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071-490-002
071-490-002 01-1268 LOR�. '--L-ANNINd_COOK, PENNY Appt2522 LUMPKIN RD., OROVILLE 8/-14/91. TERMINATIONJE071-490-002 01-1543"COOK, PENNY2522 LUMPKfN RD. OROVILLE 'CONT: OWNERMH fNSTALLATION / ELECTRICGAS �INECOMPACTION TEST REQ NO � ' c�. -� ~~ ' c�. cr NOTES 1'ASIPA I a 01-12_(o&_ RESIDENTIAL x071-490-002 COOK, PENNY 2522 LUMPKIN RD. OROVILLE CONT: OWNER, MH INSTALLATION HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING t HAS BEEN TURNED IN TO THE BUILDING DIVISON: (1) LICENSE PLATE (S) OR DECAL (THE . INSPECTOR MUST RETREIVE) (2) STATEMENT OF FACTS (ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY ti 1 1'ASIPA I a 01-12_(o&_ RESIDENTIAL x071-490-002 COOK, PENNY 2522 LUMPKIN RD. OROVILLE CONT: OWNER, MH INSTALLATION HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING t HAS BEEN TURNED IN TO THE BUILDING DIVISON: (1) LICENSE PLATE (S) OR DECAL (THE . INSPECTOR MUST RETREIVE) (2) STATEMENT OF FACTS (ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY • 3 _ QK, 0 = Not OK - = Not Applicable =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1: 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. '10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-GF1 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- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1. ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (S Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage: Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage, Steel -Blackouts -Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 6'. . Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r/'p�� .h 't `k •. { }.fr#�"c!p"°„M•31MKVFu�we-A,�,'I'.iL4�;.tiaF:t�'�^...`ti'art,►.�.�i�j,�'"h'"1M'd"'V`�"il�'tiM`Ph'4ili', COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530)538-7541,x: PERMIT. N0. (Rev.12/96) APPLICATION AND PERMIT--�"'"' ASSES�S/OR PARCEL NUMBER w 071-'490-002 ZONING BUILDING PERMIT OWNER COOK. PEW TELEPHONE 589.3144 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS -1100 11MIN RD. OROVIU.E. CA 95966 CONT7R�A�+C�T+ORCONTRACTORSNAME ONOMIIL'U: R TELEPHONE CONTRACTORS MAILING ADDRESS ' CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS '-icr Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ '20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan CheckingFee $ ZuuJ DR1 ESS ,, RD. OROVIU.E, CA 95966 Energy Plan Checking Fee $ $ .r PERMIT FEE S 43.W LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1% Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping . 15.00 Each as water heater or vent 15.00 _ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IN Other ❑ Describe Work: MH If STALUTION I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. - License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, llwill do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and* Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those Fisions. / z! X f %/ ��;%l,`el � . ,,?t _ Date _ t .-,/ Signature of Applic t - ❑ Owner ❑ Contractor ❑ Agent An'OSHA permit is r�uired for excavations over 5'0" deep and demolition or consU tion..'') f.� of structures over 3 stories in height. ( Main Service 200A TO IuooA 46.00 NEW CONST. DWEwNGOCCUP: SO OR ADONS. ( a ACO. BLDS. 3.5QFT: REBID MULTI IBRANCH TLET @7.50 P.0 APPARATUS a sINGLE oLm : C.. DR Ex. Occup. OUTLET ORFURES 2O°'.00 eAL .w Ex. Occup..oUnErS .M -.°ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. , , D PEES IMP FLOOD CDP PARCEL Po HD ISSUE . This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have �, B rT'f �,,, y4 ���Ga1X� f ... PERMIT EXPIRES ON / applicable provisions Resolutions to do work been paid. Date ,� O -- to Receipt No. 325179/143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL 071-490-002 —�1 COOK, PENNY O 1-1268 2522 LUMPKIN RD., OROVILLE C (—THE— CD F 433A F THIS CAN T BE R COR D UNTIL E OF TH OL ING ' HAVE BE T RNED N ID THE BL G I ( ) ICE SE P ATE(3) 0 DE A (T E NSP CTO MUS RE EIV ) ( ) STAT MEN OF F C (ONL N NEW I ) x - ,INSPECTOR TO ERIFY SERIAL & ABEL 'S f Q 7 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY r Address GAS ! Meter By Date ELECTRIC ' Meter By Date _..r i JOB FINALED (Date) Signature 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date MOBILEA01VIE UTILITIES (Plans) OK except #'s YSoil ecial MH Support Sketch e r; Loc on -Test -Fall -C/O -Concrete at ocation-Test-Easement Needed (Sketch) i lectricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /" L'ft. _.4-6a I. or/ /"L -ft./ LPG all Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Can. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 *301--)"D A. V LI x'75 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-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- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s I Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 1. Zoning -Setbacks -Easements -Flood -Slope Ext. Steps -Door & Sidelight Protection -Landings 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 65. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Bedroom Exiting 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 68. 5. Stemwalls, Main; Steel- Blockouts-Wrapped Stairs & Rails 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 71. 6a. Hold Downs and Special Anchors Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 7. Slab, Steel -Wrapped 74. 8. Piers -Fireplace Ftg.-Steel A.C. Duct in Garage -Damper 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 77. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Elec. Receptacles in Garage (F.F.I.)-Romex Protection 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes D No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: e ; . � ., t. :.-._�•.«q.......-,-n.yye'rcai'1r'r-�rii.!�"�Pi.iv`n•�'.w:e;..�''`:r ....,wr[*.... `l,rl.' h:�'"rr�ymyw+Aa"''+xl-"' :s COUNTY OF BUTTE - DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P �I�•�N,�r. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - ZONING BUILDING PERMIT OWNER PEW c�00K TELEPHONE 589.3144 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1109 I:tPff'KiN 1W.. MiOR%=. CA 95%6 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER.; •,�,.- LENDER'S MAILING ADDRESS Flreplfl.. Total Valuation $ ,r ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ :?-y 0.00 Permit Fee $ 23* ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ .6 BUILDING ADDRESS UN �q a�ppp� •� �+ Energy Plan Checking Fee $ } PERMIT FEE $73*00 LOT NO. SUBDIVISIONS NAME r PARCEL MAP PLUMBING PERMIT Filing -Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome B Other SPECIFY Each Trap '�:�t ": r `" 7.00 Solar or heat pump water heater 23.00 Water piping f 15.00 Each as water heater or vent ,15.00 -- TYPE OF WORK ss New ❑ Addition ❑ Remodel ❑ Utilities 0► Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 .F Mobile Home S' . 920.00 • PERMIT FEE S 80• ELECTRICAL PERMIT Fling Fee 20.00 ,.. 000,V OR LE Main Service 200' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: will do the work, and the structure is not intended or offered for sale. 0 I, as owner of the property, or my employees with wages as their sole compensation,• I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for, workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued." ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are.- re:Carrier . •, / Carrier Policy Number ! 7 " (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers'. compensation laws of California, and agree that if I should become subject to the workers' compensatiolirthn provisions of section 3700 of the Labor Code, I shall " fwlth comply with those provisipns. ® _ Date t'`"] '" _ Sig"nature of Applic t - ❑" Owrier '❑ Contractor ❑ Agent An OSHA permit is squired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. � �'^""�� Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a ACC. eLos. 3.50 ppµpESlp T. MULTI.OUTLET @7,50 POWER APPARATUS". -- 8 SINGLE 011flEr CIR. Ex. Occu OUTLET OR FonURES 20 Q 1.00 BAL @ .50 FIXED APPLNS. OR Ex. Occup.ovrLETs RESID. Ea Temporary Service 23.00 Mobile Home Facilities 20.00 00 Misc. Wiring 23.00 PERMIT FEE _ •00- MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC f I ,,TOTAL ;CONjTYPE FEE $166.00 HAZ..FEES IMP FLooD CDF I PARCEL I PD. HD ISSUE This permit is hereby issued under of the Butte County)Code and/or indicated b. e- for which fees have By /V _ PERMIT EXPIRE " N 0 the applicable provisions Resolutions to do work been paid. / Date to Receipt No. �tCO. WHITE -D.D.S•.- .D. CANARY -ASSESSOR PIN - NSPECTO GOLD N�D;APPLICANT,- P -' �y'yr`,�..�gy'y�irtrc-� - _�.•_v�-�1F- y ��p _� ����,-rte :Y COUNTY OF BUTTE {? BUILDING DIVISION ; _. DEPARTMENT OF DEVELOPMENT SERVICES „Y 411 Main Street • Chico, CA • (530) 891-2751 7 County Center•Drive • Oroville, CA • (530) 538-7541 x CORRECTION NOTICE OWNER . PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the --above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. >' i{ REV 10/92 4 :Y i{ REV 10/92 4 i nr MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: . '? 1- (��© -DCS Owner's Name: Owner's l\Addresss: j. / 1 Mobilehome Manufacturer: Year of Manufacture: G Serial Number or V.I.N.: Insignia or HUD Number: Official Aapprroving installation: Date: a If the mobileho4e,,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. 5138 white -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor COUNTY OF BUTTE - DEPARTMENT OF DEVELOP ON ,�' DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) 4 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER •? 071-490-002 ZONING - BUILDING PERMIT OWNER COOK PENNY TELEPHONE 589-3144 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 110 CONTRACTOR'S NAME OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2522 LUMPKIN RD. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 43,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IN Other ❑ Describe Work: MH INSTALLATION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI WF__ 1@20.00 PERMIT FEE : ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, / will do the work, and the structure is not intended or offered for sale. ® I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING UP. ff OR ADDNS. ( & ACC. BIDS. SO 3.50FT. �.R61D NCH_, LRC @7,50 OWERAPPARATUS d SINGLE OUTLET CIR. Ex. Occup,OUTLET OR FIXTUREs kL 20 @'•00 BALI .50 Ex. Occup..OUT(E� RESIID LNS.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL= S Policy Number j (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comply with those pro ' ' s. X -AlDate c6e— eQ_ Signa ure of Applin t - ❑ wner ❑ Contractor ❑ Agent An OSHA permit is r quired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee 1 $ 100.00 Energy Inspection Fee $ occ CONST. rrPE TOTAL FEE $ 143.00 HAz. D. FEES IMP FLOOD coF PARCEL PD HD IS UE This permit is hereby Issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I applicable provisions Resolutions to do work been paid. wez Date / lyl ?1Z o 03 At")/ ReceiptNo. 325179/143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville California 95965 •Telephone (530) 538-7541 PERMIT NO. 2/96) APPLICATION AND PERMIT / 5' SSORPARCEL NUMSEA - BUILDING PERMIT—, 8Q OCC. BUILDING VALUATION P.S MAWN0 CONTRACTORS "AILING ADDRESS { • NSTRUCTION LENDER ILENOER'S MNUNG ADDRESS ARCHITECT OR ENGINEER ARCWTECT OR ENGINEERS MAIUNO ADDRESS I SUILDINO ADDRESS ,✓/l LOTNO. 2j SUSDNISIDNSNAME �� PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex O Mobilehome Other sPECFV TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities ❑ In Ilation�Other ❑ Describe Work: Total Valua Filing Fee Permit Fee Plan Checkii Energy Plan PLUMBI Each Trap Solar or heat F Water piping Each gas wate Gas piping sys Building sewer Mobile Home E S S S Ling Fee $ 5 PERMIT FEE $ PERMIT water heater ater or 1-5o PERMIT FEE t ELECTRICAL PERMIT - — — ----�- Main Service 6'000; oA LEss Main Service 2004 TO 1000A i NEW CONST. DWELLING OOCUP. OR ADONS. & ACC. SLDS. NEW O MULTI.OUTLET NON-RESID. IF POWER APPARATUS 6 SINGLE OUTLET CR. Ex. OCCU . OUTLET OR FD(TUREs ! EX. OCCU . FDLEO APPLNS. OR OUTLETS RFSID. EA I Temporary Service I Mobile Home Facilities -, Misc. Wiring *PERMIT FEE PAlb SRM - SHERIFF OTHER AMOVINT RECEIVED 'RECEIPT NUMBER 3 26 . " TO BE PUT INTO COMPUTER Cool PERMIT FEE i MECHANICAL PERMIT , 20.00 20.00 7.00 23.00 15.00 15.00 15.00 15.00 -620.00 20.00 23.00 46.00 5.00 23.00 20.00 23.00 I Fee 20.00 6.50 PERMIT FEt: $ Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST. TYPE TOf'AL FEE S HAZ. D. FEES I FLDOD COF P9LK.D)SS.E 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. By Date PERMIT EXPIRES ON d. OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE PROPOSED BUILDING USE i✓" l �m �ly� 1. BUILDING PERMIT FEES. --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .:............................... $ J�k2. SCHOOL DISTRICT FEES �o C14 (paid at District'Office) Ow>QX ✓JLCA Y1Y%),d 3. SHERIFF FEES (paid at Building Division) Residential...................................x $360.00 $"p� Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................. x _ $ # Units. Amt. Commercial (Sq. ft.) .':........... x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES t $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) A.P. # ') I — '1 1 %–G6 a DATE 5 ho/o/ RECEIPT # DATE REC. 0 �J s3o of 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE ?ft – `:I, Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) r, +..n..,. . - - ..ar -'---y�.7 r -v �� d:r,.�kjc3C'A�i'��"►� i.;:T"�iPttil+�,�c-�'n�iF'�`,"'QrS,'r.�; k ��'M_'.`yr'`y �:'.:t,�"y"'7c's'.'T�WS:� / ..:. BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Y' t, (One form per Building) D//��n�% l-' /7 % School District ��V j ��Q 14C� 14 f Building Department No. A.P. Number 6 % 490 -004Z--jurisdiction: Jurisdiction: � City /' County Property Owner Property Location/AI Subdivision .............................................................. .................................................... xA Residential Development 0DWI Sq: Footage No of Living Mobile Home i• Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection); .............................................................................................. Commercial/Industrial 0 0 New Addition Building Department Representative Sq. Footage (Including Exterior Roofed Areas) Date (Floor Plans reviewed by School District Personnel) +, District Identification No. 010 15 2 VI(� / l 'v "�'� �� � r1L�t•-� School District certifies that 'ewl�'l^ "i (Applicant) (Street Address) ` (Phone Number) CID (City)' c (State)( (Zip Code) has complied with the requirements of Resolution No, `� by payment of $ representing t square feet. r �n School District Representative Paid by Check # ® Remarks: AB 2926 $ FULL MITIGATION $ "Date 1,1 mw�t� Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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) feeform.xls (10/98)dmm U •UNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION < t 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965` TELEPHONE (530) 538-7541 f s x° PERMIT APPLICATION DATA SHEET OWNER: (� _ r, p �[ ASSESSOR PARCEL ER: O Proposed Building Use: ro Building Inspector: Date: 5-13 vU At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ items have been submitted.----------------------------------------------------------------------------------- _ ) t plans454 j sets, signed by the preparer of plans. - ✓ 3d� (� 9 ❑ 3 Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ngineeredplans, 3/ sets; with wet signature on plans. All engineering must be shown on plans. -Ag--E ,E ❑ ,Engineered truss details and layout in duplicate (required prior to plan review) No faxes! -----------..----- z. ❑ 6. Energy Design Compliance and supporting documentation. ---------------------- ❑ 7Statement of Intent for Non -Heated and A/C Buildings. '----------------=-`------------------"- ^---=- ❑ 8 ardour Mkt oqn. -L------- --------------- — — ----------------------------- anufactured Home data and installation instructions including cluding T'e Down=•. ifiea _ns.------------------ iFeesof $---------------------------------------- --------------------------------- ------ _., ' c ---- � vn ---A?ihhscpact fsasroond h�de. = = California -d---c-�--�--- --- Department of forestry plan approY aU_fee `--------=1__���i--NG ---------------------- ❑ .Fl ode atiortifi_cate -----_ -�---�-�-� ---j �-- -------------------------------------------------- _ anitatiolaand'plot plan-appro3al-C:f(1��t1'i�I health Department."-'-WF=��'�-- A!-CK---7----�'=--------`--- �" G ❑ 1 ' City>of Chico, plumbing permit,, -� -'=--------------------------------------- l ----------------------------------- . ❑ 16. Plot -plan and business licenseapprovalfrom the City of Biggs.------------------------------------------------ n1'7 -------------------------------------------- ❑17 arming approva or ( ) se. (B) Parking. -------------------------- A Encroachment Permit or driveway (construction approval pno� occupancy).�i=�s -5r 1 veontact Land Development about ❑ Im rovements, ❑ Dra* e El Le al Parcel. ---------=- 20. Pre upon for — =required -Request to Barlding-Irispft-t� on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. --------------------------------------- E123. Own'er-Builder --------------------------------------❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - ----------------- e tter of signature authorization. •-------------------------------------------------------------- corded copy of Agricultural Acknowledgment Statement. --�°'� --------------------- ❑ 26. Letter o intent on building. use. --------- ti — - - --------------------- =--------------------- Manufactured Home utility clearance. --------------- -------- g viol s and/or expired permits. ;<---------------- ---------- --}-------- --------- When you issue the t proces as follows ❑ Mail to owner, %IllSOS Melephone and hold for pickup at. ------------------ ----------------- ------------------- ---- ---- ----------------- -----:---------- rsw ------------------ ----------------- ------------------ --- ---- S d u I •M contractor. " ' 0 office. ❑ Deliver with inspector. ' Applicant: +� Date:" Copy of Haz-Mat form sent ❑ Health Department,,.❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department er: Date- R By: 1. Index peimit application for the above items numbered. • /'IkT, ❑ Plan' Check List 2: Additional items required: •: Contractor, designer, owner, Was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter,•by, Date: �N Contractor, designer, owner, was advised of the above required data by ❑phone, ❑ mao il, Building Division counter, by "Dite: ' Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ..❑ mail, ❑ Buil Division counter, by Date: ;. Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in b Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 7�I� a � 1 1 �` 1 -,� ,h � �; ... z .. ��� ' �, � yam. _ �.�� ��,. � �., , � � � 1 `i, ,S �' � 1� _ � • �{ iV - � r • �. J y 1 y� � w.i �� *) f/ ._i � �� i � f � i � j � ��� • /� ,''� AP # -7 ( — 4 �o � 6 OWNER PERMIT MH UTIL.CLEARA DATE INS PEC ELECTRIC GAS Support Struc. Compaction Test -Req. �rvice ize Other Load Type Pipe Size Length YES NO YES NO v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDI SION a 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 41 P l (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 071-490-002 ZONING -rm- 5 BUILDING PERMIT OWNER PFlW COOK TELEPHONE 589-3144 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 100 LUMPKIN RD, OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER - Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filling Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2522 LUMPKIN RD. OROV -LE Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LAT NO. 2 SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EX Installation ❑ Other ❑ Describe Work: MW Gas piping system 1 - 5 outlets 15.00 Building sewer15.00 Mobile Home Q20.00 0.0 PERMIT FEE $ 80.00 SNOW SpA b - 2S O -D —F0'?�_� � � w ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service zo.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers'—Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed R the permit is for work of_a valuation / of one hundred dollars ($100) or less.) �j 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 workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort ith comply with those pr ns. ��- -1 Date -6�—— Signature of Appt - ❑ Owner Contractor ❑ Agent An OSHA permit is squired for excavations over 60" deep and demolition or construction of structures over 3 stories in height.By Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING ffUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.5¢FT: COT�9 NEW No..IIDD MULTI -OUTLET @7,50 8 SWPOWGOUTLET CIR. ELER APPARATUS 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ ,50 Ex. Occup.OuTLEETS AESIDLINIS OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 63.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $166.00 HAZ. I D FEES IMP I FLOOD I CDF PARCEL I PO HO ISSUE This permit is hereby issued under of the Butte County Code and/or indic e v for hich fees have EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 0 to Receipt No. 7ETPERMIT WHITE-D.D.S.-IT.-D. CANARY -ASSESSOR PINY -INSPECTOR G l ROD-APPLICAN COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Count Center Drive • ;� Y Oroville, California 95965 •Telephone (530) 538-7541 I N (Rev. 12/96) APPLICATION AND PERMIT % ASSESSOR PARCEL NUMBER -- ZONING BUILDING PERMIT OWNER ' TE e� ,/� SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS , . _ _ n �. ( r� IV _ CONSTRUCTION LENDER LENDERS MAIUNO ADDRESS Fireplace ARCHITECT OR ENGINEER LICENSE NO. Total Valuation E Flin Fee $ 20.00 ARCMTECT OR ENGINEERS MAILIN3 ADDRESS Permit Fee b �•- BUILDINGADDRESS Plan Checkln Fee E Energy Plan Checking Fee $ $ Ad ' IDT NO. I SUSDIVISIONSNAME USEOFSTRUCTURE SF O Duplex ❑ Mobllehome Other ___SPECFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities,< Installation O Other ❑ Describe Work: i *PERMIT FEE PAID SRA SHERIFF OTHER AMOVNT RECEIVED 4 *RECEIPTpµ/Mgp= �j " TO BE PVT INTO COMPUTER PERMIT FEE PLUMBING PERMIT Each TraD Solar or heat pump water heater Water Dioino tach gas water heater or vent Gas piping system 1 - 5 outlets Building sewer-,�- Mobile Home I �0►" I PERMIT FEE I S =Uing Feel 20.00 7.00 - 23.00 15.00 15.00 15.00 15.00 (a]2o.00 n ELECTRICAL PERMIT Rling Fee 20.00 Main Service •Oev OR LESS tow OR LESS 23.00 Main Service 200A TO I000A 46.00 NEW CONST. OR ADDNS. DWE LNG ODD P.. 6 ACC. BLDS. 3.50�. NON•RESID. MULTI.OIfTLET BRM @7.50 POWER APPARATUS 8 SINGLEDCIR. Ex. Occup. OUTLET OR FwTURES ®I.00 BAL .60 Ex. DCCU p�ID•DE. I OU��S 5.00 f Tem Crary Service 23.00 • Mobile Home Facilities 20.00 • Misc. Wiring 23.00 PERMIT FEE i � MECHANICAL PERMIT Filing Fee 20.00 6.50 PERMIT FES I S Mobile Home Installation Fee S Energy Inspection Fee- OCC ee•ocD CONST. TYPE TOTAL FEE $ HA2. D. FEES I IMP I F%PqO I QDVI PAQCEIC PO •HDISSUE 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. By PERMIT EXPIRES ON Date ,��A I" I" , I I _- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION TCOUNTY CENTER DRIVE - OROVELLE, CALEFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER ASSESSOR PARCEL NUMBER: �1001 Proposed Building Use: Building Inspector: Date: X—n-0.1 At tinj� of permit ap'pfication, I was advised the foHowing data must be submitted prior to permit processing and/or issuance: Date Received By 1. All iiems have been submitted ------------------------------- imot plans, 3/4 sets, signed by the preparer of plans - ------ 113. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. El 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 0 6. Energy Design Compliance and supporting documentation. 0 7. Statement of Intent. for Non -Heated and A/C Buildings. ---- 118. Hazardous Material Form - ------------------------------------------------------------------------------------------ Manufactured Home data_apd inst�dlation instructions including Tie Down Specifications ------------------- ��C-� Feesof $ <3 I-) — ------------------------------------------------------------------------------------- 11. Plpact fees as shown on the attachedschedule - ---------- California Department of Forestry plan approval/fee r2. S.Pja ... -------------------------------------- Flood elevation certificate - --------------------- ---------------------------------------------------------------- Sanitation and plot plan approval I Uealth Department - ------------------------------------------- 0 15. City of Chico plumbing permit. 1116. Plot plan and business license approval from the City of Biggs. 0 17. Planning approval for (A) Use: 0 W_ (B) Parking:. (N 18. Contact Land Development about El Improvements, El Draina lz�'� al Parcel - ----------------- 9— �g ,,,VWEncroachment Permit for driveway (construction approval prior to occupancy) - --------------------- El 20. Pre -inspection for req6ired. Request to Building Inspector on 0 2 1. Contractor's license information. (Number, Name Style, Classification). 0 22. Workers' Compensation carrier and policy number - ----------------------- 023. Owner -Budder Verification (Given to owner 11, Mailed to owner 0). ',�U4. tter of signature authorization - -------------------------------------------- c corded copy of Agricultural Acknowledgment Statement - -------------- 13 26. Letter of intent on building use - ------------- I ---------------------------------- E127. Manufactured Home utility clearance. -4 --------------------- E128. Existing violations and/or expired permits - --------------------- 029. E1433 A, E]Grant Deed, El M.H. Title, 11 Check to H.C.D $ E130. Other: �1= tAQ (Date) ?I When you issue the permit, process as iollows 0 Mail to own a o 11 Telephone and hold for pickup �am ce. 01 Deliv wv�flffi dctor. ApphcanT /V- -Date: Copy of Haz-Mat form sent 13 Health Department, 0 Fire Department, 0 Air Pollution bate: By: Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: BV: 1. Index permit application for the above items numbered: 11 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter,'by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, o Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, o A.P. fold Note trariffer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Plot Plan Attached • I Floor Plan AttacttaekP// S >: Sant to a. 0. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance i+cy eX ��z Lurc `�-, c�, Owner - Location AP# Plan Approvgor: Sewage Disposal Clearance foa '-,welling. Other Water Supply: Public Private Well Hold final for: Final clearance O.K. for: NOTE: Environmental Healt pe qfalist Date 8/96 I CL I � i • I- ---- �-- _. _. _ - � - --I- --- -.. ;_fir. I----- -......1-___...._ • ...., _ . ' ., I • . ! i i , , I KYi I i 0 44D , _ , i ai! I I I 1' ♦4� I i r :I i IY j0 ' I I 'N N I � J �.. .��r. I . SSP � I ' •:! � I � I i ! ! � ! �' "ITI • ' , 14.7 'N I I < ipr CDa UIQ -� -f _ _ i' ' , n, it n' p .; N - : CQ' j� I I I ! 7u ,-S, a o I i 03rmj I I Z rI PLANNING DIVI�10k BUILDINGP N APPRbL ' �- �' I !CO .�2'7 I I. use:. Date•' I i .. Parking ! i Other, I ; I . , Sibna ure: '3'q0..- _ tip' : ---ALL, -STRUo TtIRE,%--AND--EQITIPMENT INCLUDIN - --- - - OVERHANGS SHALt_BE_Ci. C G�- �AL-L•EA-SEME��iiS-------•-- A SET MACK OF 3 _. 0 FT. F90M THE REAR PROPERTY LIKES ANDL=- HE ROAD CENTERLINE SHALL BE QEI-0E-.q.T9UGTURES-A X��NTEIWr EXCEPT -- -- 2Fi . SAVE R A OVERHAf�G.�J— �6° ,wrim : .... - �_EVIEViiLD 3Y CALII=. -DEPT. of F approved as submitted - � IS aPProved with onditions , N ww rttactied a CD U • _ � c . W ' - 4 : z :. J t0 m r cn z S z c . .. - -- -- - -N- - -- - •- - ---- --. -_- - - - - � - cin Y � � _ � . co -; - Bu �s 1 n, o in RUILDIII PA p 0 V F $'72. 44 CDF FIRE SAFEREQUIREMENTS '7 ( --o z— 8—1 z6 eeM K�,/'� AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [J�J 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the,land owner. Driveway Standards 1 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-artenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [Jy, // .1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�1 1. No roadway shall have a horizontal inside radius of i curvature of less than 50 feet and additional sur- CDF FIRE SAFEREQUIREMENTS '7 ( --o z— 8—1 z6 eeM K�,/'� AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [J�J 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the,land owner. Driveway Standards 1 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-artenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [Jy, // .1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�1 1. No roadway shall have a horizontal inside radius of II curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 1 1 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of -3--, [ 1273.10 Turnaround. A -turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 3 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [] 3. Where a one-way road with a single traffic lane T provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01. Setback for Structure Defensible.Spate. 1. All parcels 1 acre azzd larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ]. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modificatior.-shall be completed prior to completion of road construction )r f_:zal inspection of a building permit. { Page 2 of 3 AP # PERMIT # NAME [ ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than•400 feet apart. [ 1273.10 Turnaround. A -turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 3 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [] 3. Where a one-way road with a single traffic lane T provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01. Setback for Structure Defensible.Spate. 1. All parcels 1 acre azzd larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ]. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modificatior.-shall be completed prior to completion of road construction )r f_:zal inspection of a building permit. { Page 2 of 3 AP # PERMIT # NAME Other Recruirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10t of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of -3 STATE OF CALIFORNIA 13U'SINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM REQUEST FOR VOLUNTARY TRANSFER OF A MANUFACTURED HOME/MOBILEHOME TO LOCAL PROPERTY TAXATION SECTION I. DESCRIPTION OF UNIT - The Decal (License) No.(s) of the unit is: X406 The Trade Name of the unit is: BAY5HORE The Serial No.(s) of the unit is: RD1616B RD1616A SECTION IT. REQUEST FOR TRANSFER TO LOCAL PROPERTY TAXATION I/We hereby request the Department of Housing and Community Development to transfer the described manufactured home/mobilehome from the 'Vehicle License Foe Taxation System to Local Property Taxation. I/We fully understand that: 1. The transfer to Local Property Taxation is final. 2. All entitlement to petition for reinstatement to the Vehicle License Fee Taxation System is waived, and, 3. No refund will be issued for any vehicle registration fees or vehicle license fees paid which apply to the period between the data of voluntary transfer (to Local Property Taxation) and the expiration of the registration period for which the fees were paid. 4. Request for voluntary transfer to Local Property Taxation can only be executed by the Registered Owner, Legal Owner and Junior Lienholder and must be signed by all when applicable. Registered Uwnef,�) Date: CK P Tate: _ % — O 4Legal OLIVE J. PYLE Owner Signature: Date: Junior Lienholder: Date: SECTION M. NEW OWNERS ACKNOWLEDGMENT OF TRANSFER TO LOCAL PROPERTY TAXATION NOTE: This section must be completed if this application is being submitted along with an application for change of ownership. I/We fully understand the foregoing provision for voluntary conversion to Local Property Taxation is final and reinstatement to the Vehicle License Fee Taxation will not be granted. Registered Owner(s) Q (Buyers) Signature(s)/ /CARRQL D. MTTCHE New Legal PtgNY K. K Owner Signature: New Junior Lienholder Signature: HCD 495.0 (12/93) MCDO )9. Ire Date: : — o Date: -�:;– ) l Date: Date: IN d t l:? 1 100", 1'O N STATE OF CALIFORNIA DEPAt,. MENT OF HOUSING AND COMMUNITY ,DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING SECTION POWER OF ATTORNEY SECTION I_ DESCRIPTION OF UNIT This unit is a: LE Manufactured Home/Mobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper DECAL (LICBNSE) NO.(S) MANUFACTURER TRADE NAME SERIAL NO.(S) A13F1406 BAYSHORE RD1616B RD1616A SECTION II. APPOINTMENT OF ATTORNEY-IN-FACT To the Department of housing and Community Development, and to whom it may concern: (PRINT PULL NAME) I, PYLE JACK L. (Last) Mrst) (Middle) I, PYLE OLIVE J. (Last) (T rst) (Middle) I, (Last) (T rst) (Middle) the undersigned do hereby duly appoint the following named person, CHICAGO TITLE COMPANY to act as my attorney in fact, only to sign papers and documents that may be necessary in order to secure California registration of or to transfer my interest in the above described unit. SECTION III. ASSIGNOR'S CERTIFICATON I agree to guarantee and save harmless the State of California and the Director of Housing and Community Development from all responsibility which might accrue'from the issuance of California registration or transfer of such unit, NOTE: An attorney in fact cannot make as affidavit or certificate of the truth of facts unknown to him. Signed Signed Signed MCD 475.4 (7/97) RCEWS41 -3/9/99- Ire H 'd 1-31N''ON Date Date Date NdW N 1002 I 'AEN sb' NCD 476.8 (REV. 6/AS) DECAL (LICENSE) .......:. ........ STATE OF CA,LIFORI' DEPARTMENT OF KOUSIA _ AND COMMUNITY DEVELOPMENT NOTICE OF SALE OR TRANSFER MANUFACTURERTRA02NA11R I3MUALNUMBER(S) HUD LARRL.OR HCD INgWt,aA NUM8"45' On , I as owner of the unit described above, sold or transferred my interest and delivered possession of said unit to: NAME OF PURCHASBA (PLRASR PRINT. LA&T, VSW, MLDDLa) MIMMLL, CA_ RROL b. COOK PENNY K ADDRESS uix NAME ON SBLi.B4 (MUSS rRINT • LAST, FMW. MIDDLA) PYLE JACK L. PYLE OLIVE J. ADDPMS 1. Enter the decal (license) number(s) 2. Enter the manufacturer trade name (model name) 3. Enter all manufacturer's serial numbers 4. Enter the month, day and year the unit was sold or transferred 5. print the purchuar's name and address LEGIBLY 6. Print your name and address in the sclier area and write your signature 7. Mail the completed notice to: DEPARTMENT Or HOUSING AND COMMUNITY DEVELOPMENT DIVISION OP CObES AND STANDARDS MANUFACTURED HOUSING SECTION P. O. BOX 1828 SACRAMENTO, CA 95801 HCD4768 -1/12/99- Irc z� d sIZZ 0N wd9Z Z1 100z ,t 'Aew t� ,F COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 County Center Drive • Oroville, California 95965 a Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT U) —Ap-to y ASSESSOR PARCEL NUMBER 071-490-002 ZONING - BUILDING PERMIT OWNER - COOK PENNY TELEPHONE 589-3144 SO. FT. OCC. BUILDING VALUATION 1152 R 62,208.00 . OWNERS MAIUNG ADDRESS 1100 LUMPKIN RD. ORO CA 95966 CONTRACTOR'S NAME JERRY HANSON TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 62 208.00 ARCHITECT OR ENGINEER uC D. Filing Fee $ 20.00 Permit Fee $ 236.50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 2522 LUMPKIN RD. ORO Energy Plan Checking Fee $ $ PERMIT FEE $ 279.50 LOT NO. SUBDIVISION'S NAME CE PLUMBING PERMIT Filing Fee 20.00 USEOFSTR E SF ❑ Duplex ❑ Mobilehome EX Other SPECIFr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation N Other ❑ Describe Work: MH PERM FND NEW SITE 24 X 48 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15 .00 Mobile Home I S I G I W Q20.00 PERMIT FEE $65-00 ELECTRICAL PERMIT Filing Feel 20.00 Main Service '*.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.d License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING ffUP. OR ADDNS. ( 8 ACC. BLDS. so 3.50FT. NON-A°eSID MULTI.OURCUITS TLET @7.50 SIPONGLE OUTWER APPARALET CIR. Ex. Occu OUTLET ORFocruREs 20�'�00 X p •5 FIXMI Ex. Occup.DUTIFTS RESS16.) F 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Policy Number (The above sections need not be completed if the permit is for work of a valuation hof one hundred dollars ($100) or less.) �7 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 workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �� 1� �—=1 Date -moi 'Z Signature of Applicant -`Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in lheight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 387.50 HAZ. D FEES IMP FLOOD 1OX1 CDF X PEL EL PI PO H4 x ISsuE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ate Receipt No. '*)346LUBUav WHITE-D.D.S.-B.D. CANAR -ASSESSOR- PINK -INSPECTOR GOLDENROD -APPLICANT �"�'$L''•.K",I�a.""r�t°�'1 /'°�'+,-r""�I '4M'�y`.+=.iy �'"'��JFrw3:.v ^,f" .� v� •ca �-1r ,t.� 1f za �� 5 174 ♦1 i �rf. \ .' . k r' AUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. vJ_10107 (Rev. 12/96) r..�(, APPLICATIONANDPERMIT f :y ASSESSOR PARCEL NUMBER 071-490002 ` BUILDING PERMIT OWNER - CO - R'�ENNOK Y TELEPHONE 589-3144 SO. FT. OCC. BUILDING VALUATION 1152 R 62,208.00 . OWNERS MAILING ADDRESS 110011WKIN RD. ORO CA 95966 CONTRACTOR'S NAME JERRY HANSON TELEPHONE CONTRACTORS MAILING ADDRESS f ' CONSTRUCTION LE NgjER ' _I ' Fireplace LENDER'S MAILING ADDRESS t Total Valuation $ 62 208.00 ARCHITECT OR ENGINEER I U;T?O./Vj Filing Fee $ 20.00 Permit Fee $ 236.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESs,,, I 2522 N RD RO 6 Energy Plan Checking Fee $ $ , PERMIT FEE $ 279.50 LOT NO. SUBDIVISIONS NAME DEV PLUMBING PERMIT Fling Fee 20.00 I USEOFS TR�WIE _J z,SF ❑ Duplex ❑ Mobilehome 13[ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping Y'5:p0 15,00 Each gas water heater or vent ,!)15.00 TYPE OF WORK New ❑ TAddition ❑ Remodel ❑ Utilities ❑ Installation [] Other ❑ I s r ; Describe Work: MH PERM MD NEW SITEMobile 24 X 48 Gas piping system 1 - 5 outlets 1500 b5 «00 Buildin sewer : t15?00 1 Home S G w @20.00 PERMIT FEE t,4 65.0t. ., t ELECTRICAL PERMIT Filing Fee, 20.00 Main Service zoo. oa LEss 23.06 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION %I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the followng reason: ❑ 1,/a i1e�olithe property, or my employees with wages as their sole compensation, �wIJ(�dbe work, and the structure is not intended or offered for sale. x INS owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued: My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation /'of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, l shall employ any person in any manner so as to become subject to workers'HA2. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X_Nj,� Date' 2--q _Q _ I'= Signa ure of Applicant -1910wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in Peight. %By Main Service TO tOooA 4B. DO [� NEW CONST. ( DWELLING OCCUP. W:o OR ADDNS. a PGC. BLDS. 3.SQF°: T. R OSINEW D. MULTI -OUTLET 97.50 ' PowER APPARATUS s 8 SINGLE OUTLET CIR. 20 ' 0O OUTLET OR FixruREs Ex. Occu BAL o •50 Ex. Occup.oF"cuTE�°�A R=.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 f Misc. Wiring 23.00 PERMIT FEE $ • MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE $ 387;50not D. PEES ETOTAEE p EL AY pp ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ate Receipt No. zlI 4 10 Ll t af - 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT UNTY OF BUTTE - DEPARTMENT'OF DEVELOPMENT SERVICES - BUILDING DIVISION r y� .E .F'7 -County Center Drive • Oroville,. California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96),:•_x`, • % APPLICATION AND PERMIT 1"�` ASSESSOR PAR C0. NUM BER - - 071-4942 ZONING BUILDING PERMIT OWNEW y GOOK OEMY TELEPHONE 589-3144 SO. FT. OCC. BUILDING VALUATION r 2s�08Q 1 5 62,208. .00 OWNERS MAILING ADDRESS -1.100 I.UWKIN RD. EURO CA 95966 CONTRACTOR'S NAME JERRY 1:fiANSON TELEPHONE CONTRACTORS MAIUNG ADDRESS }' q CONSTRUCTION LENDER ; r LENDER'S MAILING ADDRESS ► i Fireplace Total Valuation $ 62 208.00 ARCHITECT OR ENGINE ER LICENS NO. Filing Fee $ 20.00 Permit Fee $ 236•50 ARCHITECT OR ENGINEERS MAILING ADDRESS f ji Plan Checking Fee $ 23.00 BUILDING ADDRESS,,,.-, t � 2522 UItIN RD. ORO. 95958 Energy Plan Checking Fee $ IN $ PERMIT FEE $ 279.5U LATNO. SUBDIVISIONS NAME CEL PLUMBING PERMIT Filing Fee 20.00 USEOFSTR ' �tE C SF ❑ Duplex ❑ MobilehomeOther SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 1,5.00 13.00 Each as water heater or vent .,,15.00 ^' TYPE OF WORK New❑"tAddition ❑ Remodel ❑ Utilities ❑ Installation b Other ❑ t r S Describe Work: M PERM M NN SITE 24 X. 48 Gas piping system 1 - 5 outlets 1.5 00 QO i Buildin sewer 15?00 1rJ.00 Mobile Home S G W 920.00 PERMIT FEE S 65.0:; 1 • ELECTRICAL PERMIT Fling Fee 20.00 "00R LE Main Service zo.A VOR LESS 23.00' J . LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P -License Class LIC.•NO. OWNER -BUILDER DECLARATION I hereby.affirm under penalty of perjury that I am exempt from the Contractors License Law for tFie,following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, i i will••do the work, and the structure is not intended or offered for sale. p I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am,exempt under Sec. Business and Professions Code for this reason Main Service '200A To I000A 46.0-0 NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLDS. SO 3.50 FT. ` NONRESIDDT MULTI.OUTLET @7,50 OWER APPARATUS 8 SINGLE OUTLET CIR. r. Ex. Occu OUTLET OR FIXTURES 2° O too BAL O .w FI. APPLNS.'OR Ex. Occup.ouTLETs RESID. EA 5.00 Temporary Service 23.00, " Mobile Home Facilities 20.0.0 F Misc. Wiring 23.00 PERMIT FEE $ • J ' WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and,policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �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 workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X er=g;, _-_ �,5 �.� ,.., �`1w . • 0 Date ",�.W •* _ Signage of Applicant -„Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energys ti Energy InsFee $ pecon on occ pec • NS TYPE TOTAL FEE $ " 387-,,50 HAz. D. FEES IMP D F P 0. Po D ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. to 14 j %3b 01 WHITE-D.D.S.-B.D. CANAR)r-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION A.`4.7 County Center Drive * Oroville, California 95965 * Telephone (530) 538-7541 (Rev.12/96)* APPLICATION AND PERMIT PERMIT NO. ASS6)Pj:MCEL NUMBER 4 - /P 90, W2 ONJIG BUILDINGPERMIT OWNER 10.1 ,=. �4.qmy TELEPHONE 589-3144 SO, Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1100 11MIN RD. OWs CA 95%6 0 2W.OU CONTRACTORS NAME JEW Hm" I, , TELEPHONE I CONTRACTORS MAILING ADDRESS I CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation 62v2W.00__ ARCHITECT OR ENGINEER LICENSE A Filing Fee $ 20.00 Fee s 236.50 ARCHITECT OR ENGINEERS MAILING ADDRESSPermit Plan Checking Fee $ 23.00 BUILDING ADDRESS 2522 Ul"M RD. 080s CA 95966 Energy Plan Checking Fee $ 1, IPERMIT $ FEE $ 279450 LAT NO. SUBDIVISIONS NAME CEL Mj,A I'V PLUMBING PERMIT Filing Fee 20.00 USEOFSTRYCTURE SF 0 Duplex 0 Mobilehome IT Other,Water sPECIFvr Each Trap 7.00 Solar or heat pump water heater — 23.00 piping .15.00 15.0-0 Each as water heater or vent 15. 00 TYPE OF WORK New 0 'Addition 0 Remodel 0 Utilities 0 Installation 9 Other 0 Describe Work: M M4 FM NTW SITE 24 X 48 Gas piping system I - 5 outlets 1 15.00 15.()() Building sewer Mobile Home ISI GI W1 @20.00 PERMIT FEE$ 65M ELECTRICAL PERMIT Filing Feil ;20.00 000V OR LESS Main Service OA OR LESS 23.06 23A0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. rebOWNER-BUILDER DECLARATION I hereby -,affirm -under under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, kwill'db the work, and the structure is not intended or offered for sale. VI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of_a valuation of one hundred dollars ($100) or less.) brl 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. workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X.ileiDatazq S!diiAtZire of Applicant -'POwner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR so. OR ACDNS. 3.50 & ACC. BLDS FT. NEW CONST. ULT'_O MULTI-OUTLET NON-RESID. BRANCH CYRT.. @17.50 OWER APPARATUS UT. CIR. SIN.. OUTLET Ex. Occup. OUTLET OR FIXTURES 20 1 SAL @@ Z. M ..MEOA OR Ex. Occup., P(PRL.16.) A. 5.00 Temporary Service 23.00 Mobile Home Facilites 20.00 —Misc. Wiring 23.00 44 C1111111 PERMIT FEE ""' I MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT IFEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TnY'PEd TOTAL FEE$ ., W450 HAZ- D. FE IMP I FL12D I CY.F PANEL I - I % ISSUE_ This permit is hereby Issued under the applicable pf'ovisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON i (Date) ReceiptNo. 06) -i WHITE-D.D.S.-B.D. CANAa-.'OR PINK -INSPECTOR GOLDENROD-APPLICANT FT;6S% COUNTY.OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT - /-,a� TNO IMBER - _ y �Q r DD I� zOwNI �� j BUILDING PERMIT OWNER '�'� / �. �(�O TELEPHONE SO. FT. OCC. OWNMV MAWNG ADDRESS ^ 3% L{ BUILDING VALUATION It ©a �S�l �, �� a a o CONTRACTOR'S NAME ADDRESS CONSTRUCTION LENDER LENDER'S MUUNO ADDRESS ARCHITECT OR ENGINEER ARCNfTECi OR ENGWEER9 YALING ADDRESS W&DING ADDRESS . g5i6 LOTNO • �I S-OfvjION.S MW USEOFSTRUCTURE SF O Duplex O Mobilehome% Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Rpem�odel O 'lilies O Installation � Other ❑ Describe Work: ! 1 lJf /� Zi�A K� lien EE PAID SRA OTHER AMOUNT RECEIVED .06 PERMIT FEt $ Mobile Home Installation Fee S Energy Inspection Fee $ l occ CONST. TYPE ^�'�=yam TOTAL FEEKAZ -$ - F '�•'X•,_ `: -z zi D. FEES IMP fL.00 PMC�1 PO NO L This permit is hereby Issued under the applicable provisions i of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Total Valuatlon E -- Flin Fee $ Permit Fee S Plan Checkin Fee $ Energy Plan Checking Fee S S PERMIT FEET$ PLUMBING PERMIT Each Tra Solar or heat um water heater Water i in Each as water heater or vent Gas l in stem 1 - 5 outlets Building sewer Mobile Home S I G W PERMIT FEE t ELECTRICAL PERMIT Main Service 000v OR ,Ess 20" OR LESS Main Service ( 200A TO IOWA 1 Ex. Occup. (OLRIET OR FD —E - Ex. APPLNS. R EX. OCCl1D- f ......_ ___ O I emporary Service Mobile Home Facilities PERMIT FEE 1 $ MECHANICAL PERMIT 20.00 -rnmg tee 20.00 7.00 23.00 15.00 15.00 i.5 15.00—,0Q 15.00 ^,0b 03120.00 Rling Fee 20.00 23.00 3,Qf 46.00 3.50_0. @7.50 5.00 23.00 20.00 23.00 Fee 1 20.00 6.50 *RECEIPT NUMBER * TO BE PUT INTO COMPUTER By Date PERMIT EXPIRES ON \, r. I I Lorri Lanning c/o Ted Runge P. 0. Box 2042 Oroville, CA 95965 Dear Ms. Lanning: WILLIAM (bill) GIi1=1-r, uirector 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY August 14, 1991 Deputy Director RE: AP 7.1-05-84 APPLICATION FOR DETERMINATION At the regular meeting of the Butte County Subdivision Violation Committee meeting held on August 14, 1991, the committee granted a Certificate of Compliance for the above -referenced property. There are no conditions. There is a fifteen -day appeal period before this Certificate can be recorded unless you sign and return the enclosed waiver waiving your right to appeal the committee's decision. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works Joh' Mendonsa Assistant Director JM/ds attachment cc: Planning Department Environmental Health Department Building Department Land Man Realty, Karol Gaines, 1353 Feather River Blvd., Oroville AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 0 1 - I �)\62 Z00 —1002 1 0 1 3 Recorded Official Records Countq Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:27PM 18 -May -2001 REC FEE 10.00 COPIES 1.50 Nikki Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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: Y47T CA CIA,; C, Date S= / 0 - o I PROPERTY OWNERS: PZw V" *-/ 1'-' - cd q, \<, State of California County of Qw790- On before me, personally appeared P�HNV C'eoA- ,o,✓d( G�iJ/z/lo// /75 � �� personally known to me (or proved tome on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that helshe/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and off ial se RICHARD FEUERSTEIN 6 COMM.#1299529 Signature Seal:NOTARY PUBLIC • CALIFORNIA 014 BUTTE COUNTY Comm. Expires April 13, 2005 v�v A.P. # 0'1 ` - f-1 a o - 0 o Z EXHIBIT "A" DESCRIPTION ORDER NO. BU -186610-3 THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 6,. 1976, IN BOOK 60 OF MAPS, AT PAGES) 27. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PROPERTY: COMMENCING 168 FEET SOUTH FROM THE NORTHEAST CORNER ALONG THE EAST LINE OF THE WEST HALF OF THE SOUTHWEST QUARTER OF SECTION 14, TOWNSHIP 20 NORTH, RANGE 6 EAST, M.D.B. & M., SAID POINT BEING THE TRUE POINT OF BEGINNING; THENCE WEST 380 FEET TO A POINT WHICH LIES 313 FEET SOUTH FROM THE EAST -WEST CENTER SECTION LINE; THENCE SOUTH 610 FEET TO A POINT; THENCE EAST 380 FEET TO A POINT; THENCE NORTH 610 FEET TO THAT POINT WHICH LIES 168 FEET SOUTH FROM THE NORTHEAST CORNER OF THE WEST HALF OF THE SOUTHWEST QUARTER OF SAID SECTION 14 AND THE TRUE POINT OF BEGINNING. APN 071-490-002-000 - rC-;o= , , (n_ I _ � YTV{UO3 3TTtJS V!00V10 3Vfl#iAA.19 G p EcEC wE M AY 3 1 2001 BUTTE COUNTY PLANNING DIVISION