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Home My WebLink About071-430-002L ERDUEi en Springs Rd, approx,7 mi SW rfe ow Rd, Bald Rock a But -Eleit��20�64-_8 _ ,E(power pole) 298 Hidden S r-!r'ngs.-Be y Creek rmit 3514-87B, ,E,M(ne single family) - - Permit#50-89B(lst renewal/351 -87) Permit#1320-89B(add open dec SF) _ _,_ _ l� "--' . - Permit #4028-89L (2nd Renewal Per _#3514-87)' 91-4281 -PERDUE, BILL CONTR : OW R 298 H I DD SP.R'I NGS RD, BERRY CREE CMPL/8 -1320,,87-3514 aid-11Ib f ' Y i P' �• �'� rS . !f 13 Y PERMIT NO. PERMIT EXPIRES OWNER CONTR. 9baee ( ASSESSOR PARCEL 71-35-02 iLOCATION 298 Hidden Springs, Berry Creek I 1: '1 Temp: Power Pole OFFICE COPY 1 7 t Te Address_c_�� r 1 i I GAS Meter By Date 3 2 To IECe TRIC JOB FINALED (Date) T o I Signature = OK o = NotOK RESIDENTIAL (Single and Duplex). - =Not Applicable . = Not Ready y Date U D FLOOR (Plans) OK except #'sDate ING Continued Z ing requirements -Setbacks- a angers -Post Caps -Anchors -Connectors Ftg:, Main; Soils-Steel-Elec. Grnd.-// /" Ftg. Depth CWgWg. Joist-Rftr: Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg.• Depth. Fire ace Ties o T e A FI Fireplace Throat tg., Porches & Decks; Soils -Steel -/_2 /"Ftg. Depth tt' Access; Size & Romex Protection -Draft Stop -Ins. Baffles Stemwalls, Main; Steel-Blockouts-Wrapped drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped :::�9�ge Fire Protection Framing 7. SI b; Steel -Wrapped W. Pr party Line Firewall & Openings P' rs-Fireplace Ftg.-Steel &A,—Ext. Doors -One T -Check Garage-3rd'story, 2 exits Uoob Fall -Fittings -Test -2 way C/O -Sewer Test Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors PI od.on Roof Overhang -Attic Vents -Rafter Outriggers . Water Pipe; Test -Anchors -Regulator -Service Test . Siding -Nailing Veneer 12. Electric; Underground ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material-Su pprt-Ins. ' Glazing Area -Glass Protection-Skyllghts=Plastic �f . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57 ear Walls; Nailing -Bolts 15. Insulation 8.Insulation-Walls-Clg. %w(/ 0 59. Infiltration -Wal is-Wndws Card -B1 Date b' and -B1 - Date Card -B1 Date — and -61 Date .Card -B1 Da % Card -B1 Date Card -B1 DatCard-B1 Date Date UMBING Permit) OK exce t #'s ' dr Water V ccess-Combustion Air Date FI (Plans) OK except #'s Water Pipe & Anchors -Nail Protection pffVlExt. Steps -Door & Sidelight Protection -Landings tngs & Anchors -Nail Protection 61. Smoke Detector .dower Pan; Test, First Floor -Tub Access 62-FartrdC-e-,-Vents-Clearance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor-Tub'Access 21. Gas Pipe; Size & Anchors edroom Exiting. Card-B1 Date Card -B1 Date G.F.I. & Bath Fixtures & Tub Access -Spa Eec. Trim ,& Subpanel; Breaker Sizes -Labels . Stairs &Rails !replace or Stove; Clearances -Hearth Card -B1 Date Card -B1 Date Outlets at Wood Panel; Int. & Ext. Date EL RICAL (Permit) OK except #'s8._-lec. 4�2'fF!06re & Transformer Clearance -Ins. Protection 5. it. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance Lk2yElec. Outlets & Receptacles at Kit. Counter I . Receptacles Spacing -Lights & Switches at Doors S�iWBoxes & No. of Conductors -Stapled 74;, ge-Ffre Door; Swing -Landing -Closer R x Installed Close to Edge of Studs & C.J. C uct in Gara E Ground made up w/Meeh. Fasteners -Bond Gas &Water 73 Wtr. Htr.; Vents learance-Comber !r-Connector-P.R.V - I e; Above rotection • Appliance Circuits in Kitchen & Conductor Size . Plb., Elk. & Mech, Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.• Cu or Al Garage; (G.F.I.)-Romex Protec. ' ' 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. I ated Neutral Yes No 76. emulation -Foam -Looked in Attic 13 Yes tuard Rails & Deck Construction -Post Caps S vice -Riser Conductors & Ground -Main Disconnect . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O es Equip. Clearances Panels-Motors-Mech. Equip. othes Closet Light -Shower Light -Spa Light i 79. Following instld.; 1rl19,-E! Yes o; Walks o Yes p -No; Planters 'O Yes ErNo j 80_SiuccorBcewn-Finish Card -B1 Date Card -61 Date --84-�=tJnit Oisennect, Electrical, Plumbing Card -131 Date Card -131 Date Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to openings. Date MECHANICAL (Permit) OK except #'s f.5. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support k84—bterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation . entilation throughout House 35. Condensate Drain & Overflow; Size & Grade . t3lass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet . Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic . Gas Test -Meters Tagged; Gas -Electric `89. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -Bt Card -B1 Card -B1 Date Card -81 Date Date'/,f/A Card -B1 Date Date Card -B1 Date Date FR NG (Plans) OK except #'s s, Proper Material &Anchors s Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: ring Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) Fir Stops; Furred Ceilings -Stairs -Chase Tub Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) = OK 0 = Not OK NotNot Readiyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK 8xcept #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -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 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ PV ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -Bi Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -61 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged. 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enc losures-Pan elboard s -Ins. to Main in Conduit Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 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 - OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ��.N F" nom Inspector i._ Date • I A 5 2064-8b Bill Pd' ue ,�, I NIS HiddA- h''I'Springs Bald Rock, OFFICE COPY Address li GAS it Meter By----� Date ELECTRIC Meter By Date "7 f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WO'RKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ' APPLICATION AND PERMIT ORPARCEL NUMBER ZONIN- BUILDING PERMIT NER FA.S�E L ?mituuNER'S TEL PHONE SO. FT. OCC. BUILDING VALUATIONc.ill MAILING ADDRESS -) -:ti q StL0&/L Gr.FST FT Pik./n6r� CONTRACTOR'S NAME ri3(_ F i� L r_— TELEPHONE �t k% , CONTRACTOR'S MAILING ADDRESS C CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS AlA Ht QDk 4) s& 1A �-1 t%r: Permit fee $ PLUMBING PERMIT Filing Fee 10.00 0.;►.�••- R t'P r ryx </tl) ,, t` P" 1-r_ L c.o r Each Trap 2.00 . t.�)C,/�„ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME TPARCEL MAP Water piping 5.00 _San Each qas water heater or vent :5.00 USE OF STRUCTURE SF ❑ Duplex❑ .Mobilehome❑ Other If220 P'^e, • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑A5 Installation❑M Other Q Describe work: ('�DK:�.�'-� Fnsr. I- r, ir, I&A -1-1—,0 t�,7� ( '/.'ir�7, lcJ / I ? Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 10.00 �pTjp Main service EA. ADD'L 100 AMP 2.50 .?•$'p l ` CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. License No. 4/9 /� Classification C — ? ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intendedor 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 Code1ti/Srp,CG for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2,hQSgft NEW CONSTR `ULI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) /POWER APPARATUS & %SINGLE OUTLET CIR. EX. OCCII OUTLETS OR FIXTURES BAL0320@5t p� ewL030 Ex. Occup. OUTLETS ED P(RESID.)LINIS REA.) \\ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 i`(113r P 15:00 1.0 U T i e1_i /J,6C, Permit Fee $ 31.50 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 $ 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 against said County in consequence of the granting of this permit. - I � X Date �' Signature of Applicant - Owner ��' ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ,rj occUP. CONST.Tr Pc IFLOODIPARCELI PD I N�j ISSUE Y/ This permit is hereby issued under sions of the But County Code and/or work indicated above for which A DIRECTOR OF PUBLIC By /-'� '" .. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS, Date —7 ''---� 1/ /... Receipt No. l�1 b �.� WHITE-O.P.W.. YELLOW-A88[890R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT 0 7 County Center Drive - Croville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT F. ASSESSOR PARCEL NUMBER 071-350-002 ZONING U BUILDING PERMIT SQA FT. OCC. BUILDING VALUA N OWNER ERDUE LL PERDUE TELEP40ei 684-4890 EST. 3000 OBI 6128 PIRATE PT CT., ELK GROVE, CA 95758 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ 4.5.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 298 HIDDEN SPRINGS RD., BERRY CREEK Permit fee $ 60,00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New Addition [7 Remodel❑ Utilities❑ installation[] Other] Describe work: COMPLETION OF WORK STARTED UNDER #1320-89 AND 3514-87 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. 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) El 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADONS. l ACC. BLDGS. 3.6Qsq.ft. NEW CONSTR. MULTI -OUTLET N O N.R E SID BRANCH CIRCUITS @ 5.00 POWER APPARATUS &` SINGLE OUTLET CIR. / Ex. o p UTLETS OR FIXTURES 20 764 Ex. Occup. our ETS PIRESID ID APLNS.REA.1 ( 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — 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 I Consent to Self -Insure. L!6 ' 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 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 against s CoTinty in conseque f the granting of this permit. X Date ��`—� Signature of A i;c— Owner may. 9 PP U Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 60.00 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD I HD Iss This permit is hereby issued under the sions of a utte County Code and/or work ' dic ed ab o hicAfe DIRE BRKS By. PE IRS Date applicable provi r solutions to do ave been paid. Date 12/12/91 12112 92 Receipt No. /�c� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Tblephone'. 916/538-7541 ` APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 71-35--02 ZONING BUILDING PERMIT OWNER Bill Perduo- TELEPMeJNE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS An r l'S N E CONTfil1C)` OLt 8 t C Gro ((pp ( moo[[ I`t C TELEPHONE 1% CON ACTOR'S MAILING ADDRESS l9/Ilk? Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ /S, LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE v0. Plan Checking——e—e— - $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 29,9 Ifidden rise. a Rd. Permit fee $Q PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2.00 Narry Crook Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF -g Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ AdditiorJP Remodel ❑ Utilities ❑ Installation❑ Oti'ter o Describe work: 20 - " C.Owt 1�-f i19n 0 WL,) r r Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 10.00 r Main service 6OOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADDNST DWEACCLLIN GSCCUP h) '/223gft NEW CONSTR.ULTI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 2AL9 eL030 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with. the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. - Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Countyin consequence of the granting of this .permit. --- -.=- = .---•• -• - X Date- Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑work I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories -in height Mobile Home Installation Fee $ Energy Inspection Fee $ - occ CONSTTYPE TOTAL FEE $ HAz I CUA I PARK I SCHL FLD PAR I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS - .... •-- ~, Date By PERMIT EXPIRES Dat e-�-- - - Receipt No . _, WHITE-D.P.W.. YELLOW-ASeC33OR; PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner-builder".building permit has been applied for in your name and bearing your signature. s Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.')1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number 5 - Date Date '�o - . NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. • 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 / C/)_ r/C' APPLICATION AND PERMIT � ®� O ASSES OR AFL,y�1MBOER^ ID, ZONING BUILDING PERMIT - TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S AILING 4DDR ES S I CONTRACTOR'S NAME TELE ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing F e $ 10.00 LENDER'S MAILING ADDRESS Permit Fee-- $ o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Permit fee $ v PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SU13DI VISION NAME t PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFKJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer — 5.00 Mobile Home S W O.00ea TYPE OF WORK New❑ Addition Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BU$IneS$ and Professions Code and my license Is In full force and effect. License No. Classification Vd 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 CONST. DWELLING OCCUP.N , OR AODNS. ACC. SLOGS. vtsgft NEW CON TP_ U TI.OUT LET NON.R ESID .BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCU o 20e50e pUTLETS OR FIXTURES SAL030 Ex. Occup. OUTLETS FIXED PRID ) INIS OR (ES 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ 1 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ainst aid County ' onse uence of the granting;ois permit.G/ �O`r f ignature of A 1icant — Owner [� Contractor nt ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures o er 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ c CONST.TyPEJ SCHOOL �- FLOOD PARCCL PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat I` Receipt No. WHITE-O.P.W.. YELLOW-A3eE33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVI ION` i 7 EOUNTY CENTER DRIVE - OROVIL�CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER i A. P. No Proposed Building Use Building Inspector Date_ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ............................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . !.... . 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 2. hoot Distripyfees paid ................ 13. Sanitation approval from i Health Department .. S—// S 14. City of Chico plumbing. -permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: �(B) Parking: ......... 17. Improvements may be required. `' 18. Driveway permit (construction approval'required prior to occupancy) ... 19. Pre -Inspection for required , , , , Pre-Inspec. request to Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .j.,. ..............:. . 22. Owner -Builder Verification (Given to owner 11, Mail toowner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................... .............. 25. 26. l When you issue the permit, process as follows: Mail to owner. _ Telephone and hold for pickup at office. _ Other 2� Mail to contractor. (Date) } } _Deliver w/inspector. Date Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issu nce• (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: r'F Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date 5 Iq •. � w�i...�....�_��..._ k:-irrt`'• ..... ..l.�..a.,�w..... .... r.. .. ..s wr+..-.. ... .�. .��. .rvr�__.... -�_. .. �.-..... ... .. ..... _ .__._ _ _.. x.r.-.s. .r...o _�.�.�........u__�.... _...��.._... TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance AQ owner Locatic AP# plan Approved for: Sewage Disposal Water Supply �. Hold final for: Water Supply Final clearance 0.K. mor: Water Supply Clearance for- bedroom mobile home. Other Sanitarian: COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDER.VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)' signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: / Name Address _/ City Phone Contractors License No. 4. .I .plan to provide portions of this work., but I have hired the following person to coordinate, supervise, and provide the major work: Name - Address / City Phone Contractors License No. 5. I will provide some.of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number f S' 7.7-- 7 — 0 Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COQ NTY OF B ,1 JJ OYFIf IAL RECEIPJ d v Received from6 The Sum of For OU Received: pt% P/—�{�� Q CASH ❑ 4 CHECK b_ C / L.L3 DAVCO BUSINESS FORMS • (916) 743-8511 Received By Title By G RECEIPT 37143 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE -0 916-538-7541.. Bill Perdue DATE_Anr;1 19, 1989 214 Drake St. antioch, CA 94509 RE: Building Permit Application for open deck A.P. # 71-35-02 With reference to the above subject: IV Attached is: X Application for permit Mobilehome Utilities Installation Sheet X Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet X Owner -Builder Verification Form List of Codes Enforced OTHER L1 L We need the following information: X Permit application signed and completed where indicated with all copies returned. X Fees of $ 85.75 payable to Butte County Treasurer. X Certificate of Workmen's Compensation Insurance or check exemption statement. X Contractor's License Law information or check exemption statement. X Complete plans in duplicate , including plot plans. X Plot plans io duplicate Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: ' 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for X Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. 1� OTHER Should you have any questions concerning the above, please.contact this office. Yours.'very truly, JFG/aj William Cheff Director of Public Works .F. Glander Chief Building Inspector �II�.i[�ii�:�J/'+M"`��r�'Y�`4f�i1.�t-.•1 n�'.` ��•I�� 'i�PY!'�°�-\-�`l'Wr_��f ,� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION t H 7 COUNTY CENTER DRIVE - OROVILLE,-CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit No. r A. P. No. _ Building Inspector o ° Date At time of permit application, I was advised the following data must be submitted priorto permit processing a6d/or issuance: DATE RECEIVED APPROVED 1. All items have beensu. matted . .................................... _ 2. Plot plans in duplic, !t 7yari licate, signed by preparer of plans ........ 71) 3. Complete plans it upl /triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School .Distr.ct fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required .... Pre-Inspec. request to Building Inspector -20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance ........... 22. Owner -Builder Verification (Giver, to owner ❑, Mail to owner -1p? ...... 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. Q: When you issue the permit, process as follows: Mail to owner. - Telephone and hold for pickup at office. Other Applicant Date) J7 Mail to contractor. _Deliver w/inspector. Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required:. Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinu Department FROM: Environmental Health SUBJECT: Sanitation Clearance ...... -..- /J'. // 6 — - 14,1 d) -a, 7 0 Owner. Locationv AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.R. for: Wat r Supply Clearance for bedroom mobile home., Other G NOTE *** Sanitarian Date COU111TY OF BUTTE - DEPARTivEN7 OF PUBLIC WORKS 7 County Center Drive, Oroville', CA 95965 PHONE: 916-538-75/d. Bill Perdue DATE April 19, 1969 214 Drake St. antioch, CA 94509 RE: Building Permit Application for open deck A.P. # 71-35-02 With reference to the above subject: / 1 Attached ' is : X Application for permit Mobilehome Utilities Installation Sheet X Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet X Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: X Permit application signed and completed where indicated with all copies returned. X Fees of $ 85.75 payable to Butte County Treasurer. X Certificate of Workmen's Compensation Insurance or check exemption,. statement. X Contractor's License Law information or check exemption statement. X Complete plans in duplicate including plot plans. X Plot plans in duplicate Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for X Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. 1� OTHER Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916; 533-7541 APPLICATION AND PERMIT ASSESSOR PA L MBER — (✓� ZONING BUILDING PERMIT j1Y11•lER TELEPHONE SO. FTOCC. BUILDING VALUATION / OWNER'S AILING AODR ES$ Q i l c, - CONT ACTOR'S NAME JTELEF4HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee Q 10.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $_ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � Permit fee $ 1 S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping S,OO Each qas water heater or vent 5.00 USE OF STRUCTURE SF KI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea. �j TYPE OF WORK New ❑ Addition L�, Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 8000 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main Service EA. ADO•L 100 AMP 2.50 NEW CONST, DWELLING OCCUP.di OR ADDNS. (ACC, BLDGS. /zcsgft NEW L:ONSTRMULTI-OUTLET - - SID BRANCH IRCU ITS 2.50 ea NON-R� POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 12019 50t OAL930 F_x. DCCup. OUTLETS FIXED P(RESID 1LINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ainst said County in consequence of the granting o is permit. r ` X Da�tt ignature of Applicant — Owner ❑ Contractor ligent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OC cu P. CONST.TYPc JSC..01J1I-O--JP-RCE1J PO NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-D.P.W., YELLOW-ASOESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT NO.,.% 7 County.Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ,,,n ASSESSOR PARCEL NUMBER 71-35-02 ZONING BUILDING PERMIT OWNER BILL PERDUE TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 2521 Silvercrest Ct., Finale, CA 94964 CONTRACTOR'S NAME OWNER TELEPHONE 1st renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee 22 $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 152.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 298 HIDDEN SPRINGS RD Permit fee ,t' 162.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 BERRY CREEK Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF IX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home T SG W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: i 1st renewal of permit. #3514-87 j EJ_ IO.00ea Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 700V OR LESS 00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pen of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification 1, as the owner, or my employees with -wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am a empt under Sec. , Business and Professions Code for t r son NEW CONST. DWELLING OCCUP.N OR ADDNS. ACC. BLDGS. , h¢sgft NEW CONSTR.MULTI-OUTLET NON-RESID .BRA CH CIRC 1 S 2.50ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 200500 eALe3o FIXED APPLNS. OR Ex. QCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under enalty 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?1 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 becomesubject 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue nst sai County in cons uence of the granting of this permit. X Date �� - nature of�Apwnerg Contractor ❑ Agent ❑ An OSHA permit is required for excD ations over 5'0" deep and demolition or construct- ion of structures over 3 stories in Vght. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 162.00 OCCUP. CONST.TYP! ISCIIOOLIFLIOODIPARCFLI P11 I NO I 1390E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work i d above for which s have been paid. I OF P C WORKS Y Date((� P MIT EXPIRES Date 11-3-03 Receipt No. WHIT!-D.P.W.. YELLOW-ASOLSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541 Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property// improvement (yes or no 2. I (have/have not) ./A,x. signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, -but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: ✓ Property Owner Social Security Number Date A NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. '1i';c., COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Orovil le. California 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER O ZONING BUILDING PERMIT OWNER q r12 t> L, TELEPHONE �� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I,- p L 2 � �� 2 `�iG IL s I CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION NDER WA VNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILANG ADDRESS Permit Fee $ /52_00 ARCHITECT OR E GINEER LICENSE NO. plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT O ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ p� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Q e2c�/L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFN Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: (U -/V IL Prift'v u' d3slq- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR SLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSs and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. /z¢sgft NEW RESID. RANOOUTLET NON -R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS IN) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES P 2ALC 30 eALeao FIXED APPLNS, OR Ex. OCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. Wiring g 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments o ts, and expenses which may in any way acrue against s Cpunty in a ence of the granting of this permit. Date / �,—�� Signature of Applic r — Owner2 Contractor ElAgent El An OSHA permit s required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 'L� d� HAZ I CUA I PARK n FLD I PAR I PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated abo a for which fees By �t4TOF PUBLIC PERMIT EXPIRES Date - the applicable provi- resolutions to do have been paid. WORKS Date 3�~ rJ /3 Receipt No. 94 7Co�Z �� . WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT •� COUNTY OF BUTTE - Department of'Public Works 7 County Center Drive, Or.oville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 -538 -7541 - An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) (AA_ 2 signed an application for a building permit ' for the proposed work. 3. I have contracted with the following -person (firm) to provide the proposed construction: Name �— Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to. provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification' must be completed and returned to our office before we are -per- mitted to issue the permit. r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ArNDIPERMIT ASSESSOR PARC UM ER ZONING BUILDING PERMIT OWNER _ TELEP NE s� -sao ,SQ, FT. OCC. BUILDING VALUATION 00 OWNERSAI LING ADDRE 5 - u CONTRACTOR'SR.M.TEL PHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1,4 P CONSTRUCTION LENDER UNKN OWN Total Valuation $ Filing Fee $ 10 .00 LENDER'S MAILING ADDRESS Permit Fee $ Dd ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 5 00 Energy Plan Checking Fee $ 14 QQ ARCHITECT OR ENGINEER'S ILING ADDRESS Penalty $ BUILDING ADDRESS 29 � L Permit fee $ PLUMBING PERMIT Filing Fee 10.00 L Each TrapMen 2.00 Solar or heat pump 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping5.00 TQo Each pas water he5.00 Q USE OF STRUCTURE SFL� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 5.00 �' 0 Building sewer5.00 Mobile Home 0.00ea TYPE OF WORK New Addition❑ emodel❑ Utilities❑ Installation❑ Other[] Describe work: If I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N\ '/z¢sgft OR ADDNS. ACC. BLOGS. 1 NEW CONSTR.U I.OUTLET 2.50 ea NON-RESID .BRA CH CIRC ITS POWER APPARATUS e` (SINGLE OUTLET CIR. .l Ex. Occup(OUTLET3 OR FIXTURES 20060t eAL030 FIXED Ex. OCCUp. OUTLETS P(RESID )NSREA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ ob WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 -06 Ventilation permit Fee = Q U Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i onsequence of the granting of this permit. X I �i'"� Date ��"�� Signature of Pplicant — 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oe CON scNooL F PARC L P ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTORY PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Wss ate —3—,?7 � � Receipt No. WNIT[-D.P.W.. TlL LO W-ASe(e 7011, PINK -INSPECTOR. GOLDlN ROD -APPLICANT � '� as+.w^. COUNTY OF BUTTE PUTE - DEPARTMENT,OF BLIC WORKS - BUILDING DffllsION +. -- -k COUNTY CENTER DRIVE - OROVILLE, CAtLIFORNIA'95965 - TELEPHONE: 916/538-7541 :PERMIT APPLICATION DATA SHEET Permit No. OWNER�tiu. ��/i�,�./c� A P. No. Proposed Building Use Building Inspector Date 4g)Z_-21 , At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: -DATE RECEIVED APPROVED;; f 1. All items have been submitted. . : . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. - School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. it10. 11. 12. 13. —14. 16. 17. 19. 20. 21. Letter of signature authorization. Sanitation approval from n VLU/i/16Health Dept. %� Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Improvements may be required. . . . . . . . . . Mobilehome Installation Data. .` . Pre-Inspec. request to (Date) Pre -Inspection for_______ __ _.____ _ Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. �a Driveway Permit. Plot plan approval from city o-.' 22. __ AP? /ou i / Tele Mai I to contractor.. fice, Deliver w/inspector Date w The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ___ 'Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —mai l—counter j4date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder COUNTY OF BUTTE t DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,...or need additional explanation, please contact this office immediately. ' u ridle v •*tee ani ,f i ies- .1L� 2L/u ( �✓v✓ c� c_ l2 S `, oY ` �� eSScc� l r 4'"6k- ►� of Date )T�Z Inspector J� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 ,v 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE RMIT NO. 4 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 need additional explanation, please contact thisjoffice immediately. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorral Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: .538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE PERMIT NO. A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. 'Please ,notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Warr, Chico — Phone: 891-2751 7 County'Center Drive, OroviIle — Phone: 538-7541 747,Elliott Road, Paradise — Phone: 872-6307 --(CORRECTION NOTICE 62-3- 7 OW / PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address 'and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 4-1 Date._/q I Inspector TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Sewage DisposalJC_ Hold final for: Final clearance�O.K. for: C.� (4 --Clearance fot 3 bedroom mobile ome Other NOTE * * * Sanitarian, AP# Water Supply Water Supply Water Supply Date 7 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work*but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: ` Property Owner Social Security Number x'742; Date ,,O -gl— 'zfr> NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. eCurn. to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECORDED BUTTE COUNTY NOT COMPARED WITH FOR RESIDENTIAL DEVELOPMENT OFFICIuL.RECORDS 8 ORIGINAL DOCUMENT .r ..,Se op -;26-8.1 of the Butte County Code requires this acknowledgement 4W" ecorded prior to issuance -of a building permit. - 'n4-39`75 . 1887 OCT 21 Pik 2-' 44 The property described herein is adjacent to land or included Within an area `zoned for .agricultural purposes, and residents of this CADAC,t j. UI2UB8$ ; � - property may be , subject to inconveniences or discomfort arising from CLERK -RECORDER FEE..._ s' -'the use of agricultural chemicals, including, but not limited to herbicidespesticides, 46dfertill.zera; and from the pursuit of agricultural operations including, but not limited l to cultivation, plowing,spraying, • pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a '`;;._•-priority use for productive agricultural purposes, and residents within said zones and on ` adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. s� .„1 �I All that real property situate in the County of Butte, State of California, described as follows: ' Date: /e7 ^ / U PROPERTY OWNERS: State of ST On this the , day of �c�o6P2 19, before SS. me, the undersigned Notary Public, personally appeared County of _.&Ile ' ) #� a Ll Personally known to me. / / Proved to me on the basis RICHARD FEUERBTEIN • AW, a of satisfactory evidence. r°suft NOTARY PUWCMFOFWA 0 to be the person(s) whose hame(s) /S subscribed to w. my ,per ,2t�19W i the within instrument and acknowledged that /5/C M executed the same for the purposes therein contained. *s,sp■e■■■■■m■■■■■■senses. '.” IN WITNESS WHEREOF, I hereunto set my hand and official seal. 1?k6sent A.P. No. Notary Public Oros No. Escrow No_ 3-66284 Lown No. APN71 35 2 OfFIC:�L Ftt I'�J+ 6UTTB COUNTr'•Nur. RBCOR01 REpUE3iE0 11"INMEN RECORDEDMAIL T0: �/A� �t4�' DILLY i DOHA Plcmm 'I 1 2528 SILVEACRES? C?• CLARXfIELSON PINOLEF CA 94.564 x.IIBOpRDBR B 82-1004( S►ACII AeOVS THIS LINT FOR RECORDSR'e VSe MAIL TAX STATEMENTS T0: 14.85 DOCUMENTARY TP,AFf3ffA TAX t as above CMneF d O,wl.r- X.•- C011"wd on M caN rrel¢n or value d Fropwly corw"; ON i1W Slat•n»rd NOT — Cahubd en owe eonddarrfan er vwu• Ir Ikve or enwrib wa flbd. IS•C. 460 R � T 11rrltl� tol ra ' Cod•1 Sad b mollkp � ` �� • oddr•w 0• dnW nrMM•{isiwrn v ASNrr •wwWW - - I— Nft MM — KID TITLE AND ESCROW CO 6RANTDEED FOR A VALUABLE CONSIDERATION, receipt of wttith It INneby Edcrowlsdsd, TAX PAID DOROW W114M, an ur>tarried wosfan hereby GRANT(S) to BILLY PEPJM AND DOPA PERDUE. . hnaband aiAd wire as aoint Tenants ft mal property in aIle (111g160 nnineorporated area of the County of BOtte Stan of California. as SEE AMCBM LWAL DESCRIPTION 1 Dated March 30, 1982 LK11�ir KILBtf STATE OF CALIFORNIA 1 , COUNTY Of a — Auttw On._ A rD Il 19_, 19822e� _� 1 betom eft Ow undw/Mntd`ROT"I'dn tiY MI IIBON to ui Slam pwtoRMlevaww! _ GRA 1). SaL .J �- AN1 D. KEily O i• NOhev Pl•SIIC • UFDaNM IjI' PRIMPAL OFRCE IR �r knnwn 10 nN b In dw Dwton — Itwot• name 1 w Surl m Coulm a4Raibd to Me width kolnorAft wa1 aknoal•dpd tkal r► CONNSSION U ..S. 7, IMS . she .rwl./ew/waa WITNESS my hand •rd oNicl/ awl. '. Sgnwun ITkk w., for ollkk• H, wuw wo, V, MAIL TAX STATLENTS AS DIRECTED ABOVE 1002 1101"1 I w OESCRIN ION: All that certain real property situate in the County of Butte, State of California, described as follows: A portion of Section 2,'Township 20 North, Range 5Fast, M.D.B. 6 M. and mora particularly described as follows: CMOMNG at the Northeast corner of Lot 3 in Section 2, Township 20 North, Range 5 fast, H.D.B. 6 M.; thence South 89° 50''18" West along the Northerly line of said Section 2, a distance of 449.44 feet; thence South a distance of 522.64 feet; thence Notth 890 52' 30" West a distance of 1348.34 feet to the true point of begiuning for the parcel of land herein described; thence Eras said point of beginning. continuing North 890 52' 30" West, a distance of 449.45 feet; thence North a distance of 513.65 feet to the Northerly line of Section.2; thence North 890 50' 18" fast -alo g the.Northerly line of said Section, a distance of 449.45 feet to a point which bears North from said point of beginning; thence South a distance of 515.89 feet to the point of beginning. TOGETHER WITH a nonexclusive right of way for road purposes over a strip of land 60 feet in width, the centerline of Bch is described as follows: CM+M CM at the Northeast corner of Lot;in Section 2, Township 20 North, Range 5 fast. M.D.B. & M.. thence Sauth 89° 50' 18" West along the Northerly line of Lot 3, a distance of 449.44 feet to the point of beginning of the following described centerline; thence frac said point of beginning. South a distance of 512.64 feet; tt ence North 890 52' 300' West a distance of 1?97.79 feet to the end of said centerline. ALSO TO(Mn WITH a right of way for reed and utility purposes over a strip.of land 60 feet in width, the centerline of which is described as follows: CM40 CING at the Northwest wrner of the Southeast quarter of the Southeast quarter of Section 35, Township 21 North, Range 5 fast, M.D.B. 6 M.; thence South 000 35' 10" West, a distance of 29.47 feet alug the West line of the Southeast quarter of the Southeast quarter of said Section 35 to a point on the centerline of Canyon Creek Road, also known as Rockefeller Road; thence leaving the West line of the Southeast quarter of the Southeast quarter of said Section 35, and running along the centerline of said Canyon sleek Road, North 710 06' 05" West, 52.99 feet and North 53' 19' 05" West. 143.94 feet; thence South 440 55' 05" Fast, 3D feet to the true point of for the followirg described center line; thence from said true point of beginning, ScutD 450 04' 55" West 272.58 feet; thence South and parallel with the North and South centerline of said Section 35, to a point which bears North and perpendicularly distance 30 feet frau the Southerly line of said Section 35; thence Westerly and paralle with the Southerly line of said Section 35; a -distance of 980 feet, more or less to the North and-8outh centerline of said Section 35 and the ed of said centerline. ' N END Of DOCUVA6"1 FORM •RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY Owner L1� �U Climate Zone Permit No. Floor Area /3 Compliance path: Package ❑ A ❑ B ❑ C ❑ Point System []Budget Other/gyp 3 MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: X Roof/Ceiling ` 3� JE5 Wall J ❑ Slab Floor Perimeter 7 Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. [� (B) All manufactured windows and sliding.glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: [] (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple Total Bldg 194- North til East 4-$ 3► �! — South Z17 X West L{,_ ❑ Skylights (B) Shading Shading Coefficient Description f� East ioiv //di4L �i�l4Z/A/4 ® South ► ,— y �� ® West ❑ Skylights - (C) South Overhang Length of projection Z ft. Description LfA//tr ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location Cl Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 �A FORM (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) f Collector brand and ft2 model number solar fraction collector area collector y orientation collector tilt rated y -intercept . / ff� rated slope Other 60f:� (describe) *1 (B) Cooling ❑ Electric Air Condit 'on r d and model number) (seasonal EER) (braBl ' fijr (cooling capacity t 19M � ❑ Electric Heat Pump ' EER Btu/hr (cooling capacity at 95°F) ❑ Other j (describe) ' ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. r (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. k (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the'UMC, 1976 Edition. 7/83 2 N Al (6) DOMESTIC WATER SYSTEM (A) G Only W7 . (brand and model number) Heat Pump w/Electric Backup (tank size) FORK 1 Gallons (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). 'tl Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperatu ele ation ', heating load BTU elevation factor x heatinga�f�m mum out capacity gas furnace BTU �O Cooling: Summer design temperature � °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE I DEQUATE) *2 Submit T.I.P.S.E. chart or other approve y (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATURE BU ING (SIGNER OR APPLICANT 3 TOTAL POINTS 'able 3-1. Slab Floor Points 17n=•ala- I R -Value of insulation I I cion I I I Depth, I inches 1 0-2 1 3-4 1 5-6 1' 7+ 1 0- It 1 -5 1 -5 1 -3 1 -5 112 - 15 1 -5 1 -3 I -2 1 -1 116,- 19 1 -5 i -2 I -1 1 0 I 20 + 1 -5 I -1 1 0 1 +1 7/7/83 i Table 3-2. Raised Floor Points I R -Value of I Insulation i Points I below 3 i -12 I I 3-4 t -a I I 5-7 I -6 I 1 a - 12 I -4' ) I 13 - 18 1 -r2 I •19+ i 0 Table 3-3a. Ceiling Insulation Points R -Value of Insulation I Points 19 I -4 I 22 I -230 0 I 38 I +2 I 49 I +4 i t I R -Value of Insulation i 11 1 -7 I 19 I 0 I 24 I +2 I 30 I +3 1 � -Facing Glazing Pts Clazin T- a III e 3-7. South -Fa Glazing Type Pee Table 3 -LO. Shading Coefficient Points Total I I 2 of I Sngl, I Dbl, Trpl, Floor I (U - I (U - I (U- I Area 1 1.10) 10.65) 1 0.41)1 0 1 NE 1� I +S OWNER V� POINTS • PERMIT NO. - SSS t�• F "J ASSIGNED ACTUAL 1. SLAB - INSULATION 3.7- 5.2 I -4 I 2. PRISED FLOOR - R-19 R_1 0 3. CEILING - R-30 R•30 0 1 -6 I -5 R•�4 -11 4. WALL - R-19 9.0-10.0 I -13 5.. NORTH GLAZING - 2.44-3.6 . Z • � � . • 6. EAST GLAZING - 2.5-3.6: �•� -21 7. SOUTH GLAZING - 1.6-3.67.7.'7% 13.1-14.5 i -25 I -19 I -16 14.6-16.0 I -28 8. WEST GLAZING - 2.9-3.6% 1 4.3- 5.0 I 9. SKYLIGHT - 0-1.37. 1 -2 I p 10. SHADING (Exclude Overhang) I +4 I I 5.1- 5.6 1 EAST - .66 L6 I -4 - 1 1.3- 2.3 I SOUTH - .19-.42 lot,- 9:�_ 1 WEST - .13-.36 a `fi I -8 I -6 I SKYLIGHT - .37-.57 Qmmm� 1 0 11. HORIZONTAL SOUTH OVERHANG 2' I 6.3- 6.9 I -15 12. MOVABLE INSULATION - NONE 3.7- 4.8 I -4 13. INFILTRATION (Standard=0)(Tight=+12) STD I 7.0- 7.6 I 14. THERMAL MASS SF I -9 I I 4.9- 6.1 I 15. GAS FURNACE (SE) 71-76% -3 1 16. HEAT PU11P (EER) 7.5-7.9% I -14 I -11 I 17. DUAL PACK (SE, SEER) 8.0-8.3/71-767.% I -6 I -5 1 I 0 1 WOOD STOVE -22 I -16 I -13 I WATER -,EATER �- O I -7 I - ATTIC So - `Ja I 8.9- 9.5 1 -_ I -18 OTHER - 1 8.3- 9.7 I -14 TOTAL POINTS 'able 3-1. Slab Floor Points 17n=•ala- I R -Value of insulation I I cion I I I Depth, I inches 1 0-2 1 3-4 1 5-6 1' 7+ 1 0- It 1 -5 1 -5 1 -3 1 -5 112 - 15 1 -5 1 -3 I -2 1 -1 116,- 19 1 -5 i -2 I -1 1 0 I 20 + 1 -5 I -1 1 0 1 +1 7/7/83 i Table 3-2. Raised Floor Points I R -Value of I Insulation i Points I below 3 i -12 I I 3-4 t -a I I 5-7 I -6 I 1 a - 12 I -4' ) I 13 - 18 1 -r2 I •19+ i 0 Table 3-3a. Ceiling Insulation Points R -Value of Insulation I Points 19 I -4 I 22 I -230 0 I 38 I +2 I 49 I +4 i t I R -Value of Insulation i 11 1 -7 I 19 I 0 I 24 I +2 I 30 I +3 1 � -Facing Glazing Pts Clazin T- a III e 3-7. South -Fa Glazing Type Pee Table 3 -LO. Shading Coefficient Points Total I I 2 of I Sngl, I Dbl, Trpl, Floor I (U - I (U - I (U- I Area 1 1.10) 10.65) 1 0.41)1 0 1 13 I +S 1 +3 up to 1.5 I +2 1 +2 1 +2 1.6- 3.6 I -1 1 0 I 0 3.7- 5.2 I -4 1 -2 I -2 5.3- 6.5 I -6 i -4 I -3 6.6- 7.7 I -9 1 -6 I -5 7.8- 8.9 I -11 i -8 ( -7 9.0-10.0 I -13 I -10 .1 -9 10.1-11.5 1 -17 I -13 I -11 11.6-13.0 i -21 I -16 I -14 13.1-14.5 i -25 I -19 I -16 14.6-16.0 I -28 1 -22 I -19 Table 3-8. West-Faelnq Clazina Pts. I Glazing Type Total I X of I Sngl, I Dbl, I Trpl, Floor I (U - I (U - I (U - Area 1 1.10) 1 0.65) 1 0.41) I Total I 8 p I 1 0 1 1 up to 1.3 1 +i +5 1 •6 i +6 1 +6 1 1 +6 I 1 1 of Sngl, Dbl, Trpl, I I 0 -.19 I 1.4- 2.2 I +3 1 +4 1 +5 1 I Floor I U- I U- I U- 1 I 2.1- 2.8 i 0 1 +2 I +3 I Axes 1 0.66 10.42- 10.41 1 I 2.9-• 3.6 I -3 I 0 1 +1 I I 11.10 10.65 I down 1 I 3.7- 4.2 I -5 I -2 I 0 1 0 + 4 + 4 +4 1 4.3- 5.0 I -8 I -4 1 -2 I 1 0.1- 1.2 1 +4 I +4 I +4 I I 5.1- 5.6 1 -10 1 �'-� I -4 - 1 1.3- 2.3 I +1 I +2 I +2 1 I 5.7- 6.2 1 -13 I -8 I -6 I I 2.4- 3.6 I -2 1 0 1 +1 I I 6.3- 6.9 I -15 I -10 I -7 I 3.7- 4.8 I -4 ( -2 I -1 I I 7.0- 7.6 I -18 I -12 I -9 I I 4.9- 6.1 I -7 I -4 -3 1 ( 7.7- 8.2 I -23 I -14 I -11 I I 6.2- 7.3 I -9 I -6 I -5 1 I 0 1 I 8.3- 8.8 i -22 I -16 I -13 I I 7.4- 8.2 1 -12 1 -8 I -7 I I -3 I 8.9- 9.5 1 -25 I -18 1 -15 I 1 8.3- 9.7 I -14 I -10 1 -8 I 1 2.3- 2.8 I 9.6-10.1 1 -27 -20 i -16 I 1 9.8-10.8 I -17 I -12 1 -10 I 1 2.9- 3.6 1 10.2-11.0 1 -29 1 -23 I -17 I 1 10.9-12.0 ( -19 i -14 I -12 I -1 1 1 11.1-11.8 I '-35 I -26 I -21 1 112.1-13.2 I -22 I -16 1 -13 1 1 -4 1 111.9-12.7 I -38 ( -29 i -24' 1 113.3-14.5 I -24 I -18 i -15 I 1 -10 112.8-13.5 I -42 I. -32 I -21 1 j 14.6-15.3 1 -27 i -20 i -171 I 6.8- 7.7 ( 13.6-14.3 I -46 1 -35 1 -29 1 I -19 1 -14 1 -12 114.4-15.2 I -50 1 733 1 -32 1 I SC by I I Orten- I 2 Floor Area tation 1 1 I East I I 3.2 I I 1 0-3.1 I to 16.4 up I I I 6.3 I I I 0 -.19 I 0 I +1 I +2 I .20-.36 I 0 I 0 I it ( .37-.66 I 0 1 0 I 0 I .67-.82 I 0 1 0 I -1 ( .83 up I I 0 I -1 I -2 I 1 South 1 0 1 3.2 1 6.4 1 8.0 1 9.6 I I to I to I' to I to I up 1 3.1 16.3 17.9 19.5 I I 0 -.18 1 0 1 +1 I +2 1 +2 I +3 I .19-.42 1 0 1 0 1 0 1 0 1 0 I .43-.66 1 0 1 -1 I -2 1 -2 -3 ,I .67 up -2 I -4 I -4 1 -6 West 1 .1 1 1.6 13.2 16.4 ( 9.0 I to I to ( to I to I up 1.5 i 3.1 i 6.3 i 7.9 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 I 0 1 0 1 0 1 0 1 0 .37-.57 I 0 1 -1 I -3 I -6 I 4 .58-.82 I -1 I -3-12 I -15 .83 up I I -2 I 4 s l -16 I -20 I I I 1 I ft T Skylight 1 .1 I .8 1 1.6 13.2 14.6 I to I to I to l• to I to 111_5 1 3.1 f 3.9 1 5.2 0-.12 1 0 1 +1 I +3 I +6 1 +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 1 -3 I -6 I -' .58-.82 .I -1 1 -3 1 -6 1 -12 1 -. .83 up 1 -2 I -4 1 -8 1 -16 1 -20 I I I I I I I 1 1 I Table 3-11. Horizontal South Overhane Points Table 3-9. Skylight Points I South Glazing Table 3-6. East -Facing Glazing Pts. I Length Out I Area, Z of Floor I I Glazing Type I I from Wall 1 I I Glazing Type 1 I Total I I I ft T 'I Total I I I I of T Sngl. I Dbl, I Trpl, 1 1 0-6.3 1 6.4 up I I 1 of I Sngl, I Dbl, I Trpl,l Floor I U- l U- I U- I I I I ' I I Floor I (U - 1 (U - I (U - I I Area 10.66- 1 0.42- 10.41 J 0 - 0.5 1 -2 1 - I Area 1 1.10) 1 0.65).1 0.41)1 1 11.10 1 0.65 1 down I 1 0.6 - 1.0 I -2 I -3 I I I!Rits I oints I oints) 11.1 - 1.9 I -1 I -2 I j D I+ +71 *4 1 1 up to 1.3 I -1 I 0 1 0 I I 2.0 up I 0 I 0 I I up to 1.3 1 +3 1 +4 1 +4 1 I 1.4- 2.2 I -3 I -2 I -1 I I I 1 I I 1.4- 2.4 I +1. 1 +2 1 +2 1 1 2.3- 2.8 1 -6 I -4 I. -3 1 Table 3-12. Movable Insulation 1 2.5- 3.6 I -2 1 O 1 0 1 1 2.9- 3.6 I -9 I -6 1 -5 1 Points I 3.7- 4.6 ( -5 1 • -2 I -1 1 I 3.7- 4.2 I -11 I -8I -6 i I 4.7- 5.6 I -8 1 -4 1 -3 1 I 4.3- 5.0 I -14 1 -10 i -8 1 1 Moveable Insulatios•I I I 5.7- 6.7 1 -10 1 -6- t -5 1 1 5.1- 5.6 I -16 1 -12 I -10 1 1 Area, I of Floor 1 Points I I 6.8- 7.7 I -13 I -8 1 -7 1 I 5.7- 6.2 I -19 1 -14 1 -12 I 7.8- 8.7 I -13 1 -10.1 -4 1 I 6.3- 6.9 I -21 1 -16 1 -13 1 8.8- 9.7 I -1.7 1 -12 1 -10 1 I 7.0- 7.6 1 -24 1 -la 1 -15 1 I 0- 5.5 i 0 I I 9.8-11.2 I -21 I .-1S 1 -13 1 1 7.7- 8.2 1 -26 I -20 1 -17 I I 5.6 - 11.5 I +2 I ( 11.3-12.7 1 -25 1 -18 -1 -15 1 1 8.3- 8.8 1 -28 I -22 1 -19 I I 11.6 - 17.3 I +4 112.8-14.0 1 -28 ) -21 1 -18 1 1 8.9- 9.5 1 -31 I -24 1 -21 I I 17.6 - 23.5 1 +6 I 14.1-15.3 1 -32 I -24 1 -20 1 1 9.6-10.1 I. -33 I -26 1 -42 1 . 1 _23.6+ 1 +8 1 Table 3-13. Infilttatlon Control Fentvres Points 1 Coa,rol Features I Points I � I I I Standard I 0 I I I I 10.9 air changes per hr I I I I I I Tight 1 0.6 air changes per hr I Table 3-15. Cas Furn4ce Withouc Refrigeration Cool!ne Points I Seasonal Efficiency I Poiots I I (SE), T I I I I I I 71 - 76 I 0 1 I 77 - 82 I +2 i 1 83 - 88 1 +4 I I 89 - 94 I +6 I 1 95 up I I I +8 I I 1 8.8 - 9.1 I Table 3-16. Heat Pump Points I Energy Efficleney I Points I I Patio (EER) I 1 I 7.5 - 7.9 1 +3 I I S.0 - 8.3 I +6 I I 8.4 - 8.7 1 +9 1 1 8.8 - 9.1 I +12 I I 9.2 - 9.6 I +13 I 1 9.7 - 10.2 I +18 I 10.3 - 10.9 I +21 I i 10.9 - 11.5 I +24 I 11.6 - 12.3 I +27 1 I 12.4 - I 13.2 ( I +30 i I Table 3-17. Cas Furnace Vith Refrlgeration Coollna Points ;RefctSeracionl Gas Furnace I Cooling I SE 11 1 I 1- 7-183- 89- 95 I 1 761 VI 881 951 u I 1 8.0 - 8.3 1 0l +21 - 1 +61 +8 1 1 8.4 - 8.7 1 +21 +41 +61 +51+10 1 I 6.8 - 9.2 1 +41 +61 *81+101+12 I 1 9.: - 9.7 1 +61 +81+101121+14 1 I 9.8 - 10.3 1 +311101+121+141+16 1 110.4 - 10.9 1+10i+12i+151+161+IS 1 111.0 - 11.6 1+121+141+1614181+40 1 I I I I II 7/7/83 THELE 3-14 (ADAPTED) 4ASS nwri l ille &ora enllaor [nnr ZONE 11 INTEII,IOR THERMAL MASS POINTS AREA SQ. IT. 1,000 I A 6 C 0 A 1,500 8 C 0 A 2,000 B C D A 2,500 5 C D I I A 3,000 8 C D A J,S00 6 C O. A {,000 6 C 0 I I A I,SGO i C DI A 5,000 I 6 5a 2 2 2 2 2 2 2 0 1 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0. 0 0 0 .00. 4 { 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 OI 0 0 0 0 1 ISO 6 6 6 4 4 4 4 2 2 •2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2' t 2 0 2 2 2 0 1 200 253 8 8 6 10 10 8 4 6 6 6 6 6 4 6 2 4 4 6 4 6 4 4 2 2 4 4 4 4 2 4 2 2 2 4 2 4 .2 2 2 2 2 2 .2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Z 2 2 2 . 2 2 2 ^, Z'.! 307 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 7' 2. 7 2 2 350 14 14 12 8 10 IG 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4- 4 2 4 4 2 2 4 4 2 7 2 2 7 400 14 14 12 8 10 10 a 6 8 8 6 4 6 6 4 4 6• 6 / 2 4 4 4 2 4 1 { 2 4 4 2 2 J 4 2 2 507 603 18 18 16 22 20 18 10 12 12 14 12 14 10 12 6 8 10 12 10 12 8 10 6 6 N 10 8 10 6 8 4 6 6 8 6 8 6 6 4 4 6 6 6 C 6 6 2 4 6 6 6 6 4 6 2 4 ! 6 t 6. 4 4 2 2 1 I 6 4 6 4 J j 2 1 790 124 24 20 14 18 16 14 10 14 14 12 8 10 10 10 6 10 10 6 6 8 a 6 4 8 6. 6 4 6 A 6 41 6 6 ! 2 230 903 1,010 I,:OU 1,200 26 24 22 18 28 74 30 70 26 .12 32 28 74 32 30 16 16 18 10 22 70 22 I?2 ?4 26 16 20 20 21 26 16 18 20 22 22 10 12 14 14 16 14 16 18 20 22 14 16 18 20 20 12 14 16 la 18 8 10 10 10 12 12 14 11 16 1B 10 14 14 I6 18 10 12 12 if 1/ 6 8 8 8 10 10 12 12 1{ 14 10 12 17. 11 14 8 10 10 12 12 6 6 6 8 8 10 10 12 12 14 a 10 10 12 12 8 3 - 10 10 12 / I ? 6 I 3 6 10 6 10 8 12 6 8 10 10 12 6 '8 6 10 10 4 4 6 6 6 8 8 a 1:1 10 6 a B 10 10 6 6 a 6 8 4( 11 1� EI 6 6 B 3 10 10 6 a a B In u 6 6 f 8 I 1 t i 4,i 6 i 1,300 1,:00 34 34 32 34 34 32 22 24 28 28 26 26 24 26 16 18 22 24 22 24 20 20 12 1: 16 20 18 20 16 18 10 12 iG 18 14 16 14 14 8 10 14 14 12 14 12 12 8 6 12 14 12 14 10 12 6 8 12 12 10 12 10 :G C� t to ,0 10 13 F. 17 o I 5 1,ico 136 2,OOJ I 2,509 7,CG0 3,500 4,030 34 34 24 30 34 I 30 34 26 32 18 22 24 30 34 24 30 34 22 26 30 11 18 22 22 26 30 34 20 26 30 32 18 22 26 30 12 16 18 22 18 22 26 30 32 18 22 26 30 32 16 20 24 26 30 10 14 16 18 20 16 20 24 28 30 32 16 20 24 .•6 3026 32 14 18 22. 24 30 8 12 11 Ib 1 ld �2d 20 if 18 22 24 14 18 22 24 28 30 12 16 19 22 24 26 Is 17 10 16 :2 IO 14 22 16 16 18 i 76 12 16 20 27 21 2B 10 14 la 12 24 [.I GI !.• It i It 1 l7 11 19 ±J 6 11 14 !3 ;J 15 1- 11 16 20 2: I o i S I :0 14 if 4,503 5_00J 130 32 32 28 20 30 32 30 T7 i6 Zi 1E j 231 iii IJ ir2-' ,G 76 ;t ; 14 1 Al 1. 3's` Concrete Slab: HC•8.93; R•.29: Factor -7.3 2. ] 3/4` Thick Common Brick: IIC.7.125: R. .13; Factor -7.3 B)Concrete Slab: HC•14.106: x•.458; Factor -7.1 C 1. 8- Solid Filled Block: HC•20.63; A-1.93; Factor•6.1 2. 8` Solid Filled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal Mass Area: BC•10.164; R-.965; Factor -6.1 0) 1` Thick Concrete/Tile: HC -2.5S; R•.083; Factor -3.7 Table 3-19. Tonally Controlled Electric Resistance Space Heating Points 1 Points for this measure will be completed after the CEC I i has approved an Alternative 1 Component Package for Resistance •I I Beat. I Table 3-I3. Active Solar Spnee Heatlne with Gas Points Net Solar Fraction I Points I I (mv), T I I I I I I 0-6 i 0 I I 7 - 14 1 +2 I 1 15 - 23 ( +4 I I 24 - 30 I +6 I 1 31 - 39 I +8 I I 40-47 I ; +10 I I 48 - 55 I +12 I ( 56 - 63 ) +14 1 1 64 - 71 I +18 I 1 72 up 1 +20 I wood stove #33 poinfs-(no back up) casablanca fan + !.point Multl[amil ( er unit points) Floor Area Net Solar Fraction (NSF), Z per unit, ft2. 0.9 1 iv -i9 I ZC-29 30-39 40-49 50-59 60-69 70-79 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +a +10 +12 +14 1,500-1,999 2X00 and u 0 0' +1 +1 +3 +2 +4 +4 +6 +5 1 +7 +6 +8 +7 +10 +9 All others ( ez building, points) 800-899 0 +5 +10 +•14 +19 +24 4:! +34 900-999 0 +4 +9 +13 +17 +21 +26 +30 1,000-•1,199 0 +4 .1.7 +11 +15 4-19 +22 +26 1,20fr-I,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 2.000-:,999 0 0 +2 +2 +5 +3 +7 +5 1 +9 +7 +12 +14 +16 +8 +10 +I1 3,00.0 i,.d uo 0 +1 +3 +5 +5 +•7 +8 *ID System Type I Points Gas Only I 0 ; I f Beat Pomp I 0 I I Solar with Electric I I ( Re+!stance Backup 1 i I Meeting the Require- I `1 I gents !u Part 2 I 0 i I I I I Electric Resistance I I I Daly i -40 I I I I COUNTY OF BUTTE - DEPARTMENT -,IF PUBLIC WORKS 7 County Center Drive - Oroville, Califorl4rb591 - Telephone 916/534-4541 APPLICATION AND PERMIT16 PERMIT � 0. ASSESSOR PARCEL NUMBER S— ZONI G BUILDING PERMIT OWNER N UL PEX QUA TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 51 L V &. C1/tGsT T PINoI. CONTRACTOR'S NAME TELEPHO CONTRACTOR'S MAILING ADDRESS li�&x 57 J+ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS " 4 Permit fee PLUMBING PERMIT Filing Fee 10.00 46 4t h �&LLoC'`f Each Trap 2.00 �p�(C Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S.DeD, Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other %tX&P ?6ce2% L SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: ROW M-0— FOA- l59rZ1/14F_ LO ( Permit Fee $ , Contractor ELECTRICAL PERMIT Fi I ing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 �On Main service EA. ADO'L 100 AMP 2.50 _2IV 0 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. 3 Ylrr9/ ��%O License No. 7 Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d , OR ACDNS. ACC. BLDGS. h¢sgft NEW CONST R. RANCH TLET CIRCUITS) 2.50 ea NO N•R ESID BRANCH CIRC ITS (POWER APPARATUS el (SINGLE OUTLET CIR- Ex. OR FIXTURES O�20®50t SAL030 FIXED APLISIS Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g i'yC i.5, Q Qom- /L5.6-6 Permit Fee $ O 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. I 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, c sts, nd expenses which may in any way accrue against sai County in con e u e of the granting of this permit. X D to 7 _,Z -Z�� 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE 8 occUP. CONST.T7 I IFLOODIPARCFLI PD ND 159UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OR OF LIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date °� Receipt No.C�J� (�/� WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUT,,B. TE - DEPARTMENT OFP.��R` IC WORKS-UILDING 15'IVISN - '�•"� 7 COUNTYCENTER DRIVE - OROVILLE, CALIFO NIA95965 - TELEPHONE: 916/53 4541 PERMIT APPLICgION. DATA SHEET Permit No. 4 OWNER al4 L Q� Z>U)F A. P. No. Proposed Building Use Permit Fee Based Upon Complete Contract Price Other (Explain) x DPW Valuation t•' F Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED F t APPROVED 1. All items have been submitted. . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri-plicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . .'" 16. Mobilehome Installation Data. . . . . . . . . !�� QO �' • Pre-Inspec. request to ra' 17. Pre -Inspection for 1—L Required. Building Inspector Q 18. Otherde$ fYAp�tlir�bonstructioneapprovalnrequired prior to occupancy 11 19. Other ,1, When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at --office. Deliver w/inspector. Other %- 22-8<. Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by_ Plans approved by Other Copy—DPW Telephone Mail Date Date Date Other Complaint -Date _7 �9 ��_ "a ❑ Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING (J, Owner: a>UA.P. # a/ -35 -43 - Address :_ sa-ak• owef-s r eg- RItlo4o- g�/S6 5/ Date of Inspection_Z- - 9-6- Tenant: Inspector Building Location: /y�5 IWIAO --OU &AV4)C- S 40 APPx 7 ,Wl ogo (kA &11 IZe% " Type of Inspection requested:� 1. Housing / / 2: Financing L_1 3. Change of Occupancy to f� 4. Work W/0 Permit / / 5. Other (specify) T 1, o Kms_ &&'W1PS Present use of building: 4CCciP�l�4 A. Sanitation (Housing) 1. Water closet: 2. Lavatory: B. i 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects-, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs :(Rise, Run, Headroom, 1HR, Tolerance$,Handrails) 15. Comments: Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: W, D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F., Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description) : 'r. y-, ®..0 5/7Z (!D_ 2. What action taken (give complete description) : _& iLFf— do4eAC-Rare AumF1d4S f g� 2 T 'eF_Qa / aGZo FotL 7 -'fl . U V G.! 7/ —s "n d- A10 W &� 7 ! a -e > � �� Aff e2 rs oo-f �o h -e- aee�r�• I L ` 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. %% C. Write letter. ;/ev u-4-/ c _r o 1W D. Other: O 30 cDAVS -rV.F A cc e477F l.,& "n d- A10 W &� 7 ! a -e > � �� Aff e2 rs oo-f �o h -e- aee�r�• I L ��' } >r�•3 i, � .jf .1� r.� �'1�.. i"',1`��•. 1.'l,�fn�,�� ;�. � � •• s. M nY .1. fiA1.3,..51 � �9f• lel I/2, NW 114, sE-C: • 2 j- 20 N co . r rA- ..�.� 1. tz3 1 .a t— -------- Oi f t T 20 fy `SAc i l9 � 2p 2t 1 I 1,JAc /Ac t4c lAc 1JAr 1 1 aS f ♦.7lf ( �l'''! `f� 4 1 • ► — _ — _ _ _ — _ .BAr 1.J7 A[ • _ 149* - /;'Y 7885 e t 1".45-- -----' (. - . I49. . — — � --.. ---Ji9 4 Ac L 9dtc 1-984'r /.A44e 1.98 Act 1 ( 1 [9BAc L9B4c 6Ac, � I/.S,Ae 1. 16Ae: t I I 1 • 1 � I t I � t 1 *oma i.°tr ;E i I _.. _ i _..- � _ .;_�.---�s..,. --'I ----- -- --- -- f --- L ___� _ -ply,- -----•__J----.;,-_�; _. � .--- I - --------- --' -- I I CD �.. i I I I � m I N I I tLO} t I a sCF- _ I I— � I i f 1 I ! I I :1�JA Is Q x 6A tet o.e -Z';j sj LAT, PO MOTE:—All- Mutereals L4 Workmanship - a x H .2n)TeR o/Z . .. ,. . _ . - - - -_ ... _ ccorrlrnce with Peso . hail .." gni ed Good Practices �¢ . . . . . C e i L i J6 R.-_30 �,QSU (A4T o,%7 . °f a quality �arescriberl for the Specified use i€� th and Uniform Building Plum`ng & Macl'anical Condos and he National Electrical Code, - i engineered detail of frm- to POOL Mfw�PA�r„Q--T2�ss.es. _ fmr' approval prior to erection. Z SPL y. Stiea ,NS _ _ . . _ 0 La: /e/-7 . . . . . . . .. a�.l�rR• Cory. es Q 1-4 Evers ROVED SPARK �RRESTbR X10 BE��'`G0 . —14M. Z rT ASOVE ANV POI WT W CM 0 I O FT. i �- 9Pgpd1DE Al-"C ACCESS P, VESnL�wc& PER - CO^ 'Vel"SES 3zoSu9C. T1 � !I bre r1®. AT -O„ MRi • , - syrovit_t'�,-----_.--. J�, quat6 �J. c LL L=xTEP-10R O?EN%Nt+Sd, BUTTE COUNTY - A��OVQD FI.�AS1i1N� IIT A _ �—------ �D / ---- CZ Q" BUILDING') F � PAOEN << RiseE Mdi,t!r� tO toe. baiween lilrg8st & sma C- t riSelrun. a•(o Doo/ - 3�� po�� 'G1i row -(,:g SCoep- �0 ) �p NS i N eA J I PROVE11 vFNT - co.ee - I hJAsl.ee -Aft !-Def--)f AT1;:d6P8USTI�?N _: _ - .. . . Al E` FOR I'lEATER &/-OR.1N..l�.. • • w , oow Wye*.o I y0. _ __. __ X0.30 . tANO �Rze Zt.e Install smoke deme.. or -per -code. - "' (610 � i1 j Dp ,WA /+ - (� 30 AJ� ti �Fl,0 0 e�r. 111. I 3�0 .�. 1� sandcote e1earonce r 'Prot+�'e TYpa-A Flue. L -.r v 1,/6 �Qo�6 protection G - - . I 70;,-N • 1�J�NDOW _ ltv� 1�INC1� 12o 1/oIT RE Q 100-140 Wt�DO�J L r S• cl.os e -T +;30-q E11jTT=-ry IZ BUILDING TIN-jENT z� D (,o - tb t J -302 0 S . ua:,ee. /.cee7" . . . . . . . . . . . aj&T SET fp5-r 4tjcl*vRS -WITH _ ,�JJ0 ..,,// 4 . MIN 1'' Be D F . �T _._. �»,.�D.aT o ,J P�..3 F o o k ` POST & 9-,0 a -C CoMcRETc MAx ryP. 41,E PoKCN SVP POO TS �/�AV►>E ONDERFCovR. AU ESS //EKT. pEK SEC �$o -J' D L oQ J' c .i s'r �2 X g /G o.G , i G PL y STe- mwll r+ r Z'�fo 6oLTs. (� .OG•. . Ae2 .. . -rKeRT�D (3L�r✓iL ��RAD� -- CoRNB� qx 5 Pa sr y x 4 p,ri ,r a� Bei o � all CoN.GRetC f-oo`�`rtig - r Pu _.-,.ate-"= .�',t_,1`-�--,, :..�. _�2.�....r�:.:.�*•• w�#., ^�,+ rar! L.t. fw"b7"r: TF.b'`'w_^+iai.%^c'"*Lxi�:S.,'.E..°,��c. :';d ;�.s .nLY:.� ��,^^y.,.+.� � �..�_..,.: . ,:..� TuTc nccTCN WA.q RF'FN.PREPARED FROM COMPUTER INPUT. SUBMITTED BY TRUSS FABRICATOR TOP CHORD 2X4 FIR -LARCH #1 r BOT CHORD 2X4 FIR -LARCH *1 WEBS. 2X4 FIR -LARCH STANDARD CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH REQUIREMENTS OF I.C.B.O. RESEARCH REPORT *2949. ALL PLATES ARE TO BE CENTERED ON THE JOINT, LEFT TO RIGHT AND TOP TO BOTTOM, EXCEPT WHEN LOCATED BY CIRCLE OR DIMENSION. SEE DRAWING 13.0 FOR 'PLATE LOCATIONS ON TYPICAL JOINTS. - 'PLATES SHOWN ARE CONTROLLED BY TRUSS FABRICATOR PLATE INVENTORY. + Bottom chord checked for 10 PSF live load. 1.5X4 12 4.D TC X -LOC L -R: 10.29 6.55 12.29 18.03 23.76 29.59 35.76 cl BC X -LOC L -R: 10.29 9.42 18.93 26.63 35.76 rn SINGLE CUT WEB *-TC:1,7 BC:4 fU N4. TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED C0 PURLINS SPACED AT A MAXIMUM OF 24. O.C. W IT IS THE RESPONSIBILITY OF THE BUILDING DESIGNER AND TRUSS j FABRICATOR_TO REVIEW THIS DRAWING PRIOR•TO CUTTING LUMBER TO C7 VERIFY THAT ALL DATA, INCLUDING DIMENSIONS AND LOADS, CONFORM CD TO THE ARCHITECTURAL PLANS/SPECIFICATIONS AND FABRICATOR'S TRUSS LAYOUT. 5X6 d 1 SSi��7 BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1.5X4 12 44. 000 Iv 24" O.E. 18-0-5 1i8-0-5 -- `Ju wPois P 36-0-10 OVER SUPPORTS C.OpPvto R -1241st W- 3.50' PLATE TYPE --ALPINE SEON--146553 * FURNISHR COPY OF THIS OESIGN TO ERECTION CONTRRCTOR fLPINf ENGINEERED PRODUCTS, INC. TRUSSES REQUIRE EXTREIE ARE IMPORTnNT# SMHLL NOT BE RESPONSIBLE FOR ANY iiRP.NING IN ITHnOLliG, ERECTION AND [=ATRUSS DEVIATION FROM THESE SPECIFICATIONS OR ANY DEVIATION FROM BRRCING.SEE -BUT-7G-,IBRRC(NG WOOD TRUSSES:THIS DESIGN OR RRY FAILURE TO BUILD THE TRUSS IN CONFORMANCE COMMENTARY FND 4ECCMnENDRTIONS••iPI). SEE WITH TF£ 'QUALITY COMROL MfNUAL' BT TPI. ALPINE CONNECTORS THIS OESIG4 FOR P00[TiDN7t SPECIAL PERMIR- ARE MANUFACTURED FROM 20 GAUGE GFLVRNIZEO STEEL UNLESS KENT BRACING REOUIRE'�'NTS. UKLESS OTHERWISE C7 OTHERWISE SHOWN, MEETING REOIIREMENTS OF ASIA 8446 GRACE R. SHOWN, TOP CHORD SHAH. BE LATERALLY BRACEDAPPLY CONNECTORS TO BOTH FACES RT EACH JOINT AND LOCATE AS WITH PROPERLY RTTRCH1jO PLYWOOD SHEATHING,SHOWN. BEARING WIDTHS ARE 4' NOMINAL UNLESS OTHERWISE SHOWN. BOTTOM CHORD W[TH RIfiO CEILING OR BRAW:[NCDESIGN STAKOAAos CONFORM PITH APPLICABLE PRovISIONS OF AS SPECIFIED ON DESIGN. 00 NOT USE THIS �• 4`_�`,;_ •NDS AND •TPI (PCT1. DESIGN WITH FIRE RETRT,OANT TREATED LUMBER. `:ti j.,-•�-^"Fri O . O [= o p [_ •--TPI - TRUSS PLATE INSTITUTE NDS - NATIONAL DESIGN SPECIF[CRTIDN FOR YE00 CONSTRUC71ON 41/1-7 1 24" O.H. R-12419 W- 3.50' REV 13.0.7 SCALE - 0.1375 REF - - J:OEGRIT EN 10. 0 PSF 20.0 PSF + 5.0 PSF 35.0 PSF ORTE 11/11/e7 ORVG CRUSR427 87315006 CR-ENG�/,vtr 0/R LEN. 36-0-10 1.15 PITCH 4.0/12 24.0' TYPE COMN-- _ I/ ENERGY INSTALLATION CERTIFICATE J �GC Building Owner %� i - Building Permit # ` Building Locations-�' CA DESCRIPTION OF INSULATION ROOF 11 Material -,� P�.V whCD Brand Name Thickness(inches)A, "I Thermal Resistance (R Value) J EXTERIOR WAL �/ Material �r° D/�/ Brand Name r 6r1.u�.c. Thickness(inches &A, Thermal Resistance(R Value) / CEILING - Batt or Blanket Type X/,Vwlee 7' Brand Name (° o, -e J1 A' f • Thickness(inches) - Thermal Resistance(R Value)_Y q Loose Fill Type Brand Name . Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area 2,. covered(ft.2) ,�S4 Thermal Resistance(R Value) FLOOR, ELEVAT D Material J% Brand Name 61/1 ✓! � 5' Thickness(inches) Thermal Resistance(R Value) 3 C FLOOR, SLAB Material / V�/` Brand Name Thickness(ineifies) Thermal Resistance(R Value)` Width(inches) .. - FOUNDATION WALL Material C 0 &je_Ae C Brand Name Th..ckness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, '2s consistent with approved building department -.plans and attachments and con- forms with requirements of Chapter 2-53 of State of California Energy Requirement . FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. &Ze� jof SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRACTOR/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. (FIRM NAME) SIGNATURE4 F BUILDING CONTRACTOR/OWNER DATE COUNTY Op BUTTE HVAC FIRM NAME/OWNER (Please Print) III III DING DEPTSTATE CONTRACTOR'S LICENSE NO. JAN 16 1992 SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 • Michael Yates SIS Slzwon- Lle,app. mi.S. of Bald -Rock Rd., Berry Creek Permit 1i 953-76P,E(util.,MH) ELEC s-0 47--c GAS SupenwTiSTRUCTURE REQ.. A) COMPACTION TEST REQ. /Vo Permit #5380-77MHI l Issued 92-1456,Por HOLLINGER, William 257 Simpson Ran 9 ry ek mh utilities 0 C-;�S-07.1-473707.0'ff.. -�--93-576P, koft-IN'GER,! WILLIAM_ 2571SIMPSON-RANCH' RD,-BERRY.CR K MHU, —E CE, -1: GAS COMPACTION TEST REQ SUPPORT STRUCT REQ 'VC1 r; /0-/.7/o? / 5 071-43-0-012 Permit#577-93(MI) 6oq_ oq0 -'? f � P I - -/ 3 -/.;I- 49-90A WILLIAM b.-- HOLEINGER Simpson Ranch. Rd At Graystone, B.C. (tractors, hay & farm truck) 1 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO.� �� Address or location ofbile o e Owner's name .G� Owner's address IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. -7/- q3 --/ ?- 513B 5138 White - Owner, Yellow - Installer, Pink - D.P.W. RESIDENTIAL- , - -- -- 93_576PF,E `! 071-43-0-012 HOLLINGER, WILLBERRY CREEK 257 SIMPSON RANCH RD, r MHU r!3" 06 • 3%/8%97 w OFFICE COPY I Address GAS Meter By Date ELECTRI Meter By _ Dat 7; - JOB? RINALEQ`(Dote) "?vsture V=OK O = Not OK - = Not Applichble •=Not Ready . MOBILE HOMES 41 Date/Initials MOBIL9,11,11'0111111E UTILITIES Plans OK except #'s on i rApRG4u ire ments-Setbacks-Easements oil • cial MH Support Sketch Sewation-Test-Fall-C/O Concrete ater; Lo "'-Test-Easement Needed (Sketch) ectr cation-Clearences-Grnd-/ /Amp -Concrete A.!Gas; Location -Test- r p ft / /"L". / /" or/ P'L"ft�"LPG e earance 8 Disconnect Utility Clearance Date/Initials MOBILE -NOME INSTALLATION Plans OK except #'s Zo i g Requirements -Setbacks Easements 0o ings; Size -Spacing -Marriage Line a ✓MH Test-Demand-Valve—Connector Iectricity; MH Test -Crossovers -Breakers -Clearances r in; MH Test -Fell -Flex Connector ater; MH Test -Regulator -Connector ter and Sewer Connected -C/O to Grade -HD Approval G nd Electricity Tagged tsrnsp.-Sketch Cert. of Occupancy r MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (,jingle.& Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd. / /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nati Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels=Motors-Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: ,..•�.sry.:y�1-�r..�r �--•-•-.o^.v�sv+f+�-.,,-. �.a-7rr�-1 .�.-w.✓-._^'..j+�'�""'-:,.'-.-.-�"!'r.,'-''i'Z�., i ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS I 196 Memorial Way, Chico — Phone: 891-2751 7 Count) Center Drive, OroviIle — Phone: 538-7541 7471EIJiott Road, Paradise — Phone: 8z2-6307 , CORRECTION NOTICE AY 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. installed within 60 days where indicated 1 by X. Permitq are required. Date—?/2 Inspector ' J r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS L VV 7 bounty Center Drive Oroville, California 95965 - Telephone. 916/538-7541 APPLICATVON AND PERMIT PERMIT 0 ASSESSOR PARCEL NUMBER 071-430-012 ZON14'IG U BUILDING PERMIT OWNER William &! in er 818 TELEPHONE 331-8992 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRE S 1033Vir inia St. Covina CA 91722 CONTRACTOR'S AME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 5.00 Creek PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. JSUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFO Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G 1W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U t i I i t i e s ❑ Instal lation ER Other ❑ Describe work: NMI 2 Bedroom _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense 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) ❑ 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) FJ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A,. 37.50 NEW CONST. ( DWELLING OCCUP.q\ OR ACDNS. 1 ACC. BLDGS. I 3.64 sq.ft. NEW CONSTFL MULTI -OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20 7r, FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EAJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 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 �I Consent to Self -Insure. U 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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 against said County in consequence of the granting of this permit. X -�•� Date G �� Signature of Applica — Owner Contractor ❑ Agent ❑ An OSHAwork 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 S 70.00 Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 105.00 HAz DFEES IMP FLoo CDF , PARCEL — PD HD _ ISSUE This permit is ereby issued under the sions of the Butte County Code and/or indicated above for which fees DIREC I�WBRKS BY 9 PERMIT EXPIRES Dat applicable provi- resolutions to do have been paid. I ate Receipt No. 135737 WHITE-D.P.W., YELLOW-Ag8[990R, PINK-IN9PEDTOR, GOLDENROD -APPLICANT ...-.T.: ti,.�r,-�...; 7.�,., `try ,,,v,,,��.,., ;,vd•;, �,7�: ;�Fi;:V•.r... r��..; Y..�^. i;lv`!�'�"C''`', •`'+t�`"�l� '',�" " = , `•`�' (" '�' �•X .�(.r; _ �*.e .V COUNTY OF BUTTE -DEPARTMENT OFDEV%OPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965- TELEPHONE (916)538-7541 m _4 F PERMIT APPLICATION DATA SHEET Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ ma' CounterDate Plans checked by Date Plans approved by r WDate Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works OWNER W1////ISI /o%I//1J�Cl� t A P. No. - 30-()/ZL Proposed Building Use Building InspectorDate 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or ., -issuance: DATE RECENED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. 9. Engineered truss details and layout in duplicate (required prior to plan check). . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... o 10. Fees of $ 11. Impact fees as shown on attached schedule . .............................. ,2 �.� 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . -- 20. Pre -inspection for Preanspecho" eq°� required. .. to e�;,d;"g "speaor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. . 28. Mobilehome utility clearance. ... " ......................................T V, 795 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ................................................... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other , Parcel Creation Acreage Applicant/G/- 3 Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted F 'rior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ ma' CounterDate Plans checked by Date Plans approved by r WDate Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works j �COTJJNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CEINTER DRIVE - OROVILL•E, CALIFORNIA 95965 — TELEPHONE (916)5387541 ROPOSr—D BUILDING USE 3. A.P. NO. U tl— DATE �3 REC. DATE_ REC School Distric Fees 61fo (� (pa=d at District Office) She_Tiff Fees (paid. at Building Department) Do Residential unit amt. Commercial(per sq.f t.) X 4 sq.ft. amt. Urban Area Fees (paid at Building Department Residential (per unit) X 4 7jr, units amt. Commerical(per sq.f t.) X 4 sq.ft. amt. 4. Rem eatian District Fees (paid at District Of =ice) .......................... 5. Drainage District Fees .(Contact Land Development) 6. 7. Other Other time of- permit apnlicat=on, 7 was advised the above fees are required to be paid pr= -- :o issuance of the permit. `?TICANT �.d�i � '��d �� DATE /�� COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay'in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide -the major labor and materials for construction of the proposed property improvement (yes or no)e_S 2 I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. -4. •I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and•provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: .Name Address Phone Type of Work Signed: Property Owner Social Security Numb r 5z�aF0_ Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and.Safety Code.-.• This verification must be.completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 07/-iUp' /� ZONING BUILDING PERMIT OWNER_/ TELEPHONE �r 4,n 6 E OWNER'S MAILING A nQESB ; '��' Imo"//Z CONTRACT R'S AMB•( `!•,.I-��Et+HONE �WA m SQ. FT. OCC. BUILDING VALUATION CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �p ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS I IZ5 S " d N Ad Permit fee $ GfdtL e,6k- PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex[]Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ��nstallation l�h Other ❑ Describe work: f s AV/ —J�_ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFeeT 15.00 LESS Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cade and my license is in full force and effect. License No. Classification FlFIXED 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) ❑ 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA, 37.50 NEW CONST./ DWELLING OCCUP.&I OR ACDNS. 1 ACC. BLDGS. // 3.64sq.ft. NEWCONSTR. ULT"OUT LET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 20 @ 76d APPLNS. OR EX. DCCUp. OUTLETS IRESID.) EA.� I 3.00 Temporary service 1$.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 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. O Mobile Home Installation Fee S ,70 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $%��E HAz 1 0FEES I IMP = COF PARCEL PD HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 35 ? Receipt No. /-3 � WNITC-O.P.W., TCLLO W-Age[730N, PINx•IN9PECTOR, GOLDENROD -APPLICANT 17�/` • 1•..'^� PCI p( w"^'^niwo5*'.,Mvn°'sA'„lfP;'�Y�'a.8hliYi4+"'TS'•.";"Cdr;,:�?ir✓rf,i#xf'".h�''fifY'i%.`^i�i�'t'�if4�:f�+�'Y�"rrtyTM" 1 ` a } BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One corm Per Building) School District (/��®�{/' Building Department No. A.P. Numbeo 70�' Jurisdiction 0 City 0 County Property Owner tL1A m I'd Property Location/Address 22-1 :511y% P -se 41 6 oiH iZZD od/? -it C-IZ14 Subdivison Residential Development No. of Living ' Units Commercial/Industrial Lot No. ,, /dei 5,% •�- Addition (I 0 0 New Addition Sq. Footage (Group R) Sq. Footage (Including Exterior, Roofed Areas) _ Date (Floor Plans reviewed by School District Personnel) District Identification No. 900668 ok� Wim. ur- School District certifies that W Ltb a,1-,— 94•i.0 zgz ,- ..' (Applicant) 26 P 1-�4� aAtP2�2 (Street Address) (Phone Number) (CRY) k, has complied with the requirements of Resolution No. representing &60 square feEt ' District Representative Paid by Check Number Bank Number Paid by Cash (State) (Zip Code) 015-40. by payment of $ Date Remarks: T If, subsequent to *the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) L feeformmkl (4/92) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes a . No F (If yes, furnish permit number 3% ) OR Is the site an existing site? Yes I1 No (If yes, furnish two plot plans.) v fi' /(/ -L✓ C/ 4: Will the mobilehome be -located at least 5 ft. away from septic tank and leach sr� fields and clear of all setbacks and easements? Yes FV—] No F (If no, clarify 5. What is the mobilehome electrical rating? --------------- 1/0 Amps 6. What is the mobilehome site service rating? ------------- 2 0 0 Amps 7. What is the mobilehome site circuit breaker rating? ----- go Amps 8. Is there any other electric load to be served by the mobilehome s'te service? ------------------------------- - Yes � No F� (If yes, identify the load and size: /7 (Load) 6 (Amps) - 9. What is the mobilehome site gas pipe size? -------------- (in.) Whaxs Y �the type. of gas service? =--- = -=-=-- - --- Natuna - LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand? ------=----------=-=-- (BTU) (This information not required if pipe E MINTY on nF natural gas or less than 50 ft. ca1T116INC DEPARTMENT NEXT PAGE MUST BE COMPLETED TO PACER RRmBAFQcVioED MOBILEHOME SUPPORT DATA If other .than single wide, Mobilehome Mfr. 'furnish Setup Model No. Year Width/0 (ft.) Box Length(ft.) Tagalong or Expando Size ;_f t, x ft. On all mobi.lehomes manufactured after October 7,1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) a 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block. ❑ 2.. Other (specify) Pier Fobting Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams — • Iine 2_� Main Beams -- ------ --- _ L1ne 22 — — — — — — . Llne 4 Tag or Triple Line 1 Line 1 Piers: Size-Min------------- Spacing-Max - ----------- Spacing-Max- --------- From Ends -Max - ------- Line 2 Piers: ,Size -Min- ------- ii - Spac ing-Max..----_--_- 6' � r From Ends -Max .------- Line 1 Openings: Size -Min. --------- ------- - ug u Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min------------------- k Spacing -Max. ----------- n From Ends -Max .------------- _ Line 3 Roof Loads:' Size -Min. ---------- "x "x 'k "x "x "x 'k 'k Location (From Front) Line 4 -Piers:- Line 5 Piers: (Under -Bearing -Walla Only Size -Min. ------ - --- Size -Min------------------- Spacing -Max.--------- , „ Spacing -Max ----------------- ' From Enda-Max.------- �_ From Ends -Max.------------- Line 5 Roof loads: Size -Mill.------------ , Location (From Front) F " P t 1 NOTE: If Materials & Workmanship Shall Be in Accorda ce with Recognized Good Practices and of a qua¢ ty prescribed for the Specified use in the Uniform/Building, Plumbing & Mechanicai Bodes and the National Electrical Code. I Location of structures & equipment shall be as shown 7,1 & clear of all easements. APPROVED Butte County Environmental Health �16'� - q3 BUTTE COUNTY BUILDING DEPARTMENT A.PPR0VED 3 -Ig- f 3 d --.4 nc_ U This set of plans and specifications MUST be kept on khe job at all tames and -It is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County ofButte. 1 NOTE: If Materials & Workmanship Shall Be in Accorda ce with Recognized Good Practices and of a qua¢ ty prescribed for the Specified use in the Uniform/Building, Plumbing & Mechanicai Bodes and the National Electrical Code. I Location of structures & equipment shall be as shown 7,1 & clear of all easements. APPROVED Butte County Environmental Health �16'� - q3 BUTTE COUNTY BUILDING DEPARTMENT A.PPR0VED 3 -Ig- f 3 d --.4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NOqj�. 7 County Center Drive - Oroville„California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASS SSOR PARCEL NUMBER 071-430-012 ZONING U BUILDING PERMIT OWNER William Hollin er 818 TELEPHONE 331-8992 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1033 Vi inia St. Covina Ca 91722 CONTRACTOR'S NA ME Owrier TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ ' Permit Fee Plan Checking Fee $ 20.00 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 20.00 Berry Creek PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G 1W 1 3 @ 15.00 45.00 TYPE OF WORK New❑ Addition[] Remodel❑ Utilities[ Installation❑ Other ❑ Describe work: MHU 2 Bedroom Permit Fee $ 60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200 600A 1. 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑1 am licensed under p provisions of Cha t. 9, Div. 3 of the Business(POWER and Professions Code and my license Is in full force and effect. License No. Classification F'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 Main service 200ATO1000A). 37.50 NEW CONST. ( DWELLING OCCUP.&� OR ACDNS. ACC. BLDGS. 3.6Qsq.ft. NEW CONST R. MULTI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 APPARATUS S) (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities. 1 15.00 15.00 Misc. Wiring -15.00 Permit Fee $ 48.50 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. 2'--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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 liabilities, judgments, costs, and expenses which may in any way accrue against said Cou ty in copse u nce of the granting of this permit. signature of "OU Date G �.� t — 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 128.50 HAz I DFEES IMP I FLOOD CDF PARC PD HD Issu This permit is hereby issued under the sions of the But County de and/or Work indica ab e r hich fees F PUBLIC BYJrate PERMIEXPIRES Date applicable provi- resolutions to do have been paid. WORKS Receipt No. 135737 WNIT!-O.P.W., YELLOW-ASBC990R, PINK -INSPECTOR, GOLDENROD -APPLICANT l COUNTYOF BUTTE - DEPARTMENTOFflEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQVILLEXALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building d • PERMIT APPLICATION DATA SHEET A. P. No. 0/ Z Building Inspector Date Z -q - 53 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted. 2. Plot plans,. ,4 sets, signed by preparer of plans . .......................... g� 3_ Complete plans, 3/4 sets, signed by preparer of plans. ...................... )4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. r5,' Hazardous Material Form. ......... r.' . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... �. 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. . ; ............................ i 12. California Department.of Forestry plan,approval/fees. ....................... . 13. Flood elevation° letter (100 year flood) by California Engineer.................. . Sanitation and plot plan approval4- G Health Department . ............ LD ,� 15., City of Chico plumbing permit.....I.................................... . Plot plan and business license appr val from City of Biggs/Gridley. . Planning approval for (A) Use: ) Parking: 3 18. Contact Land Development about (A) Improv ments (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. to Build g I�sa�� (Date) 21. Contractor's license information. (No., Name Style, Classification).f........... . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ — 24. Recorded copy of Agricultural Acknowledgement Statement . ..................� 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. . ;kc L! . nb �i ! . ... . .... . . ... . . .... . . .. f�� 3 — 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ....:........... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................... .............................. . 33. .34. ` When you issue the permit, process as follows:V Mail to owner. Mail to contractor. �"felephone�— - and hold for pic up at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 3 q 3 z Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted mit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, o er, was advised of above required data by _ phone _ mail Counter by - Date T W:-717 Contractor, designer, owner, was advised of above required data by _phone _mai Counter by _Date Plans checked by Date Plans approved byDate / Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works s. r'• '� I:.11. 1isIi uxfly Hol Ilan Atlached .�•,. flour Ilan Altnchvd Scot Io 11. 1). _old TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance e;2 -6 // P Owner / Location -w-,e,� t� Z-7% Plan Approved for: Sewa-e Disposal dilater Supply: I'ublic Clearance for bedrool n obil home. Other V/ - Vj0- G/ . -I- AP// Private Well t� N Environmental Health 8/92 allst Date N Y COUNTY OF BUTTE.- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit - will be issued until this verification is received. 1. I personallyplan to provide the .major labor and materials for construction of the.proposed property improvement (yes or no) S 2. I (have/have not) �&,'ye.`. signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I -plan to.provide portions..of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of.the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: t� Property Owner /fes•• Social Security Numb r y4 '91,0 C3� Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and --- _ 19832.of.the California Health and.Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION CONTRAC R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS�� /r /V //f�i1i //! /J eek Permit fee $ PLUMBING PERMIT Filing Fee 15.00 , Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 7.00 Each qas water heater or vent 7.00 USE m-O,F` STRUCTURE SF ❑ Duplex❑ MobilehomelN Other V SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 (5� - TYPE OF WORD � _ - New ❑ Addition❑ RemodpUtilities Installatir Other ❑ Describe work.. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORDOR L LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A/ 37.50 NEW CONST. DWELLING OCCUPM OR ADONS. ACC. BLDGS. 3.64 sq.ft. NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS @ 5•�0 APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES t 76d FIXED EX. Occup. OUTLETS IESIOPLNS. R) 3.00REA.) I Temporary service _ 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date signature of Applicant — Owner❑ Contractor Agent ❑ ❑ An OSHA permit is required for neigh tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ /Z8 Sv — HAz 1 0FEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. /3 -s -? % WNITC•O. P. W., 7fllOW-A9e [390R, PINK -INSPECTOR. GOLDENROD -APPLICANT ;10 0 0 `g AW A W :9:3-:0:0:96:84�93-009684 L 93-009*684 V-3-WO096841 Rac -Fee 11. 00 I Cash . Rocorded. Official Re.0orda I Count' of Buttes Candace J. Grubba I Rocordar I - - l0t32mm 10-Har)k93 I PUBL xx x Yi ivi �v i...-�ucl 11 L.0 Ul d uUJ.1U1I10 p=11111 L . ' DATE NAVE, TITLE OF OFFICER • E.G.. 'JANE DUE. N07ARY PUBLIC' The property''described herein is adjacent ❑ GENERAL to land of included within an area zoned NAI✓,E(E) OF EIGNER(5 for 'agricultural purposes, and residents - TRUSTEE(S) of this property may be subject to-incon— GUARDIAN;CONISERVATOR veniences or discomfort arising from theaR OTHER: use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit 9461'[1 AvWno@4*0 Ax)* of agricultural operations including, MOT COMPARED WffH but not limited to cultivation, plowing, ORIGINAL DOCUMEI r spraying, pruning, and harvesting which a�av�AUVd occasionally generate dust, smoke, noise, and odor. Butte County has established agricul— tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .property. situate in the County of Butte, State of California, described as follows: Date: 9 _'/0 - 93 ALIFORNiIA ALL-PURPOSE ACKNOWLEDGME1y-1 State of Cali.:LfOrnia County of Butte PROPERTY OVINERS : On .3 ,16 before me.Patsy L. Carter, Notary Public DATE NAVE, TITLE OF OFFICER • E.G.. 'JANE DUE. N07ARY PUBLIC' personally appeared ❑ GENERAL ❑ NAI✓,E(E) OF EIGNER(5 ❑ personally kno\,rn to me - OR - [ proved to me on the basis of satisfactory evidence TRUSTEE(S) to be the person( \,✓hose )ame(,g) is/ai GUARDIAN;CONISERVATOR subscribed to the \,,'ithin instrument and ac- OTHER: knovviedoed to me that laz�/she/Lh@�t executed the same in lam/her/t.�Or authorized capacity(i,ce), and that by 4ire/her44-e+r 9461'[1 AvWno@4*0 Ax)* sionature(Q) on fhe instrument the person(t), deo A0 or the entity upon behalf of \,,lith the 9, 9moV&YOO personr acted, executed the instrument. a�av�AUVd VVITNE my hand and official seal. n 51G'�ATURE OF N07„RY • mw= OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER 7hoogh slatule does no: reouire the Noiary to fill in the dela below. doino so me\ piM'e invaluable to persons relying on t`1e docurleni. ® INDIVIDUAL ❑ CORPORATE OFFICER(S) 717: E(5) ❑ FARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNIEY•IN- FACT ❑ TRUSTEE(S) ❑ GUARDIAN;CONISERVATOR ❑ OTHER: 0 1 • d c r No. 113580 Schedule-, C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 1: A portion of Section 2, Township 20 North, Range 5 East, M.D.B. & M., and more particularly described as follows: Commencinc at the Northeast corner of Lot 3 in Section 2, Township 20 North, Range 5 East, M.D.r•. & 2•t.; thence South 890 50' 18" West along the Northerly like of .=aid Section 2, a d,_stance o`. 4-40.1-4 fr+r_t; then.c'2 South a diStance of 522.64 feet; thence i;o-rth 890 52' 30" hest, a distance of 1797.79 feet to the true point of beginning for the parcel of land herein described; thence from said point of beginning, North a distance of 513.65 feet to the Northerly line of Section 2; thence :youth 89° 50' 18" West along the Northerly line.of said Section, a distance of. 449.45 feet to the Northwest corner of Lot 4; thence South 0° 09' 55" East along the Westerly line of said i,ot 4, a distance of 989.93 feet to the Southwest corner c11' Lot 4; thence South 89° 41' 00" Last along the Southerly line of Lot 4, a distance of 536.49 feet; thence Morth, a distance of 480.33 feet to a point which hears South 89° 52' 30" East from said point of beginning; thence North fl9° 52' 30" hest to the point of beginning. EXCEPTING THEREFROM the following described -parcel of land: Commencing at the Northeast corner of Lot 3 in Section 2, Township 20 North, Range 5 East, M.D.R. & 1i.; thence South 89° 50' 18" Nest along the Northerly line of said Section 2, a distance of 449.44 feet; thence South a distance of 522.64 feet_; thence North'89° 52' 30" West, a distance of 1797.79 feet to the true point of beginning for the parcel of land described herein; thence from said point of beginning, North'a distance of 513..65 feet to the Northerly line of Section 2; thence South 89° 50' 18" hest along the Northerly line of said Sectio, a distance of 449.45 feet to the Northwest corner of Lot 4; thence South 0° 09' 55" East along the Westerly line of said Lot 4, a distance of 511.40 feet; thence South 890 52' 30" Ei-t, a distance of 447.97 feet to the point of beginning. PARCEL 2: A nonexclusive right of way for road purposes over a strip of land 60 feet in width, the centerline of which is described as follows: Commencing -at the Northeast corner of Lot 3 in Section 2, Township 20 North, Range 5 Fast, M.D.R. & M.; thence South 890 50' 18" West along the Northerly line of Lot 3, a d.istnrice of 449.44 feet to the point of beginning of the' following described centerline; thence from said paint of beginning, South a distance of 522.64 feet; thence North 89° 52' 30" West a distance of 2245.76 feet to the Westerly line of Lot 4 and the end of said centerline. —1— ORDER NO. 13.363) , PARCEL 3: A nonexclusive right of way for road purposes over a stripof land 60 feet in width, the centerline of which is described as Commencing at the Northeast corner of Lot 3 in Section 2, Township 20 North, Range 5 East, M.D.B. & 11.; thence South 89° 50' 18" west along the Northerly line of Lot 3, a distance of. 449.44 feet; thence South a distance of 522.64 feet; thence North 890 52' 30" West.a distance of. 1168.58 feet to the point of begin- ning of the following described centerline; thence from said point of beginning South 482.08 feet to the end of said centerline. PARCEL 4: A right of way for road and utility purposes over a strip of land 60 feet in width, the ccanterline of ,hich is described as follows: Commencing at the Northwest corner of the Southeast 'quarter of the Southeast quarter of Section 3.5, Township 21 North, Range 5 East, M.D.B. & M.; thence South 000 35' 10" hest, a distance of 29.47 feet along the Nest line of the Southeast quarter of the Southeast quarter of. said Section 35 to a point on the centerline of Canyon Creek Road, also known as Rockefeller Road; thence leaving the West .line of the Southeast quarter of the Southeast quarter of said Section 35, and running along the center line of said Canyon Creek Road, North 710'00' 05" hest, 52.99 feet and North 530 19' 05" West, 143.94 feet; thence South 440 55' 05" East,'30 feet to the true point of beginning for the following described center line; thence from said true point of beginning,, South 45° 04'- 55" West, 272.58 feet; thence South and parallel with the -North and South center . line of. said Section 35, to a point which bears Mort_h and perpendicularly distant 30 feet from the Southerly line of said Section 35; thence Westerly and parallel with the Southerly line -of. said Section 35, a distance of 580 feet, more or less, to the North and South centerline of said Section 35 and the end of said center line. C �!P, 2 C, 1 This Sdt of plAhs and specifications MUST b& kept on the job at all times and it is unlawful to 3 make any changes or alterations on same with written permission from the Department of Pubft NOTE:— I ateA%'&Ry5PW8il Be in Accordance with Recognized food Practices and of a quali prescribed for the Specified use in the nit uilding, Plumbing & Mechanical 18odes and thn k!ational Electrical Code. r 61 Location of structures & equipment shaA be as shown & clear of all easements. 7*iAlimd" stT � s EWTE COUNTY BUILDING DEPARTMENT A P P R 0 V E 0, %L OWNER ('� 1'L..�'G�. GLJ L PERmrr- q. NRi UT IL . CLEARANCE DATE INSPECTORK; ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load Type Pipe Size Length YESI NO YES NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 William Hollinger 1033 Virginia St: Covina, CA 91772 Dear Mr. Hollinger: , With reference to the above subject: Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form ,91_x!9 . PHONE: 916-538-7541 DATE March 16, 1993 RE: Building Permit #93-576 A.P. # 071-430-012 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced 7XX/•We need the following information: Permit application signed and completed where indicated with all.copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or.check exemption statement. Complete plans. in including plot plans. Plot plans in Structural details in Complete plans and calcs in by.registered engineer or -.,architect. Energy design including _Street and drainage improvement plan approval from Land Development Section (DPW). sets of_plans id accordance with the_changes•marked•in red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for e on—property AMAX _r Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy.of.agricultural acknowledgement statement..... )XX/ OTHER 1\Submit corrected plot plans showing existing mobile location and new mobile location together with any other buildings or structures. 2. Indicate North direction on plots.. Should you have any questions concerning the above, please contact'. Tom May of this office., between 3:00 and 5:00 pm weekdays. Yours very truly, William Cheff Director of Public Works -',.J.F. Glander JFG/aj COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE i� �/1 4� �a, 9/T7 Z _. RE: With reference to the above subject: Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER A. P. # %/- G/3- / Z - Mobilehome Utilities Installation Sheet Mobilehome-InstallationInformation Sheet Typical Plan Sheet List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs .in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the' changes.marked in red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr.,-Oroville Skyway &-Elliott Rd., Paradise - Planning approval from But Cou ty Planning Department, 7 County Center Drive, Oroville, for Z 7_J�!/ Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded, copy.. of .agricultural .acknowledgement statement.. Should you have any questions concerning the above, please contact of this office. Yours very truly, William Cheff Director of Public Works �J.F. Glander - JFG/aj a State of Cal -i._Eornia County of Butte On before me,Patsy L. Carter, Notary Public DATE NAVE, TITLE OF OFFICER • E.G..'JANE DOE. NOTARY PUBLIC' personally appeared ❑ personally knovrn to me - OR - [ proved to me on the basis of satisfactory evidence to be the person& whose name(,g) is/afe subscribed to the within instrument and ac knovdedged to me that 4--/she/L4@,+ executed the same in �/her/t.faOr authorized capacity(ia,a-), and that by 1;0/her,t4r �•�� AWYMt yw+oa signature(.w) on the instrument the person(%), /M=auM� or the entity upon behalf of which the � gWO-OM �personr acted, executed the instrument. 43JdV37ASLYd VJITNE my hand and ouicial seal. g;;g SIGNATURE OF NOTARY ® OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER Thouoh statute does no'. require the Notary to till in the data below, doing so may prove invaluable to persons relying on the document. Z INDIVIDUAL CORPORATE OFFICER(S) TIT, LE(S) PARTNER(S) E] LIMITED GENERAL ATTORNEY -USI -FACT TRUSTEE(S) GUARDIAN/CONSERVATOR OTHER: Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT .`- °_ FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 93-09684 The property described herein is adjacent /.I to land or included within an area zoned 93-0096841 7 3-009 6 841 Rec Fee 11.00 for agricultural purposes, and residents I Cash 11.00 of this property may be subject to incon- Recorded I veniences or discomfort arising from the 1 Official Records i use of agricultural chemicals, including, County of I s 'but not limited to herbicides, pesticides, Butte 1 and fertilizers; and from the pursuit i Candace J. Grubbs I of agricultural operations including, Recorder I but not limited to cultivation, plowing, 10:32am 10 -Mar -93 I PUBL XX 3 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property 'situate in the County of Butte, State of California, described as follows: Date: 9-,10-9,3 �oUN euioryop� CEp� VN !� k. PROPERTY OWNERS: r� State of ) On this the day of 19 before me, the SS. undersigned Notary Public, personally appeared County of ) FJ Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WJITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. �// �PJ x:,?" r Notary Public X93=09684 Urcicr Plo. 113680 y Schedule C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 1: A portion of Section 2, Township 20 North, Range 5 East, M.D.B. & M., and more particularly described as follows: Commencing at the Northeast corner of Lot 3 in 'Section' 2, Township 20 North, 'Range 5 East, M.D.B.. & I.i.; thence South 890 50' 18" west along the Northerly line of =aid Section , a dist,r:,.__ o`. fr-et; then.ce South a distance of 522.64 feet; thence Eo-rth 89° 52' 30" west, a distance of 1797.79 feet to the true point of beginning for the parcel of land herein described; thence from said point of beginning, North a distance of 513.65 feet to the Northerly line of Section 2; thence South 89° 50' 18" west along the Northerly line.of said Section, a distance of.. 449.45 feet to the Northwest corner of Lot 4; thence South 0° 09' 55" East along the westerly line of said Lot 4, a distance of 989.93 feet to the Southwest corner of Lot 4; thence South 89° 41' 00" East along the Southerly line of Lot 4, a distance of 536.49 feet; thence North, a distance of 480.33 feet to a point which hears South 89° 52' 30" East from said point of beginning; thence North fl9° 52' 30" Uest to the point .of beginning. EXCEPT ,NG THEREFROM the following described parcel of land: Commencing at the Northeast corner of Lot 3 in Section 2, Township 20 North, Range 5 East, M.D.B. & 1.1.; thence South 89° 50' 18" West along the Northerly line of said Section 2, a distance of 449.44 feet; thence South a distance of 522.64 feet; thence North'89° 52' 30" west, a distance of 1797.79 feet to the true point of beginning for the parcel of land described herein; thence from said point of beginning, North'a distance of 513..65 feet to the Northerly line of Section 2; thence South 89° 50' 18" West along the Northerly line of said Sectio , a distance of 449.45 feet to the Northwest corner of Lot 4; thence South 0° 09' 55" East along the westerly line of said Lot �, a distance of 511.40 feet; thence South 890 52' 30" East, a distom ce of 447.97 feet to the point of beginning. I PARCEL 2: A nonexclusive right of way for road purposes over a strip of land 60 feet in width, the centerline of which is described as follows: Commencing at the Northeast corner of Lot 3 in Section 2, Township 20 North, Range 5 East, M.D.B. & M.; thence South 89° 50.' 18" west along the Northerly line of. Lot 3, a-d.istance of 449.44 feet to the point of beginning of the, following described centerline; thence from said paint of beginning, South a distance of. 522.64 feet; thence NorCh 89° 52' 30" west a distance of 2245.76 feet to the westerly line of Lot 4 and the end of said centerline. —1— '93-09684 ORDER NO. 17.3630 PARCEL 3: ..A nonexclusive right of way for road purposes over a strip of land 60 feet in width, the centerline of which is described as follows: Commencing at the Northeast corner of Lot 3 in Section 2, Township 20 North, Range 5 Last, M.D.B. & 11.; thence South 89° 50' 18" West along the Northerly line of. Lot 3, a distance of. 449.44 feet; thence South a distance of 522.64 feet; thence North 890 52' 30" West.a distance of. 1168.58 feet to the point of begin ninQ of the following described centerline; thence from said point of beginning South 482.08 feet to the end of said centerline. PARCEL 4: A right of way for road and utility purposes over a strip of land 60 feet in width, i:he centerline of °..hich i_' -descri-bed as follows: Commencing at the Northwest corner of the Southeast'quarter of the Southeast quarter of Section 3.5, Township 21 North, Range 5 East, M.D.B. & A1.; thence South 00° 35' 10" West, a distance of 29.47 feet along the West line of the Southeast quarter of the Southeast quarter of. said Section 35 to a point on the centerline of Canyon Creek Road, also known as Rockefeller Road; thence leaving the West .line of the Southeast quarter of the Southeast quarter.of said Section 35, and running along the center line of said Canyon Creek Road, North 71° 06' 05" West, 52.99 feet and North 53° 19' 05" West, 143.94 feet; thence South 440 55' 05" East, -30 feet to the true point of beginning for the following described center line; thence from said true point of beginning„ South 45° 04' 55" [lest, 272.58 feet; thence South and parallel with the -North and South center line of said Section 35, to a point which bears North and perpendicularly distant 30 feet from the Southerly line of said Section 35; thence Westerly and parallel with the Southerly line`of. said Section 35, a distance of 980 feet, more or less, to the North and South centerline of said Section 35 and the end of said center line. 0 VNI) Ott DOCUMENT PON / TOFy�'. STATE OF CALIFORNIA NUMBER: BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 8784461 DIVISION OF -CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM �vm oE�� INAN:UFACTURER CERTIFICATE OF`ORIGIN DISTRIBUTION:: ORIGINAL (PINK►3 fORWARD TO THE IS NONE,.THEN FORWAWTO THE PURCHASER (DE4ER OR TRANSFEREE). } } COPY L (WHITE) FORWARD TO -THE DEPARTMENT AT P.O. BOX.1828,.SACRAMENTO,,CA 95812.1828, WITHIN FIVE (5) DAYS OF VELEAsE. POP_Y;2'(YELLOW) DELIVER`:Tg. T?iE.Tg9NSPgQ7ER P.'ArCOMPMIE�dE'UtttT=iMW!T 1NATIONr "` ,. ..� .... j COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. ' HCD 483.0 - Side 1 - (7/97) TEICHECIK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO N0. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF SFD (SINGLE FAMILY DWELLING) _ II.:MUMH,(MULTI-UNIT,MANUFACTURED HOUSING) TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH: 1. OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: CMH MANUFACTURING WEST, INC. I MF1126458 MANUFACTURER. ADDRESS: SUGGESTED RETAIL PRICE: 9998 OLD PLACERVILLE ROAD SACRAMENTO CA 95827 111,784.00 (Street) Cit State Zi MANUFACTURER TRADE NAME:MODEL,NAME MD/OR.NUMBER: ) DTE OF. MANUFACTURE: HATHAWAY SERIES HS66008Z – 07-16-09 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO) . , , . CALIFORNIA DEALER,NUMBER OR sD TE OF TRANSFER: •- 'CMH H®MES, "INC. w _ _*� NSFEREE.AESIGNATIO)J _, DL�'i27080" - DEALER OR TRANSFEREE ADDRESS: P. 0: '.BOX --9790 - - MARY-VILLE - TN 37802.._. Street Cit State Zi INVENTORY CREDITOR NAME: INVENTORY CREDITOR ADDRESS: (Street) Cit State { (zip) •,:•SE I ;-' U C 12E. �SERIAL,Nl1INBER, ` SIGNI 0 ti ° 1 �ktCD ES INCHES 0 D 1 SAC033683CA A RAD1479197 792 178 39160 2 -SAC033683CA B r RAD_147.9�98,. 792 178 37202 TRANSPORTER NAME: BENNETT TRUCK TRANSPORT -TRANSPORTER ADDRESS: ,. ... P. 0.'A= 569 MC DONOUGH GA 30253 Street _ Ci _ State . - _. (Zip)--_ DESTINATION FOR UNIT DESCRIBED ABOVE: CLAYTON HOMES 2243 FEATHER RIVER BLVD OROVILLE CA 95965 (NAME) Street Ci State 4 Zi I certify under, penalty -of,perjury under the_laws of the State of.California that the -above facts.are•.true and.wrect..- ^ • •- 07-31-0pp Executed on dt TJ CA (State) (Date) (City) (County) SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION:: ORIGINAL (PINK►3 fORWARD TO THE IS NONE,.THEN FORWAWTO THE PURCHASER (DE4ER OR TRANSFEREE). } } COPY L (WHITE) FORWARD TO -THE DEPARTMENT AT P.O. BOX.1828,.SACRAMENTO,,CA 95812.1828, WITHIN FIVE (5) DAYS OF VELEAsE. POP_Y;2'(YELLOW) DELIVER`:Tg. T?iE.Tg9NSPgQ7ER P.'ArCOMPMIE�dE'UtttT=iMW!T 1NATIONr "` ,. ..� .... j COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. ' HCD 483.0 - Side 1 - (7/97) 05/26/2009 12:23 FAX 530 343 4410 11 RECORDING REQUEMD By: Fidelity National Title Company of California Esaow No., 05 -1073632 -CC Locate No.: CAFNT0958-0955-=1-0001073632 Title No.: 05.1073632 When Recorded Mail Document and Tax Statement To: The Michael G Teicheira and Rhonda 7. Teicheira Revocable Truk dated March 24, 2004 147 Morello Heights Drive Martinez, CA 94553 APN: 071-430-012 FIDELITY NATIONAL TITLE 006 Recarded I AEC FEE 13.46 official Records I TAX Bot98 coutlYe f I T ARM I&M CJiPagm J. mim 1 countY Clerk-llecwderl I f9:YBAM 1 I TB �Y'�S I Page 1 of 3 111111191111111111111111111111111 SPACE ABOVE IRIS UNE FOR RECORDER'S USE GRANT DEED The undersigned gran Wqs) d®dane(s) T Documentary transfier tax is $220.00 C X ] computed on full value of property conveyed, or✓ C computed on full value less value of hens or encumbrances remaining at time of sale, [ 7 Unincorporated Area City of Berry Creek, FOR A VALUABLE CONSIDERATZON, receipt of whldt J. Hollinger, husband and wife as joint tenants la hereby acknowledged, William D. Hollinger and Norma hereby GRANT(S) to Michael C. Telchelra and Rhonda J. Teidlelra, Tlusbees of The Michael C. Tekeira and Rhonda ]. h Teicheira Revocable Trust dated March 24, 2004 the following described real property In the qty of Baty Cry County of Butte, State of Canfiomia. DATED: May 14, 2005 STATE OF CALIFORNIA COUNTY W' m D. Hollinger _ ON before me, 'u Irsontiliy appeared Norma 3. Hollinger �ll i�.r � I � nu . • personalty known t nv ( Q nom. ;;b6f rntisfa °� to be the person whose name(s) Aare subscribed to the within Instrument and acknowledged to me t hat'he wIthey executed the same in `%jflwltheir authorized capadty(ies), and that by 'hib/herQtheir signatures) on the Instrument the pe9on(s), or the entity upon behalf of which the Person(s) acted, executed the instrument, Witness my hand and ofrwW seal. ! C0WTAW0 * 1489883 Signaturel'WAng" Ca+ * %71i►fonrn. E�imJun Id, MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/95) GRANT �� (grantx04-05) Description: Order: Sutte'CA D0�eut-y0dr.D0cXD 2005.28296 Page: 1 of 3 n=ent: 05/26/09 TUE 11:14 [TX/RX NO 75141 0 006 COUNTY OF BUTTE --DEPARTMENT.OF•PUBLIC+WORKS 'PERMIT -NO. -7 County Center Drive - Orovilie,'California 95965 - Telephone: 916/538-7541 . • �� APP.LICATIONANO=P.ERMIT SR PARCEL+NUMB R l OI2 ZONING U gU1.L'DINGrPERMl7 DWNER lingerWilliam;Ho.T=818 TELEPHONE 331-8992 SQ. FT. OCC. BUILDING VALUATION TT-emporaryrservice- t?Mobl•le'Home?Bacilities ' - OWNER 78�M AI LI N G.ADDR ESS 1033 'RVir inia St. Covina Ca 91721 ; t:Permlt'Fee CONTRACT OR•S NAM= TELEPHONE t TMECHANICALMERMIT Heating 'Cooling C ONTRACT.OR•S•M Al LIN G -ADDRESS Fireplace ,pennit'Fee CONSTRUC'TION.LENDERUNKNOWN _ Total Valuati n =$ -Filing-Fee �$ + LENDER•S,,MAI LING -ADDRESS Permit Fee 'S .20.00 ARCHITECT OR•ENGINEER LICENSE NO. Plan Checking Fee rE Energy Plan Checking Fee 11 ARCHITECT.OR-'ENGINEER'S MAILING -ADORES Penalty =S BUILDING -ADDRESS V V . y 'Permit -tee 1$ '20.00 `FPLUMBING HERMIT Filing Fee 15.00 757 Ci mi ern %Ranc•h Rd Berry- Creek ' Each Trap Zolarorheat:pumpiwaterrheater `5.00 :.'20.00 LOT -NO. SUBDIVISION NAME PARCEL+MAP 1 :Water. -piping l .7-00 Each Paas=water heater:orwent 7 00 FUSE--OF!STRUCTUREGas•piping-system"1- r SF-0_.tDuplex_Q-IsMobilehome•[X -Other :SPEGIFv 5 -outlets 15.00 'Buildingaewer 115.00 1 {Mobile'Home `S �G IW f t@=15.00.45.00 T4YPECOF4%WORK �Addition0 *RemodelD Utilities[ 3lnstallation❑ 'Other_[] cribe" - I I ' - `' '2 Medroom . — fsPennitFee -ts'fi0=:00 TContractor, ` II;EL; MTRICWUR„ERMIT. { rEilingFee, w1:5:o0 e*OOv..OR LESS.,, «1:8'50 1 tl'R'-t5n j 237:50 f � t s20, 761 X oo F 1`1500 1 1:15:00 R51.012 "s ::15:00 Z r +FI ling Fee J -15.00 d t I certify -that I have read this �application:and state that -the above information 'Mobile Home Installation Foe 8 is correct. I°agree•to comply to.all County Ord! nances.and *State Laws relating Ener Ins ection Fee S to building construction, and hereby -authorize -representatives of the County.ot Energy p tteAo enter.upon'the,above-mentioned property for inspection purposes. OCC CONST TYPE TOTAL'FEE $ 128.50 Iso ragree-to-save, indemnify and keep. harmless the County of Butte: against liabilities, judgments, Costs. .and -expenses ;which -may In any way•acClue HAZ I DFEES I IMP I FLOOD CDF I PARCEL PD HD ISSU against.said Cou ty=in cons e nce of the granting of this permit. )( Date 3' G a This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Signature•of Appli t— owner Er Contractor ❑ Agent ❑ work indicated: above for which fees have been paid. An OSHA permit is •required for excavations over 5'0” deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. 135737 1 BY__-._ Date 'tMaintservice:zooA-rociDo I.. -- CONTRA -ORS' 'ICENSEU AW cfatetunderfpenaltytof>perjuryt(checktone): �tx-islamilicensedcunder;provisionstoffChapt:t9,tDl.v.43 e0f1thelBusiness >£anda`!ProfessionstCodeaand•,nnytlicensecisxintfull tforcetandteffect. 4�_ -?�. .." WIcenselNo �' xC.lasslflcatio "•-�, ' ""a' ;4tasCthe`towner=rprriy>ilsmployees lnrithvwages3asstheir soleccompen- esatiom,pwtllCdoctbesworkland+ttheistructurevistnot:hntendedrorioffered �3forssale.1,Sec.u7044) ; _ �,Il,ka§dthei:owner 1:amiEexclusivelyzcontracting�+irltht'licensedreontcact-� t '*ors.m c.77,044)si.; 3ElaPamcexemptrunder, Sec. __,�Businesssand'ProfessionsXode fortthistreason. - +NEW CONST.J�-DWEL LIN GYOC C U PAW <ORWADDNS. 1�1 SACC YB L`DGS. j +NE W:CONST0. LOU L T { -+NON.RESID '*BRA r IR I S .. Y/==4APPARATUSsti1 F`tOUTLETaCIR.s/ iEX AOCCup('OUTLETS-ORrFI'XTURE ..FIXEDMPPLN .AOR SEX: QCCUp.'FtOUT.LET•SNIRESID:)FEA1 TT-emporaryrservice- t?Mobl•le'Home?Bacilities ' - �isc.�Yiring ; t:Permlt'Fee .Contractor VNORKMENiS:COMP.ENSA'TIONtINSURANCE lideciare.undee,penalty.of perjury i (check -one): 'Q7hevermitiistfod$100:00.(valuation):or,less. TD tli`havetpiacedcon^fiie*with,the'..County-,.of =ButtesBuiiding:Departinentl .alCertificatecof4Workmen.SZCompensation Insurance,orra:Certificate 4of Consent:tor_Self-Insure. �leshall�mot4empioy.;any„personan;.any*manner-so.-as•to becomersubject: 1to.therW.'C. iaws'of;Callfomia. ecome subject- ,Notice Ito tAppllcant: Iflafter,making-this'statement,-should you become-subject- to the%W.'C.-provisions of the,Labor'Code,-you must forthwith comply,with,such to provisions.orthls permit shall..be deemed revoked. t TMECHANICALMERMIT Heating 'Cooling 'Hood Ventilation ,pennit'Fee Contractor 237:50 f � t s20, 761 X oo F 1`1500 1 1:15:00 R51.012 "s ::15:00 Z r +FI ling Fee J -15.00 d t I certify -that I have read this �application:and state that -the above information 'Mobile Home Installation Foe 8 is correct. I°agree•to comply to.all County Ord! nances.and *State Laws relating Ener Ins ection Fee S to building construction, and hereby -authorize -representatives of the County.ot Energy p tteAo enter.upon'the,above-mentioned property for inspection purposes. OCC CONST TYPE TOTAL'FEE $ 128.50 Iso ragree-to-save, indemnify and keep. harmless the County of Butte: against liabilities, judgments, Costs. .and -expenses ;which -may In any way•acClue HAZ I DFEES I IMP I FLOOD CDF I PARCEL PD HD ISSU against.said Cou ty=in cons e nce of the granting of this permit. )( Date 3' G a This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Signature•of Appli t— owner Er Contractor ❑ Agent ❑ work indicated: above for which fees have been paid. An OSHA permit is •required for excavations over 5'0” deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. 135737 1 BY__-._ Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING -EXEMPTION PERMIT - s PER Agricultural building is defined as follows: Agricultural building. is a structure designed and constructed to house farm implements, hay, grain, poultry, l,i,vestock, 'or other horticulutral products. This s.tructure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. -- ZONING 71 -36 iv OWNER PHONE NO. OWNER'S ADDRESS .. 03.3 ST aKloV,1 6 LOCATION OF BUILDING USE OF BUILDING�&!�L7 6�, J r Hew SIZE OF STRUCTURE ? X 31512!4 SO. FT. I TYPE OF CONSTRUCTION: .... WOOD FRAME Y STEEL X CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ord.inances as follows: ova.✓► �� FRONT 32 SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet.from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use "t conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. >. )L'oy, C Date T_� �/ g O Signature of Owner �0• Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant �.r. ,X"'}tl'ty,,,�, , •. it Yh+',µa.' „ `.1�, s '"t' vy COUNTY OF BUTTE - DEPARTMENT:OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI.L'LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 r PERMIT APPLI6ATI6N=-DATA SHEET Permit No.' c f1Wf`IFR '(� i /Illi ! Pry I �1 %1 (10 4 F. A_ P_.NnI At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ . ......... 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. ~' 18. 19. 20. --21. X22. 23. 24. 25. 26. 27. When Plot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer. of plans . . Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form ......................................... . Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings ............... Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions.................................................. . Fans of � f If Chico Urban Area fees paid ....................................... Park fees paid ... School District fees paid .............. Sanitation approval from Health Department City of Chico plumbing permit ...................................... Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... r Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................ .. .......... A...... Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other c Applicant/ 'r. ;�te '��l— v Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked -above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by_phone—mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW f h uPEflMT N0. '-4953-76P,E r " PERMIT EXPIRES �,�,�/ OWNER Michael�Yates CONTR. owner LOCATION (A.P. 71-35-10 y S/S Simpson Lane, app. z mi.S.of Bald Rock Rd., Berry Credk t Temp. Power Pole ' t Called PG&E Temp. Elec. Serv. - Called PG&E. i Temp. Gas Serv. f Called PG&E ' JOB i �5 FINALED (DafV A�W (S' nature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'.d) r � c PLUMBING Setback 3.y irewall I /' Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish, 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping! l , Piers Roofing Sewer Q h� Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Y Stemwall . Insulation .4 Heaters 1 Slab Prov. for ph scally g� Appliances handica e Carport Conformanke of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation j Patio FIREPLACE Final Footings Footing ELECTRICAL _ Masonry Walls Throat f Rough O Reinf. Steel Final Ll Fixtures Bond Beam FIRE SPRI , LERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHAfbCAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final ✓ Final DATE > REMARKS OR CORRECTIONS sEA/T- Ird OK -'o S® To -'�b - � -'To wF.�t- /t'� A,16 7-0 LPJ�tiC, jN_/lift /`'0 i%ilOz/ ©,V S06L(JF;A POCI.19- 5 ;7 w (NOTE: An entry must be made on this form each time you visit the job site.) , v 4 SSS "�°_77 rs COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, CALIF. 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirerpents of the California Administrative Code, Title 25, Chapter 5, under permit number.-I'—'R 9/7- —7 •7 for the following location: 525- <'//W,0<,7A/ /moi Owner Owner's Address -� % 1P �l% 3 lZ 13 V (,elL Mobilehome Mfg. R11 -r7'1 0 P (T' Model /0 lr6 I Year -7f Insignia No. `� �� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Date /Z./2 -,g—/7 Director of Public Works By I , � - THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED T . To; Building Department Z196 31 From; Environmental Health Regarding: Sewage and/or 'Wa'ter Clearance OWNPIt LOCATION A. P. N0. Has been approved for: Sewage Disposal Water Supply /v Sanitarian 7" ate c e ' � �w;;, may; • MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ No_ 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes/ No 3. Are footings and supports properly sized, spaced, and braced as/er approved plans? (Note possible variation at spring shackles.) 1 1? Sec (Se 5082 & 5083) Yes_ No 4. Is the mobilehome 5088 Yes (Se ev ( ) 5. If more than a sin it, are crossover connections properly installed? (Sec., 5088) Yes No 6. Water A. Is jfxible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yeso B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief Valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ No_ B. Does it have minimum k" per foot slope and is it properly supported? Yes- No C. Are any leaks detected in drainage system after runnink,3o'g'allons of water through each fixture including washing machine standpipe? Yes_ No D. If coach is not State of California does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the moblIehome gas line inlet without reductions other than the mobilehome connector. Yesvi No B. Test OK as per following procedure? Yes_ No 1. Open all appliance.connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum.8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No - 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No C. Is power supply cord,or feeder assembly properly fused? Yes_ No_ D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument•to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA � � n Manufacturer and/or Namestyle / Length Width Vehicle Serial No. x-30 Y� State Identification No. Additional Information or Comments: _ COUNTY -OF .BtJTTE — DEPARTMENT OF PUBLIC WORKS ~ 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,t6_78r0_7 7 _.. - ___..___.. __ -. _.._ ........� ... ... ..-11 urvn L above-mentioned property for inspection purposes. X Date AD` Sign ire of Permitee orent Receipt No. 1 _3!�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 above for which fees have been paid. aYIRE OF PU IC WORKS Date ��"'7 g permit expires Date IJIA'6 7_a BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address r0 3 -- B Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty • Telephone No. Permit Fee Building Address �' S S 1 R PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _ Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fire Dept. Fire Zone Use Pen -nit Building sewer 5,00 EQA Parking PlaBlrj�j Declarationa Parcel Map 60' R/W Lawn sprinkler system 2.00 Permit Fee $ a 'd Parcel oval /��Impro�vements PIZApproval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 r Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home ©� Others ❑ Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST [DWELLING ACCBOGS. OCCUP, &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@�C BAL�1 Ex. Occup. ( OUTLETS FIXED PLNS (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 I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j I certify that in the performance of the work for which this %E D 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.1 @ FEEPERMIT FILING FEE J$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 anthnri�e ronrnc er.•�H.. e... „s •.., n....-. •.. _s n...._ ._ __.__ ___ . r TOTAL PERMIT FEE $ 3© _.. - ___..___.. __ -. _.._ ........� ... ... ..-11 urvn L above-mentioned property for inspection purposes. X Date AD` Sign ire of Permitee orent Receipt No. 1 _3!�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 above for which fees have been paid. aYIRE OF PU IC WORKS Date ��"'7 g permit expires Date IJIA'6 7_a MOBILEHOME SUPPORT DATA Mob�lehome Mfr. F r�e,,Nc.�Y Setup Model No. Year Width -(ft.) Length. (.ft.) .-Expando .Size -----ft.x ft. (Draw support details. below).. On all mobilehames manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup, sheets. .(.if not on .file with the County of Butte). -{ Single ® Footings- (check one) -- a Center Center Su or' t' Support Footing -izes Locations (° .) r - x /nn --. in.) Wood. either pressure treated or fdn. grade. f 2.. Concrete pad. 3. Other,:specify Supports (check one) . Concrete block 2. Concrete piers 3. Steel piers - - - - 774. 4. Other, specify _-�f Typical Support Footing Size in. in.) Max. Pier (f ..- 1 Spacing (fb)(ln•) ( in.) in.) �. ! j _ Max rhan *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT .APP R_0VED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville. CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: V 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR i -Is'the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No / / (If yes, identify the load..and size: t-. (Load) (Amps) ( If no, clarify ) 9. What is the mobilehome site gas pipe size?, ---------------------- (in.) 10. What is the 5. What is the mobilehome electrical rating? ----------------------- . % �' Amps 6. What is -�- 6 gas pipe length from meter .or tank to the mo it ehom[�?- 12. the mobilehome site service rating?-------Aln--��5� Amps 7. What is the mobilehome site circuit breaker Amps rating?�-1= 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load..and size: t-. (Load) (Amps) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft.. on LPG.) 9. What is the mobilehome site gas pipe size?, ---------------------- (in.) 10. What is the type of gas service? ------6------------------.---- Natural / / LPG-/ / 11. What is the gas pipe length from meter .or tank to the mo it ehom[�?- 12. What is the mobilehome gas demand? -------------------------=---- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft.. on LPG.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephne: 534-4541 APPLICATION AND PERMIT 137 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / XDat-/ (O Sig, ature of Permitee or Age Receipt o. 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. DIRECTRR OF PUBLIC WORKS By— Qa9WW permit expires Date .717 BUILDING ' Owner�� YHj SQ. FT. OCC. BUILDING VALUATION Mailing Address 1 O Cr.oW Telephone No.' Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address S SIDE 010 UJIPRI 41PERMIT PLUMBING No.1 @ FEE FILING FEE J$3.00 12 ) , L �p a Each Trap 1.50 drainage or vent piping 1.50 .�/ E co fAI . PAST _PAUL(Repair Water piping 4-:6010.00 HOVS •am !ni Each gas water heater or vent 1.50 A. P. -71 — 'jS-1 D r . Gas piping system 1 - 5 outlets "4.66 0 Each additional outlet .30 s S Fire Dept. Fire Zone Use Permit Building sewer -4.60 Q EQA Parking I Parcel Plans Declaration Parcel Ma 60' R/W P Improvements p ovements Lawn sprinkler system 2.00 Tp Ions Recd � Por I p ov Plans proval Permit Fee $ .0Q $ & NEW ❑ ADDITION ❑ UTILITIES ® OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00 Main service 600V OR LESS 5.00 �() 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACC. BB` GOCCUP. &) 20sq ft NEW CONSTR. MULTI -OUTLET NO N.(RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: I H P PiWIP ®l7 Ex. Occup(OUTLETS OR FIXTURES)@252 BAL@1 Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 t�0 License No. Classification Misc. Wiring 6.25 X 01 am exempt from the Contractors License Laws of the State of California. Permit Fee $`Z4. ©Q PJ( 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 rkmen'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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation L2O Hood 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 TOTAL PERMIT FEE $ i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / XDat-/ (O Sig, ature of Permitee or Age Receipt o. 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. DIRECTRR OF PUBLIC WORKS By— Qa9WW permit expires Date .717 P,T� o -7) PW 6; All utility onnections shall be located with 14 ft. outside the rear third sectior of the mobile home -on the left (r ad) side of the mobile home. Septic system and location . The. Setback shall be 5 ft. from o be as per the side property line and 50 ft, from Butte -County' Heal h Dept. Re- the centerline of the road, permitting "quirements. a maximum of'a 2 ft. eave overhang. A =uiC';�wvillbe required for theins ntif t6s._mobilehoMj1a —. ., MOTE.___All Mciferic s & Workmanship, Shall Accordance with Rdso1 7701U eb UFO! of p�,quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes an-! the National Electrical Code. A LtJ- This set of plans MUST be keb4 en the i i make any changes or alterations on same without written permisson from the Department of Public Works, County of Butte. , C- UTTE COUNTY BUIL ING DEPARTMENT A PROVES BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: /f7•%TSS Address:_,T kr �8o X Z032 `BiEP-RYEE Tenant: Building Location: Type of -Inspection requested: Prix A. P. # `21-A, Date of Inspection �lz520122 e Inspector �;- OF q=w j D /% 1. Housing / /- 2. Financing Ll 3. Change of Occupancy to 1K 4. Other ( specify) a L.) Present use of building: A. Sanitation (Housin 11. Water closet: 2. Lavatory: 3. Bathtub or shower: 4.. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 1. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10.' Infestation of insects, vermin, or rodents: ' 11. Connection to sewage disposal: '12. Connection to water supply: 13. Rubbish and garbage facilities: 14.; Comments• • t _ - B. . Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. 'Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: - D. Plumbin 1. Fixtures connected and vented: 2. Gas water heater: ° 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: ,2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. -Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): a o'— dt -11MI — i �' lciK U040 r CoecS r konK5 2-1 Kf _ i 7 . IV4 / BE 601AIG_ 'rn T&�F' 2. What action taken -(give complete description): P)'eO nr-Fl CE_ AfDe-117- .P E f), f / Wry N F 3. What action recommended: 11'0//t Tb :00iji-O A!o'% '1-746 T7A. Inforzation / / B. only Hold for ten - file. days, r al� e 14 �`G� r SO (10) I's ��G then write letter, a C. Write letter. GlJi tl� � 41 d f ea-�OGL Gam+ ,6`e we 'was O —7 D. Other: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: A.P. # Address: - Date of Inspection /D / Tenant: Inspector Building Location: -,Ys �� . a��x W)i 5. oi-ni,n QJ/ AgD Type of Inspection requested: T7 1. Housing 2. Financing Ll 3. Change of Occupancy to El 4. Other (specify). �Z71kl r,,f S . & Ze- 57-3 - 7G Present use of building: A. Sanitation (Housin 1. Water closet: 2. Lavatory: 3. Bathtub or shower: { 4. Kitchen sink: 5. Hot and coldwater to fixtures: d 6: Heating facilities: 7. Natural light and ventilation: „► 8.� Room and space requirements: 9. Bedroom window or door for second exit 10. Infestation of insects, vermin, or rodents: 11. Connection .to sewage disposal: _ '12. Connection to water supply: -� 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction:, 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Continents: . C. Electrical I 1. Service and ground: Why TN&ZZ 1)1 X177 2. Receptacles: 3. Fusing:3u. i T1415 4. C-mments : D. Plumbin 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: %l -/Y -J7 J G. Field Problems or Violations 1. Problem or violation (give/ complete description) : Du2N _ ,</fS '-O-1-41A/CG AP or- A D!?c! {jt_ 1,01 iii. /71/sA/s 77�/4_1a //s fig % 2. What action taken (give complete description): �� ;�5�_ �� .� ��a• S N �� "7/7F S ` r 4 3. What action recommended: Co:<�� /�cr� 7-d �L� 7o Siy�iJlt� T % A. Information only - file. B. Hold for ten (10) days, then write; letter. C. Write letter. % D. Other: -To D2- %l -/Y -J7 J I couw* - 4 - Joufte tSaZ4 �i-ocees re4-. . w -e- lase "r, 5' OROVILLE, CALIFORNIA (,fs GENERAL CLAIM CLAIMANT: William & Norma Hollinger ��— ADDRESS: 1033 Virginia St. CITY & STATE: Covina, CA 91722 IMPORTANT: DATE OF CLAIM: May 13, 1992 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM. TO DEPARTMENT RECEIVING GOODS OR SERVICES _ DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund due to clerical error. Permit 2-1456 MHU, AP#71-43-12,: Receipt #115839, dated 5/5/9-2------ /5/92!Total !TotalPermit Fees Paid For BP#92-1456---------------- $128.50 Total Permit Fees -Retained --------------------------- 0.00 ! TOTAL REFUND DUE------------------------- ------------$128.50 ! Owner has decided not to do work. Permit #92-1457_ MHI, AP#71-43-12, Receipt #115839, dated 5/5/92. Total Permit and Sheriff Fees Paid For BP#92-1457 ---- $465.00 I Retain Building Re-r-mir- Filing Fee $i5.90 ;Total Permit Fees Retained--------------------------- 15.00 TOTAT REFUND DUE $459.09 i I i Total refund for both permits and sheriff's fees TOTAL i i $57850 I, the undersigned, 3eclare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this V day of ;n„�f,.,..., , 19 ��at Calif. �'� yit-st....� ..�.�L%'r^•-^ ��t i r................................................�...................... ........... ..................-./” / Signature of !m ant v I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there. is a Budget Appropriation U or Specific Board Approval IJ (Cheek one) for th' e. Dated this......... 1.3th............... day of ... aY.................. 1992, et Oroyille....... Calif. ........ ... . ............. .... .......... ......................... partment Head or uthorize Deputy Dept. - E=p. 210500 Const.tiPermits Code ......QM Code .... ....................PAYABLE FROM FUND .................. DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. DATE �V /C tte e"d* q i 'i i.+. '�.'" tom' V LF Refund due to clerical error. Permit #92-1456 MHU, AP#71-43-12, Receipt #115839, dated 5/5/92. OROVILLE, CALIFORNIA GENERAL CLAIM ft/ ` 2 VIAY fII �tl : 24 CLAIMANT: William & Norma Hollinger ADDRESS: 1033 Virginia St. CITY & STATE: Covina, CA 91722 IMPORTANT: May 13, 1992 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES 578 5 DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) i AMOUNT Refund due to clerical error. Permit #92-1456 MHU, AP#71-43-12, Receipt #115839, dated 5/5/92. Total Permit Fees Paid For BP#92-1456---------------- $128.50 Total Permit Fees Retained--------------------------- 0.00 TOTAL REFUND DUE ------------------------------------- $128.50 Owner has decided not to do work. Permit #92-1457 MHI, AP#71-43-12, Receipt #115839, dated 5/5/92. Total Permit and Sheriff Fees Paid For BP#92-1457 ---- $465.00 Total Permit Fees Retained--------------------------- 15.00 ,TOT - AT REFUND DUE $450.09 Total refund for both permits and sheriff's fees TOTAL 578 5 I, the undersigned, declare under penalty of perjury that the services or articles claime have been performed or delivered, and that this K claim is true and correct as stated. Q I ��/ ........................... ..... Y ................... ..... . �.......y Dated this ®� de of ... .�....../......... 19.(..!�et Calif . �gnf invent I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation E]orSpecific Board Approval J (Check one) for t e. Dated this 13th ............... day of .. mi�y ................. 19 92, at Oroville....... calif. ......................... .............. ......................... pertment Head or uthorize eputy Dept. 440-002 Exp. 4210500 Const. ermits Code ...... Code .... J J' 219 ........................PAYABLE FROM .... ............ ... ......... ............... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 0 P n INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. . Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. a WILLIAM D. HOL{¢NGER NORMA JEAN HOANGER e4 1033 VIRGINIA 818-3992 COVINA, CA 9172 19ay to the ©,der ME SECURITY PACIF IRfl/ Eastland Office 90270 05 1 (�229�01 Eastland Dr., West Covina, CA 91791 /Ylemo//Jm�� A: L 2 200004.3CIB047ll, 2 16-4/1220 4 8047 $ .r I o ,: I : /ly2 �v 002000 0-00000 t`9 3 50 ENDORSEHERE pay tO the ondw of � ir"491"mr FOR ID",o p Court i NLY -* -- �pt•.�of rutiGc Wotka .. !3u *�zS ll7 i DO NOT WRITE, SR IGQ�'BELOm -' UINE RESERVED FOFSN-9� L INwFiTWTR9 rl E`�*..d -- = 7a O ti�nn s t 1 Cpm' �' c iOaC3 • :� i4ti I�i�.,l I.. *FEDERAL RESERVE BOARD OF GOVERNORS REG. CC * COUNTY OF BUTTE AUDITOR'S ' CERTIFICATE AND TREABURER.S RECEIPT` No. 31978 QROVILLE° CA . ~ RECEIVED FROM TREASURER DATE 5/21/92 ^ , ' f ' - '` \ ' DESCRIPTION INV�.# FUND TITLE ' FUMD . DEPT' '^'ACCOUNT CASA AMOUNT . CODE CODE CODE -ODE _ - � � .. .. ---________________________________________-_____________________________-______ .- . � --CREDIT DEP-- CKS RTD BY BANK ' 0.00 TAX COLL: - 106284 BU/CO CURR SEC 1001 1015810 -64.43> - 20628BU/CO �URR BEC 1O01 ' '80� 1015B10< 3 -73.00> -' 0.00 SHRF-CVL:' ' ' �'- ' � . ' - - ().00 - 1 136 P.M.A. ' �SHRF -CVL TR 1220 � - '- ~ '�80 - -1010{ 1 > . 0.00 BB L 0.00 -sV47 H-OLLlNGER BLDG IWSP SP 0090 4210500 �01001 RECORDER: - 562 HENEGAR RECORDINGS 0010 - ' < `'' �� -4.O0> - SAME REC TR 1001 " - �`2— 1 �0100� 0.0� 101 146�< -1 .00> - SAME RC p1ICRO TR 1001 280 101 1463<-1 .00> - SAME REC SYST TR' 1001 280 1O1146 >4<' . - �2.00 0.00 TOTAL � ' $-��.�� ' ` ' Approved by: Received by: AUDITOR -CONTROLLER . Bv______-_ By C-IUURERCOR 15��UTY------- ' Page 1 Of 1 Whi te=Treasu�-�r Pinr`=Auditor Canary=Depositor Golden Rod=File � �w.~ Im IZ7 , 's r V Ile i �S Q ►^ Q s - C CA n 'f P ( El P �^ a ►^ - s O n ry L4FW3 �j2 JL Lou I r 11-1-4 3 LIS - 1! 4.. p- 'it 0=1 4-1 *q P- -M P -VT -A W P-J!.dS -44 �J P ISnn P- P- d F -S P -.-6.-V y!!. »,.p -,V *B 9 W'Is 4-N-' -M V -R!-;m IV ---910t4 2 y �j2 JL Lou I r 11-1-4 3 LIS - 2 y 1,49 ?a I) v 4U..,d!.b. b —py, 10 -P Qq 11-4- -11'*&U'a p-,4, 9 to 4-44" '71 l^_ I tl .� _ SJ.vf-� t tn �j2 JL Lou I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 �• APPLICATION. AND PERMIT PERMIT NO. ASSESSOR PAFPCEL NUMBER 00 ONING - - BUILDING PERMIT OWNER WILLIAM HOLLINGE 818)133 TELEPHONE 1_8 2 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1033 N. VIRGINIA AVE COVINA 91722 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS - Filing Fee $ ; 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ '20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 957 SIMPSON RANCH ROAD BERRY CREEK Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[XI Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home IS G @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other ❑ Describe work: MH U Permit Fee $ 60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service soot/ OR LESS 200A OR LESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ClassificationOccup( I, as the owner, -or my employees with wages as their sole compen- '-F sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for, this reason Main service 200A TO 1000AI 37.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3.6$sq.ft. NEW CON5TRMULTI-OUTLET NON-RESI BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OUTLETS OR FIXTURES 20 760 FIXED ALNS. EX. Occup. OUT ETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): f ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. fdl I shall not employ any person in any manner so as to become subject y� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjectPertnit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation 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 against I ounty in co sequence of the granting of this permit. �� %� � Date � � � 9J Signature of Applicant — Ow Contractor F-1Agent❑ 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 S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 128.50 HAz 1 0FEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby Issued under the P Y sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable rovi- PP � P � resolutions to do have been paid. WORKS Date Receipt No. 115839 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I r, L, R COUNTY OF BUTTE 4WPARTMENT OF PUBLIC WOF. - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQV%(5, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT OWNER Vl/IIIIQ VN011111( Proposed Building Use APPLICATION DATA SHEET ev,- A. P. No. 7/ - V 5' / Building Inspector_ Date " At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEJVED 4Y 1, All items a been submitted. 2. Plot plan/4 sets, signed by preparer of plans. ....................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4.. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation'- ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year floo�_bCalifornia Engineer . ..............::: 14. Sanitation and plot plan approval ((�JII Health Department. . 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking:..-... . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. . ....... Z` 19. Driveway permit (construction approval required prior to occupancy). .. Pfe-i....c� � . est 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner I Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... «f 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permrocess as follows: Mail to owner. Mail to contractor. 4_ Telephone -T8 and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution.Da Copy of plans sent Health Dept. Fire Dept. Other Date te By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, deli ri�r, owner, advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, oWn r, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 'F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. 'APPLICATION AND PERMIT - !I zn IrL e,-� ASSESSOR PARCEL NUMBER 71-35-10 -'y3-/� '' ZONING U BUILDING PERMIT OWNER WILLIAM HOLLINGER X818) TELEPHONE 331-8992 So. FT. OCC. BUILDING VALUATION OWNER'S MA1033AI�. VSS IRGINIA AVE COVINA 91722 CONTRACTORWNER E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 5SIMPSON RANCH ROAD BERRY CREEK Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New❑ Addition❑ Remode Utilitie Installation® Nher ❑ Describe work: MH I – Vvt Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License �0. 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) El 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 Main service 200ATO1Oo0A1 37.50 NEW CONST. OR ACDNS. l ( DWELLING OCCUP.ACC. BLDGS. &) 3.6asq.ft. NEW CONSTR. ULT' -OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 ( POWER APPARATUS 6) SINGLE OUTLET CIR. Ex. OccU OUTLETS OR FIXTURES p 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ — 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 s ve, indemnify and keep harmless the County of Butte against all Iiabilit' s, ' dgments, costs, and expenses which may in any way accrue against Id ounty in consequence of the granting of this permit./ X _ -� -� �' Date % 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 S 70.00 Energy Inspection Fee $ occ CONS""' TOTAL FEE $ 105.00 HAz DFEES IMP FLOOD cDF PARCEL PD HD IssuE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 115839 'NNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT r-...� ......�,..;v.=1�:.,:.:�:�x,rtti+-�-..,�i►►fi'4+�r''�r`:L:+�..1�''►". v ��•..W»rr;f;."r.f^:;+moi-ht:cx. �.rr •w.rrxs tk'..�`�4:�.:;;",�;r.. � i.�.f.^'tR; a : . 1 't COUNTY OF BUTTE=,WEPARTMENT OF PUBLIC WO BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORG\A�E,'CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT OWNER VV I I (lOI-V►'L �c5� i'1 Proposed Building Use APPLICATION -e V, DATA SHEET A. P. No.? S-- / v Building Inspector Date g -- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE P.ECEIVED By e- 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 334. All items have been submitted. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................. . Energy Design Compliance and supporting documentafio"n. .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of $ ................... e/ Impact fees as shown on attached schedulo"iniU).*k* .............. . California Department of Forestry plan approval/fees. ........................ Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............. City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: •- Contact Land Development about (A) Improvements (B) Drainage. ......... . Driveway permit (construction approval required prior to occupancy). .. ...... ... . Pre -Inspection request Pre -inspection for required. . to BuildingInspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner_) ........... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . ........................................... Documentation of legal access . ........................................ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Planepyest,5�es...�60�'� lC�3�.........=2-,� Wh i you issue the eFit,iro ess as follows: Mail to owner. Mail to contractor. Telephone87 050 and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applican Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution, , Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE _ Depaftment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. personally plan to provide the major labor and materials for construction of he proposed property improvement (yes or no) 2. I (have/have not) `_' ,�,,,__�signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to'provide portions of this work, but I have hired the following person to coordinate, supervise; and provide.the major work: Name Addiess City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name . Address . Phone Type of Work Signed: Property Owner Social Security INdmber Date NOTE: This This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of .the -Califo-rnia Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. MEMORANDUM FROM: ELAINE FREITAS, BUTTE COUNTY rREASURER-EL DATE: SUBJECT: CREDIT DEPOSIT CHECK A check deposited by your department has. been returned- by the bank -and cannot.be redeposited. A copy of -the check is enclosed. It will be charged back to you on a credit -deposit -within the next two weeks. Within the next three working days, please--pr-ovi-de the informa— tion as to which funds -to charge. If we are not provided with the information from you, we will charge the -check to the fund we feel is correct. -You can then verify the credit deposit when received and if the fund is incorrect, process a -transfer. The Procedure has become necessary because of the lack of response to this memo by some departments and the time involved in making follow—up telephone calls. If y.ou have any questions, please -call me at (538-7350) -------------------------------------- TO: ELAINE FREITAS--TREASURER'S—OFFICE -------------------------- AMOUNT: 6_? 50 CHECK: A, OO;o NAME•AND DEPARTMENT DATE: WILLIAM D. HOLI3NGER ;NORMA JEAN H066NGER 1033 VIRGINIA 818-33Q992 o;. COVINA, CA 91722(] J av to toe V _ a1 Order o! a T-_ ji ACL.- (l.i /I ter, --7, � ,.�•��,:.:� w SECURITY PACIPIC��i4'lijl Easttana office 90270 1 ` 1l291I01 Eastland Camey Or., West Covina. CA 91791 1: 12 20000 4 31:804 7 2 MAKER: 0111;O m & 110 l/iN q Er r FUND #: 9C� alts - u�lc[11 S0yelcl ;opt, , 16-471220 8047 , , y� $ 1100 20 R �- 1t'00000 9 3 501'