HomeMy WebLinkAbout071-520-008HAROLD -'q NL' }
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PertrL : 3944 i33B,P,F,M(new 'zixi :�e
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92 -2335P., E..
CHILDERS, SUSAN'; 4.; '�-
133'SANDY SPRINGS RD., OROVILLE
CONTR: BILL.WAGNER �O '
`MH UTILITIES
ELEC o?00 A 1*,o0 20 G�yl 4y£
GAS
COMPACTION TEST REQ
SUPPORT STRUCT REQ -
,��jl 8'2
nil Y��n 92-2336 MHI
CHILDERS, Susan j
133 Sandy Springs Rd; Oroville
contr:' Bill [dagner
. mhi,
071-520-008 022212
DAUKSCH, GARY& WAND � C
133 SANDY SPRINGS LN., OR LJS
CONT: D-& D HOMES
NEW MH PERM EX SITE
0
5
NOTES RESIDENTIAL
PERMIT NO. {x071-520-008 02-2212--.--.—_---
+ f I DAUKSCH, GARY & WANDA
r 1133 SANDY SPRINGS LN., OROVILLE
CONT: D &s D HOMES
NEW MH PERM EX SITE
J1'HE HCD FORM 433A FOR THIS MH CANNOT BE
s;.ECORDED UNTIL ONE OF THE FOLLOWING HAS
�. D EEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
II�TSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON
NEW MH'S).
j�INSPECTOR TO VERIFY SERIAL & LABEL #'S. :
SPECIAL CONDITIONS
CHECKED
BY
ZASR
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
t SUB -STANDARD HOUSING LETTER
OFFICE COPY
' Address )
GAS
OF[ Meter By Date
Address I ELECTRIC
Meter By Date
t Neer-B.y
s ELECTRIC
F Meter By_Date���/X/.;�i
JOB FINALED (Date)io
t Signature
J=OK
0 = Not OK
. = NotReadya61e MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoping Requirements -Setbacks -Easements
oils; Special MH Support Sketch
,a,_88wer; Location -Test -Fall -C/O -Concrete
ater; ation-Test-Easement Needed S etch)
icity; Location-Clearances-Grnd /Amp -Concrete
as; Location -Te Wrap;-/- /" L ' .
/ P Nat. or r L " P LPG
Well Clearance 8, Disconng6i
8: Utility Clearance
Date Gp '�.D2.Qard B-14,& 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 Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
Line
17eo'Gas; MH Test -Demand -Valve
5. Electricity: MH Test
1 j�T�ter and Sewer Connected v / I ,A 1 .0Z KC JI
10,4:ic2rrse-D aal
11. Verifv #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
iDate DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
i 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- Beams- 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
I 9.
Siding; Nailing -Veneer -Stucco -Mesh
( 10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
{
I Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date 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, 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-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date 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.-/ /" Ftg. 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.; 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
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
23. Fire Sprinkler; Test
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
Date
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Date
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
Date
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. 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
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
_
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. 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
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fiteplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
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:
FLEETWOOD HOMES OF CALIFORNIA, INC.
18 N. PIONEER AVE.
PO BOX 1308
WOODLAND, CA. 95776 MC# 17
Date of Manufacture HUD label No.(s)
PFS782842
/G 2- f �� o Z PFS782843
Manufacturer's Serial Number(s) and Model Unit Designation
WOODLAND PARK 4453A
CAFL217A26053-WP13
CAFL217B26053-WP13
Design Approval by (D.A.P.I.A.) PFS
CORP.
This manufactured home is designed to comply with the federal manufactured home
construction and safety standards in force at time of manufacture.
(For additional information, consult owner's manual.)
1 The factory installed equipment includes:
Floors........................................................................
Equipment Manufacturer
Model Designation
For Heating COLEMAN
DGAT056
Por Cooking WHIRLPOOL
SF3020
Refrigerator WHIRLPOOL
ET8CH
Water Heater RHEEM
7130D
Smoke Detector KIDDE
1275E
Washer WHIRLPOOL
LXR944
Clothes Dryer WHIRLPOOL
LER764
0
4
HOME CONSTRUCTED FOR X ZONE I ZONE II ZONE III EXP. "D"
This home has not been designed for the higher wind pressure and anchoring provisions required for
ocean/coastal areas and should not be located within 1 500'of the coastline in Wind Zones II and III,
unless the home and its anchoring and foundation system have been designed for the increased
requirements specified for Exposure D in ANSI/ASCE 7 - 88.
This home has ( ) has not (X) been equipped with storm shutters or other protective coverings for
windows and exterior door openings. For homes designed to be located in Wind Zones II and III,
which have not been provided with shutters or equivalent covering devices, it is strongly recommended
that the home be made ready to be equipped with these devices in accordance with the method
recommended in manufacturers printed instructions.
Design roof load zone map:
North 40 psf X South 20 psf
X Middle 30 psf Other psf
COMFORT HEATING +
This manufactured home has been thermally insulated to conform with the requirements of the federal
manufactured home construction and safety standards for all locations within Uo value Zone
1, 2 , 3 . (See map at bottom)
Heating equipment manufacturer and model (See list at left).
The listed heating equipment has the capadty to maintain an average 70 degrees Fahrenheit
temperature in this home at outdoor temperatures of — 10 4degrees Fahrenheit
To maximize furnace operating economy, and to conserve energy, it is recommended that this home
be installed where the outdoor winter design temperature (97 1%%) is not higher than —51
degrees Fahrenheit.
The above information has been calculated assuming a maximum wind velocity of 15 mph at standard
atmospheric pressure.
COMFORT COOLING
E] Air conditioner provided at factory (Alternate 1)
Air conditioner manufacturer and model (see list at left).
Certified capadty B.T.U./hour in accordance with the appropriate air conditioning and
refrigeration institute standards.
The central air conditioning system provided in this home has been sized assuring an orientation of
the front (hitch end) of the home fadng . On this basis the system is designed to
Maintain an indoor temperature of 75°F when outdoor temperatures are IF dry bulb and
IF wet bulb.
The temperature to which this home can be cooled will change depending upon the amount of
exposure of the windows of this home to the sun's radiant heat. Therefore, the home's heat gains will
vary dependent upon its orientation to the sun and any permanent shading provided. Information
concerning the calculation of cooling loads at various locations, window exposures and shadings are
provided in Chapter 22 of the 1989 edition of the ASHRAE Handbook of Fundamentals.
Information necessary to calculate cooling loads at various locations and orientations is provided in the
special comfort cooling information provided with this home.
X❑ Air conditioner not provided at factory (Alternate 11)
The air distribution system of this home is suitable for the installation of central air conditioning.
The supply air distribution system installed in this home is sized for a manufactured home central air
conditioning system of up to 6 3 , 0 0 0 B.T.U. /hr. rated capacity which are certified in accordance
with the appropriate air conditioning and refrigeration institute standards, when the air circulators of
such air conditioners are rated at 0.3 inch water column static pressure or greater for the cooling air
delivered to the manufactured home supply air duct system.
Information necessary to calculate coaling loads at various locations and orientations is provided in the
special comfort cooling information provided with this manufactured home.
To determine the required capacity of equipment to cool a home efficiently and economically, a cooling
load (heat gain) calculation is required. The cooling load is dependent on the orientation, location and
the structure of the home. Central air conditioners operate most efficiently and provide the greatest
comfort when their capacity closely approximates the calculated cooling load. Each home's air
conditioner should be sized in accordance with Chapter 22 of the American Society of Heating,
Refrigerating and Air Conditioning Engineers (ASHRAE) Handbook of Fundamentals 1989 edition,
once the location and orientation are known.
INFORMATION PROVIDED BY THE MANUFACTURER
NECESSARY TO CALCULATE SENSIBLE HEAT GAIN
Walls (without windows and doors) ....................................
"U" • 06
Ceiling and roofs of light color .........................................
^U" . 03
Ceilings and roofs of dark color .......................................
°U" . 03
Floors........................................................................
"u" .05
Air ducts in floor...........................................................
"U" . 05
Air ducts in ceiling.........................................................
"U" NA
Air ducts installed outside the home .................................
"U" .25
The following are the duct areas in this home:
Air ducts in floor...........................................................
71 sq. ft.
Air duds in ceiling..........................................................
NA sq. ft.
Air ducts outside the home ...............................................
56 .5 sq. ft.
U/O VALUE ZONE MAP
WA
NH
MT ND
VT ME
OR MN
ID SD WI
WY MI
NY MA
NV NE IA
IL IN OH
RI
PA CT
NJ
CA UT CO
KS1N0 ....
VA DE
.._
TN
" NM l r OR AR r SC ZONES U -VALUES
zi
NORTH �' to y: 'n LA MS AL' GA 0.116
v
a %N C. AK rTX = 2
._.
c ge s � f FL ®0.096
Hl
„. , 0 0.079
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
- 7 CORRECTION NOTICE
(:):3 (4
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.
c
t
i,
Date / Z 1 ' 67 Inspector
REV 10192
� ` I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754
(Ray.12/96) ' APPLICATION AND PERMIT ,--
ASSESSOR PARCEL NUMBER
071-520-008
ZONING
BUILDING PERMIT
OWNER
WANDA
TELEPHONE
589-7970
SQ. FT. OCC. BUILDING VALUATION
1209 R 65,732.00
.OWNER'S MAILING ADDRESS . .
133 SANDY SPRINGS LN., OROVILLE, CA 95966
CONTRACTOR'S NAME
D & D HOMES
TELEPHONE
532-3301
CONTRACTORS MAILING ADDRESS
2243 FEATHER RIVER RIND., OROVILLE, CA
6
CONSTRUCTION LENDER '
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation 1$65,732
.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee 486.50/2
$ 243.25
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 2-3-00
BUILDING ADDRESS
133 SANDY SPRINGS LN. OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 286.25
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 5,00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW MH PERM FND c�EXX' SITE
�4 GO -W �-O Ab = `2,e -5>D -Te � - -i -
Gas piping system 1 - 5 outlets
15.00 5.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$50.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zo.A OR LESS
23.o0 3.00
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 fu force and effect. C1 S� 1 & j
License Class Lic. No. o
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,
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 TO
46.00so
CCU000A
NEW CONST. DwEUING occuP.
DWE200ALLING
aNS. ( &NST, ACC. BMS.
ORNEW
3.52sFr°:
OUTLET
NON-RSID. u
97.50
POWER APPARATUS
a SINGLE ovner CIR.
Ex. OCCU OUTLET OR FIXTURES
20 Q 1.00
BAL O .50
Ex. Occup. ounFrs Ro .) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
P-rP_
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' F pensetion insurance carrier and policy number are:
Carrier ��% 0,-L,,-
Policy Number r1 i tnoo y t
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not emplo ny person in any manner so as to become subject to workers'
coin ens 'on laws of California, and agree that if I should become subject to the
workers' co ensati ovisions of section 3700 of the Labor Code, I shall
ply .; those Isi S.
forth4z"!
X Dem 114 " 02--
ature of Applicant - ❑ Ser ❑ Contractor ❑ Agent
An OSHA permit is re or excavations over 5'0" deep and demolition or construction
of structures over 3 s ories in h fight.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TO AL FEE $ 379.2
HAZ.
D
CDF
pggC
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indica7ar which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
OZ
Date _z
to
Receipt No. s 3 ''
WHITE-D.D.S.-B.D. CANA - SESS R PINK -INSPECTOR OLDE OD -APPLICANT
OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
ounty Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
X
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER 7/
Proposed Building Use: / Counter Technician: / V Date:
Iteirrs-required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
J— 1.. Plot plans, 3 or 4 sets, signed�y the preparer of the plans.
Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
.X6. Manufactured homes: (A) Data sheets aninstallation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans; all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet-si ned b the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up When required items are received.
d; Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and' signed, in duplicate ................................
❑ 9. Plot plan and business license approval from -the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings....................................................... ? »-
❑ 11. Detached Accessory Building Form filled out by the owner ..................................... t - -
❑ 12. Hazardous Material Form............................................................................... _
❑ 13. Other
R aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
e as shown on the attached Schedule of Fees Due Sheet ....................................... (1' x
15. Statement of Intent for Non -heated and A/C Buildings ............................................ sR:
1 anitation and plot plan approval from the Environmental Health Department in -�
City of Chico Plumbing permit................'......../......................•.....................
1 alifornia Department of.Forestry plan approval C�7 paid.
Sent.by:
9. Planning approval for (A) Use: D IG (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑Improvements, ❑Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ................. *
tter of Signature authorization....................................................................
P
corded copy of Agricultural Acknowledgment Statement .................................... X �oanufactured home utility clearance...............................................................
❑ 29. Existing violations andJor expired permits ............................................. .. ... f
30. 5Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, Check to H.C.D.
❑ 31. Other: a
77
When issued Telephone —•3 3 0 and hold for pickup.
I have been informol of the Pove -eiqs and requirements for obtaining a building permit.
Applicant:
Date:
1. Index permit application foytl'i ,Ab bered:,
2. Ad • ional items required(/
ntract designer, owner, was aded ove data by phone, ❑mail, ❑counter,
Plan Check Letter
Date:
on ractor, designer, owner was advi o th 'above atp by 0p hone, ❑ mail, '❑ court liy ;x;2—Date /
Plans reviewed by: Z Date: -2— � Plans approved by: IL/J r°yr{-:;i= Date:
Structural reviewed by: Date: 4 Structural approved by: Date:
Note transfer by: Date:
Yellow: Building, Division. i
E.H.-USE ONLY
Rot Ren Attechad
Floor Ren A slsa,
Sena to 8.D. — /12�—
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Lo ation AP#
Plan Approved for: Sewage Disposals Water Supply: Public Private Wel
^^ \\ Clearance for dwelling. Other t.
lv
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
(�
SCHEDULE OF FEES DUE
OWNER DO 11, C- A.P. # 71— 52- ' 00�-
BUILDING USE
�iBJJILDING PERMIT FEES�j
alance Due ....................... $ [ .
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee .............$
SCHOOL DISTRICT FEES&Z'; '; I t .c
(paid at District Office) (Available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential ...................... x $360.00 = $
Units
Commercial (sq. ft.) ..... :......... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential .................... x = $
# Units Amt.
Commercial (sq. ft.) ............ —x—=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$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)
10. OTHER
DATE
RECEIPT # DATE REC.
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
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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner
(Rev. 6l00)
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95%5
COPY of Document Recorded
01 -Oct -2002 2002-0051386
Has not been compared with
original
BUTTE COUNTY RECORDER
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 buildin
t.
property described herein is adjacent to land or included within an area zoned fora cultural s peuts o The
f this
property may be subject to inconveniences or discomfort from the use of agricultural chemicalpincluding, 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 inconveruience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
jQQ AfitActl�d�
Date 1 (e
State of California
County of 'B i T�
PROPERTY OWNERS:
DA 01e 5e_ H4
before me,
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subs lonafly
ibed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on -the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the
instrument.
WITNESS may hand and official seal i
A.P. # D.) ) -
CHRISTY L. HINKLE
COMM. 81258485
ffi 6s9 NOTARY PUBLIC•CALIFORNIA H
COUNTY OF BUTTE
Comm. Expires March 27, 2004
Order No. 00202160-001
EXHIBIT A
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 I:
A PORTION OF SECTION 2, TOWNSHIP 20 NORTH, RANGE 5 EAST, M.D.B. & M., DESCRIBED AS
FOLLOWS:
COMMENCING AT THE NORTHWEST CORNER OF THE SOUTHWEST QUARTER OF THE
NORTHWEST QUARTER OF SAID SECTION 2, THENCE SOUTH 0° 09'55" EAST, ALONG THE WEST
LINE OF SAID SECTION 2, A DISTANCE OF 640 FEET; THENCE SOUTH 89'40'57" EAST, 1017.56
FEET; THENCE SOUTH 0° 12'35" WEST, 238 FEET TO THE TRUE POINT OF BEGINNING FOR THE
PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID POINT OF BEGINNING,
CONTINUING SOUTH 0° 12'35" WEST, A DISTANCE OF 134 FEET; THENCE SOUTH 89'40155" EAST,
324.7 FEET, MORE OR LESS TO THE EASTERLY LINE OF THAT CERTAIN PARCEL OrLAND
DESCRIBED IN DEED FROM JOHN SCHRODER, JR., ET UX, TO WENDELL SCOTT RUPP, ET UX,
DATED JUNE 19, 1970 AND RECORDED JULY 8, 1970, IN BOOK 1622 OF OFFICIAL RECORDS, AT
PAGE 597, RECORDS OF BUTTE COUNTY, CALIFORNIA; THENCE NORTH 0° 04' 25" EAST, ALONG
THE EASTERLY LINE OF SAID RUPP PARCEL, A DISTANCE OF 134 FEET TO A POINT WHICH
BEARS SOUTH 890 40'55" WEST, A DISTANCE OF 324.7 FEET MORE OR LESS TO THE POINT OF
BEGINNING.
AP NO. 071-520-008
PARCEL II:
A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN
WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS:
COMMENCING AT THE NORTHWEST CORNER OF THE SOUTHWEST QUARTER OF THE
NORTHWEST QUARTER OF SAID SECTION 2, TOWNSHIP 20 NORTH, RANGE 5 EAST; THENCE
SOUTH 890 41' EAST ALONG THE NORTH LINE OF THE SOUTHWEST QUARTER OF THE
NORTHWEST QUARTER OF SAID SECTION 2 A DISTANCE OF 1075.83 FEET TO THE POINT OF
BEGINNING FOR SAID CENTERLINE; THENCE SOUTH 9° 48'33" WEST, 324.41 FEET; THENCE
SOUTH 00 12'35" WEST, 2062.72 FEET TO THE END OF SAID CENTERLINE.
PARCEL III:
A NONEXCLUSIVE RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN
WIDTI-I 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 DISTANCE OF 449.44 FEET TO THE POINT OF BEGINNING OF THE FOLLOWING
DESCRIBED CENTERLINE; THENCE FROM SAID POINT OF BEGINNING, SOUTH A DISTANCE OF
522.64 FEET; THENCE NORTH 89° 52130" WEST, A DISTANCE OF 1168.58 FEET; THENCE SOUTH
482.08 FEET TO THE END OF SAID CENTERLINE.
Order No. 00202160-001
PARCEL IV:
A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN
WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS:
COSI VI ENCI.NG AT THE NORTHWEST CORNER OF.THE SOUTHEAST QUARTER OF THE
SOUTHEAST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M.;
THENCE SOUTH 000 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 ROCKFELLER ROAD; TIIENCE
LEAVING THE WEST LINE OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF
SAID SECTION 35, AND RUNNING ALONG THE CENTERLINE OF SAID CANYON CREEK ROAD,
NORTH 710 06' 05" WEST, 52.99 FEET AND NORTH 53° 19' 05" WEST, 143.94 FEET; THENCE SOUTH
44° 55'05" EAST, 30 FEET TO THE TRUE POINT OF BEGINNING FOR THE FOLLOWING DESCRIBED
CENTERLINE; THENCE FROM SAID TRUE POINT OF BEGINNING, SOUTH 45° 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 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 CENTERLINE.
"f`..t- -r^+rs .i.. �R>r.�:. hr:l'"+`�.•...y'•n'•�- v.T....-...:�,..n.{.a.v-,...�,...:.v v3:r,�. y .. .;..:y", -
l, �•�• •'v^ ^L�J:a' ..�s.. W1.V-...+,a::.7.K.-�,. .�sy :.:.t[i(ti�;�'drw 1 i.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM �I O W
(One form per Building)
+'q /
School District /'� t �� f J /� Building Department No.
A.P. Number -SZ V �0 Jurisdiction: ® City County
Property OwnerLAI.G '
Property Location/Address
Subdivision
Lot No.
..............................................................................................................
Residential Development F Sq. Footage
No of Living Moble Home Addition/ *Supplemental to
Units Installation Conversion Permit #
'(No foundation inspection):
`0 Commercial/Industrial 0
7 New Addition
rI 1 1 A/011�2-\
Building Department Representative
District Identification No. _
(Street Address) ;
Vb cam-
(City)
(Floor Plans reviewed by School District Personnel)
Sq. Footage
12-0e,,
(Group R)
(Including Exterior
Roofed Areas)
I`• /6. vZ
Date
03048
School District certifies that ��(i~� �7 /&
r 1
(Applicant)
t 5 {-1
(Phone Number)
has complied with the requirements of Resolution No.
^I representing
District Representative
Paid by Check #
I
square feet.
Remarks:
(State) (Zip Code)
by payment of $
AS 2926 $
FULL MITIGATION $
Date
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 660201a), 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
REQUEST FOR INTION nn Permit No. �� Vp� — ;�
Location: 1 3�SPE Q is d ,L c x4_.J m A.,, 1 q o 64
•
Owner: Contractor:
Comment:
BLDG.
PLUMB/MECH
ELECTRIC
M.H.I./M.H.U.
PRE -
INSPECTION
Form
Rough
Rough
Fnd/Ftg
Frame/Underfloor
Top Out
Temp. Service
Jab Status
Stucco Lath
Gas Piping/Test
Main Service
Corrections
Permit Renewal
Stucco Brown
Temp. Gas
Underground
Final
Verify Utilities
Woodstove
Sewer Piping
Well Circuit
Ex Mobile Site
Brace Panel
Water Piping
POOL
Insulation
Shower Pan
Nailing
Gunite
Demo
Bonding
Light Niche
Corrections
Corrections
Corrections
Final.
Final
Final
Corrections
Ready for qq����,,//��►►
Final
Inspec. 0
. Date: I Call L] Phone:
LOCATION:
PRE -INSPECTION REPORT
PRE-INSPETION FOR:
O-
DATE TO INSPECTOR. PERAW
Building Dexriptioo:
DATE:
A.P. -/
ZONING:
( ) AS FOLLOWS:
BUILDU4G WSPECI'OR'S REPORT
Cemmefdal/Usage:
Residendalhl of Units:
Cunvntly Occupied
Abandonec. Vacant
Electric:
Yes G No Electric cutztntly On Off
Condition of Electric
Gas:
Natural Propane None Currently On Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems
Comments:
ACTION RECOMMENDED: LSSUE: HOLD FOR
Inspector. /C / z 7
Date. "�--
Sketch buildings on reverse and indicate location on p'ropert.-
- - - --- 1 'A- - utr-AHI Mtn I Ur UEVEWF'Mcn I Qc(1v 1%,ca - OUILWNG DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.75 1
I1ev.121915)
APPLICATION AND PERMIT R
A5S9SSOA0-ARCCLWJMW ^Q
�l Q d
1ON"0
BUILDING PERMIT
OWNER�
Tep��oNc fC�
1 .4
oCONN1114
so. Fr. occ. BUILDINGS VALUATION
TEtD110NC
��3301
CONTIIACTORs www AD oRE
Fireplace
CONSTRUCTION LENDER
LENDER'S MN11NO ADOWSS
Total Valuation E.
Filina Fee S 20
Permit Fee fp,s -r Z
Plan Checkino Fee S O
Energy Plan Checking Fee t
5
ARC"RECT OR ENOINEEA
LICENSE NO
ARCWTECT OR ENONEIMS MAUNO AOORESS
aUaOwG ADORESs n
may}
•
PERMIT FEE _ 2
PLUMBING PERMIT Fling Fee 20.(
Each Trap 7.00
LOT NO tUaOMC:ONS 1MME
PARCEL MAA
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
cPECsv
Solar or hent um water heater 23.00
Water i in 15.00 /;
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ �Remodei ❑ Utilities ❑ hste0ation ❑ Other
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Describe ork: _ ����
Mobile Ho;I G W 020.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.c
Main Service 80°v oR LH
200A OR LESS 23.001.2? •c
.
. -
Main .Service 20" TO 1000A 46.00
NEW 0016
OR ADOW. as AdCC fDSVA. 3.5¢F7.
NON.AESIO. IfMUM-OM T
@7.50
POWER APPAAATUB
G 9 OUTLET G0.
_
Ex. Occup. OUTUET OR IMMAESyLL 1.0 1
9
( '' � �
EX. OCCU F%0 ' OR
OUnETS��ESID. EA. 5.00
Temporary Service 1 23.00
Mobile Home Facilities 2p.pp
Misc. Wiring 23.00
PERMIT FEE S q S. o G
MECHANICAL PERMIT Fling Fee 20.0
Heetin
O ��
Coolin
Hood 6.50
Ventilation
PERMIT FEN: S
Moble Home Fee
Rion
^'
�
Ft
S Energy Inspection Feee i
• 3 Q 9S
(This
xc
Tr TOTAL FEE _ 3
o. PEES wP PLOOo COP vARcn ro ro '
MUM"t ,� Q
permit Is hereby Issued under the applicable provision'
of the Butte County Code and/or Resokdlons to do wore
indicated above for which fees have been paid.
By Date ------�-.
PERMIT EXPIRES ON
- - r ^'t-. —
r�
wig" -
O
to
Q
i
lir
lI
l
p to
1 V .FJ Q
(1cra",
1 . w
1
Vit
c 1.
./L
------ H 1,4f l
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
27-Mov-2002 2002-0065205
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBELEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents
to all persons thereafter dealing with the real property.
SUSAN L. CHILDERS
REAL PROPERTY OWNER/LESSOR
PO BOX 162
MAILING ADDRESS
BERRY CREEK, BUTTE, CA 95916
CITY COUNTY STATE ZIP
133 SANDY SPRINGS LANE
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE, BUTTE, CA 95966
CITY COUNTY STATE ZIP
GARY DAUKSCH & WANDA DAUKSCH
UNIT OWNER (if also property owner, write "SAME")
133 SANDY SPRINGS LANE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95966
C1TY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
02-2212 (530)538-7541
HTNG PERMIT N0. TELEPHONE NUMBER
11/22/2002
T OF LOCAL AG OFFICIAL DATE
NONE
DEALER NAME (f not a dealer sale, write "NONE")
DEALER LICENSE NO.
FLEETWOOD 2003 4453A
MANUFACTURERS NAM DATE OF MANUFACTURE MODEL NAME/NUMBER
CAFL217A/B26053-WP13 - 45'X 26'6" PFS0782842/3
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS)
REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER A.P. # 071-520-000
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHrrE -County Recorder CANARY-Hm PINK -Applicant GOLDENROD -Building Dept.
q s, �, cF � , Yep-. �I� �.. �r-.`n� r ,'�""�— ,;;•; ..��._ ",.�,_� r :`e ��...- �r-,:,,... .�. �w�.,.- ,-�.�x.}�:��
F.OUNDTION SYSTEM, CE-RTIFICATE-OF OtCCUPANCY
BUILDING PERMIT NUMBER: 02-2212
Address or location of unit: 133 SANDY SPRINGS LANE, OROVILLE, CA 95966
Legal Description of Real Property: A.P.#071-520-008
SEE ATTACHED
(g) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: GARY & WANDA DAUKSCH
Owner's address: 133 SANDY SPRINGS LANE, OROVILLE, CA 95965
INSIGNIA OR HUD NUMBER: PFS0782842/3
SERIAL NUMBER OR V.I.N.: CAFL217A/B26053-WP13
MANUFACTURER'S NAME: FLEETWOOD YEAR: 20 3
OFFICIAL APPROVING INSTALLATION•
DATE:
PHONE:
H.C.D. 513C
11/2202
(530) 538-7541
LEGAL DESCRIPTION
A.P. #071-520-008
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 5 East, M.D.B. & M., and more particularly
described as follows:
COMMENCING at the Northwest corner of the Southwest quarter of the Northwest quarter
of said Section 2; thence South 0 deg. 09' 55" East along the West line of said Section 2, a
distance of 640.0 feet; thence South 09 deg. 40'57" East 1017.54 feet; thence South 0 deg. 12'
35" West 230 feet to the true point of beginning for the parcel of land herein described; thence
from said point`of beginning, continuing South 0 deg. 12' 35" West, a distance of 134 feet;
thence South 09 deg. 40'55" East 324.7 feet, more or less, to the Easterly line of that certain
parcel of land described in Deed from John Schroder, Jr., et'ux, to Wendell Scott Rupp, et ux,
dated June 19, 1970 and recorded July 8, 1970, in Book 1622, of Official Records, at page 597,
records of Butte County, California thence North 0 deg. 04' 25 East along the Easterly line
of said Rupp parcel a distance of 134 feet to a point which bears South 09 deg. 40'55" East
from said point of beginning; thence North 89 deg. 40'55" West a distance of 324.7 feet, more
or less, to the point of beginning.
TOGETHER WITH a right of way for road and utility purposes over a strip of land 60 feet in
width, the centerline of which is described as follows:
COMMENCING at the Northwest comer of the Southwest quarter of the Northeast quarter of
said Section 2; thence South 89 deg. 41' East along the North line of the Southwest quarter of
the Northwest quarter of said Section 2, a distance of 1075.83 feet to the point of beginning
for said centerline; thence South 9 deg. 4833" West, 324.41 feet; thence South 0 deg. 12135"
West 2062.72 feet to the end of said centerline.
ALSO TOGETHER WITH a non-exclusive right of way for purposes over a strip of land 60
feet in width, the centerline of which is described as follows:
COMMENCING at the Northeast comer of lot 3 in Section 2, Township 20 North, Range 5
East, M.D.B. &M.; thence South 89 deg. 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
from said point of beginning South a distance of 522.64 feet; thence North 89 deg. 52'10"
West, a distance of 1168.58 feet; thence South 402.00 feet to the end of said centerline.
ALSO TOGETHER WITH a right of way for road and utility purposes over a strip of land 60
Page 2
Legal Description
AP# 071-520-008
feet in width, the centerline of which is described as follows:
COMMENCING at the Northwest corner of the Southeast quarter of the Southeast quarter of
Section 35, Township 21 North, Range 5 East, M.D.B. & M.; thence South 00 deg. 35' 10"
West, a distance of 29.47 feet along the West line of the Southeast quarter of said Section 35
to a point on the centerline of Canyon Creek Road, also known as Rockerfeller 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 Creek Road,North 71 deg. 06'05" West, 52.99 feet
and North 53 deg. 19'05" West, 143.94 feet; thence South 44 deg. 55'05" East, 10 feet to the
true point of beginning for the following described centerline; thence from said true point of
beginning, South 45 deg. 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
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 centerline.
EXCEPTING THEREFROM all that portion lying within the above described parcel.
11iz7/UZ WED 10:54 FAX 530 532 3304 FLEETWOOD OROVILLE CA.
0002/007
MLwI DFjr• STATE OF CALIFORNIA NUMBER:
a� BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT '•; '.,� y1
DIVISION OF CODES AND STANDARDS ° i� �• ' ; v
i MANUFACTURED HOUSING PROGRAM
°r." MANUFACTURER CERTIFICATE OF ORIGIN
DISTRIBUMONI ORIGINAL (PINK) FORWARD TdTHE INVENTORY CREDITOR. UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREEI,
COPY 1 (WHITE) FORWARD TO THE DEPARTMCNTAT D.D. BOK 1920, SACRAMENTO. CA 85812-1828, VVITHIN FIVE (5) DAYS OF RELEASE.
COPY 2 (YELLOW( DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION
COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER.
MCO 403.0. Slde 11 - (7/07)
❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO
MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING
XX%
❑ SFD (SINGLE FAMILY DWELLING) El MUMI1 (MULTIUNIT MANUFACTURED HOUSING
NUMBER OF 2
TRANSPORTABLE SECTIONS
COMMERCIALt OACi;
OCCUPANCY GROUP
MANUFACTURER NAME:
MANUFACTURER LICENSE NUMBER:
FLEETWOOD HOMES OF CALIFORNIA, INC.
9834
M"Fff,,TUp SXVE,
SUGGESTED RETAIL PRICE:
PO BOX 1308 WOODLAND CA 95776
(Stmot) (City) (Slate) Zip)
MANUFACTURER TRADE NAME:
MODEL NAME ANO/OR NUMBER:
DATE OF MANUFACTURE:
WOODLAND PARK
4453A 2003
10/25/2002
NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):
FLEETWOOD RETAIL CORPORATION OF CALIFORNIATRANSFEREE
CALIF. DEALER NUMOCR OR
DESIGNATION;
DATE OF TRANSFER:
DBA: FUETWOOD HObMS OF OROVILLE
1061581
10/25/2002
DEALER OR TRANSFEREE ADDRESS:
2243 FEATHER RIVER OROVILLE
Street (C; ($tota)
CA 95965
Lp
INVENTORY CREDITOR NAME:
FLEETWOOD RETAIL CORP
INIWQ� Y JRFUDITfRaw s: bNSO DESK
2150 W.0 -S7. 1PTH ST SUITE 300 "- � �'""'„
(Street) (Ci) OJ. _ _. Palo)
77008
(Zip)
SECTION
tfi
MANUFACTURER SERIAL NUMBER
HCD INSIGNIA OR NUD LIBEL NUMBER
LENGTH
(INCHES)
WIDTH
(INCHES)
WEIGHT
IPOVNDS
1
CAFL217A260S3-WP13
PFS0782842
544
160
19,460
2
CAFL217B26053-111`13
PPS0782843
544
1 160
16.600
TRANSPORTER NAME:
D & R TRANSPORT
TRANSPORTER ADDRESS:
(SLIP . BOX 17 9 jelly) D4RHAM (Stale) CA
Zro 95938
DESTINATION FOR UNIT DESCRIBED ABOVE:
(NAME) (Stmatl Icily) Stale
(zip)
I CoM(y under ponalty or perjury under Ina Iowa of III$ Sta10 of Cahjornia that Me above fads Pro Wo and cones.
Exeeuteoon 10/25/2002 at WOODLAND YOLO
r8
(Date) (City) Icounty)
(Slate)
SIGNATURE OF AUTHORIZED AGENT.
DISTRIBUMONI ORIGINAL (PINK) FORWARD TdTHE INVENTORY CREDITOR. UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREEI,
COPY 1 (WHITE) FORWARD TO THE DEPARTMCNTAT D.D. BOK 1920, SACRAMENTO. CA 85812-1828, VVITHIN FIVE (5) DAYS OF RELEASE.
COPY 2 (YELLOW( DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION
COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER.
MCO 403.0. Slde 11 - (7/07)
11/Z1/UL WED 1U:54 FAX 530 532 3304 FLEETWOOD OROVILLE CA.
r01140 Wkt"
s tOtuf l5 Aa
C"lRw1SlOW"nwf S'11l4rvtMtlt6tS0
"-' SUSAN L.
Inn
-ae+nS t'-0 Dox 1621LpCRS
DERRY CREEK. CA. 95916
QUITCLAIM DEED
FULL COVENANT
97-04163,31
�tPCerO�Q 1
OtIJCi81I
J7eCorde 1
County of 1
Butt: 1
CandeCc J. iarubb& /
Re'oord�A- /
3140P,e 5-pc►v-99 1
2004/007
IVU. i,,b rlptg;�
c Fev 0. 00
IMI'
--5FACE ABOVE CHIS LINE fop AjCOnOEN'S USE -----------
0gw'nrnury rranshr iar f _ -s _
8'Camddee on full vawt or CroOeny eo..0 ld.
0 OQ C0/n01040 an Iia Value It$T lit,, An
renarhtnq it I,,"@ of Gale d atutnefant es
THIS INDENTURE. Made tnC _ lib-- � day of _ Se E
JESSE PROFFITT lip
AND
SUSAN L. Gunter—
Gra
warNESSEtN: TCNILDERS
qstAID," lot and rn canstdetalic" 01 the
Tum of G'anee�
lawful money of IN; Unard Slifer Of Amefi
ca. Ib ��. Dollars.
the Said G'Anfee_, ►rib receiyt who" I -
dtesents till_' ferns r s hereby aeanaudped, ries rem) `�'��� 'n nend 0,114 or
DnI^--..` egrtam,0 0. skate ono lae.er 4-104,m unto Grdnlee�, and to e0, glba500 and forever dutlt0rehed, and Dy tnc;e
r,►. Crete_
Covnry of • ♦ er Caree'.er. of Iona vlvNd, lying and bein rri "e'ra area asalgns,
ll at+,Ded as loaowa `� .Ino SNfe pl g Int ��_
Ind uo.nded brio Clrgculary
**SEE ATTACIiED DESCRIPTION .
TOGEINEA with all n
"overman and, s SAO
r ular the 1e"cmenls. nes. to iji. and DDilunenaacei Ihereuntb ser
e•erflon b and Itmarneers. reNs, r 0ngmq, or in inV wtae aDDenAlmn�, no
wooer) Ds and
and Otall1S 1^eteor: and Nag all the eslale (rgnt. Ihte. tnferesl, „
the said . ,and cvc, y 0 sessiee, claim and tdemand whatsoever, as Well In law ea In eavay. a) WanlOr
P enpnet y 031111 bed carte, mer0al .1
14
NAVE AND TO HOLO, a ao0vrtensntas. �, ol, in e, 14
peke a all Intl StnguM, the sate 0remrses, IDgetaer with the ae0vrlbnances, unto the sale Grantee
red assign= forever,
Iw WrTNESs WN —�• Intl to
WHEREOF The vttl Gnmrn� ria` l�,eunto set
nib a0ave rrlllen. hallo` ane seal— the
day and year
SLATE Of 11
COUNTY OF I ss. eerr n,utrarwet grnorll
on Oelore me, , / ienY
• �r'�Ih IPPDLed •
a
oars
onTQ/ ce) to
to trio (or Droved TO tree ell ptp diT16 01 69WIC•
tory s l0cncc) b to Por6o»I6) MOSe nafnep) islet. avd- �mCW11E0Pstmanj
116161141114„Aco d ICY ed thit e int&amq ria AIMb�j 149d W metres 0 INOM�r61
tSDl�yibt). and dial rt COTe 0a,n _ -
manthe on)a , OrQM 6n ate imw- aaoXA,pt
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atled,er Ofi1 Ai4DenAehsee►MtishVICP010(s) non r�NtST rn-
I►TOVmeN. Oru evfN r,rt
WITH adityl;Cal. �� - �-�c-amu._ r> rwstttrs,
�l, 0BRlEN !t 01-tq fiOrrSEn.nrpq
..1r• COMM, q 1049336 ;
•:r^ - IWr6AI� trgJ�fYpOANU _. �--+� —..
\ roe Is AEOUS t MnAG-
IrrCana. Eseeq Jets.16.1^' .
WIL TAX a (3U9
STATEMENTS TO•
Iraarc S P o 162
Kerr Creek Ca 95916
010.Wre,yr-,rS
Aligue
waletr610e.rr.A,w trtete,u»
tri
pPG
2.00
Cop
6.00
CAeok
J • 00
J7, 00 /•,
puff
XX 2
--5FACE ABOVE CHIS LINE fop AjCOnOEN'S USE -----------
0gw'nrnury rranshr iar f _ -s _
8'Camddee on full vawt or CroOeny eo..0 ld.
0 OQ C0/n01040 an Iia Value It$T lit,, An
renarhtnq it I,,"@ of Gale d atutnefant es
THIS INDENTURE. Made tnC _ lib-- � day of _ Se E
JESSE PROFFITT lip
AND
SUSAN L. Gunter—
Gra
warNESSEtN: TCNILDERS
qstAID," lot and rn canstdetalic" 01 the
Tum of G'anee�
lawful money of IN; Unard Slifer Of Amefi
ca. Ib ��. Dollars.
the Said G'Anfee_, ►rib receiyt who" I -
dtesents till_' ferns r s hereby aeanaudped, ries rem) `�'��� 'n nend 0,114 or
DnI^--..` egrtam,0 0. skate ono lae.er 4-104,m unto Grdnlee�, and to e0, glba500 and forever dutlt0rehed, and Dy tnc;e
r,►. Crete_
Covnry of • ♦ er Caree'.er. of Iona vlvNd, lying and bein rri "e'ra area asalgns,
ll at+,Ded as loaowa `� .Ino SNfe pl g Int ��_
Ind uo.nded brio Clrgculary
**SEE ATTACIiED DESCRIPTION .
TOGEINEA with all n
"overman and, s SAO
r ular the 1e"cmenls. nes. to iji. and DDilunenaacei Ihereuntb ser
e•erflon b and Itmarneers. reNs, r 0ngmq, or in inV wtae aDDenAlmn�, no
wooer) Ds and
and Otall1S 1^eteor: and Nag all the eslale (rgnt. Ihte. tnferesl, „
the said . ,and cvc, y 0 sessiee, claim and tdemand whatsoever, as Well In law ea In eavay. a) WanlOr
P enpnet y 031111 bed carte, mer0al .1
14
NAVE AND TO HOLO, a ao0vrtensntas. �, ol, in e, 14
peke a all Intl StnguM, the sate 0remrses, IDgetaer with the ae0vrlbnances, unto the sale Grantee
red assign= forever,
Iw WrTNESs WN —�• Intl to
WHEREOF The vttl Gnmrn� ria` l�,eunto set
nib a0ave rrlllen. hallo` ane seal— the
day and year
SLATE Of 11
COUNTY OF I ss. eerr n,utrarwet grnorll
on Oelore me, , / ienY
• �r'�Ih IPPDLed •
a
oars
onTQ/ ce) to
to trio (or Droved TO tree ell ptp diT16 01 69WIC•
tory s l0cncc) b to Por6o»I6) MOSe nafnep) islet. avd- �mCW11E0Pstmanj
116161141114„Aco d ICY ed thit e int&amq ria AIMb�j 149d W metres 0 INOM�r61
tSDl�yibt). and dial rt COTe 0a,n _ -
manthe on)a , OrQM 6n ate imw- aaoXA,pt
Vona”) en —�-�
atled,er Ofi1 Ai4DenAehsee►MtishVICP010(s) non r�NtST rn-
I►TOVmeN. Oru evfN r,rt
WITH adityl;Cal. �� - �-�c-amu._ r> rwstttrs,
�l, 0BRlEN !t 01-tq fiOrrSEn.nrpq
..1r• COMM, q 1049336 ;
•:r^ - IWr6AI� trgJ�fYpOANU _. �--+� —..
\ roe Is AEOUS t MnAG-
IrrCana. Eseeq Jets.16.1^' .
WIL TAX a (3U9
STATEMENTS TO•
Iraarc S P o 162
Kerr Creek Ca 95916
010.Wre,yr-,rS
Aligue
waletr610e.rr.A,w trtete,u»
tri
11/ZY/UZ WED 10:54 FAX 530 532 3304 FLEETWOOD OROVILLE CA.
Z003/007
STATE OF CALIFORNIA
Rr - - •::SS, TRANSPORTATION AND HOUSING AGENCY
:•L VARTM ENT OF HOUSING AND COMMUNrrY DEVELOPMENT
DIVISION OF CODES AND STANDARDS a
REGIS IRA`nON AND TITLING PROGRAM «
STATEMENT OF FACTS
This unit is a; 91M . obilehome EJ Commercial Coach Floating Home Truck Camper
Decal (License) No.(s) Trade Name
Serial No,(s)
Me, the undersigned, hereby state:
THE ABOVE DESCRIBED MOBILE HOME HAS BEEN INSTALLED ON
AN APPROVED PERMANENT-rOUNDATION SYSTEM AND IS PRESENTLY
IN ESCROW WHICH WILL CLOSE WITHIN 45 DAYS.
I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State
Of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
I/We certify under penalty of per' that the foregoing is true and correct.
7.
Executed on � 2% at Z d11�.eQ•� t
(Date) ��--
(City) (S e)
Printed name(s)
I
Address
C
City StateO,Pj
HCD 476.6 (REV 9/91)
`It �.
I
' � 1
RtSIDENTIAL01
• 071-430-64-2 92-2335 P,E
CHILDERS, Susan
173 Sandy Springs Rd, Oroville
contr : Bill' Wagner
mh utilities
72- — 2,334
I
A
f�
i
t
OFFICE COPY
Address i
� I
I
GAS
'•� Meter By py Date
ELECTRIC
Meter By Date,
JOB FINALED (Date) :?-
Signature
I
3
r
I`r
f o ,
J=OK
O = Not OK t
Not Applicable
MOBILE HOMES
Date MOB!HOME UTILITIES Plans OK except #'s
Zoni equirements-Setback`s-Easements
oils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
ater; ocation-Test- Ease men t Needed (Sketch) f
15. ricity; Location-Clearences-Grn$ -Concrete
Gas; Location -Test -W p ' /"L" (t.
/ ay _
/ "Nat. or'tf'ft."LPG i
ell Clearance & Disconnect
Utility Clearancegp�p �!2
DatX
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date MOBIL HOME INSTALLATION (Plans) OK except #'s
onjAg Requirements -Setbacks Easements
ootings; Size -Spacing -Marriage Line
as.MH Test-Demand-Valve—Connector
lectricity; MH Test -Crossovers -Breakers -Clearances I
ild?rain;
MH Test -Fall -Flex Connector
at ; MH Test -Regulator -Connector
15�.ater
and Sewer Connected -C/O to Grade -HD Approval
as and Electricity Tagged4.6v}
xits; Insp.-Sketch
ert. of Occupancy
Date Card B-1 Date Card B-1
Dat 4–Gard B-1 Date Card B-1 i
1
Ll
1
'72—
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; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
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 -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date 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-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
= Not Ready RESIDENTIAL (�
Date 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.-/ /" Ftg. 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.; Fall -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.
Pienums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date 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 -Nail Protection
19. Shower Pan; Test. First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
-------------------------- -----------
21. Gas Pipe: Size & Anchors
--------------------------------------------------------------------- -
Date Card B-1 DateCard B-1
----------------------- ----------------------------------------------
Date Card B-1 Date Card B-1
Date 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!Mech. Fastners-Bond Gas & Water
------------------------------------------------------ -------------------
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
---------- --------------------------------------------------------
28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ga.
Cu or Al
-------
--------------------------- ---------- -----------------------------------
29. Range Circ. ! I ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
--------------------------- - -------------------------------
30.
----------- ---------- - - - --- -- -
30. Service -Riser Conductors & Ground -Main Disconnect
-------------------------------------------
_ 31. Equip Clearances Panels-Motors-Mech. Equip.
---------- -------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
•------------------------------------------- ------ ------ -- -
33. Smoke Detector
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
-
--------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date 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.
-----38 Attic Access & Platform if Furnance in Attic
----------------------------------------------------------------- --------------
Date Card B-1 Dalt Card B-1
-------- -------------------------- -------------------------------------------
Date Card B-1 Date Card B-1
Date 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 Walls (rat proof)
•- ------------------------------------------------ -----------------------
-------------- 43.. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
tingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. 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 Card B-1 Date Card B-1
------------------------
Date Card B-1 Date Card B-1
Date 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 -Meth. Protection
---------- -------------------
64. Bedroom Exitinq
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.
----.-...------------------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.- --A.C.-Duct in -Garage-Damper
--------------------------- ------
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meeh. Protection
75. Plb. Elec. & Mech Equip. Listed for Location
----------- ----------------------------
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
-- ----- --------------------------------------
7,. Insulation -Foam -Looked in Attic ❑ Yes
------------ ----------------------------- -
78.
- -----------------------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 ❑ Yes
Planters _❑ Yes ❑ No _
81. Stucco Brown -Finish
❑ No;
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. Ener Com fiance Certificate -Other Certificates
----- I------------------------------------
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:
COUNTY OF BUTTE - DEPARTMffNT OF PUBLIC WORKS
7 County Center Drive - OrovillA,, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
92-2335
ASSESSOR PARCEL NUMBER
071-430-042
ZONING
U
BUILDING PERMI
OWNER
SUSAN CHILDERS
TELEPHONE
695-1337
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
10330 LARKIN ROAD LIVE OAK 95953
CONTRACTOR'S
WAGNER
T695P H NE
1337
CONTRACTOR'S MAILING ADDRESS
10330 LARKIN ROAD LIVE OAK 95953
Fireplace
CONSTRUCTION LENDER
VNKNOWN
Total Valuation Is
LENDER's MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS SANDY SPRINGS ROAD OROVILLE
Permit tee
$ 20.00
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❑ Mobilehomen Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home
@ 15.00 ziq on
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑t Installation❑ Other ❑
Describe work: MH U..� _ _
Permit Fee
$ 60.00
Contractor
ELECTRICAL PERMIT
FiIingFee 15.00
Main service 200A OR LESS
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 Code and my license is in full force and effect.
License No.03a� Classification � �
El 1,
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
Main service 200A TO 1000A)
37.50
O 9 CC UP.
NEW CONST. ( DWELLING OR ACDNS. ACC, BLDGS. I/
3.60 sq.tt.
NEW CONSTR ULT' -OUT LET
NON•RESID BRANCH CIRC ITS
@ 5 00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 760
X. OCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA.)
I 3,00
Temporary service
15.00
Mobile Home Facilities
15.00 15.00
Misc. IlYirin g
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.
a 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
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 said County in consequence of the granting of this permit.
X ��� ?�► e.-U)off --J Date % 2-C12
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 $
OCC
CONST TYPE
TOTAL FEE $ 12 O
r,Az DFEES
IMP FL00
CDF
+�
PARCE PD
V
HD
IS
This permit is hereby issued under the
sions of the Butte Cou ty Code and/or
work indic abo or which fees
I OF PUBLIC
BY
PER XPI ES Date
applicable provi
resolutions to do
i
have been paid.
WORKS
Date -7-2-%9z
- Q 3—
Receipt No. 1173<<4
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
..--•a'Ear-•+..r'ho.'�r+�(•�n.,�.ly(--er-•1.I".'�.'�'�'r°'i"t3.�F�'i�►+w.�w•-a..-c-rtis..'L--^.-.-�.-.e.�� ai:.;:...::. n`
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
Cl2i'(ol e.r z .�
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 notify 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
t
Date 1 tel- 2_ Inspector
REV 11/9
`� �ti.;r;Ywt�-�r�—•,�•.ai'.•-r+t.".+x�="++-r'i!'.� •+�:3.X.�.' �r.;.:.Y�yw,.�3�F..,! .,� iia.,
. . COUNTY OF BUTTE
,y
DEPARTMENT OF PUBLIC WORKS -
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541. `
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
�F
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 notify this office when correction.of work.
_A
is completed. If you have any questions pertaining to this matter, or need additional explanation,
i
please contact this office immediately.
o +ezl
1
�l
-S
119(4'2
e2 e4 �14 e
/ /
'1 /i .s_AA( /D6 c 6 .,1. l� � G S -!`lam 4i' �lo/ ,�. x _
`: •�
jT
�!
!:/ 62 ell 1 nmoi- 5/ L
i/H3Mcc e� l
i^A/)mac
4
a
41
Date i Inspector
REV 11/91
I r .Ktsq,,.awgM1h�,�ft-•-•-•••- ---•• -.r•-- —i--,-••u.®.•� +'v".=R'�",.. ��'�'.�.i•rf.s �,,,*:F �-a..t7f:.tg1. �i+ti($R• •r R
COUNTY OF BUTTE
DEPARTMENT' OF PUBLIC WORKS
t 1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
r k b�1 < 9z - 2335
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Pleasenotif his office when correction of work
is completed. If you have any questions pertaining to thi ma er, or need additional explanation,
please contact this/office immediately.
&LJ4�1
r /
0/
dy L e- P, P -ev A—f � � 3 - O 6r Gc
i U e' N
>'�f• Zal4 -S
Date Inspector
REV,,/97
1h
i \
/ .,COUNTY OF BUTTE
w*�[aw•df�,s►,pa[91*S�IPT�+�i'C�� P�r'�" ii"' '�'�'►� �Y,"ld..fl' "�s�' ".Y_�1��.�rL�Fi"�iasY£��yigyp-r'�`n:,.�it�e+�i;,;��rJY"Y
r 17+7 +'-
r '
DEPARTMERIfi OF�PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE-, CALIFORNIA 95965 - TELEPHONE (916) 538-75
PERMIT :APPLICATION DATA SHEET
..; �j7/- X30-0�
OWNER (� y C; / L (� C j A. "
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 BY*
1. All items have been submitted . .........................................
ZVL 2. Plot plans, 3/4 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. I
�!5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings. R ,
8. Engineered truss details and layout in duplicate (required prior to plA check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ .......................................... i
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees.
Jar'Flood elevation letter (100 year flood) by California Engineer. ..
14. Sanitation and plot plan approvalQ&-a Health Department . ............ Z
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: . ........
/1& Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. .... L Z
20. Pre -inspection for Irednsp.cwn reque
O
require . to Building Inspector (Date
21. Contractor's license information. (No., Name Style, Classification) . .............. t
22. Certificate of Workmans Compensation Insurance . .......................... n
. Owner -Builder Verification (Given to owner ,Mail to owner_). .........:: �
4. Recorded copy of Agricultural Acknowledgement Statement. ................. -Z-
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 . ..........................................
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 thKM�?r2r
'ocess as follows: Mail g r. Mail to contractor.
Telephoneand hold for pickup atyK (J office. Deliver with inspector.
Other
Parcel Creation 11 ••,, y z�
AcreageApplicant W.14�CU�Cs4�1`� 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
1. Index permit for above items No. _
2. Additional items required:
permit issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, ower, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date? Z Plans approved by Qom/ Date:L�Z.-
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: Building Department
F$OM: Encroachment Permit Section
RE: Driveway Clearance'
7� —
owner location AP
Driveway permit e i, 4 has been issued for the above property.
ern
s'i ature date
y
TO Buildinq 'Departme::t
FROM: Environmental Health
SUBJECT: Sanitation Clearance
7 4'7
Owner oc tion
Plan Approved for: Sewage Disposal Water Supply R%e-11
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
G,p /V a, 2
Clearance for4 3 bedroom mobile home. Other
.r
NOTE �
_COrd�
Date
Sanitarian
Returrr to DPW AGRICULTURAL STATEMENT' OF ACIN0WLEDMMT
FOR RESIDENPIAI, DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement 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,,Rand residents
of this property may be :`subject .to incon- ACCEPTED FOR RECORDING
veniences or discomfort "arising' from the AT A.M. i
use of agricultural chemicals; �=�iiicluding,
but not limited to herbicides,spestcides, -
and fertilizers; and *
:.from'm-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 s 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- 1 •'` Mµ1~ art" ` �4
situate in the .County of Butte, State of California, described as
follows: Comm OMC4 AT 05 006I1Wr r C � t
QUARrE� v � �O' c'i1oNJ 2 ° oP06 SOunfwa5rT ur4k� p,F
�'�I't� ;E stX�t�f ��Qx9 JSJ �&tw AWAXr-THe UoaST LINE.
A Oil E o e ,
�1r z-rSourtf 89� yo °ASF
5Fh� DDiNT DF6iN,vi,c7T Cp�tri�u NPD1Pr�pu,�Q° '{r^epq,oF iV DE^Ri��iF,eO�I
i5 SAS►- 3ZV.7 �roeEoeY
7E�D ,N irsf►V ScKr�R.,pVlZZ;oF:.`.atea�%2EAsru`;,/E o�7N�Tc Fi27ii4r�7 �5/ r vz,0
e16 aGG�S 7n 5 7-6- ;ZrAw eIr 4+7W TVOell Mho�oA��utyg70 `F
)Diems• D ° ' FAST AcoN� Tr(E Exec , '�rOR6-E t91 �EIf�DS OF�rizl� Cov�vrY, (�l,/Fs���i TI�SX��
r �% ZS - ,- �'_ w;=.x �1 uNE 0=F S�q�O ,ems �ARCECf� �ISrA�I Off/ FST TD * A/,v7-
9thOlf 6�R5 5arri4 89° (/o .SS��i957RONSAI;rD ��t1roP6664A)V;A, 6 Tffe 3y k
a 5-W)eC o F 3z Y. Feer Po. ~: No,e�rf 89 ° 4!0 'S3" -,V6m -,si;
y % / /ltoRE Of'. GE�5,70 7��i� d F ,BE6r%UNi�S,-
/33 �OysRtiuGSc�U.
Date: PROP TT OWNERS 959/
State of ) On this the 10 day of 199 a,. before me, the
SS. undersigned Notary Public, personall appeared
County of
Isu s L, C h) I'd p,rc
Personally -known to me. 0 Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
OFFCi1SM ubscribed to the within instrument and acknowledged that
'FOGY L REED xecuted the same for the purposes therein contained IN WIT�I
SUMER COUNTY
REOF, I hereunto set
J Q WWCONKVWWSEPUW
Present A.P. No. -)-1 — J --
O`? (- z-130— 64Z
• � ESS
my hand and official seal.
ry Public
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
PERMIT N0. 2 3,306 r
Address or location of mobilehome 7 \�u.r js
Owner's name + r.3 ` s bL,e• S `%
Owner's address 1 ���� �Cc t 4'. R ! _ G
Insignia or hud numbers %6 ter
.y
Manufacturer's name C Nva u.* 49 -'4101 s
r
Serial number of V.I.N. S� � IZ Year
/off manufacture —L —
(Of -ficial Approving Installation) /(Date)
z
IF. THE MOBILEHOME IS MOVED OR. RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE.
s MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
51313Ir.,White,-'OwnerYellow Installer Pink D.P.W., 4 y
�s ��r. ...r. ia. _. .... ... 1 .rte _ _.+:_i' \, aKa. _. .. x.:._,:. ... .a .. .y� .�, ',4.a.., J.... ✓,a. a., .L .. ., .._. �..«. .. ... -. _..,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, Californla'95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
92-2336
ASSESSOR PARCEL NUMBER -
071-430-042
ZONING
U
BUILDING PERMIT
OWNER
SUSAN CHILDERS
TELEPHONE
695-1337
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
10330 LARKIN ROAD LIVE OAK
CONTRACTOR'S NAME
BILL WAGNER
TELEPHONE
695-1337
CONTRACTOR'S MAILING ADDRESS
10330 LARKIN ROAD LIVE OAK
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
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
SANDY SPRINGS ROAD OROVILLE
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❑ 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 ❑ Utilities ❑ Installation ER Other ❑
Describe work: 2 BLIRM
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
YJ 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. inti 3CZ3 Classification �- (
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 200A TO 1000A)
37.50
NEW CONST. DWELLING OCCUP.N\
OR ACDNS. ACC. BLDGS. //
3.6asq.ft.
NEW --ONSTP- ULT' -OUTLET
NO N.RESID BRANCH CIRC ITS
@ 5 00 ,
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup
OccU (OUTLETS
OUTLETS OR FIXTURES
20 76
Ex. Occup. OUTLETS P(RESID )FIXED APLNS. REA.)
I 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 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 said County in consequence of the granting of this permit.
X ��J09� e Lac Date _% - 2--51
Signature of Applicant — Owner❑ Contractor Agent Elsions
`�
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 $ 70.00
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 105.00
HAz DFEESIMP
FLOOD
�-
CDF
PARCEL
<�
PD
✓
Iss
This permit is hereby issued under the applicable provi-
of the Butte County Code and/or resolutions to do
work indicate bo f ich fees have been paid.
F PUBLIC WORKS
By T Date P -/Y- F
EXPIRES Date
Receipt No. 117344PERMI
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
« � :,, 6y•• 11)j � r ,y;rrlr ..i�Ps�'7t'Ea':i�'P. :�'�'r��r'i.,r?
C) NTY OF BUTTE, ' DEPARTMENT &*P@BLIC WORKS - BUILDING DIVISION
7 COUNTY CENT ERrDRIVE } OROVPtALIFbRNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER!S /V G {�L�1i f2- A P
-7/ 00
'Proposed Building Use W H- a Building Inspector Date Z Z
7 -
At time ofpermit application, I was advised the following -data must be submitted prior to permit processing and/or issuance:.
, ti 6 DATE RECEIVED BY /
1.< All items have been submitted. i..... `
2. Plot plans, 3/4 sets, signed by preparor 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.
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets.
0. Fees tf a >, ed..........................................
schedule
.............................. .
. Impact fees as shown on attached schedule . ........................... .
12. California Department of Forestry- plan approval/fees. ..................•:..i... .
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). . .
Pre -Inspection requ
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 , 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. .... .
. 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 permit process as follows: Mail tp qw er. Mail to contractor:
Telephon e ?S/� 37 and hold for pickup at _ (� !� office. Deliver with inspector.
Other
Parcel Creation ' A r /
Acreage Applicant �' �-� 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
1. Index permit for above items No. _
2. Additional items required:
'
(Circle newitem not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designers, er 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 - DEPARTMENT 6F PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-- TELEPHONE (916)5387541
OWNER A. P. NO. —290�
PROPOSED BUILDING USE /V/ AT / DATE �i 71 Z--=—
REC. # DATE REC
School Distric Fees `o �d �iy I - AS
(paid at District Office) ,,,,,,,,,,,,,,,,,,,,,,��2--
Sheriff Fees -
(paid at.Building Department)
/off zA 0
_ Residential ... ...._X36% _$?w- /-d 9D 7
unit amt.
Commercial(per sq.ft.) X =$
sq.ft. s amt.
Urban Area Fees
(paid at Building Department
Residential (per unit) X =$
# units amt.
Commerical(per sq.ft.) X =$
sq.ft. amt.
4. Recreation District Fees
(paid at District Office)
&5. Drainage District Fees
(Contact Land Development)
6. Other
7. Other
At time of. permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT DATE
145�P2-;-
11
s- -
BUTTE COUNTY DEPARTMENT,.OF PUBLIC WORKS
7 County Center Drive, Orov_ille, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: SA o, C ��
2. Installer's Name: MOb�(I -�,XQ QA)r- CA
3. Is the site currently under permit? Yes F No
(If yes, furnish permit number �d ��3,�.� ) OR
`Is the site an existing site? Yes F] No
(If yes, furnish two 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 Z No 1-1
(If no, clarify
5. What is the mobilehome electrical rating? --------------- Amps
6. What is the mobilehome site service rating? ------------- aCD Amps
7. What is the mobilehome site circuit breaker rating? ----- Amps
8. Is there any other electric load to be served by the
mobilehome site service? ------------------------==------ Yes Rr No
(If yes, identify the load and size: (Load) L%� (Amps)
9. What is the mobilehome site gas pipe size? ---------------
(in.)
10. What is the type of `as service? ---==-------------- Natural1:1 LPG FK
_ .. _ _. __ $ . . --- - -..- - - - - --.. - -
11. What is the gas pipe length from meter or tank to the ,
' �07
mobilehome?----------------------------------- - (ft.)
* 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.) BUTTE COUNTY
NEXT PAGE MUST BE COMPLETED TO PROCE�S"PER[�IILN APP WO TMj9&
E. D
Z
�L
MOBILEHOME SUPPORT DATA
If other than single.wide,
Mobilehome Mfr. C( y11 furclish Setup Model'No.
Width (ft.) Box Length by D (ft.) Tagalong or Expando Size,
Year 14 ? 2 -
ft.
ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. a 2. Other (specify)
SUPPORTS (check one) 1. Concrete block. ❑ 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
in Line 1
11n _— — — — Line 2
Main Beams
Line 2 • — _ — _ — — — — -� — — — — _ t.ine 2
• —. — — � Mato Beams
Tag or Triple
r Line 1
Line 1 Piers: Line 1 Openings:
Size -Min- Size -Min. ------------------
Spacing-Max -
-----------------Spacing-Max. Each Side of Openings
From Ends -Max. ------- '_ " With Width Over ---------
Line 2 Piers:
Size -Min. ----=-------
Spacing -Max---------- 5i- „ ✓//
From Ends -Max .-------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min -------------------
Spacing -Max- ------------
From Ends -Max --------------
Line 3 Roof Loads:
Size -Min. ------------
x ,,x ,k ,yx „x .1. „x „ „x
Location From Front)
Line 4 Piers: _ Line 5 Piers:.. .(Under Bearing Walls Only)_
Size -Min,------------ Size -Min-------------------
Spacing -Max ------ ,_ „ Spacing -Max ---------------- n
From Ends -Max.------- ,_ From Ends-Max--------------
A
Line 5 Roof Loads:
Size -Min. ------------
"x "x "x " "x "x "x " "x "x
Location (From Front) _ _ ,_ _ ,_ „ _ ,_ �_
�i"" �Y.V+���'�L��,`'� /` � '�C.h7`�l"3''�S'�a�C4i{�7!/'��C"�"�n`'�"aT�1"^�L�f%:5��3��aa:'�v,+A`�k+r�dtwne/'�"�}wa'��•5Ee�iYi►t.-'�"'�,''�
J BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District d�� — jlt Building Department No.
Cj 7
wo
O`t
A.P. Number- _ Jurisdiction (_ J City
am County
Property Owner
Property Location/Address B-3—
Subdivison Lot No. r
Residential Development Sq. Footage
No. of Living MHi Addition (Group R)
Units Ms .
coukMagl6wndustrial
BUILDING DEPT
0 Sq. Footage
New Addition I (Including Exterior
J U l 13 1992 r' Roofed -Areas)
r
7/1
rr l ,
c
Building De artment Representative Date .
(Floor Plans reviewed by School District Personnel)
District Identification No:
p s'
_School District certifies that
Qo"117.-AIA&U42,
- (Applicant)
i
(Street Address) (Phone Number)
(City) /T--------- ----- (State) -- (Zip Code)
has complied with the requirements of Resolution No. _ � 9 d by payment of $ (p0
representing —L-- _ square feet.
:
�eLe --=— -- - - ---------- 17-13-9a
School District Representative Date
Paid by Check Number�� _ Remarks:
Bank Number
Paid by CashG�/� -
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) feeformmkl (4/92)
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMNT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires
this acknowledgement be recorded
prior
to issuance of a building permit.
— —-- - - --
92-03,3445,
The
property described herein is adjacent
to
land or included- within an area zoned
I
for
agricultural purposes, and residents
Recorded I
of
this property may be subject to incon-
Official Records I
veniences or discomfort arising from the
County of I
use
of agricultural chemicals, including,
Butte 1
but
not limited to herbicides, pesticides,
Candace J. Grubbs I
and
fertilizers; and from the . pursuit
Recorder I
of
agricultural operations including,
3:01pm 24 -Jul -92 I
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
32-33445
Rec Fee 5.00
Cash 5.00
PUBL X 1
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: C;OMMOICin� AT THE 170P_'THW95T COUEP-D ' r 15 5ourffWebTQU'+ r5?�04-- -r96,tV,e*9)6--V
qunRTEr-o r sp"Lo sEc'rioa 2 -r4eNC6� 5=-9 000q ` 55_"69,3r gt0AXr7T?f6 W657' &W6 OF Sq' ":Z-cTi'o,J
J A OiSrJ�aeE OA4% (O�fc7. D Feer! �� Soetrtf g9° ,57 '1E /0!7 5& iEer _f_11eVC6 �SOO* p °iZ',
10 r z38 FEer To Tt+e rRtepDjNr o f✓,Be&;n
JAS �Sr 3ZS�.7 , ��,Wp,O&O0,,1;0 QE "
S0 PO11)T DFPE�rNAiVo�piT�ulNoJ`�'IWEsTA d/STE'o�13 F%Trti�J � + S>,7 9eF,1(
�— f, B6iy
r
Ei45r�sQC1i L�'aE oGit/�T c F/QTiflrtJ � O �A ,p B i.v
D �knMJatfN r�Ror �S�.. eT Ux� 7a cvE�voEu,�Ce�Zi Supp; ETux� P&T60TUn>� /9 /g7o. Va egMe&D
�UtV 8/ 1970 id FOOK /� ZZJ OF 6FF" `a ( 0760 k,-6, #-r Rr�
o r � 0 &15' 6q7 /t EC4t�05 DF�u� Covrvey, (/f�GiFO,eNi�i TliS/U�
AJoerc+0 �� ZS �JsraLoN�-rffE�As�ecyuAE OF 5�r0 /euPrO DArQC�C.A Di5�r,0�0r✓/3y AgZ7- X 19 Ai,07-
UJ_k if 6c-;AR5 5OLCH4 $ 9 0 �/D + S5_ Eff r FDii SAi p p010r0E% B G+NNi,OC-j Tffe4koNOet# gq ° e10',55-"(10657''4
Q 5VNCe O F 37 y I � 0J?O
A r: P. LE55,70 THV AiA O F �EGt,vNi�� / 33 S`Wd y Sl)iQiN6-6 LA),
6MRY Cg
Date: (, PROP TY OWNERS:
State of ) On this the ICS day of � � 199
1 Q before me, the
c ) SS. undersigned Notary Public, personall appeared
County of
c� -ear
Personally known to me. El Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
OFMAL SEAL ubscribed to the within instrument and acknowledged that
PEGGY�.REED xecuted the same -for the purposes therein contained. IN WITNESS
s NOTARY PUBLIC CAUFORNIA
SUVTERCOUNtY EREOF, I hereunto set my hand and official seal.
MY COMM. EXPIRES SEP. 8.1945
F0
Present A.P. No.���3 y
ry Public
-//— 3 END OF DOCUMENT
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