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072-200-039
�l 72- •-39 Loren Atkinson �•�+4 T E/S pri.dirt rd.,app.1000'S.of CD- Forbestown Rd.,app.350'E.of Old Olive Hwy, Oroville Perm #k 66 79P,E(util. ,MH) Gci ELEC . ^ 5 - a - GAS 3/ 3 SUPPORT tTRfJCTURE REQ. COMPACTION TEST REQ. Xj C2 ���/'�' -?dXI7f;20-39 Permit #267-79MHI - issued ��.-4, 7 j 72-20-39 Permit #1343-80B(new pri. e g g s arap� `72-20-39 Contr: Adams Mfg Homes, Oroville Permit#34391MHI(exi ting site Issued 072-200-039 02-2125 ATKINSON, LORAN 90 BARDOLINO LN., OROVILLE SCREEN PORCH (12'X 60'), COVERED PA (12'X 60') & REAR COV. PORCH (5'X 60') 072-200-039 0 ATKINSON, LOREN Esc ELI 9- 116 BARDOLINO, OROVIL CONT: SIERRA MHS EX MH PERM FND EX SITE l rot% NOTES RESIDENTIAL �P� --- -- - 072-200-039 02-2125 PERMIT NO.. _ ATKINSON, LORAN - - - 90 BARDOLINO LN., OROVILLE 1 SCREEN PORCH (12'X60'), COVERED PATIO (12'X 60') & REAR COV. PORCH (5'X 60') L SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) ✓� .r Signature CHECKED BY - 4 O 0 = Not OK = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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 B. 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) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 . Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-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 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 5. Stemwalls, Main; Steel-Blockouts-Wrapped 50. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 7. Slab, Steel -Wrapped 52. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Property Line Firewall & Openings 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 54. 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 13. Plenums & Ducts; Clearance -Material -Support -Ins. 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 57. 15. Access & Ventilation 16. Insulation Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 61. Brace Interior/Exterior Wall Panels 17. Water Htr.; Vent -Access -Combustion Air Baffle 62. 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access Card B-1 Date Card B-1 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date 23. Fire Sprinkler; Test 64. 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 Bedroom Exiting 25. Elec. Receptacles Spacing -Lights & Switches at Doors 68. 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Elec. Trim & Subpanel, Breaker Sizes & Labels 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 70. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 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 All Insulated Neutral ❑ Yes ❑ No Elec. Outlets at Wood Panel, Int. & Ext. 32. Service -Riser Conductors & Ground Main Disconnect 73. 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light Elec. Outlets & Receptacles at Kit. Counter 35. Smoke Detector 75. Garage Fire Door; Swing -Landing -Closure Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 78. 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation Elec. Receptacles in Garage (F.F.I.)-Romex Protection 38. Condensate Drain & Overflow, Size & Grade 80. 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 Following Instld./Drive ❑ Yes ❑ No/Walks O Yes 11 No/Planters O Yes ❑ No 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 84. Stucco Brown -Finish 43. Bearing Walls over Girders & Floor Nailing 85. 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 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 ❑ Yes ❑ No/Walks O Yes 11 No/Planters O Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT o2-2125 ASSESSQgTC�6U39 NING FR_10 BU I LD I NG P ER M ITE OWNERAtkinson, Loren TELEPHONE SQ. FT. OCC. BUILDING VALUATION 168 R 9072-00 OWNER'S MAILING ADDRESS 116Bardolino Oroville CA 95966 552 C 7176.00 CONTRACTOR'S NAME TELEPHONE 720 C 91C10-00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 29,5Q8 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 284.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 184-91 BUILDING ADDRESS 116 Bardolin0 Ave Energy Plan Checking Fee $ $ PERMIT FEE $489.43 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 21 7.00 14.00 USEOFSTRUCTURE , SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 12x60 screen porch 12x60 Cov patio'5X60 cover porch Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMITFEE S 94,00 ELECTRICAL PERMIT Fling Fee 20.00 aOOV OR LES Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: E' I, as owner of the property, or my employees with wages astheir 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO I000A 46.00 NEw CONST. DW ING OCCUP. OR ADONS. ( a ACC. S. SO 25 • 20 3.5¢,T: µq ONST MULTI -OUTLET Qa 7.50 PSOWERINAPPARATUS a GLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES 20 @ 1.00 BAL @ .50 Ex. Occup. oFUTELETS R6 &) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 45, 2Q MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. IF-- X C. --I z -% c ... _ Date 7 " 3 — ff% Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionZ of structures over 3 stories in height 3 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 628.61 HAz. D IMP FLOOD COF PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �]D e 7 �� Da Receipt No.�71 WHITE-D.D.S.-B.D. CANARY-ASSE OR PINK-INSP R GOLDENROD -APPLICANT e V4 , �►� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA '95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: A -� kz ,[ I C. n—" ASSESSOR PARCEL NUMBER �- 00 Proposed Building Use: 1gV C�NL' D. �' Date: g , 6 a p g . 1-1 & /P � Counter Technician: Items required in order to apply f r a permit. Aff boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed ,�y the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation 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 -signed by 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. 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of t e following items.) (IF5. . ees as shown on the attached Schedule of Fees Due Sheet........... ........................... C=a� Statement of Intent for Non -heated and A/C Buildings ............................................. S anitation and plot plan approval from the Environmental Health Department in �� pU-(, jj ity of Chico Plumbing permit .......................................... oacel 18. California Department of Forestry plan approval paid. Sent. by:r❑ 19. Planning approval for (A) Use: c:� I C- (B)Parking: (CCheck: 8-7 3- 02 ❑ 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) ...................... . Worker's Compensation Carrier and, Policy Number ..............:.............................. 2 . Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 6. Letter of Signature authorization ...... :.................................................... ......... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 3 ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ '.y . ther: en issued Telep one ® d hold ck I have been informed of the above items and requirements for obtaining a building permit. {Applicant: Can,,,. 4V1,,,.so•i (ge: 1. Index permit application for the above ' msbered: Plan Check Letter 2. Additional items required u d '( ontrac designer, owner, was advise cf e ab ve d byo e, ❑ mail, ❑ counter, by Date: _ ract designer, owner, was advised of the abo data y ®'phone, ` ❑mail, ❑counter, by _Date: Z� Plans reviewed by: Date: Plans approved by: � Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division E.H. USE ONLY �j Plot Plea Attached�— Flea Poor PLO Anaclad sent to 8.0. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Clearance for dwelling. "Other Water Supply: Well Hold final for: Finalclearance O.K. for: NOTE: _.. / 411 nvironmentai Health Specialist Date 8/96 PO OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearingyour sigtsfp m Please complete and return this information at your earliest opportunity to avoid unneoessarYideisy in processing and issuing your building permit. No building permit will be issued uUM1:this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed 0property improvement: YES ❑ NO ❑ 1HAVEE3 HAVE NOT ❑ signed an application for a building permit for the proposed WO& 3. I have contracted with the following person (firm) to provide the proposed coastrxtiors: NAIME: -.. td DRESS: PHOT I plan to provide po–rtien4 supervise, and provide the NA�NIE: ADDRESS: COr"TRACTOR'S LICENSE of this work, but I have hire a following person to coordinate, PHONE:ONTRACTOR'S LIC NO. 5. I will provide some of work but I have contracted (hired) the follo persons to provide the work indicated - NAME ADDRESS PHONE TYPE O OjtK SIGNED: �. PROPERTYOWNER:�— -� SOCIAL SECURITY NUMBER. DATE: -�� –0 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 ode California Health and Safety Code. This verification must be eompla ted and returned to our of tce before we are permitted to issue the permit OVER �- OWNER BUIL' DER INFORINIATION . Dear Properr., An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible patty of record an such a permit. Building permits are not required to be signed by property owners unless they are personally performing'their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work. with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ if you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Govemments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Intemal Revenue Service (and, if You wish, the U, S. Small Business Administration). For more specific information about your obligations under Stace Law, contact he Department of Benefit Payments and the Division of industrial Accidents. If the struca:re is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Infbernation about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 10:0 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I4N,Iger. ly, C. Vi ira, C.B.O. Building Inspection ` 1 ` NOTE: Tris Owner -Builder Information is required by Section 19830 of the California Health and Safety Coda OVER BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per. Building) School District n& V , t Uu r p,J H) c �� Building Department No. A.P. Number �%2 -. pp — p 3 q Jurisdiction: ,City County ,Af Property Owner. d r nJ /�� lC i nJ S 0AJ Property Location/Address r p '1 4 e, �i nr U J Subdivision Lot No. ................................................................................................................. : Residential Development © € Sq. Footage jp S No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection):: Commercial/Industrial II New Addition Building Department Representative reviewed by SCnooi District Personnel) District Identification No. S n -)'IQ Sq. Footage (Including Exterior Roofed Areas) $-29—oZ Date CJ V 6,1 k\:T_ RLI Q V -Y\ School District certifies that (Applicant) t t to (� e_n .�-r-' t..o,_. _ SX °1— x.5'1 `E .�r*. �»• -v+ (Street Address) (Phone Number) 9591. to (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing b g square feet. ,. e School District Rebregentative by payment of $ AB 2926 $ FULL MITIGATION S g-3p—oZ Date +� Paid by Check # �� Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), 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.As. It0/981dmm 1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 A SCHEDULE OF FEES DUE t OWNER PROPOSED BUILDING USE --4iLf 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ �— 2. SCHOOL DISTRICT FEES 0C i J „rte (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 A.P.# -72—rv`ZL'""O3 DATE RECEIPT # DATE C. 3� , 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. 6/00) t ' NOTES RESIDENTIAL 072-200-039 02-2674 PERMIT NO. —. ATKINSON, LOREN & EMILIA 116 BARDOLINO, OROVILLE CONT: SIERRA MHS EX MH PERM FND EX SITE THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2 STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS. SUB -STANDARD HOUSING LETTER zs� JOB FINALED (D e Signature J=OK 0 = Not OK s = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except ff's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / /'Nat. or/ P' L "ft./ P LPG 7. 7. Well Clearance & Disconnect 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card 6-1 Date Card B-1 Date Enclosure; Fencing -Alarms Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) ' Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water.and Sewer Connected 8. Gas and Electricity Tagged 9. Exits ' 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 p2z7urs 0 Z¢ 7 - Z MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn,; Posts-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 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Date 16. Insulation 47. Hangers -Post Caps -Anchors -Connectors 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 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 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 Date 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 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 O 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 71. Fireplace or Stove, Clearance -Hearth 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- Purl in -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 O Yes _ 83. Following Instid./Drive O Yes O No/Walks O Yes I] No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 j�o• (Rev. 12/96) APPLICATION AND PERMIT �I ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE OWNER'S I 0 116 BARDOLIND, OROVITLE, CA 95966 SO. FT. OCC. BUILDING VALUATION 720 38,880.00 CONTRACTOR'S NAME I34-0599 TELEPHONE CONTRACTOWS MAILING ADDRESS 466 CTRO.E. 01ROVILLE, CA 9_5966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 38.880.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 171 50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 914-50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 15,00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH PERM END EX STTF. Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my I:cense is in full orce and effect. ?© 3�` u License Class Lic. No. ( OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. OR ADDNS. ( 8 ACC. .LOS. SO 3.50FT. ONST NON-aESIDMULTI.OcugW (97.50 FOWEA APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. ourLEroRFocruREs en0 (9 1.00 Ex. Occup. oFIxLITeEors R DOER 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre-Inspecton 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 erformance of the work for which this permit is issued. 0 I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. M)' workers' compensation insurance Carr .r and policy number are: Carrier -u^4� Policy Number - !/.Z S-7 (The above sections need not be completed if the peimit 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 employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th se provisions. _/ l / / Z X Date 1 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction��,�} of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 264.50 HAZ. D. FEES IMP FLOOD CDF PARCEL HDJ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. � q 30 2- By (/" '� Date PERMIT EXPIRES ONITE•D.D.S.-B.D. efe rReceiptNo. 363793 $264.50 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7 !3 ` c�Lv� R APPLICATION AND PERMIT �1 ASSESSOR PARCEL NU1lOI Q� (, - c��j� D°NMO BUILDING PERMIT TLaoNONe SO. FT. O BUILDING VALUATION OWNOii ,N.Ab S ° AN CO _R'S NAAM�G '=77 =1 0-6-2) C� Sri Co Co CONSTRUCTION LENDER LENDER'S 1 ULING ADDRESS ARCNITECT OR ENGINEER ARCMTECT OR EMGNEERV MAILING ADDRESS aUIDNG ADDRESS 1 L 1 I I I LOT NO. I SLMONISIDNs NATE CTURE SF ❑ Duplex ❑ Mobilehome C�( Other �! ePEcsv / TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: _&,,� M-Y� /)- YX`i\ - PERMIT FEE PAID $a SRA $ , SHERIFF PARCEL. MAP NO. Fireplace PERMIT FEE = JU Total Valuation S Filing Fee 20.00 Main Service Filing Fee S 20.6c Permit Fee �✓ 3 oZ b !J Plan Checking Fee b OR ADONS. Energy Plan Checking Fee E MW Gom 1..' NOWRFSIO. -►/ULTFOUTLET MUNCH Ewmffm � S MECH PERMIT FEE $ Heating PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 8.50 23.00 Water piping 15.00 — Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer I 15.00 Mobile Home I S I G I W I I I Q20.00 Ex. Occup. PERMIT FEE = JU ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2000A o�R LLESS 23.00 Main Service "" TO LOOOA 48.00 NEW CONST. DWELLNO OCCUR3 5¢s0. OR ADONS. A ACC. aLOS. FT. MW Gom 1..' NOWRFSIO. -►/ULTFOUTLET MUNCH Ewmffm � 07.50 Ex. Occup. OUTLET OR FORURES 9Z .50 '— Ex. Occup. oFD¢Ds 61o.OEA 5.00 I Temporary Service .00 I Mobile Home Facilities 20.60 Misc. Wiring 23.00 r PERMIT FEE _ MECH PERMIT Fling Fee 20.00 ' Heating CoolingI Hood 8.50 Ventilation $ PERMIT FEE f OTHERMobae Home Installation Fee i Energy Inspection Fee t occ CONST. TYPE TOTAL FEES p� U 11AZ O. FEES WP FL000 COF PARCEL PO 10 LAv ^� ^ y This permit is hereby issued under the oluticcable provisions )� of the Butte County Code end/or Resolutions to do work C AMOUNT - RECEIVED $ Indicated above for which fees have been paid. ;. ..' .. =• . By Date RE /-EIP'T_ # , PERMIT EXPIRES ON ""?:T �?`.. "af + w+y'.. _'.a '.. �. „Sa: CaYa, %c�`'�:..'�'.��t•"li� .. .... _,1 'F •.; COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 Q PERMIT APPLICATION DATA SHEET OWNER: 1 ASSESSOR PARCEL NUMBER 1, Proposed Building Use: Yy, Vn�s(� Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR masked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed,)&y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 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. ❑ 6. Manufactured homes: (A) Data sheets and installation 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 -signed by 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. 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... O1. Encroachment Permit for driveway from the Public WorkzsDept. (construction approval prior to occupancy). re -Inspection for �( (V\ ft /'jPyrn �—r required ................ 23. Contractor's license information. (Numberl Name Style, classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance.............../.ette.r. ........L ............................ ❑ 29. Existing violations and/or expired permits ......... .....................i.�.......... ❑ 30.Itfieer... rant Deed, q Iv,LH. Title/Statement of Facts, from egal OwneCheck to H.C.D. $ ❑ 31. ' ,q e2i When issued Telephone 7 - and hold for pickup. I have been informed of7z; e items and requirements for obtaining a building permit. ( le Applicant: Date: / Z Sz- 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the abo e d a by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: % 6'Z— Plans approved by: mate: 62, Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Divisinn REQUESfi FOR INSPECTION Permit No. location: �A����il�i1 J • • Comment: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Pipinglrest Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Vent Utilities Woodstove Sewer Piping Well Circuit x Mo i e Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Corrections Corrections Corrections Light Niche Final Final Final Corrections llnspec.on: Ready for Final Date: 9/,-) 6 Call Ll Phone: PRE -INSPECTION REPORT OWNER. 4in -J LOCATION: �� LP �Gyz)b& -ty f CONTRACTOR: d/ o , C PRE-INSPETION DATE: A.P. #• U-� 1SL �� ZONING: DATE TO INSPECTOR: PERMIT HLSTORY:( ) NONE (YAS FOLLOWS:' BUILDING INSPECTOR'S REPORT Building Description: Conunercial/Usage: Residentiall# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Electric currently On Off e Condition of Electric Gas: Natural Propane — None. Obvious Problems: Currently On,._ZOff Sanitation: Plumbing Working Well Working , Potable Water Obvious Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Date Sketch buildings on reverse and indicate location on pfopert.i 72-39 i l� Loren Atkinson 5S;V o E/S pri.dirt rd.,app.1000'S.of QD- °" Forbestown Rd.,app.350'E.of Old Olive Hwy, Oroville n L' I Peudt # 66 79P,E(util. ,MH) C_¢Q�(/ ELEC . 5 GAS 3/ 3a SUPPO T tTRbCTURE REQ. IU Z? COMPACTION TEST REQ. Ajt2 7 0" wb?/�O1%1*7Z-20-39 Permit #267-7914HI issued -4, 7 q 72-20-39 ermit #1343=80B(new prig^�ge) ----- --- -,---9 ---- --- % -72-20-39 Contr: Adams Mfg Homes, Oroville Permit#3439lMHI--((Dexi tin site Issued 072-200-039 02-2125 ATKINSON, LORAN 90 BARDOLINO LN., OROVILLE SCREEN PORCH (12'X 60'), COVERED PATIO (12'X 60') &t REAR COV. PORCH (5'X 60') v 60, ,(6o' tl\ M;P T9 IQ ilb 6A9VOL(No 6(,6 lc C ysS6L 07)-- 200 o3g 6 1"96` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 o�Co PER IT No. v.i Re'2/46) APPLICATION AND PERMIT �.1 ASSESSOAPARCELNUMBER , 0 1 - d- U b . 0--�)9 DON04 BUILDINGPERMIT TELOIIONE li�,�'�•� t o— SO. FT. O 11i BUILDING VALUATION V\ V(� (� YD CO A's NAPE CONSTRUCTION LENDER LENOERS MAILING ADORES/ ARCHITECT OR ENGINEER LICENSE AACWTECT OR ENGINEER'S MALNG ADDRESS euaDl+G ADDRESS LOT NO. SueOIvsION7 NAAE PARCEL ;Other OFSTRUCTURE SF ❑ Duplex O Mobilehome sPECFY TYPE OF WORK New ❑ Addition ❑ lRemodel O A UMlities O Installation O Other 11� Describe Work: Jt�X /V\ (VAI C PERMIT FEE PAID $. r/ SRA $, SHERIFF CIS 0-6�. S 0 Fireplace PERMIT FEE t JV '— Total Valuation Is Filing Fee 20.00 Main Service Filing Fee S 20. c Permit Fee 5 3 oZ s L Plan Checking Fee s Msc. Wiring Energy Plan Checking Fee s $ PERMIT FEE s MECH PLUMBING PERMIT Fling Fee 20.00 ' Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 8.50 15.00 Each gall water heater or vent 15.00 Gns piping system 1 - 5 outlets 15.00 Building sewer 15.00 Nbbile Home I S I G W §20.00 OTHER $ PERMIT FEES Moble Home Installation Fee $ Energy Inspection Fee 11 occ OONST. TTPE TOTAL FEE = N� NAz D. PEES IMr P-11 CDP PARCEL PD This apermit Butt b hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work AMOUNT, RECEIVED $ Indicated above for which fees have been paid. ..:..4y'.:�..::•.:.:.......... I BY Dow RECEIPT- PERMIT EXPIRES ON A1/rI PERMIT FEE t JV '— ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo o�R LLEN 23.00 Main Service 200A TO IOWA 46.00 NEW CONST. OR AODNS. OWELUNO OCCUP. A Ann N no so. 3.5t— OTHER $ PERMIT FEES Moble Home Installation Fee $ Energy Inspection Fee 11 occ OONST. TTPE TOTAL FEE = N� NAz D. PEES IMr P-11 CDP PARCEL PD This apermit Butt b hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work AMOUNT, RECEIVED $ Indicated above for which fees have been paid. ..:..4y'.:�..::•.:.:.......... I BY Dow RECEIPT- PERMIT EXPIRES ON A1/rI EX. OCCU . OUTLET OR FIXTWES 200 1'00 IIAL 0 .00 Ex. Occup. D �Ee 5.00 Temporary Service 00 g Mobile Home Facilities 20. Msc. Wiring 23.00 PERMIT FEE _ MECH PERMIT Fling Fee 20.00 ' Heating Cooling1 Hood 8.50 Vwn}ilw tion OTHER $ PERMIT FEES Moble Home Installation Fee $ Energy Inspection Fee 11 occ OONST. TTPE TOTAL FEE = N� NAz D. PEES IMr P-11 CDP PARCEL PD This apermit Butt b hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work AMOUNT, RECEIVED $ Indicated above for which fees have been paid. ..:..4y'.:�..::•.:.:.......... I BY Dow RECEIPT- PERMIT EXPIRES ON A1/rI V O . d z 0 p v G 6r N ` r co 70 P7 C 6 • � z 0 p v �• � N z 0 p v 11�/b.5/�bVJ� 10:1:2 E 111EL 1 I Y NH 11 UNHL I I I LE UKUV 1 LLE 4 b,54070U 1 ' Fidelity National Title Company OF CALIFORNIA. Sierra Mobile Service c/o Arn: Toni Via Fax 534=0709 Toni DATE: October 3, 2002 ESCROW NO: 102970 -CC PROPERTY ADDRESS: 116 Bardolino Lane, Oroville, CA 95966 NU. 00b W01 As per our phone conversation regarding the unit located at 116 Bardolino and the legal owner showing on the title search: Bank of America is now GreenPoint Credit and the demand is in -our file and will be paid in full upon close of escrow. I hope this letter meets your needs for the purpose of installing a permanent foundation system under said unit. Please feel free to call me should you require anything further. Sincerely, LWS �Q Cindy Costa Escrow Officer YT enclosure(s) RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 07 -Oct -2002 2002-0052443 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LOREN R. ATKINSON AND EMILIA E. ATKINSON REAL PROPERTY OWNERILESSOR 116 BARDOLINO MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CITY " COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUN'T'Y STATE ZIP 02-2674 (530)538-7541 B ING PERMIT N TELEPHONE NUMBER r. 0-4-02 SICNATURfOF LOCAL A Y 0/FICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SKYLINE 1981 HILLCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEJNUMBER 02740217R 60X 12 227099 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 072-200-039 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. . --r-_- t � r _._ .♦ �. ..Y- fir' �- .. .. FOUNDATION ' SYSTEM s 'CERTIFICATE, OF OCCUPANCY BUILDING PERMIT NUMBER: 02-2674 Address or location of unit: 116 BARDOLINO, OROVILLE, CA. 95966 Legal Description of Real Property: A.P.# 072-200-039 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: LOREN R. AND EMILIA E. ATKINSON Owner's address: 1116 BARDOLINO, OROVILLE, C. 95966 INSIGNIA OR HUD NUMBER: 227099 SERIAL NUMBER OR V.I.N.: 02740217R MANUFACTURER'S NAME: SKYLINE YEAR: HILLCREST OFFICIAL APPROVING INSTALLATION• . n 1`4,zvl� DATE: PHONE: H.C.D. 513C 10-4-02 (530) 538-7541 J EXHIBIT "A" ORDER NO. 19930-0 All that certain real property situate in the County of Butte, State of California, described as follows: Lots 3 and 4, as showri•on that certain Parcel Map of a portion of Section 17, Township 19 North, Range 5 East, M.D.B. & M. which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, December 10, 1976!in Book 60 of Parcel Maps, at page 22. TOGETHER WITH a right of way for road and public utility purposes 60 feet wide, through Lot 2 of said Parcel Map, as shown thereon. ALSO TOGETHER WITH an easement for road and public utility purposes through the North one-half of the Southwest one -.quarter of the Southeast one-quarter of Section 17, Township 19 North, Range 5 East, M.D.B. 6 M. and all that portion of the Northwest one-quarter of the Southeast one-quarter of said Section 17 -lying South of the centerline of the Orovi1le-Forbes town Road, as said road existed April 6, 1960; and more particularly descirbed as follows: Commencing at a IS inch diameter iron pipe with.brass cap marking the Southeast corner of Section 17 Township 19`North, Range 5 East, M.D.B. 6 M.; thence South 894 48' 04" West along the South line of said Section 17 a distance of 2,614.16 Leet to a 1 inch diameter iron pine tagged RCE 11128 marking the,South one-quarter corner of said Section 17; thence North 27 461.27" East a dis- tance of 744.14 feet to a point on the North boundary of the South one-half of the Southwest one-quarter of the Southeast one-quarter of said Section 17 and the true point of beginning of said easement fot road and public utility purposes, 60 feet in width lying 30.00 feet on Bach side of the following described centerline; thence North 15 45' 48" East, a distance of 15.57 feeii-to a point of tan- gency of a 150 foot radius curve to the left; thence along the arc of said curve through a central angle of 56 02' 30", an arc dis- thace of 146.72 feet; thence North 39° 16' 52" West a distance of 162.10 feet to a point of tangency of a 150 foot radius curve to the right; thence along the arc of said curve through a central angle of 390 09' 00" an arc distance of 102.49 feet; thence North 0° 07' 52" West a distance of 493.04 feet to a point of tangency of a 150 foot radius curve to the right; tgence along the arc of said curve through a central angle of 16 41' 00" an arc dis- tance of 43.68 feet: thence North 16° 33' 08" East a distance of 186.65 feet to a point of tangency of a 1:0 foot radius curve to the left; thence along the arc of said curve, through a central aggle of 17 13' 00" an arc distance of 45.07 feet; thence North 0 39' 52" West, a distance of 279.17 feet to a point of tangency of a 1,000 foot radius curve to the left- thence along the arc of said curve, through t, central gngle of 16 03' 00" an arc distance of 18.33 feet; thence North 1 42' 52" West a distance of 264.2 feet to a 1 inch iron pipe tagged RCE 11128 which bears North 44 16' 45" West, a distance of 3,339.03 feet from the Southeast corner of said Section 17; thence North 1 42' 52" West, a distance of 30.2 feet more or less to a point in the centerline of the Oroville- Forbestovn Road and the end of said easement. Excepting therefrom that portion thereof lying within Lots 3, and 4 of a Parcel trap filed in the office of the Recorder of the County of Butte. State of California, on December 10, 1976, in Book 60 of Parcel Maps at page 22. o: 0 iV Said easement is for the benefit of and appurtenant to Lots 1, T 2, 3, and 4 of a Parcel Map filed in the office of the Recorder CA of the County of Butte, State of California, on December 10, 1976, � in Book 60 of. Parcel haps at page 22, and shall inure to and may be used by all parties who may hereafter become the owners of said property." I �D pfDOGkll�ii is ' Fidelity National Title Co OF C.ALIFORNTA m an y Sierra Mobile Service DATE: October 3, 2002 Toni Via Fax ESCROW N0: 102970 -CC Via Fax 534=0709 PROPERTY ADDRESS: 116 Bardolino Lane, Oroville, CA 95966 Toni As per our phone conversation regarding the unit located at 116 Bardolino and the legal owner showing on the title search: Bank of America is now GreenPoint Credit and the demand is in our fife and will be paid in full upon close of escrow. I hope this letter meets your needs for the purpose of installing a permanent foundation system under said unit. Please feel free to call me should you require anything further. Sincerely, Cindy Costa Escrow Officer TT enclosure(s) 455 Oro Dem Blvd. S A • Orovilla, CA 95965 • (530) 533-5511 • FAX (530) 533-1526 DCT -04-2002 ©4:01 Pr -1 S 530 755 0593 P-02 AMERICAN MORTGAGE 1290 Lincoln Rd., #3 Yuba City, CA, 95991 October 4, 2002 Re: Properties at R1md 116 Bardolino, Oroville Dear Bill Reid: I am the mortgage broker handling the loan for the purchase of the property at 116 Bardolino, Oroville. Upon the completion of the 433A and close of escrow, all existing liens will be paid in full with the new purchase money first mortgage. If you -need any additional information, please call me at (530) 755-0890. Si a ly i Mark Doering Loan Officer STATE OF CALIFORNIA i3USINESS, TRANSPORTATION AND HOUSII`G AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT a, 3 DMSION OF CODES AND STANDARDS' - ;r REGISTRATION AND TITLING PROGRAM`S STATEMENT OF FACTS This unit is a: 0 Mobilehome 0 Commercial Coach ED Floating Home 0 Truck Camper Decal (License) No -(s) LAC4875 I/We, the undersigned, hereby state: Trade Name Hillcrest Serial No.(s) 02740217R Decal.# LAC487.5 for the above mobilehome has been lost. 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 perjury that the foregoing is true and correct. Executed on Date) (City) (State) Signature(s) Printed name(s) (N+L`1,fk&%- 6 4F t9 Address City n-¢_ee , State HCD 476.6 (REV 9/91) Recorded at ft tfua-d o1 '`.:r.DTO1��HLJEST8Rt1-Ti•TLe.-6(�#�F1F— Return to _,Loren R. Atkinson I �7 � r,o...iss3a-n— OFFICa.L FECDRDS BUTTE C0UNTY-'.-'L1 RECORDSRE01.4 TITLECOMPANv kR 18 1034 AS 1978 LOUISE P.::1:4I:Ln LOUNTYRECOR;'EF 361" FEE - Gmnt Deed twm T . "s t THEODORE F. SALADIN i IRENE SALADIN, husband S wife; For vohae teoelved and BARD W. SALADIN i SHARON SALADIN, husband i wife, as Tenants in Common GRANT...-.- to LOREN R. ATKINSON i EMILIA E. ATKINSON,* husband & wife as JOINT TENANM all Oat teat P WNIY shum M *a unincorporated area of the CW" of Butte . Slote of C* Maniar da -11 m ifofloant SEE EXHIBIT "Aa ATTACHED HERETO AND MADE A PART HEREOF OF CnL.TFORNIA—+ i (-'rt NTY •J ., F_ S-.- Serbs �a iy SS "wa- r 15th, 1978 G•. unrM.iRneA, • NeurY Public M and for acid Garry and Stara. penaft,:Iy appeared -ad- .Ir an& -SIT a •• _ knoetf N ate to he th, perwan -ffl- ._who.e name_ _ .—auh-rilwd w Ike within hwarurnmt and seknowkdtnd fhat_Lbay___rserated the name. Name' (Type w Printed) Notary Public in and for said County and State Send tsa atatemw 1 to return address above In daye. sur �tss FOR NOTARY SEAL OR STAMP iv -:YM IA DCNk7T ! ._--- _................... TAk�ron -_..._..._._.......... a a in AA A 1 ..... O+aIM at .—_..Butte a _.,,-.__......_.... ............ .... ............ a fbtwy IubIR in wait. tatd am" and Stria.+waondir attpwrd ..__.__.._........... �.._..__.�.._. d.eswm w ars Va 11" Aes +oraaa......_... tales ars........_ W AMAnd • ae Within arrnnr . and atbewtadyoawas thw.....les..._ asoarlid In ales, I DOCUMENTARY TRANSFER TAX s .... A..25 ......... ...• 'CYJNS • I C; Cornputed an Full Value of f'rope ty Conveyed or: LIFOPNIA i 11 IN ❑ Computed on Full Value len Loins and "u •i Encumbrances Remaining Thereon at Time of Sale. auNn .......................................................................................................... ............... Signofu of daelorant or apoat date mining Tat • Finn Name Notary Public Nortbwestern Title Company of Butte County • HCa •'HD0TRS / SRCT O STATE OF CALIFORNIA • SUSINE89, TRANSPORTATION ANO HOOUBIN,G AGENCY ._ DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Oivision of codes *nd StOrtetal'ds Title Search Date Printed : 04/25/2002 Decal #: LAC4875 Manutacturer: 90002 SKYLINE HOMES Tradename: HRLLCREST Model: 4806 Manufactured Date: 09/ 1011981 Registration Exv: First Sold On: 09/15/1981 Serial Number HUD Label / Insignia 027402178 227099 Registered Owner: •alb _,..> »..,,� ... -- CRAY DAVIS, Governor • ,i81NG 0 Use Code: SFD Original Price. Code: ADX Rating Year: Tax Type: LPT Last ILT Amount: Date 111 Fee Paid: ILT Exemption- NONE Length width 60' — 12, LOREN .R ATKINSON ENIILIA E ATKINSON (Joint Tenants with Right of Survivorship) 9251 WOODLSAF STAR RT OROVILLE, CA 95965 Last Title Date: 09/07/1999 Lost Reg Card: 10/21/1985 Sale/Transfer Info: Price $16,875.00 Transfermd on 09/15/1981 Situs Address: 9251 WOODLEAF STAR RT OROVILLE, CA 95965 Situs County: BUTTE Legal Owner: BANK OF AMERICA PO ax 8015 RANCHO CORDOVA, CA 95741 Lien Perfected On: 16/01/1985 12:01:00 Title Searches: FIDELITY NATIONAL TITLE 475 ORO DAM BLVD SUITE A OROVILLE, CA 95965 Title File No: 102812 -SL * * * END OF TITLE SEARCH * �" .PERMIT NO. 1343-80B PERMIT EXPIRES 3-/ 3 / �+ Loren Atkinson OWNER CONTR. ower 72-20-39 LOCATION (A.P. ) E/S pri.dirt rd.,app.1000'S.of Oro -Forbes - town Rd., app.350'E.of Old Olive Hwy, Oro. Temp. Power Pol Called PG&E Temp. Elec. Sery Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signal ') COUNTY OF BUTTE — DEPARTMENT .OF PUBLIC WORKS BUILDING INSPECTION RECO-RO BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish t N 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathingy Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. i Heaters Slab Carport Footings Slab Prov. for physically handicapped Conformance of ex u Final Appliances Gas Piping &Test Temp. Gas Sanitation Patio FI EP J6ACE Final Footings Footing ELECTRICAL Masonry. Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatin Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPUCATON AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentionedpropertyfor inspection purposes. /� tom. l 1 Date-\Y-P'D Signature of Permitee or Agent Receipt No. � G �Y White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC PUBLIC WORKS BYDate -7- 7 (p O u (ding permit expires Date BUILDING Owner Z_ aa,, �i-, T SQ. FT. OCC. BUILDING L ATION O Mailing Address V67-15-1 r Telephone No. Contractor ' Mailing Address Fireplace Total Valuation Telephone No. Permit Fee 0-© �, Address , o Plan Checking Fee &/or Penalty 4t"14Building Permit Fee p i !1`OD D— PLUMBING No. @7 FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 G A. P. No. — v'Z 0 — / ,, Zang & Planning Water piping 1.50 Each gas water heater or vent 1.50 Qp,s I &.-C. Safi tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Par'ng Plans Parcel Declaration Parcel Map 60' /W Improvements Each additional outlet .30 Building sewer 5.00 � � Bldg. � Rec'd Parcel.AEproval Plans Appr al Lawn sprinkler system 2.00 NEW M ADDITION ❑ UTILIT►ES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 J, Main service 10 OEAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID,CONSTBRANCHCIRMULTI-OUTLET NON.R ESID (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS N NON-RESID. SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTURES) g L FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Li se No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of W rkmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentionedpropertyfor inspection purposes. /� tom. l 1 Date-\Y-P'D Signature of Permitee or Agent Receipt No. � G �Y White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC PUBLIC WORKS BYDate -7- 7 (p O u (ding permit expires Date pr' Ki',v -s a- t-- t COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS PERMIT NO. r 7 County Center Drive - Oroville, California 959E5 - Telephone 916/534-4541 �%rt APPLICATION AND PERMIT? v `� ASSESSOR PARCEL NUMBER 072. -AQ -0-019-0 ZONINGf / BUILDING PERMIT OWNER L_ oJZe4� 7-11::Z1�SU� TELEPHONE ��9GG�0,' f".SI�. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME i -,41N4A1< IM TELEPHONE MI5-1t� 3 CONTRACTOR'S MAILING ADDRESS /:'O \t 44 q% eu?V00Ne,0 Fireplace CONSTRUCTION LENDER UNKNOWN 1111fk441(_' I LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. I IWAi / ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Total Valuation $ FilingFee Permit Fee Plan Checking Fee Penalty Permit fee $ 10.00 $ $ $ $ BUILDING ADDRESS ,I ! PLUMBING PERMIT Filing Fee 10.00 l1 , . ` eboRepair Each Trap 2.00 drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ�ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK 000 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: 1oR Cx1S77ti%4 SATE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 / ! Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.6) OR ADDNS. \ ACC. BLDGS. 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): Q�am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. �/ License No. ��/d ')) � Classification �� 60� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) V ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.MULTI-OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS 6) NON-RESID. \SINGLE OUTLET CIR. / 50 254m Ex. Occup OUTLETS OR FIXTURES BALP1 (FIXED APPLNS. OR EX. Occup. (RESID) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): � ❑ The permit is for $100.00 (valuation) or less. n.rl 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which'may in any way accrue against said County!in consequence, of the gran ting�of this permit. �-, l�� �1/�� `,,,.•�''- �/���/ X _ A� Date ' / ❑ Signature of Applicant = J Owner ❑ Contractor Q Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $F V occuP. GROUP TYPE OF CONST. PARCEL PD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By l .i % (�' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��-'`4y Receipt No. s� �- • WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT { s . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 6i15 01-ear„ter Avenue, Chico — Phone 343-4211 Ext. 70 7 Cotmiy Cer.lcr Drive, Orovilie — Phone 534-4541 and Elliott Road, Paradise — Phone 577-3435 /,Ct R"RECTION ED-1410TICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinande exist at the above address and should he corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. >.' 14:_-- t Inspector ,� / r+ -� _Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number? for the /following location: �r it; { 7wner �^iC.C37 f� Fn.i 1_C�lis•- +.mss wner's Address Mobilehome Mfg. `�4-��'^-74- Model Year 5" l IAsignia No. ?-2 0V g Serial No. 0") f�' t J" >/g It is hereby certified for occupancy at the above described location and may be occupied. /'; Directtor'of Public Works Date THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. h • • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT o. h 7 County Center Drive - Orovflle, California 95965 - Telephone 916/53 541 r APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 7 oZ (fir Q — 031J-_-,oBUILDING ZONING PERMI OWNER /_ qg-e4.1 ,-9 t I A/6OX/ TELEPHONE O(0&0 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1/-2�/N / S /1` O2!(9CJII I CONTRACTOR'S NAME TFP jV� CONTRACTOR'S MAILING ADDRESS qI 0 4Z0611L 4 Fireplace CONSTRUCTION LE D R UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR EN EER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BU�I G ADDREtis t " rr r /0r74 /� Qr-v PLUMBING PERMIT Fee Fill Fee 10.00 Filing f e' / e `r C r t�t Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome©�ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: FW L�>C/S77A14 517Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST'( DWELLING OCCUP.51) OR ADDNS. \ ACC, SLOGS. 20 sq ft CONTRACTORS LICENSE LAW I declare pdw penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code �anand my license is in fullforce and effect. License No.s ��O 16 L Classification L-/� 60-11 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR •OU LET 2.50 ea NO N•RESID BRA CH CIRC TS NEW CONSTR. I POWER APPARATUS S NON•RESID. %SINGLE OUTLET CIR. / EX. OCCUp OUTLETS OR FIXTURES 50@25 (FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID•) EA. 2.�� Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Fg_have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Penult Fee S Contractor 1 certify that I have read this application and state that the above informationMobile is correct. I agree to comply to ail County Ordinances and State Laws relating to building construction, nd h, reby authorize representatives of the Countyot Butte to enter upon the a ove- entioned property for inspection purposes. I also agree to save, ind mni and keep harmless the County of Butte against all liab' T'd ent c t and expenses which may in any way accrue agai s s Cn s nce the grant' tF' permit. X Dae !'lU Signature of Applicant Owner ❑ Contractor gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Home Installation Fee $ TOTAL PERMIT FEE $, OCCUP. GROUP TYPE of CONST. [--717F7PO HD SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC �+ By I� PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �� �G �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Return to DPW }' T AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8 1 z94 1 3 FOR RESIDENTIAL DEVELOPMENT OFFI C:AT REC''( RDS ;t311"I-TG ^QLINTY-C:AL IF Section 26-8.1of the Butte County Code requires this acknowledgement'"` `D C!L`-''F' R be recorded prior to issuance of a building permit. 'J.Er 10 11 1 0H !9P I The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of CLCLERK-RECORDER-RCLERK-RECORDERCORDEARK A'PlRDE �� R this property may be subject to inconveniences or discomfort arising FEE from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the -pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date • dc State of lu��Te2n/rff ) SS. County of �t.X(TI ) /unueunmueeeeeneeasenueunnenacm>nittuele OFFICIAL SEAL JOHN A. STANTON 'a •• ® NOTARY PUBLIC. CALIFORNIA COUNTY OF BUTTE My Commlaslon Ezplros lanusly $®, IQ®A 1 oleoleuueeeeeeeeoeeeeeneneeeueeeneeeellel/eeellem Present A.P. N0. /)0? —CILIV"" �QNERS- OAMi���. On this the /0 h day of Sem " &e(2 19 , before me, the undersigned Notary Public, personally appeared '� Lo (Zee-/ l� . 4 4 �� ; f\/ 'Q,. t known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that —7%-1 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. a Notary Public 0 0 NJ CA Ul rn Cal EXHIBITR "A" ORDER• N0:'t19930-0` � All that certain real property situate in the County of Butte, State of California, described as follows: Lots 3 and 4, as above on that certain Parcel Map of a portion of Section 17, Township 19 North, Range 5 East, M.D.B. & tt. which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, December 10, 1976 in Book 60 of Parcel Maps, at page 22. TOGETHER WITH a right of way for road and public utility phereses 60 feet wide, through Lot 2 of said Parcel tap, ashown ALSO TOGETHER WITH an easement for road and public utility purposes through the North one-half of the Southwest one-quarter of the Southeast one-quarter of Section 17, Township 19 Nofth, Range 5 East, M.D.B. & M. and all that portion of the Northwest one-quarter of the Southeast one-quarter of said Section 17 lving South of the centerline of the Oroville-Forbestown Road, as said road existed April 6, 1960; and more particularly descirbed as follows: Commencing at a 1h inch diameter iron pipe with brass cap marking the Southeast corner of Section 176 Township 19 North, Range 5 East, M.D.B. & M.; thence South 89 48' 04" West along the South line of said SE^tion 17 a distance of 2,614.16 feet to a 1 inch diameter iron pipe tagged RCE 11128 marking the South one-quarter corner of said Section 17; thence North 27 46' 27" East a dis- tance of 744.14 feet to a point on the North boundary of the South one-half of the Southwest one-quarter of the Southeast one-quarter of said Section 17 and the true pointof beginning of said easement for road and public utility purposes, 60 feet in width lying 30.00 feet on Bach side of the following described centerline; thence North 16 45' 48" East, a distance of 15.57 feet to a point of tan- gency of a 150 foot radius curve to the left; thence along the arc of said curve through a central angle of 56 02' 30", an arc dis- thace of 146.72 feet; thence North 39° 16' 52" hest a distance of 162.10 feet to a point of tangency of a 150 foot radius curve to the right; thence along the arc of said curve through a central angle of 39° 09' 00" an arc distance of 102.49 feet; thence North 0° 07. 52" West a distance of 493.04 feet to a point of tangency of a 150 foot radius curve to the right; hence along the arc of said curve through a central angle of 16 41' 00' an arc dis- tance of 43.68 feet: thence North 16° 33' 03" East a distance of 186.65 feet to a point of tangency of a 1:0 foot radius curve to the left; thence along the arc of said curve, through a central angle of 17 13' 00" an arc distance of 45.07 feet; thence North 0° 39. 52" test, a distance of 279.17 feet to a point of tangency of a 1,000 foot radius curve -to the left thence along the arc of said curve, throuch a central $ngle of 1 03 00" an arc distance of 18.33 feet; thence North 1 42' 52' west a distance of 264.2 feet to a 1 inch iron pipe tagged RCE 11128 which bears North 44 16' 45" West, a distance of 3,339.09 feet from the Southeast corner of said Section 17; thence North 1 42' 52" West, a distance of 30.2 feet more or less to a point in the centerline of the Oroville- Forbestown Road and the end of said easement. Exceptinq therefrom that portion thereof lying within Lots 3, and 4 of a Parcel Map filed in the office of the Recorder of the County of Butte, State of California, on December 10, 1976, in Book 60 of Parcel maps at page 22. -Said easement is for the benefit of and appurtenant to Lots 1, 2, 3, and 4 of a Parcel Map filed in the office of the Recorder of the County of Butte, State of California, on December 10, 1976, in Book 60 of Parcel ySjps at page 22, and shall inure to and way be used by all parties who nay hereafter become the owners of said proprerty.' g�;r OPF DOS N END OF DOCUMENT - "FA ■MOREME ME®E■ ■N■ ENE 1. 2. 3. 4. BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. S Owner's name: / ii TT �= it / 4. 4:��.= L, V Installer's name: 1 ,, Is the site currently under permit? Yee /,_/ No (If yes, furnish permit number ) OR Is the site an existing site? Yes ./G No (If yes, furnish two (2), plot plans.) Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of.all setbacks.and easements? Yes, No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------= Amps �U 6. What is the mobilehome site service rating? --------------------- 2C� ( Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps /O 8. Is there any other electric load to be.served by the mobilehome siteservice? --------------------------------------------------- Yes No T-1 (If yes, identify the load and size: P4144/le 667,C1 (Load) 5� (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? -----------------------o----- Natural/ / LPG 11. What is the gas pipe length from meter or tan to the mobil home? 0 (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.) MOBILEHOME SUPPORT DATA , If other than single wide, Mobilehome..Mfr. �' �:� N'Pi furnish Setup Model No. Year Width _(ft.) Box Length 0 (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) F—Tagalong or Expando,' show supporf details. (in.) (in.) Typical Support (in.) (in.) Footing Size l X _1 (ft.)(' .) (in.) (in.) �� -- Max. Pier Spacing (ft.)(in.) �_� -- Max. Overhang (in.) (in.) (ft.)(in.) *If center piers are other than drawn above, draw in locations, spacing,. and dimensions. Single 1. Wood either pressure treated or x foundation grade. (ft.)(in:) (in.) (in.) ❑ 2. Other: (specify) Center support locations* Center su ort footing zes Supporta (check one) C (in.) �oncrete block. 7(:i .2 : Other. (specify) (ft.)(in.) (inn.) F—Tagalong or Expando,' show supporf details. (in.) (in.) Typical Support (in.) (in.) Footing Size l X _1 (ft.)(' .) (in.) (in.) �� -- Max. Pier Spacing (ft.)(in.) �_� -- Max. Overhang (in.) (in.) (ft.)(in.) *If center piers are other than drawn above, draw in locations, spacing,. and dimensions. COUNTY OF BUTTE `�— DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number .24-7 - 7 for the following location: ,g:"/` 1 r) Owner f r),�f ^/ 04 7ri.t/c01\ Owner's Address i Mobilehome Mfg. 014t4 Model 7L Year -_'- Insignia Insignia No. A V/b-) 9 <- Serial No. F1y/ { It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works- a •/ Date `� !J - / By / t THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 411 -el -2_461 7 ' PERMIT NO. 266-79P,E __2 PERMIT EXPIRES 111A#0 Loren Atkinson - OWNER CONTR. owner LOCATION (A.P. 72-20-39 • ) E/S pri.dirt rd.,app.1000'S.of Oro -Forbes - town Rd., app.350'E.of Old Olive Hwy,Oro. Temp. Power Pole Called PG&E Temp. Elec. Serv. -9n2—" Com' Called PG&E 441,11, CIO Temp. as Serv. 3 �> Iled PSE 04E $LS JOB 7FINALED (Dat (Signature) r otin s Ste all Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall; Reinf. Stee Bond Bea Framin Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Rest om Finish Windo Siding Roof Shea in Roofing Fdn. Vents Garage Vents Insulation Prov. for phsical handicaDDed Conformance of ex. FI FI E oiI Pipin 1st Floor d Floor 3 Floor To o Water In Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas Sanitation Final F ECTRMAL Mesh MECHANICAL X Grd. F It Prot. Scr h HeatAg Servl Brgfvn Co Ing TAP. Pole F ish Do/cis nder round In rior Lath entilation Permanent skor Closer Inal final MOBILEHOME UTILITIES ------------------ Elec. Service ,2Do /+ Elec. Pedestal 'J -b Al H Water Piping - ,2 Sewer - - 7 f Gas Piping L? f -?F C,, TOsILEHQUEINSTALLATI N ---- x ------- -Sp port Elec. Continuity Water Piping Drainage — Gas Piping .� tir✓ DATE REMARKS OR CORRECTIONS /Q1 c,✓ t 2 9/ i2UV FD --z— ,•I'1�I G41n-2- o k a C-0 -3,1 r t"t 0 (NOTE: An entry must be made on this form each time you visit the job site.) ••.11r• ! is 9. Electrical :';; - _,,• A: Is' service large-- enough. -to provide adequate amperage- :to. mobiteh6mld`'(nnisr,:' equal rating of mobaiehotne> with a; minimum of 100 amp) and other facil.itieg''on lot;'e-�.;; water €uinps;- garage:,•wc)abana, eta•.:? Y.eS_ B. Is there proper c1'6arancaround panels? Yes C. Is power supply''cordnor feeder assembly properly fused? YesNo,•: D. Is ntinuity test satisfactory as per the following procedure? Yes Is electrical wiring system of the mobilehome at the pedestal.t 2,.�ke sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. _3, --twitch all breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5 All non-current, carrying metal: parts of_the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. �n completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. Is job card signed by Health Department for water and sanitation?.- 11. anitation?-11. If everything okay, sign off card and 'tag services::;. MOBILEHOME DATA 4 a Manufacturer and/or Namestyle 04991wP/6AJ Length Width �' h Vehicle Serial No. State Identification No. Andit D�k 5 Additional Information or Comments: , MOBLEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome-locatedwith required separation from lot lines'and bdildings and generally conform to plot plan? Yes. No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yesl/ No 3. Are footings and supports properly sized,.spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5 82 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes o_ 5.te more than a single unit, are crossover connections properly installed? (Sec. 5088) sNo Water v A. Is fle le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes 4—No q—Zackflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes. No B. Does it have minimum -k" per foot slope and is it properly supported? Yes v No C. Are any leaks detected in drainage system after running3- 16ns of water through each fixture including washing machine standpipe?.Yes Noy D Kf coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector -'I6 mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping,is to be at least as large as the mobilehome gas line inlet, without reductions other than the mobilehome connector. Yes No r B. T t OK as per following procedure?" Yes _v No 4 /1• Open all appliance connector valves. �hut off appliance burner and pilot valves. ll�r test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 1 4 onnect gas meter to mobilehome with connector, turn on gas, test connections with ' Soapy water. C.. Are all appliance vents properly installed? Yest/ No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oraville, California 95965 v� Telephone: 534-4541 APPLICATION AND PERMIT aulnorlce representatives or the bounty of tsutte to enter upon the W entioned property for inspection purposes. �`' 1 Date —�7— Signature of Pemiteee orr Agent Receipt No. /i�rmr S White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECORO PUBLIC WORKS By Date /-. 7- 7- — 7 uilding permit expires Date d Z - Ptz, BUILDING Owner O SQ. FT. OCC. BUILDING VAL TION Mailing Address Y slel0/i v,e AWL/ l' Telephone No. .� Contractor 0 -Q - Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address r - I r1 VG. � r CL )00 � Plan Checking Fee&/or Penalty Permit Fee �C9r 6�r PLUMBING No. @ FEE 3:5o'0, ©t I, PERMIT FILING FEE $3.00 73„v0 Each Trap 1,50 -C�y-10�f�lSi.uh ,t �erT l0" OwU Repair drainage or vent piping 1.50 r _� P. No. '� ��� ✓ Zon n & Fannin W piping 1.50 /6.0,0 Each gas water heater or vent 1.50 F s I 'Wt- San FireDept. Fire Zone Use Perm' Gas piping system 1 - 5 outlets 1.50 /0, 00 Parking E Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 10, vt) Bldg. Plan Recd /� ✓" arcel A royal Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ $ 7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 cX> Main service soov OR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 5-6 Main service OVER 600V 100 100 AMP OR LESS Main servlce EA. ADD'L 100 AMP 1.00 NEW CONST. [ DWELLING OCCUP. 31 22sgft OR ADDNS, ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name of: ITLET NEW CONST- / BRANCH CIRCU NON-RESID. ` BRANCH CIRCUITS 2.50ea NEWC ON ST R POWER APPARATUS & NON - RES ID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES BAOL :7 FIXED ALNS.style Ex. Occup.(OUTLETSP(RESID)REAY 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1 $ Lic se No. Classification Mise. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ F_EE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ df 3 aulnorlce representatives or the bounty of tsutte to enter upon the W entioned property for inspection purposes. �`' 1 Date —�7— Signature of Pemiteee orr Agent Receipt No. /i�rmr S White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECORO PUBLIC WORKS By Date /-. 7- 7- — 7 uilding permit expires Date d Z - Ptz, COUNTY OF BUTTE — _DEPARTMENT OF PUBLIC WORKS + 7 N(, pnty Center Drive Oroville, California 95965 Telephone: 534-4541�9 APPLICATION AND PERMIT r Owner 643 rQ— I, Mailing Address C 0J& L" Contractor H Telephone No. BUILDING A - SQ. FT. OCC. I BUILDING VALUATION Fireplace Mailing Address Total Valuation Telephone No. Permit Fee Building AddressPlan Checking Fee&/or Penalty Ve,16k ✓' el ki Permit Fee �a r PLUMBING No. @ FEE • Q $O� �y-F'u. PERMIT FILING FEE $3.00 Each Trap 1.50 / es wO. l-��,// e*- eU10+�� j Repair drainage or vent piping 1.50 A. P. 7 — Z1J ^� Zan n & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s W4. �ewitp�tien Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking Plans ParcelEach Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 BI g. fans Recd Parcel roval Plan pprovol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTI ITIES ❑ OTHER Permit Fee $ --� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. !) 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR (MULTI -OUTLET NO N.RBRANCH CIRCUITS) 2.50ea NEW CONSTFR. (POWER APPARATUS .&, NON-RESID. SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXTIIPES g L 100 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above- entioned property for'nspection purposes. n Z, Date Signature of Permitee or Agent Receipt No. J o S White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Cooling $ $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ La e Is 3V TOTAL PERMIT FEE $ 30 1 This permit is hereby issued under the applicable provisions of theZ`f17g County Code and/or resolutions to do work indicated which fees have been paid. —4_&EG QQ_PUBJ..IC WORKS Building permit expires Date _�.- -3 7 BUTTE COUNTY. DEPARTMENT 'OF PUBLIC MORKS 7 Countv Center Drive, Oroville,CA. . PHONE: 534-4541 MOBIZEHOME INSTALLATION SHEET 1. Owner's name: L-• .. Je ArK I A/ S 0 At: 2. Installer's name: L454M E 3. Is the site currently under permit? Yes No10 (If yes, furnish permit number)g�CA�4r )OW400 ) OR Is the sitean existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the.mobilehome be located at least 5 ft. away,from septic tank and leach fields and clear of all setbacks and'easements? Yes / V/ No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 40 Amps 6. What is the mobilehome site service rating? --------------------- Amps - 7. What is the mobilehome site circuit breaker rating? --==---=----- Amps. 8. Is there any other electric load to be served by the` -mob 1.0 -home - ----- Yes,T% T No site service. ------- ----------------------- ------------- �.:. (If yes, identify the load and size: li<),ELL loaM,P (Load) Aq® (Amps) 9. What is the mobilehome site gas pipe^,size?-------- ;------------- 3�� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG /Y / 11. What is,the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand?' L'3Ne=%�-�r=i='�) (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) P y MOB ILEHOME SUPPORT DATA " ,,yy// If other than single wide, " Mobilehome Mfr.1jAAJTf,E C04.4M,4j.6Al furnish Setup Model No. Year IVA Width -(ft.) Box Lengthe56 (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County.of Butte).. All center supports measured from front of mobilehome unless otherwise specified. /� (ft.)(4.) Center suppo locations', I (ft.) (in.) (ftIin.) /(ft.)I (in.) Single / \ / \ X (in.) (in.) Center su ort footing ze's (in.) A (in. (in.) ('n.) (in.) (in.) (in.) (in.) (in ) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) 1M 1. Wood either pressure treated or foundation grade. 2. Other (specify) Supports (check one) 1. Concrete block. 2. Other (specify) 4 ---Tagalong or Expando, show support details. d -- Typical Support (in.) (in.) Footing Size C16 1, -- Max. Pier Spacing (ft.) (in.) -W . Overha (ft.)(in.) 8UTT-E COUNTY BUILDING DEPARTMEN7 APPROVED ON ■ W.M■ ME Emallil ■■■■■ ■1! 1 /11111!■ ■■":m ■■■■�ii111/Ili■i�■�■ ■■IIi1��7■1 i �a � � �c�■ ■rte :�� ■