as the mobi home gas line inle without reductions other than the mobilehome connector. Yes B. . Test OK as per following rocedur,6e Yes_ No .1. Open all appliance connbrtoy valves. 2. Shut off appli/tomobilehonmle a pilot valves. 3. Air test with 10"0l " water column; or test with slope gauge (minimum 0 6oz.-maximum 8ated in th pound increments. Test for 10 min. without drop. 4. Connect gas inewith tonne tor, turn on gas, test connections with .soapy water. C. Are all appliancely installed? Yes COUNTY OF BUTTE — jEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 �MO�7j ' APPLICATION AND PERMIT i 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 - ot S-A -�x7a It GaL'F 6X 1, License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. 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 forWor men's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 County of Butte to enter upon the above -me tinned property for inspec ion purposes. X;4e0v,ate P "� Sign T re of Pemitee or Agent Receipt No. 1_!9175_61f White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING j / SO. FT. T DEC. I BUILDING VALUATION Fireplace $ Owner �- �" s s C. @ FEE -k Mailing Address $3.00 Telephone No. o Contractor sh a S" t� Qt (r[ P,P ��/��' Mai I i ng Address jPID 01052`f , -1 t ck•' No. @ FEE Telephone Building Address �— �:- A w s7l�u RICe C4- • _ = �'� �� "� 2 o a, I-1- e 1.50 Repair drainage or vent piping 1.50 Water piping A. P. No. J '712 Each gas water heater or vent Zoning & Planning F 1.50 Sa4"a2LGR Fire Dept. Fire Zone Use Permit EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Imp roveme P Bldg. PI s Recd Parce(, roval Plans Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ZA) -SM LL— 77OL/ Fo /Z 8 P JO: 3GS+ -7$ Single Family ❑ Duplex Mobil Home 000'Others ❑ 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 - ot S-A -�x7a It GaL'F 6X 1, License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. 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 forWor men's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 County of Butte to enter upon the above -me tinned property for inspec ion purposes. X;4e0v,ate P "� Sign T re of Pemitee or Agent Receipt No. 1_!9175_61f White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING j / SO. FT. T DEC. I BUILDING VALUATION Fireplace $ Total Valuation @ FEE Permit Fee $3.00 P I an Checking Fee &/or Penalty 5.00 Permit Fee 2.50 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OR LE Main service 10O00 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 OVER Main service OVER P OR LESS AMP O 25.00 Main serviceCONST./ EA. ADD'L 100 AMP 1.00 OR ADDNS. \ ACCNE WDWELBLDGSCCUP. S\ / 20sgft NEW CONSTR MULTI.OUTL T NON-RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS .& NON-RESID. SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIRES BAL�BALI FIXED APLNS. Ex. Occup. (OUTLETS P(RESID )REA) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ L ` $ so 00 TOTAL PERMIT FEE $30 00 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f which fees have en paid. -C I ORKS B t Building permit expires Date t _ i k„ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4.541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: y,l .S t'�' r f. '' "" f�"77 2. Installer's name: a .fy 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR t Is,the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) t .. 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 A 5. What is the mobilehome electrical rating? -------- 6. What is the mobilehome site service rating? --------------------- 7.. What is',the mobilehome site circuit breaker rating? ------------- 8. .Is there any other electric load to`be served by the mobilehome Jr ' Amp s J Amp s Grl �1 Amps ;. site service? ---------------------------------------------------- Yes / / No ( If yes, identify the load.. and size: (Load) (fps) 9. What is the mobilehome site gas pipe size? ---,t ---------- 1; 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) '.• P (This information not required if pipe length less than 6 ft.,on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA Mob il ehorhe Mfr. -Setup Model No. 4? Year Width (ft.) Length.14a (f ant.) Expdo: Size —*------- ft. x-,--- ft. (Draw sup,pPort details below) 6 On all mobilehomes manufactured .after October 7, 1973, furnish -manufacturer's installation manual and structural setup sheets..(if not on file wlth,the County of Butte). Sin le Footings -(check or Wood either pressure treated c Center Center Support fdn. grade. Support Footing Sizes Locations l (in.) 2. Concrete pad. x jk 0 01 3. Other, specify t Supports check on Concrete block 2. Concrete piers -3. Steel piers 4. Other, specify Typical Support A X Footing Size (in.) (in.) Max. Pier Spacing. in.) ("Elf (In in. in. Max .-t Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED 4 COU_e6F ^BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES ''jam � Owner r 1 .r S le � ewR 1�p l eAP 'Location k6f- - ' ® y Mobilehome Installation Permit No.��� FILL IN INFORMATION FOR 1'TTE24S 1 THRU 10 Watts 1. Width x Box Length 0 x 3 = �i 2� 2. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry Circuit .................. ....... _ 1,500- 4. Ovens ........................................ 0 5. Cook Stove Top ............................. 6. Hot Water Heater ............................. 7. Dishwasher &,Disposal ....................... =Q 8. Clothes Dryer ................................. _ 6 00 9. Other (specify, i.e., motors, exhaust fans, etc.) ®� ' Sub -total - Watts ..... T ; T02 Y. First 10,000 watts @ 100% .................. = Q 010,0/00 Remaining ?0'2watts @ 40% ....................... = D� 0 10. Air Conditioner watts @100%.. = ) ®U 0 Largest Demand = Central Heat System 20 U �� watts @ 65'/0:. _ ) TOTAL DEMAND WATTS REQUIRED ....... "Demand Watts Required" + 230 ..... _ AMPS De -rate Mobilehome to ................................ .. ® AMPS BUTTE CauNTY BUILDING D13PARTMEN1 APPROVE D . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Perrmmitee or Agent Receipt No. / 5 a a I) 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 p DIRECTOR OF U LIC WORKS By Date %,p uilding permit expires Date BUILDING Owner Jesse C. Currier SQ. FT. OCC. BUILDING VALUATION Mailing Address 9627 Alhambra Avenue Telephone No.209 Stockton, California 95212 Contractor (Owner) Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan 12 Sturgeon Court V1 Checking Fee &%orPenalty Permit Fee Oroville CA. 95965 9� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 , Lot 100, Unit 3 - Kelly Ridge Ei�sta S u Repair drainage or vent piping 1.50 A. P. No. 34 — 72 — 42 �onl o Water piping 1.50 0,0 Each gas water heater or vent 1.50 *e—. Sq6tqion FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 00 Bldg. -.n-. Recd Parce roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES E3' OTHER ❑ Permit Fee $ 3 is TCX ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3Qp Main service 10ov OR LESS �G ry 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 5_00SQ FI \„ r Main service OVERe00v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 .. - NEW CONST. DWELLING OCCUP. B OR AODNS. ACC. BLDGS. 22sq ft i CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RES -r3 MULTI.OUTLET ` BRANCH CIRCUITS/ .5Oea NON.CONS ( 2 NEW CONSTR. (POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. Occur)(OUTLETS OR FIXTURES I 9 L ICC XED APPLNS. .)REx. ccup•(OUTLETS (RESIDOEA) 2.00 Temporary service 1.10.00 Mobile Home Facilities 15.00 .Co License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of orkmen'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. 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 MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ S TOTAL PERMIT FEE $ J� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Perrmmitee or Agent Receipt No. / 5 a a I) 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 p DIRECTOR OF U LIC WORKS By Date %,p uilding permit expires Date LOT 100 ♦ UNiT 3_ • k CURD I_r }^ 24'A — LJ?/T /NUJ GE Ef1SEMEl�/T This set of plans and specifications MUST be N B Z , kept on th S -mes an it is unlawful to l09• B� a. a any chonges or alters, io s on some without written permission from the De artment of Public Works, County of Butte. -� � \11, \ • 1 1\0 \ 1 All utiIity�onnections shall be located within ft. outside the rear W 1 l'f "---�, third section of e mobile hom Z �'on .the left (road) sie dL�of the mobile X . ome ( ! zooA"P. ,-E:VF.S L o - ' zoo A PIX st o O 1.' o 3' (D ._i V �/ � I O •C 'O� �• _ / Saoµ ` J , C + V 1 Ste' T-.�.a crT s Q w rherde . Setback shall be 5 ft from tfi — -a u 'c o Property line and So ft, from the SCA L / 20" -E (DN u �, mum r fne of the road, Permitting a max i a 2 ft• eave overhan 3 d 4 aO of of .all easements, g but entirely� o e v,,, 6�. 7z E BUTTF-COUNTY U b'Q�/Q. 4 z BUILDING DEPARTMENT CA a� CO, APPROVED I m o , SiU�Q Eo N Co 4//F,7- � r o` °� a _ V- G Q - it NI 0 G t L c AN. OP=D- 4o -S- -760 LD. 1) 4� -� PERMIT NO. 44.94-79B PERMIT EXPIRES. i {OWNER J. C. Currier CONTR. owner 34-72-42 LOCATION (A.P. ) 12 Sturgeon Ct., lot 100, KR#3, Oroville 6 Y Y 1 X i . t Y Y Temp. Power R6 -"Ie Called PG&E Temp. E ec. Serv. Cal;Yed PG&E Te p Gai Serv. } Called PG&E - JOB �. FIINALED (Date) a. (Signature I j COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD_ - BUILDING BUILDING (Cont'd) PLUMBING Setback %0`2-4-- dl, Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sid(ng To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures - Footincis Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footin Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping & Test Tem . Gas Slab Final Sanitation Patio FIREPLACE Final Footings `O .,(p -, Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing D `.2(.0 `- Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTA L LAITI0N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE CD `� F2&U1DX— REMARKS OR CORRECTIONS / p/ l L )Ebx� AXIV 4— (NOTE: An entry must be made on this form each time you visl: the job site.) IV COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS rCo(titrCenter Drive - Oroville, California 95965 d Tel epgone: 5:t4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned roperty for inspection purposes. X Date ignature of Peerrmiteee�or Agent Receipt No. 26Jq�7 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 al;nr which fees have been paid. !1 .[)JRECIOB OF PUBLIC WORKS Building permit expires Date BUILDING Owner, C�2¢(�,� SQ. FT. OCC. BUILDING VALUATION Mailing Address )�, S7'0eGcd(J C_F• + ^ ^_ V lLLG C44- Telephone 3o� Contractor G Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address QG� C- I— Plan Checking Fee&/or Penalty Permit Fee , . PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 K LOT 100 VL #3 OL9ovI4/_41E Repair drainage or vent piping 1.50 A. P. No. 3 Li— %-Z,— Z oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees I W.C. -&a,, FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking PI ns Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. lans Recd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ Q �1✓ A) DeCk ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 100 25.00 Main service OVEROR s OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELIN. OR A.D.S. ACCLBL GS.CCUP. S) 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: NEW RESCOND. BRANC(MULTI-OUTLET NON-RESID, BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 5 NON•RESID. SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTURES) g L 1 FIXED LNS. Ex. Occup.(OUTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so a to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned roperty for inspection purposes. X Date ignature of Peerrmiteee�or Agent Receipt No. 26Jq�7 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 al;nr which fees have been paid. !1 .[)JRECIOB OF PUBLIC WORKS Building permit expires Date Pe rmi63230-82P ..,Jesse C. Currier t �% x COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N Countfy Center Drive - Oroville, California 959E5 - Telephone 916/534-4541 APPLICATI00 AND •PERMIT ASSSSOR PARCEL _ NUMB R. 72_BUILDING Z IN� PERMIT OWN R S ,r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI G ADDRESS _ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADD SS w Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee ' Permit Fee ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty - Permit fee $ $ $ $ $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00r 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 [:1Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G IN 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uilities ❑ I stallation Other Describe work: s — 1, //.vim '�.�w C ,"bo Vve I &,n (A I`ll l7 VTYT lY�r`YJC Permit Fee $ j Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 1 2h Osgft 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 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTMULTI.OUTLET NON.RESI R(D• `BRANCH CIRC ITS 2.50 ea NEW CONSTR. /POWER APPARATUS &) NON•RESID. %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SA @30C FIXED APPLNS. OR 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 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. ' Xtoshall not employ any person in any manner so as to become subject 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai aid County in consequence of the granting of this permit. X t'�'lfJ� Z Date _ Sigrvature 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 $ TOTAL PERMIT FEE $ OcCUP. GROUP I TYPE of CONST. PARCEL PD I HD ssDE This permit is hereby' issued under sions of the Butte County Code and/or work indicated above for which R OF PUBLIC By PERMIT EXPIRES Da the applicable provi- resolutions to do fees have been paid. WORKS ^� Datec�1 �_ — l✓ — c3— Receipt No. -7' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT /3; i2 sTuRG_roN OIZ&V il 1L LE7 . �e� -zoo -- 64-� cr- File CDpy BUTTE CO.UtqTy . BUILDING DI\ APPROVED