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069-250-039
�„ � r,r•••---amu +,. 'i -. _. -.: .X . . a w. - _ :! `°``. � -..�.. i". .. . _, •.-. ...... _..,. o... '�� 69-25=39 Carl Balzer 5 16 Blinzig Ct., lot 185,KR#4B4Oro. Permit #2642=81P,E ( .,,MH N GAS 9-/1- SUPPORT -/1-SUPPORT STRUCTURE REQ. � ' COMPACTION TESIiREQ.0!4 . a4 X9-239a Contr: Bernie-9' Ser;.-Pa adise - — Permit#k30 M2� 1MH i L. s sue ; _ %^ s _ 69=25-39 •- contr: J'& D Const. Co. Oroville _ P' riit` `#3633 `81B 'E (new' pri: garage awnings:& decks MH X069-250-039;,., " 05-3158' DOUGLAS NEALl A 5316 BLINZIE' L a F lrCont. SIERRA �M/H PERMFND X F ` , t s y N ���_-�� RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY 'BUILDING DIVISION 7 COUNTY CENTER DRIVE- OROVILLE RIVEOR.OVILLE CA. 95965 COPY of Document Recorded 9 -Dec -2005 2095-0974473 Hae not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE: OF MANUFA.CTURED HOME (iV1OBILEHOME) 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. NEAL B. AND PATRICIA L. DOULASS TRUSTEES DOUGLASS FAMILY TRUST REAL PROPERTY OWNUILESSOR 5316 BLINZIG COURT MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE - ZIP SAME N51T OWNER of also pmpen.• iv rile "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 05-3158 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER t 12 -*7 - OS SIGNA11URE OF LOCAL AG i CY OFFICIAL DATE NONE DEALER NAME (if n a dcaier sale, %iitc "NONE") NONE DEALER LICENSE NO GOLDEN WEST HOMES 1981 CALYPSO MANUFACTURER'S N AME DATE OF MANUFACTURE MODELNAME WUNIBER GW6CALCA63028A1B/C 60 X 24, 24 X 1.0 CAL224339/40/41 SERIAL NUMBER(S) LENGTH a w1DT14 NNSIGNiAtLABEL NUMBER(S) (LFA„L PROPERTY LEaAI.DE5CWPTI,QLJ SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-250-039 ��rr. cnn�e n_+i�� ecll oMi ,G REQUESTED BY, ,;tatemems to, cn Recorded Mai} This Deed to: ,,at B. and Patricia L. Douglass 5316 Blinzig Court Oroville, California 95966 Illi ill i!1 [ IIII I II! lil !I �Il �l li 1����' 2�(Z)12:1 tmt�2@23 3 Recorded I REC FEE 7.03 Official Records I Countq Of l BUT CANDACE J. GRUBBS 1 Recorder ROSEMARY DICKSON I Assistant I Maureen 09:35AM 01—Jun-2000 I Page 1 of 1 asua�xn�.:•v�+ec+�K SPACE ABOVE THIS LINE RESERVED FOR RECORDER'S USE Quitclaim Deed The undersigned grantor declares: Documentary Transfer Tax $ -0- XX This conveyance transfers the Grantors interest to their revocable trust. EXEMPTION: RST 11930 IN We, Neal B. Douglass and Patricia L. Douglass, hereby remise, release and quitclaim to Neal B. Douglass and Patricia L. Douglass, ted Trustees of the Douglass Family Trust Dated February 11, 1997, all right, title and interest in and to that certain real property in the unincorporated area of Butte County, California, described as follows: Lot 185, as shown on that certain map entitled, "Kelly Ridge Estates Unit 4B", which map was recorded in the Office of the Butte County Recorder on November 10, 1977, in Book 58 of Maps, at Pages 73, 74, 75, 76, and 77. A. P.N .: 069-25-0-039-0 Dated: May Z11 > 2000 State of California } } s;. County of Yuba } F410 eal B. Douglass *Palriciaouglass On May �Y . 2000 before me, and Patricia L. Douglass, personally known to me (or proved to me on the a Notary Public to and for said County and State, personalty appeared Neal B. Douglass basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacities, and that by their signatures on the instrument the persons, or the entity upon behalf of which the persons acted, executed the instrument, WITNESS my hand and otficlnl seal. gpAA1PUBLIC•CnttFKaren Sue Stile9 O `� •' w 0339 04 YUBA COUNTY (7 t0on+a. Exp. Jun► 14, 2001 .+ Not P blic 3r ,G REQUESTED BY, ,;tatemems to, cn Recorded Mai} This Deed to: ,,at B. and Patricia L. Douglass 5316 Blinzig Court Oroville, California 95966 Illi ill i!1 [ IIII I II! lil !I �Il �l li 1����' 2�(Z)12:1 tmt�2@23 3 Recorded I REC FEE 7.03 Official Records I Countq Of l BUT CANDACE J. GRUBBS 1 Recorder ROSEMARY DICKSON I Assistant I Maureen 09:35AM 01—Jun-2000 I Page 1 of 1 asua�xn�.:•v�+ec+�K SPACE ABOVE THIS LINE RESERVED FOR RECORDER'S USE Quitclaim Deed The undersigned grantor declares: Documentary Transfer Tax $ -0- XX This conveyance transfers the Grantors interest to their revocable trust. EXEMPTION: RST 11930 IN We, Neal B. Douglass and Patricia L. Douglass, hereby remise, release and quitclaim to Neal B. Douglass and Patricia L. Douglass, ted Trustees of the Douglass Family Trust Dated February 11, 1997, all right, title and interest in and to that certain real property in the unincorporated area of Butte County, California, described as follows: Lot 185, as shown on that certain map entitled, "Kelly Ridge Estates Unit 4B", which map was recorded in the Office of the Butte County Recorder on November 10, 1977, in Book 58 of Maps, at Pages 73, 74, 75, 76, and 77. A. P.N .: 069-25-0-039-0 Dated: May Z11 > 2000 State of California } } s;. County of Yuba } F410 eal B. Douglass *Palriciaouglass On May �Y . 2000 before me, and Patricia L. Douglass, personally known to me (or proved to me on the a Notary Public to and for said County and State, personalty appeared Neal B. Douglass basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacities, and that by their signatures on the instrument the persons, or the entity upon behalf of which the persons acted, executed the instrument, WITNESS my hand and otficlnl seal. gpAA1PUBLIC•CnttFKaren Sue Stile9 O `� •' w 0339 04 YUBA COUNTY (7 t0on+a. Exp. Jun► 14, 2001 .+ Not P blic M FOUNDATION. YSTEM r . • _::w r -CERTIFICATE "OF -OCCUPANCY BUILDING PERMITS NUMBER: 05-3158 Address or location of unit: 5316 BLINZIG COURT, OROVILLE Legal Description of Real,Property: 069-250-039 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: NEAL B. AND PATRICIA L. DOUGLASS TRUSTEES, • f DOUGLASS FAMILY TRUST Owner's address: 5316 BLINZIG COURT, OROVILLE INSIGNIA OR HUD NUMBER: CAL224339/40/41 SERIAL NUMBER OR V.I.N.: GW6CALCA63028A/B/C MANUFACTURER'S NAME: ,GOLDEN WEST HOMES YEAR: 1981 OFFICIAL APPROVING INSTALLATION: d'i nffv DATE: PHONE: (530) 538-7541 H.C.D. 513C f` BUILDING PERMITS NUMBER: 05-3158 Address or location of unit: 5316 BLINZIG COURT, OROVILLE Legal Description of Real Property: 069-250-039 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: NEAL B. AND PATRICIA L. DOUGLASS TRUSTEES, DOUGLASS FAMILY TRUST Owner's address: 5316 BLINZIG COURT, OROVILLE INSIGNIA OR HUD NUMBER: CAL224339/40/41 SERIAL NUMBER OR V.I.N.: GW6CALCA63028A/B/C MANUFACTURER'S NAME: GOLDEN WEST HOMES YEAR: 1981 OFFICIAL APPROVING INSTALLATION: 60h&r� DATE: 12-`7 - t5 PHONE: (530) 538-7541 H.C.D. 513C Butte County Department of Development Services. N ® T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vww.buttecounty neUdds RESIDENTIAL APN- Permit No. Owner. 069-250-039 05-3158 DOUGLAS; NEAL Site Address. 5316 BL_I ZIE CT, OROVILLE Cont: SIERRA MOBILE` - contractor. -M/H PERM FND-(EX)- _ �. Type of Permit:_�� , SPECIAL CONDITIONS a..• t CHECKED BY r Q SRA �9't ❑ FLOOD CERTIFICATE EQUIRED I Q FIRE SPRINKLERS REQUIRED _J Q SPECIAL INSPECTION ITEMS 1 Q VERIFY D USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER " Q ENCROACHMENT PERMrT Q REINSPECTION FEE PAID. �f Q ENV HLTH CLEARANCE CIL Vii• DATE JOB FINALED- [ j+ SIGNATURE- . =OK 0 = Not OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaII/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacin g -Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers o'`a d o'er d is MISCELLANEOUS DATE DECKS'C0VERS'CARP0RT3*GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports;.Wndws-Doors 7 Electric 8 Frmg; Sills -Anchrs-Stu ds -Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboardsdnsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide `� �. Pool Drawing _ = OK 0 = Not OK RESIDENTIAL (Single & Duplex) I DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd 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-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test I j Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation 0'0 4 DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frpic Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insulin -Walls -Ceilings 39 Infi I trati on -Walls -W ndws o'� o`er o'er o`er DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or --IAL AC Wire Sz 93 ❑ CU or ❑AL 48 Range Circ ga ❑CU or ❑AL Oven Circ ga QCU or DAL Insulated Neutral Ej Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector opo 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 flr-Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub. Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping UAIt: IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters QYes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec. 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted -99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERM r -No. 8P053168 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 12/05/2005 APN: 069-250-039-000 the Business and Professions Code, and my license is in full force and efre`t.C /j / 703865316 Site Address: BLINZIG CT ORO License Class: /� License Number: Map Index: . Date: S Contractor. Description: EX MH ON PERM FND (1440) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DOUGLASS FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to rile a DOUGLASS NEAL B & PATRICIA L signed statement that he or she is licensed pursuant to the provisions of TRUSTEES the Contractor's State License Law (Chapter 9 commencing with Section .Business 5316 BLINZIG CT 7000) of Division 3 of the and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95966 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).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SIERRA MOBILE SERVICE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, BILL REID provided that such improvements are not intended or offered for 466 CIRCLE DRIVE sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 530-534-0599 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: SIERRA MOBILE SERVICE pursuant to the Contractors' State License Law.). BILL REID ❑ 1 am Exempt under Article 3 of the Business and Professions Code 466 CIRCLE DRIVE OROVILLE, CA 95966 Date: Owner: 530-534-0599 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 470386 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier andpolicy number are: 5/� 71-4�1 Carrier: S 7 Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' a �(� compensation provisions of Section 3700 of the Labor Code, I shall J "� forthwith comply with those provisions. Date: Applicant: 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 and/or I hereby affirm that there is a construction lending agency for the Resoluti ns to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: i 2 • S O J Name: ++ /^ S Address: PERMI EXPIRES ON: . l2• Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am 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 representatives ofBB/ktte County to enter upon the above mentioned property for inspection purposes. E r Print Name: /y Signature: Date: Q -Owner l' Contractor 0 Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 IIOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEF 471L BE REQUIRED AT TIME OFAPPLICATION **PLEASE PRINT CLEARLY - 0 WA, LEARLY** 0WA, ER .ast Name /(�'L"�+= 6 �Ci+sS First Name r� City G7.c°G Y/t L i /vfp� Y �HT,t9rc•/.v address S3/b r'�tlAJ Z -. i ;ity d E j Siale l%J lip 'hone Fax Zip -mail APPLICANT NAME Vame 4ddress , arty Slate C-�!-�- C'– zip 'hone 93 q OS -T 1 Fay` --mail APPLICANT SIGNATURE :or office use only: LingFloo Zone SRA Yes No Occ. I Type Const. >ubdivision Name Idlap boot I Page Lot # 'lannet Date Approved: OVER FOR SUBMITTAL REQUIREMENTS NO. Bpp S9)5g BIN # LOCATION CONTR.41CTOR game City G7.c°G Y/t L i kddress 'ity, Policy Number v� 7 State u Zip 'hone Shy 0S9 I Fax --mail l ic. # 6 . , - Class APPLICANT NAME Vame 4ddress , arty Slate C-�!-�- C'– zip 'hone 93 q OS -T 1 Fay` --mail APPLICANT SIGNATURE :or office use only: LingFloo Zone SRA Yes No Occ. I Type Const. >ubdivision Name Idlap boot I Page Lot # 'lannet Date Approved: OVER FOR SUBMITTAL REQUIREMENTS NO. Bpp S9)5g BIN # LOCATION AHGHITECTiENGINEER Jame City G7.c°G Y/t L i \ddress :ity Policy Number v� 7 "late Zip 'hone LENDING AGENCY I Fax =-mail Stele License Number APPLICANT NAME Vame 4ddress , arty Slate C-�!-�- C'– zip 'hone 93 q OS -T 1 Fay` --mail APPLICANT SIGNATURE :or office use only: LingFloo Zone SRA Yes No Occ. I Type Const. >ubdivision Name Idlap boot I Page Lot # 'lannet Date Approved: OVER FOR SUBMITTAL REQUIREMENTS NO. Bpp S9)5g BIN # LOCATION AP# Property Address s3 / /'V � ! � Ci City G7.c°G Y/t L i Cross Street WORKER'S COMPENSATION Policy Number v� 7 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work. Sq. Footage •, ��, n u ouucture built without P-ermits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: K..6 Receipt #:14019 Date: 0A Amount ijuG _Bldg SRA Sheriff SMIP Other 2 I a, g G Total .r •,,•j.i.;,.r-.. _....._.. ..._, ..-•�... v..rY'4.....�Fk"rr'x�.�, rs''�"r.tt` �,��.�:r �'v.� .s _ ,�� � .J COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Douni ns fan1l lV t pu s+ ASSESSOR PARCEL NUMBER 0 6 q - 2 5 0 - o3q Proposed Building Use: Ex M 1j t? n PERM EN D , EX Sii Permit Technician: .V . Date: ' 1 " / q' o ms required in ordeAo apply for a permit. All boxes MOST be checked OR marked NA in order to apply. *Itgi%( 1. Site plans,k3,br 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered. plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. �� ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan,.(D) Tie down or nd plans,all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required ......................................... .......... 1� 19. Fees as showra•or e-a#tacked-Sehedale-of-Fees•Due-Sheet.. 6.i�i1.�.o ...... ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... . ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed estriction.......... . �IN 35. ' Legal description, Trl M.H. Title,.tttle-search registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone (530)sn -o-ill yoniruior and hold for pickup. 'J I have been informed of the above items and requirements for obtaining a building permit. Applicant: c,~d/ Date: z A s- 1. Index permit application for th ems numbered: Plan Check Letter 2. Additional items required a 6Wractor esigner, owner, was of the above data by phone, ❑ mail, ❑ counter, by Date: c or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: �� Date: Structural reviewed by-_- .Date: Structural approvedby: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 RECORDING REQUESTED BY, Mail Tax Statements to, and When Recorded Mail This Deed to: Neal B. and Patricia L. Douglass 5316 Blinzig Court Oroville, California 95966 I{!I 111 111 I (Ili I III IIIlI ill II II I�( . � `. 2000-0020239 Recorded I REC FEE 7.00 Official Records I CountyBUTTE f I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant 1 Maureen 09:35AM 01 -Jun -2000 1 Page 1 of 1 SPACE ABOVE THIS LINE RESERVED FOR RECORDER'S USE Quitclaim Deed The undersigned grantor declares: Documentary Transfer Tax $ -0- XX This conveyance transfers the Grantor's interest to their revocable trust. EXEMPTION: R&T 11930 We, Neal B. Douglass and Patricia L. Douglass, hereby remise, release and quitclaim to Neal B. Douglass and Patricia L. Douglass, Trustees of the Douglass Family Trust Dated February 11, 1997, all right, title and interest in and to that certain real property situated in the unincorporated area of Butte County, California, described as follows: Lot 185, as shown on that certain map entitled, "Kelly Ridge Estates Unit 4B", which map was recorded in the Office of the Butte County Recorder on November 10, 1977, in Book 58 of Maps, at Pages 73, 74, 75, 76, and 77. 1 A. P.N.: 069-25-0-039-0 Dated: May 04' 2000 t State of California } } ss. County of Yuba ) Neal B. Douglass Patricia L. Douglass On May a-4— 2000 before me,QJ 5t7 Le t� a Notary Public in and for said County and State, personally appeared Neal B. Douglass and Patricia L. Douglass, personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacities, and that by their signatures on the instrument the persons, or the entity upon behalf of which the persons acted, executed the instrument. WITNESS my hand and official seal. .•. :Kare:nSue Stil99 13PNae NF.TV etNotaryP blic , Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering �i( Part #59307 Xi2 Concrete System BUTT COUNTY Engineer Approval State Approval MANWACTMUW NOMWM0gmE R=E FOUNDATION SYSTEM A"WVW SUW=TOCMKWTWMM MMOVAL D M Mr AV=m= M A?lRd" Mff OIa8SMM OR DEVIATION MOM REgVp="M Ot AMWAM STATE LAWS AND Xbouwanft sw..rcw9wob =d C" M1VD"iw="t Kc.�j BUtLDINO DIVISION APPROVED jr,-W, r Page 1 of 8 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems 0000—� HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Updated: 8/29/2005 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" • 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. Contact Tie Down if piers exceed these heights. HUD approval required. • 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. • Additional systems may be needed for roof slopes greater than 20 degrees, (4.37" in 12" Pitch ) See page 7. Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2of8 0 l DOWN I I _. Wheaton Drive N nta GA I s2k 12.1 tc EM07k7? * /11 2. 3. 4. 5. 6. 7. 8. 9. 10 Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify 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) 1-3/4" Tube Lateral Struts -°0 1-112" Tube 4-#12x1" Tek Screws U -Bok & mounting Figure 1 Bracket J -Bolt Nut & Washer W) Strut (flag end) I -Beam Figure 2 see Iv -1F earn on in s at this time. n pan using np, attach with 'n e. he fastened is and die NE DOWN ENGINEERING r � ms Xi2 Ground Parts Detail Xi2 Ground System Includes: 5' Strut, pad & hardware. Part Number 59306 LSD Hardware Kit Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Part Number 59331 Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-30 30" 2 Blocks or 18" 59330-39 39" 3 Blocks or 24" 59330-44 44" 4 Blocks or 32" 59330-53 53" 5 Blocks or 40" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete 30" Anchor w/vertical strap Additional System for or frame tie w/stabilizer plate, 9 within 10' of end of home • homes over 80' Xi2 Pier Placement �. Single Section Home 0 -80' (76' Box) 2 Xi2 Systems (1) Over 80' (76' Box)3 Xi2 Systems Double Section Home 0 -80' (76' Box) 3 Xi2 Systems" (1) Over - 80' (76' Box) 4 Xi2 Systems Triple Section Home 0 -80' (76' Box) 4 Xi2 Systems (1) Over - 80' (76' Box) 5 Xi2 Systems NOTE: Diagram represents single section up to 16' width, double section up to 31' width, and triple section homes up to 46.5' width. Single section homes have an "overturning moment" in high winds, requiring two anchors per side. 2 Xi2 systems can be placed at either end of the home. 5P4 IV- IF Installation of Xi2 Concrete Systems 1. Identify 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. a or 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 i 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 (Figure 2 next page). 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. Xi2 Longitudinal Concrete Installations Figure 2 rnd qf% J -Bolt Nut & Washer Beam Clamp Bracket Figure 1 Xi2 Installation Placement Page 6 of 8 M ,'Pk 121 -1 C TIEM VN LING 1-3141' Tube Lateral Struts 1-1/2" Tube °° 00 Tek Screws Figure 2 rnd qf% J -Bolt Nut & Washer Beam Clamp Bracket Figure 1 Xi2 Installation Placement Page 6 of 8 M ,'Pk 121 -1 C TIEM VN LING 30" Anchor w/vertical strap • or frame tie w/stabilizer plate, within 10' of end of home Offset Placement Additional System for L-- homes over 80' Xi2 Pier Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 System Requirements for Roof Pitches Higher than 20 degrees Length of Building Roof Pitch/Degree of Slope 5:12 6:12 7:12 9:12 23.6* 26.6* 30.3* 36-9* S D T S 0 T S 0 T S D T, 34' 243 36' 3 3 41 38' ;94344, X 3 3 4 40' 4 3 3 4 42' " 3 4 ;;2: 13-4. 3 3 4 3 3 4 44' 3 3 4 3 3 4 3 3 4 46' 2 :3A' 3 3 4 ,2`:3A' 3 3 4 3 3 4 48' ',,,-2-I3'4 3 3 4 3 3 4 3 3 4 50' 3 3 4 3 3 4 3 3 4 3 3 4 52' 3 3 4 1 334 3 3 4 334 t--4j%-,'Wj4 5 54' 3 3 4 3 3 4 3 3 4 3 3 4 56' 3 3 4 3 3 4 1 3 3 4 3 3 4 Length of Building Roof Pitch/Degree of Slope 5:12 6:12 7:12 9:12 23.6* 26.6 30.3. 36.9* SDT S D T SD T S D T. 58' 3 3 4 3 3 4 33 4 3 3 41 60' 3 3 4 3 34 33 4 3 3 4 62' 3 3 4 3 3 4 1 33 4 3 3 4 64' 3 3 4 3 3 4 .'C'4 66' 3 3 4 3 3 4 44-,44 `4;4'`4 68' 33 4 P14, -4'-'4'' 4-4. 4'' A 4 -4. 70' 3 3 4 i'*mAA%: AA 4:< 4A:':A 72' 3 3 4 j444,4, 4,: ' A' 74' 5 5 5 76' t--4j%-,'Wj4 5 5 5 78' lFA`4 4-:4 5 5 5 80' 1'A'44 j '4'�,-4 4 4 4 4 5Pk I -LI — IC Page 7 of 8 Ld iI -,ZI gas SGION uoi 8esu �` 10 459 C Gro Dam Bled. Ororille, Ca. 95965 E-mails loci@bhroroville.com OO � OO roui��e Lot! )hudso`n � Bus: (530) 532-0400 Realtors Res: (530) 534-8991 .532-0440 X90 1,52-1.Cel: (530) 99 15221 , s � 1 i PERMIT NO. 2642-81P,E PERMITEXPIRESOWNER Carl Balzer �j CONTR. owner ASSESSOR PARCEL 69-25-39 5316. Blinzig Ct. , lot 185,KRIk4B, LocarloN Oroville `rz Temp. Power Pole Called PG&E Temp. Elec. Service f Called PG&E`���'' . Tern . Gas Service Called PG&E JOB-(Date) 2 Signature r( V, = OK " 0 = Not OK — = Not Applicable MOBILEHOMES = Not Ready MISCELLANEQUS n Date MOBI OME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's . Zo 'Requirements—Setbacks—Easements 1, Zoning Requirements—Setbacks—Easements Soils;—6ketch 2. Footings; Size—Depth—Spacing—Connectors gtt(]% 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp -Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as; Location—Test—Wrap' /"L"ft./ LPG 6. Carports; Windows—Doors Utility Clearance 7. Elec. Card -BI Date / Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILF.HOME INSTALLATION (Pla.$) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's Zoning Requirements—Set cks—Eants 1. Setbacks—Easements ootings; S&,4- piWreMar ' ine 2. Soils; Compaction—Structure Stability Gas; MH —Demand—Vaive-l�"C ctor' 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4 lee ri H Test—crossByerT--'ffre s—Cle es 4, Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Vvyi!er; MH Test—Regulator—Connector. 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/O to Grade—HD Approval 7. EIec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. G!,2±nd Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit "xi -Ls; Insp.—Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-IJYL Date lard -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -B1 Date Card -BI Date J OK 0 Not OK - = Not Applicable Not Ready , 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 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 q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. 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 t Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k'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; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes ED No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-F!rep l. -Clearance to Opngs. 30. Clothes Closet Light -Shower Light 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82, Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation g6. Energy Compliance Certificate -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 -BI Date Card -BI Date ---- Card -BI _ _Date -_ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. '4 -2. 43. 44. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -_Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-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 Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) C(,*JNTY OF BUTTE DERPARTMENT OF PUBLIC WORKS 1'96 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPER A routine inspection indicates that the following vioTStions of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector .Uri ! <_? Xis Date_ 11 — 1 ~% — ?` COU*TY OF BUTTE T DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING 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. (70 6't0e—'11V'Q IV iz- t -f % r( -6c..! Inspector/ /G. �� -Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PhOPEXTY 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. Date �- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 ORRECTION NOTICE A BUICUIP4'WR PROPERTY ADDRESS A routine inspection indicates\JbIat 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 expl;nation,'please cc)ntact this office immediately. Inspector ` - Date �� / COUNTY OF BUTTE I DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE i 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 51 under permit number for the following location: •rtiii /v% S-1 531!1 k Ow �'. r ,a 15- CV— r Owner's Addr�y / A, /z e'r Mobilehome Mfg. /M-/t�" ModeYear Insignia No. `rnGUt =� Serial No/1_%P5,'�..�! � It is he ebyt;cert;i$ied3for a CupaU y at the above describe u may be occupied. Director of Public Works Date - I `/7 By f ' : 2/ THISiGERT�FICdTE IS VOID WHEN MOBILEHOME IS RELOE'ATED White - Owner. Yellow - Installer. Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS I PE IT•N�- 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT owN�g� �3r G TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACT C T IE AM 114_1T_ S L. Y /` le S` CONTRACTOR'S MAILING ApR ESS J''�A�%VE L Al- P�I'�i/_/SU � Fireplace CONSTRUCTION LENDER UNKNo�lor Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee . $ ARCHITECT OR EI EER LICENSE NO. Plan Checking Fee ,b' /0.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIf..(✓J�DI_ydG /ApDRESS, / - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 bV/ Water piping OT_NO.sUBD�SInf) lq rvn 8 /J T�� PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOFSRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF.WORK New ❑ Addition_El Remodel4 Utt itie,9 Instal laflon th11Oer Describe work: �"�/� WrIL /"C� ` 2�4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS5.00 �/ /„0 /O X n 16P Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.0J) OR ADDNS. ACC, BLOGS. 22 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 nd my license is in ful,nl• force and effect. License No. � Classification �./ / ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR I.Ou LET 2.50 ea NON.RESID BRANCH GIRC ITS NEw NON.CONSTRESID. SINGLE OUTLET CIR. R POWER APPARATUS h sDL@1 Ex. Occup OUTLETS OR FIXTURES BAL Ex. Occup.(ou TL ETS FIXEDP(RESID )LNS KEA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department , a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S 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 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 nd expenses which may in any way accrue all liabilities, judgment �ue again aid Count in oof thegranting of this rmit. Date Signature Of A IiCa wner g pp ❑ 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 $ , OD TOTAL PERMIT FEE $ 50.00 OCCUR. GROUP I TYPE OF CONST. PARCEL PO I ND 15su� V/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECXPR OF PUBLIC BY P T EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date 9— Receipt No. 5'5�1e WHITE-D.P.W., YELLOW -ASSESSOR, PINK•INSPECTOR, GOLDENROD -APPLICANT �. GMcwsi3wG�% 411 INTY RTMENT M 1.1 A 'IT ry y n. • v� � RG G 0 BUTT .CO( BUILDIN-DEP. APPRO' �. GMcwsi3wG�% 411 INTY RTMENT M BUTT .CO( BUILDIN-DEP. APPRO' �. GMcwsi3wG�% 411 INTY RTMENT M MOBILEHOMESUPPORT DATA If other than single wide, Mobilehome Mfr, furnish Setup Model No. 134 Year Width -21 '(ft.) Box Length(ft.) Tagalong'or-Expando Sizeft. 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 unl s otherwise specified.. Footings II(check one) Single 1 Wood either -r...-pressure treated or (ft.)(in.) enter support locations* (in.) (in.) Center support footing sizes (in.) (in.) (in.) (in.) (in.) (.in.)., (in.) (in.Min.) k1f center piers are other than drawn above, A...,.. 1... _].......0....e nnnnin" a"A A4manc4nna_ foundation grade. 2. Other (specify) ivT -Supports (check one) 1:. Concrete'.block. 2. Other (specify) o a .i ` E--- Tagalong or Expando,' show support,details.. 4in.71n el —Typical Support in.)_ --Footing Size t;, .---,Max. Pier Spacing ; (ft.)(in.) Max. Overhang (ft.)(in.)02 BUTTE COUNTY BUILDING DEPARTMENT APPIR 0VFn BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center.Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: si 2. Installer's name: 3. Is the site currently under permit? Yeses No,/ (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) _ 40, Will the mobilehome be located at least 5 ft. away. from septic tank and leach fields and '+ clear of all setbacks and easements? Yes No (If no, clarify 5. What is'the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- .':- . • ..Amps 7.. What is the mobilehome site. circuit breaker rating? ------------� ' '.•.Amps S. Is there any other electric load to be served by the mobilehome site. service? ------------------------------------------------- --------------- Yes._,[ No.� (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10.. What is the type of gas service?------------------------------ Natural. 11. What is the gas pipe length from meter or tank to the mobilehome? 2 (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas.,;l:'7, or less than 50 ft. on LPG.) COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERM T NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 41 O -- APPLICATION A -ND PERMIT ASSE�S� PAfiC��Utv�,E (/�/�J/`` ZONIN' / UILDING PERMIT , Owrn• _r T LEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD KESS `J`�� ,- Je v r 4 C,:2� C,:2?- ON RACTOR'SNAME TELEPHONE .CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 _ LENDER'S MAILING ADD s Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN D /Fps B� / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping ..0 C2 LOT NO.sUBwISION WE PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 1119.,00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Building sewer I L01tJ Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.N) OR ADDNS. ACC. BLDGS. _ / 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID, 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. ,p/�1 License No. Classification �UJJ-hd@'I, as the owner, or my employees with wages as their sole compen- 777��� 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 NEWNO T -Resin R. BRANCH CIRCT Ts 2.50 ea NEw CONSTR. \ POWER APPARATUS &I SINGLE OUTLET CIR. + Ex. Occup OUTLETS OR FIXTURES a �� IxED APP LNS, OR Ex. Occup, �OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,d Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or. a Certificate of Consent -to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 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 liabilit'es, judgments, costs, and expenses which may in y way accrue against�C0 conseq ence of the granting of this per t. X «— Date %� l Signature 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 TYPE OF CONST. PARCE PD ND ssuE. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PU > BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS ate /- Receipt No. J 2 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT LOT 185 UNIT 4 13 r G sa A permit will be required for the installation of the mobileo,�ie. Q=77'o5'37" R = S0.001 - aET_._aC1{ 119 7 S C S_ i F v6 • — ---- o------ - ....-- I \ �•O�j.setb k of Aft. from the IQ property Ines and a setback / of 50ft_ from he road 4- �O ti/ centerline► -hall a clear of structures or equipment except for a 2 ft. cave over g. nnections shall be wltf�i� utility e "r 4 It. of the mobilehome, either va� k directly behind or within the rear - half of the roadside (left) of the mobilehome. o� �y V 7 01 All Materials & Worlfmanshi Prt� tai e ma� NOTE:— J Accordance with Recognized Good Tied use in the. of a quality . prescribed for the ical Codes grad Uniform Building, Plumbing Marh�'�`T the National • Electrical Code. BUTTF COUNTY This set of plans and specifications n awful to BUILDING DEPARTMENT. kept •on the job at all times and it is u � ®� � ®� make any changes or alterations on same without r written permission from the Department of Public Works, County of Butte. \ ,�/ 4 P3633-H1B,E PERMIT NO: • �, PERMIT EXPIRES !Jd4 F OWNER Carl Balzer CONTR. J & D ConStCo., Oro. 69-25-39 ASSESSOR PARCEL LOCATION 5316 Blinzig Ct., lot 1851, KRIM, Oroville Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E Temp. Gas Service _ Cal led PG&E _ JOB WAOLED (Date) Signature h J = OK 0 = Not OIC - = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS , Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed'(Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg'-Bracing 5. Electricity; Location-Clearances-Grnd.-/• / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L" ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date• Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4• Elec.; Receptacles and Lighting; Distances-GFI 5, Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval - 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 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 -BI Date Card -BI Date Card -BI Date M = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) / Date UND LOOK PIS OK except #'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 4 Line Firewall & Openings 2.- ee - lec. nd.- / /" Ftg. Depth oor -One 3' -Check Garage -3rd story, 2 exits 9W-Ftg., Garage; Soils -Steel- /. Ftg. Deptht - eadroom-Rise-Run-Landing-Fire Protection 4. Fta-Eorches & Der�oils-Steel- / /" Ftg. Depthood�of Overhang -Attic Vents -Rafter Outriggers 5. - ttts-Wrapped-Slab g-Nailing- Veneer emwalls, Garage; Steel-Blockouts-Wrapped-S 53. - -Fdn. Vents-Underflr. Access X 7. Piers -Fireplace Ftg.-Steel 54. - a Protection -Skylights -Plastic X 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. ai ing-Bolts 9. Gas Pipe; Size -Anchors 0. Water Pipe; Test -Anchors -Regulator -Service Test ,-11. Electric; Underground YQ2. Plenums & Ducts; Clearance -Material -Support -Ins. 12 X13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card- Dat Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card-Ba-.Date/'o '- Card -BI Date Date FINAL . tans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK;e t N's xt. Steps -Door & Sidelight Protection -Landings 57. Sreehe4eetrC[O7 _ 14. Water t.; Vent=cc s -Combustion Air earance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pip , Test Anchors -Nail Protection 16. D.W.v,.; Test tngs & Anchors -Nail Protection 59• g Shower Pa est, irst Floor -Tub Access 60. G.ln=S bath r 17TITFe-M ub Access ____17. 18. Test & Shower, 2n oor-Tub Access lec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors irs & Rails --- 63. F' ec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. KiF - it ap-Cooking Clearance Card -BI Date Card -BI Date 66. nter Date ELECT 1CAL Permit OK except N's arage Fire Door; Swing -Landing -Closer 68.- mper 10 ixtu Transformer Clearance -Ins. Protection ecReceptacles S acin -Lights &Switches at Doors 69. Wtr. Htr.; Vent - b. Air-Connector-P.R.V.- In ge; Above Floor-Mech. Protection. 70. P .Listed for L ion 2. ze Boxes o. of c tapled ex Installed Close to Edge of Studs & C.J. in Garage; (G. -Rom rotec. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insul ion -Foam -Looked in Atti ❑Yes okion-Post 7 uard Rails & Deck ,2gr...�n Kitch & Conductor Size 28 Subfeed Wire Size AI-A.C.-Wire Si 74. vents & Cr,,,,l Hnlo nn,..-n.�;..,e� Ftp, - s -Wood-Earth Clearance Looked under Floor ❑ Yes 27. Al -Oven irc. a. Cu or Al, Insulated Neutral Yes El No 75, F i No; Walks ❑ Yes ❑ No; Planters ❑Yes El No 28. vice- iser Conductors &Ground -Main Discon ct 76. S 29. Equip. Ul 77. A G. WRiltI309CO reuT--Mrnces-Brkr. & Cond. Size -115V Outlet 30. o es o e ig - ower Light 78, o ; g.- pp lance-Firep l. -Clearance to Opngs. 79. t, Electrical, Plumbing 80. Exterior Eiac 14aL- F I. Receptacle -Underground Card B �(,��Dat�O`�L Card BI Date 81. use Card B -I Date Card -BI Date 82 Date MECHANICAL (Permit) OK except k's orrections from Previous Inspections 84. ged; Gas -Electric 31. A.C. Ducts; Insulation &,AmMort 85. g6. ewer Connected -C/O to Grade -HD Approval -p lance Certificate -Other Certificates -_ 32. Vent Fan; Exhaust a,12A Insulation _ 33. Condensate Drai Overflow; Size & Grade 34. Furnace-Ve , Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Ac ss & Platform if Furnace in Attic Card -BI - Date Card -BI Date Dat + Card -BI Date Card -Br -Date Card BI Date .Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMI (Plans) OK except q's Comments at Final: Sil roper Material & Anchors Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ 39.proof) Bearing Walls over Girders & FI ailing 40. _ 44. ea der & Beam -Size & Bearing ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. fes or Type A ue-Fireplace Throat 45.ize & Romex rotection-Draft Stop -Ins. Baffles _ 46. _ rs-Sill Hgt. & Dimensions 47. ion r ng (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECT 10N._NOTICE 3/6 BUILDING OR PROPERTY ADDR SS' 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. IZ4&> tv (24Y,�� Inspector Date_! o �/ I Inspector Date_! o �/ COUNTY OF BUTTE DEPARTMENT OF.PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE S314 8L IAIZ-16 e-77 I BUILDING 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. d VIfteALA- .5 1(24-- cT IPAinFX QQ.Qc�J'4d-.� f. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 mal / APPLICATION AND PERMIT �� ` I ,tel ASSESSOR AR CEL NUMBER `.-- 2_ ,� 39' ZONING WILDING PERMIT OWNER /� C L�✓ TELEPHONE SQ. FT. OCC. BUILDING VALUATION O coo OWNER'S MAILING G ADDRE a //{y�' .�i ' • 1..� 1 Oo' U . V 0 C..CJQ�r Q CONTRACT R' NAME J K s TELEPHONE CONRA OR'S}' AILING ADDRESS Z 6.�p' Z •12-• .Z" , Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ 'Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ �,06 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ ,Q0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ zvc BUILDING ADDR s d PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME if PA EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STR TUB//E''''�� SF ❑ Duplex Mobilehome Oth If `eNaq)° SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New'_ AdditionE], Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑ Describe work: %Q x 3 0 �e<a ear*Y .moi OKI© " -�LESS !O /yam Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 0OV OR Main service 100 AMP ORS 5.00 `y G "l Sf4 v D G Main service EA. ADD'L 100 AMP 2.50 NEW CONDNST. �D - CCUP.EI) OR ADS. S. 22 sq ft j� �✓0 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s C de and my license is in full force and effect. License No: Classification _A ❑ 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 CON5TR T .OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS S\ NON-RESID. SINGLE OUTLET CIR. / EX. Occup OUTLETS OR FIXTURES BAL21 FIXED APPLNS. OR Ex. Occup.(ouTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ -00 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 Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, 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 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 li )tie judgments, cost and expenses which may in any way accrue aga' st said County in cons ce ofa granting of this permit. �/ p X D to 7 'O Signatur plicont - Owner ❑ ontractor [Agent ❑ An'OS permit is required for excavations over 5'0" deep and demolition or construct- ion of ructures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD7.E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for w ich DIR j0R�A BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat Receipt No. 4 a;z WHITE-D.P.W., YELLOW-ASSESSOR,"PI NK -INSPECTOR, GOLDENROD -APPLICANT CIA 2005-0074973 RECORDING REQI STS BY: Recorded I EC FEE 10.00 Official I RRecords CoButteof I QOM COPY 1.00 CRN M J. 6Ri1BBS I County Clerk-Recorderl AND WHEN RECORDED MAIL TO: I SA 01:099 09 -Dec -2M I Page 1 of 2 BUTTE COUNTY BUILDING DIVISION IIIA'III"III'(III"III'I'II('��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. , NEAL B. AND PATRICIA L. DOULASS TRUSTEES DOUGLASS FAMILY TRUST REAL PROPERTY OWNER/LESSOR 5316 BLINZIG COURT 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 05-3158 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER 12"( SIGNATURE OF LOCAL AGIVCYOFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDEN WEST HOMES 1981 CALYPSO MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CALCA63028A/B/C 60 X 24,24 X 10 CAL224339/40/41 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-250-039 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept.. } �1 G REQUESTED BY, r statements to, n Recorded Mail. This Deed to: seal B. and Patricia L. Douglass 3'316 Blinzig Court Oroville, California 95966 IIII Ill 111 l 1111 l ill 111 11 111 11 11 lid �I�ttalml—11a�120239 Recorded I REC FEE 7.00 Official Records I CountyBUTTE f 1 CANDACE J. GRUBBS 1 Recorder I ROSEMARY DICKSON I Assistant I Maureen 09:35AM 01—Jun-2000 I Page 1 of 1 SPACE ABOVE THIS LINT: Kb,bxvnu rvn Quitclaim Deed The undersigned grantor declares: Documentary Transfer Tax $ -0- XX This conveyance transfers the Grantor's interest to their revocable trust. EXEMPTION: R&T 11930 �i We, Neal B. Douglass and Patricia L. Douglass, hereby remise, release and quitclaim to Neal B. Douglass and Patricia L. Douglass, Trustees of the Douglass Family Trust Dated February 1], 1997, all right, title and interest in and to that certain real property situated in the unincorporated area of Butte County, California, described as follows: Lot 185, as shown on that certain map entitled, "Kelly Ridge Estates Unit 4B", which map was recorded in the Office of the Butte County Recorder on November 10, 1977, in Book 58 of Maps, at Pages 73, 74, 75, 76, and 77. A . P.N .: 069-25-0-039-0 Dated: May , , 2000 State of California ) u. County of Yuba ) APatriciaDouglass On May � 2000 before me, 44AA-rcJ ed Neal B. Douglass and Patricia L. Douglass, personally known y xe ut i proved to on the a Notary Public in and for said County and State, personally appear basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same n their authorized capacities, and that by their signatures on the instrument the persons, or the entity upon behalf of which the persons acted, executed the instrument. WITNESS my hand and official seal. Notary P blit if.r. wKaren Sue Stiles Cotnn1.v11140339 NOTMYPUBLIC• '�CnUF rU8A COUNTY Aomw. Exp. June 14 , t, 4004