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072-270-048
/ED ERPermit#1352-8-7.P,�(util, 1HELECGAS SUPPORT STR REQ Zlti'�> Z:7- in 0 �COMPACTION TES72-27-48Permit #18�,I-S�71,!Hl,- ((nsi-tall, MH) . . 72-27-48 Foh7' 7Ame -R -.- 72-27-48 tR: kr�& g7 onsf ----- - ermit 1914-89B(new garage) NAPIER, Ed'; 072-27-0-048" 00-187 JONES, SHIRLEY 1371 FORBESTOW4 gRD40 CONTR: OWNER EX MH ON PERM FND SO � ^ /ED ERPermit#1352-8-7.P,�(util, 1HELECGAS SUPPORT STR REQ Zlti'�> Z:7- in 0 �COMPACTION TES72-27-48Permit #18�,I-S�71,!Hl,- ((nsi-tall, MH) . . 72-27-48 Foh7' 7Ame -R -.- 72-27-48 tR: kr�& g7 onsf ----- - ermit 1914-89B(new garage) NAPIER, Ed'; 072-27-0-048" 00-187 JONES, SHIRLEY 1371 FORBESTOW4 gRD40 CONTR: OWNER EX MH ON PERM FND SO 0 EWM I - Fa M��Im III= NOTES RESIDENTIAL 072-27-0-048 00-1876 PERMIT NO. _-JONES;-SHIRLEY . - 1371 FORBESTOWN RD., ORO CONTR: OWNER . EX MH ON PERM FND 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALE Signatur CHECKED BY ✓ = OK 0 = Not OK - = Not Applicable = Not Ready • MOBILE HOMES r Date MOBILE HOME UTILITIES (Plans) OK except tt's Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements ' Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /" L'ft. / P Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance & Discorinect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 D P-6 j (�- 3 rleoll 647_C:5r_? 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 FINAL (Plans) OK except tt'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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (; Date Hangers -Post Caps -Anchors -Connectors Underfloor (Plans) OK except #'s Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Fig. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ r Fig. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Infiltration -Walls -Windows 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 11. Water Pipe; Test -Anchors -Regulator -Service Test _ Elec. Outlets & Receptacles at Kit. Counter 12. Electric Underground Garage Fire Door; Swing -Landing -Closure 13. Plenums & Ducts; Clearance -Material -Support -Ins. A.C. Duct in Garage -Damper 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 15. Access & Ventilation Plb., Elec. & Mech. Equip. Listed for Location 16. Insulation Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Clearance Looked under Floor Q Yes 17. Water Htr.; Vent -Access -Combustion Air Baffle Following Instld./Drive ] Yes ] No/Walks ] Yes ] No/Planters ] Yes ] No 18. Water Pipe; Test & Anchor -Nail Protection Stucco Brown -Finish 19. D.W.V.; Test Fittings & Anchor -Nail Protection A.C. Unit Disconnect, Electrical -Plumbing 20. Shower Pan; Test, First Floor -Tub Access Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 21. Test Tub & Shower, Second Floor -Tub Access Water Well, Disconnect, Electrical, Plumbing 22. Gas Pipe; Sixe & Anchors Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Gas Test -Meters Tagged, Gas -Electric 23. Fixture & Transformer Clearance -Ins. Protection Water & Sewer Connected -C/O to Grade -HD Approval 24. Elec. Receptacles Spacing -Lights & Switches at Doors Energy Compliance Certificate -Other Certificates 25. Size Boxes & No. of Conductors Stapled Address Posted 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Card B-1 Date Card B-1 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. _ Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive ] Yes ] No/Walks ] Yes ] No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT Of DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541IMIT NQ. �- (Rev. 12/96) APPLICATION AND PERMIT 4o - ASSESSOR PARCEL NUMBER 072-27-0-048 ZONING BUILDING PERMIT OWNER SHIRLEY JONES TELEPHONE 589-2895 SO. FT. OCC. - BUILDING VALUATION 1344 72,576 OWNER'S MAILING ADDRESS 1371 FORESTOWN ROAD, ORO 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 72,576 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 259.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee ' 1 $ 23.00 BUILDINGADDRESS 1371 FORBESTOWN ROAD, ORO 95966 Energy g Fee Ener Plan Checking $ PERMIT FEE = 302.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH ON PERM FND ON EX SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service A OR LLEE6S 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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby Virm under penalty of perjury that I am exempt from the Contractors License Law for a following reason: as owner of the property, or my employees with wages as their sole compensation, wl11 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work ;T—a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X� _ Date ��—�� "�'� _ Signature of Appli t - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST. DW IJNG C3.5Qos OR ADDNS. ( a ACC. OCBLDS.UP. NEWMULT1 0UTLET @7,50 a OUTLET CIR.OWER APPARATUS Ex. Occu OU LFT OR FIXTURES �0 @':00 FIXED APPLNS. OR Ex. Occup. ounETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 352.00 :HA:Z.D FEES IMP FLOOD 77 CEL pp HD ISSUE This permit is hereby issued under of utte Cou Code and/or i icat o e f whiCi9 fees have F W)� By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Q41 OT) Dat V ete Receipt No. 302378 352.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION lg76 7 County Center Drive • Oroville, CalifoYnia 95965 • Telephone (530) 538-7541 PER IT N Rev. 12/96) APPLICATION AND PERMIT 11b�. l ASSESSOR PARCEL NUMBS/v_ ZONING BUILDING PERMIT OWNER % (-_ TELFDHO�N�EB Q , FT, OCC. BUILDING VALUATION AI OWNERS MD ®A 7ffa CONTRACTOR'S NAME _ � � _ ) � � � w TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER place LENDER'S MAILING ADDRESS -Fire' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ e• -- ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ . BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ © DO LOT NO. _ SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 j Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation ❑ Other ❑ _� I Describe Work:9('0 %ZY� S Gas piping system t - 5 outlets 15.00 l5 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ Q ELECTRICAL PERMIT Fling Fee 20.00 _ 60OV LE Main Service 200A OR LESS 23.00 f I i j I! 1 I � 1 Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROO-APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING LDS. 3.5¢SO. OR ADDNS. ( 8 ACC. BLDS. FT. NEW CONST. MULTI.OLRLEi NON•R.,. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ourLET OR FIXTURES 9' 1.00 SAL 9 .SO EX. OCCU OUIXTLETS LNS R. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT,FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYVE` TOTAL FEE $ S �� Q 0, FEES IMP I FLOOD rDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Te COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �^ a� ASSESSOR PARCEL ER: �o CO Proposed Building Use: 9 uilding Inspector:Date: At time of permit applic tion, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------=-------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------I------------------------------------------- j El 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. Ell 5. City of Chico plumbing permit. --------------------------------------- 1116. -------------------------------------- ❑16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ncroachment Permit f driveway (construction approval prior to occupancy). --------------------- 0 Pre -inspection for rj /?/ tom( S / required Request to Building Inspector on ❑21. Contractor's lice mfoimation. (Number, Name Style, Classification). ---------------------------- 022. Workers' Compensation carrier and policy number. ----------------------------------------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑24. Letter of signature authorization. ------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ----------- C1 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--k�t(o -------------------------------------------------------------- 02 !1rxisting v'ol 'ons and/ a permi---------------- t� �-------------------------- 29. ❑433 A, pant D H. Title, H.C.D $ . --------------- 030. Other: ------- (Date) Whgn you issue the ermit, p ce s as follows ❑ Mail to owner, ❑Mail t contractor. Telephone �cv� d hold for pickup at Q office. ❑ Deliver with inspector. Applicant: Date: 03-0'8 -OCA Copy of Haz-Mat form sent ❑-Health Department, ❑ Fire Department, ❑ Air Pollution ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: Vel/ I% ALAW s Aev 11) %C� 2 S%/- OS ❑ Plan Check List 2. Additional items required: r Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail,. ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisi counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, 11 Bu* visi , n counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ .1 is (Acounter,\by Date: Plans reviewed by: Date: Plans approved by: Date: 5, / �/ Sets of plans on hold in ❑ Plan Cabinet, 13A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please. complete and. return this information. at your earliest opportunity to avoid. unnecessary delay in processing and issuing your building permit. No budding permit will'. be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES[' NO[ ]. 2. I HAVE[ HAVE NOT[ ]signed an' application fora budding permit for the proposed work 3. I have contracted with the .following person (fMY,to provide. the proposed construction: NAME:_ ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:. PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the followingpeisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: � DATE: ng 0—g} o n . NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: 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 party of record on 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 gen, wi exception of various trades that you plan to subcontract, you should be aware of the folin for your refit and protection: - .: .. 0 If you employ or othery*persons o er than your immediate family, and the work-(mcluding materials and other cr ni re for a entire project, and such persons are not licensed as contractors or subcontemployer. 0 If you are an employerter with the State and Federal Governments 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. �. 0 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. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific i�ormation' about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure 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 "ownerbuilder" 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. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 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. . Sincerely, Michael C. Vieira, C.B.O.' Manager, Building Inspection NOTE: This & ner-Builder Information is required by Section 19830 of the California Health and Safety Code. n.r�.. 100; 2.27 OWNER: LOCATI s r PRE -INSPECTION REPORT f DATE: ON: A.P. #- �) 7,� CONTRACTOR PRE-INSPETION FOR-4t,-f q� DATE TO INSPECTOR:g— ` ZONING: d PERMIT HISTORY: NONE ( ) (416'FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: :;Pm" Yes __�No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Fotable Water Obvious SewageProblems ��. J Comments: ) t ,.rn��/1�l�si..�.� , ACTION RECOMMENDED: ISSUE: Ins io r Date Sketch buildings on reverse and indicate location on property. I • aterials & :Workmanship :Shall Be in �Mr ' f 10 { C:wAn M Accordance with .eco Good Practices and of a quality prescribed for the Specified use in the Wilding. Plum�►n� & Mechanical Codes and Uniform 9 the No Electri cal Code. This set of plans and specifications MUST 6e kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, Bounty. of Butt,'. _ A. se-&ack of timeM. r.1c y s afrom the road 7!S� �f bifid• nn@�tt�n� $h4lj y within centerline. shall be clear of �tJt Ihl M r ui ment exce t m0bsleh®��, al structures or equ" or within the r fora 2 ft: eave overhang• dit��l`� ka�hiHd / o�`,�' Ef�sE—rr�r�•� half cf the roadside, (left) of the mobilehome. /� t A permit will be required far the \ I �\���, �/��� � A instcllation of the mobilet+cam. I AQ34D �1 I b, li�P cn�7" i C c z /0' � C v Gly; ' 1 1 72-27-48 EDlFor 137stown Rd, Oroville Per52- P E(util MHELED -S- GAS , SUPPO T STR REO l//v - f--.,- 0 COMPACTION TEST RE O Permit#188 7t•!III ISSUED 72-27-48 �` S� Permit#3102-87(New open deck)M/ 72-27-48 'ContR: Ames R.C. Const _ J .Permit#1914-89B(new garage) ��JJ t',�l 72-27-48 3168-89B NAPIER, Ed A 1371 Forbestown Rd, Forbestow � (deck cover over exist deck) ��II n Materials & :Workm s^a hip Shap-Be �h eordance with Recognized Good Practices cr+y,' i of a quad us lity prescribed for the echanical Codes ander U^iform Building, Plume^g & the National Electrical Code. i This set of plans and specifications MUST 6e kept on the job at all times and it is unlawful to make any changes or alterations on some without written permission from the Department of Public i Works, dounty. of Butt-,. _ M. tha: A. setback of 5 rr� s@ ' � b�• from the road $hill bwithin centerline. shall be Ment xcel- r structures ear Of or equipment �� ft` ® tb� mablleh®m�, of for a 2 ft. eave overhang• ds tl� bohlod or within the re half of the roadside (left) of the mobilehome. / t' A permit will be required for the I •`.�L�L[.� the mobilehc m instcllation of ./0 / z•5d �o�S MANN � I VO WILDING DEPARTMEt' APPR®�/�C�"'1�. ,, /� m Ld / 6" 3b• „r 48' , [ ♦ 318' PLATE zw I j : �? r o:rn c�7aPPER a�SF GA�jTlA7E `h' z 4' bobs 0 0 0 TYP of 4 rzrxs/te'l . nr. op z GRIPPERBASE PER PLATE D II TOP VEEW - MGP - PAD ) ) I 3wzr. W CK 8= r 4 W. "L R'-Om sm.Cre 1-1/2` SCPI. 40 PIPE +o.«® n (1q. da I O W GRADE 5 PIN OR EQUAL I ) I-- NNTM 3 OR MORE LOCI( wrm K• L cKm LI ADJUSTER HOLES _ i ♦ • NUC OR PIN 1 2" SCH 40 PIPE W/2 ADJUSTER HOLES SIDE VfEW - MGP - PAD 11 2' SCH 40 PIPE lilt" WELDED TO 1/4" BASE PLATE Q VWX C a 2' X 2' X 3/16' BAR Vl 1d11.13v1b ANGiE IR x 39-Ew.Er WE � 2&• LONG TYP OF 4 ys s r cAn. now MOOLMt1wl / M END VIEW - MGP - PAD "GP — UNDEREAYMENTT GRADE PLYWD. P d S CCA PRESSURE TREATED LJ Zoe DESIGN LISTED AND TESTED BY: BSK ASSOC E WAYNE T.. POL-VADO, PE - LISTING NO. F942 Lj N UGHT - Eff&V M3GhT PAD 10 'h" X 6" ANCHOR BOLTS TYP OF 4 R.��.t�xAANDSAAM-,YCDAoDF,Ss'S nrmMIi P -PACIFIC Comsua s ENGINEERS 21509&NAvomm#145 PA:9164"-41R! APPROY6D aA 9actan d, . CA. 9SUA Fat: 9164544M SLmmcT To CVRR-.L-rlom NOTED . AFPR0W-LbM DrA(n `�°ftAPF9 A' ata CRDev1a17N—L8XoZh Ma TUF-1 PERMANENT AffIXAMU sw orcAb ,�"ArEW FOUNDATION SYSTEM bqm aorDAWeous q d ry P Of CODES AND FEUMARns ABESCO -GUS GUARD COMPANY P.O.BOI( 129 CATS[EYS VALLEY, CA. 95306 FAX Uh h. Alpo ACO L dao - s k,2 TA -x 1/6- 3k3-5 2°� CV 'w GENERAL NOTES GUS GUARD TUF�1 d <1 a 1. DESDGNWADS: LIVE LOAD -i0LB. FLOOR LIVE LOAD - 40 PSQ WIND LOAD - 80 MPH EXPOSURE Y' SELS).DC ZONNF `I" ' SNOW LOAD 100 PSF 2.. THIS FOUNDATION SYSTEM IS DESIGNED) TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WIIH NO EXISTING SM PROBLEINS. 3. CHASSIS BEAM SUPPORT SHALL BE LOCATED AND SIZED FOR THE LOADS AS SJiOWN IN THE MOBILE HOME P457AU AT IOOQ D457RUC770N. �. I: ARW WHERE DIFFERENTIAL SEFTIEMEN T IDS. I CAN OCCVR MANt1FACTLJSELED IIOalf SHAH BE READJUSTED WHEN D.S EXCEEDS IN" Opt WHEN R WIIL BE ADVERSELY AFFECT MAKTACTuRfD flomr UNIT. S. CARRY ALL FOOTINGS DOWN TO FIRM. UNDisna BED SmL FOOTINGS ARE DESIGNED FOR 1(100 PSF TOTAL LOAD SOIL PRESSURE AND S31ALL BE COWATIBLE WITH LOCAL SOIL CONDITIONS. COdPACIFD SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STROCTURALSTEEL FABRICATE ACCORDING TO ASIC SPECIFICATIONS, WELD ACCORDING TO AWS SPECIFICATIONS' ELECTRODES -S70pLATES_ASTM A_,(, TS J) SAE GR S -ASTM Aug - ASM A3715. D 7. THE GUS GUARD ASSEMBLIES SHOWN BELOW SHALL BE LSST EE. AND LABEI BY BSR AND ASSOCIATES FOR TME FOLIAWING LOADS: ALLOWABLE LOADS HORIZONTAL VEIMCAL GUS GUARD TUF-I now 6000N GUS GUARD MGP PAD .2ZM 6000# GUS GUARD E -Z TIF PAD 22009 6000N 8 DURING PRFLAG NARY IIYSPEC K)K THE FSTIALATOR SHALL ENSURE THAT MOSELE LIME CHASSIS BEAMS ARE OF STANDARD mxmON 9. EM_nNG COACHES MAY BE REIROFTrrEZ) TO RESIST SETSW FKWJ S By INST•AE L W THIS GUS GUARD TUF-I UNITS AS SHOWN ON IS PAGE OF TYPICAL FOUNDATIOLY PIANS- 10. THE GUS GUARD TTJF-1 SYm&z ARE SAFE FOR INSTALLATION IN FLOOD PL61M AREAS WERE DEPTH OF FL.00DIING DOES NOT EXCEED 771E IIEIGLfT OF THREE FEET. 11- MULTIPLE UNIT INSTALLATION IS ACC ABLE PROVIDED THE NUM OF TUF-i UNITS UNDER EACH UNIT IS THE SAME AS Si1OWN REQUIRED PEP EACH UNIT ) 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAIN-, ' (SEE SHEET 93) ' 13. ALL METAL C0AV(* ENTS AND ATTACk2ZENTS ITEMS SHALL- BE PROTECTIVE COATED. 14. FOR MGP PADS USE I IB EXTERIOR PLYWOOD WITH WOIMANI DTRFATANETfTTOO,IO I MAX PCF RETENTION WITH DRYING AFTER TIjEA1d(ENT. IS_ LIGHT HEAVY-WFJG)fC PLASTIC AND STEEL PADS MAY BE USED IN PLACE OF W0IMANUED PADS. 16- E •Z TIE DOWVN USEDON SINGLE -Wo AOU, M STAKES (.N X 341 MAY BE USED IN PLACE OF THE J "X Dr FLAT BAR WHEN SOIL IS EXTREMELY HARD OR IN ROCK HOLES MAY BE PRE -DRI IPM WHEN NECESSARY. 17• GUS GUARD TVF-1 FOUNDATION SYSFEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF "E N BNSTALItD W IT N EXISTING S:•ANDARDS REQU RED B Y COACR MANUFACnnm OR REPiACE 7.Md ON A ONE TO MM BASIS IC FOUNDATION BLOW 36'x 16' x 12' poLIRED IN PLACE AT GROUND LEVEL MAYBE USED. AT DNSTAkkJUtS DISCRE KK AS ALTERNATIVE TO PADS. s F i i ` i 1 •'c° z Lu LLJ 0. LO' -7e SEE TABLE a -WiTT y J [f o iI7['c iX4 SUP-PURT AS R�-.7 TYP. BY IWAL ACFLRZ j 0 o J - / 2, INS PADS IN ANY PAIR MAY HE ADATPD 90 DEG FLEES OR Or�T TCI OIHFIISIDE TO AVOIDaZARANCE PRDBLEM& L B El El HEAL1'HAND 2) MM- BCI1t1fi:73II TP -,.P.771 ��SLILNBCC' AMMALDom ot CIE AlrucAets�smowp Depraa�tdRaa� W p CDFCOORS�- 14oAppore[ Fhpi�es �.� az— Ll rExp�xp i 1 1 El , A L IUGp a1L PVC safxlEa 1 STANDARD NW FOUNDATION PIERS SUPPOKiPAD AS RSOMO LIVDFD BY THE MANUFACTURER TYR . OR TRExB>r 24MR TYPICAL THROLA2K 7t S1ML E WIDE UNITS Es7MW 7CmAx B' B' IW W IS MAX TUF-1 PERMANENT FOUNDATION SYSTEM DOUBLE WIDE UNITS ABESCO -GUS GUARD COMPANY E=r)it' P.O.BOX 118 sye•72z CATS EYS VALLEY, CA- 95706 299.966- $AXp-"99645�4g SHE'Tg 2 OF 3 -,383- s2 © 7 I z Lu LLJ HEAL1'HAND 2) MM- BCI1t1fi:73II TP -,.P.771 ��SLILNBCC' AMMALDom ot CIE AlrucAets�smowp Depraa�tdRaa� W p CDFCOORS�- 14oAppore[ Fhpi�es �.� az— Ll rExp�xp i 1 1 El , A L IUGp a1L PVC safxlEa 1 STANDARD NW FOUNDATION PIERS SUPPOKiPAD AS RSOMO LIVDFD BY THE MANUFACTURER TYR . OR TRExB>r 24MR TYPICAL THROLA2K 7t S1ML E WIDE UNITS Es7MW 7CmAx B' B' IW W IS MAX TUF-1 PERMANENT FOUNDATION SYSTEM DOUBLE WIDE UNITS ABESCO -GUS GUARD COMPANY E=r)it' P.O.BOX 118 sye•72z CATS EYS VALLEY, CA- 95706 299.966- $AXp-"99645�4g SHE'Tg 2 OF 3 -,383- s2 © 7 I CD w a (L CKF'R.L W/AC. 1 ASPHALT SEI• wrTq OONCRETE PAD •. `- 117 THOJSET MORTAR, h' MAX T)GOD4ESS, f- 0.6 CONCRETE SET WITH CONCRETE PAD W RED UP -AM OR EQUAL 2' FROM CORNER TOTAL4 J /—r=de1d CONCPM SET W rrkl MGP PAD MULYT- 1VmE cn► DTH 24 26 28 402' TO j66 8 8 - B 8 •=1' - -12 1212 t2 TIER 6 18 16 161 t8 7 tE IMIDE UNITS r4_1 TH DTH r0 12 14.H' 8 6 66' e a s a )OVER6r 1 10 10 10 'SINGLE WIDE UWTS REOIARE GUS GUARD E -Z TIE PADS bus &wd RIF f Revs mr fo de o"I'lda1 gv�una Twe1r eteg wlan atwr each 6alote rub INSTALA E - Z TIE DOWN SYSTEM PEI 351( i m laVu T , oraiCN TUF-i PERMANEW FOUNDATION SYSTEM ABESCO -GUS GUARD COMPANY P.O:BO]C 123 GA7'HEYS VALLEY, CA. 95306 SAS i'8�5iii9 -S20 -7 . SHEET 3 OF 3 Q Lu Lu - REAM AND S,Lg1y���..1 S� 841 ,}�„� 8ne APPROV I} W SU87EC7 Tp Cb A17W1'%LDOES W7� SOY ZWFW04FR ' Atr'trAsLa 3109 LAWSw . _ ,�• Gi$Q®6 d ��AN 4A��^c`r�+ _ D WCOD FJ L/3WA�1f SPA14 TUF-i PERMANEW FOUNDATION SYSTEM ABESCO -GUS GUARD COMPANY P.O:BO]C 123 GA7'HEYS VALLEY, CA. 95306 SAS i'8�5iii9 -S20 -7 . SHEET 3 OF 3 Q FootinTor pad size must be determined by dividing!;Jhe_ otJ:Se#inc}'. a'-W'��C'j+to-iF�_._ downward load. Ex: Soil bearing capacity - 1500 PSF• downward load 3200 LBS. i Footing size = 3100 LBS = 2. 13 SO. FT. iSGO �COUN 1 - 3UILDIINGvr-PA Q Ek" APPROVED FUQUA HOMES INC. ' . COLUMN SUPPORT SPEC: SHEET APPROVAL O /low MdWMIM� agmsnRcm •. `a .... _ � '- :_',� ..^• �. -"`:.`::.•.:•ate.. M D -",t ' '��- EL ` D - a >M1E1f V• -, .—�.x:�� �., :K - �•: . .:::•; `�• --�.... _ ..�, ,. •:,�: .:::--:.�+.: t' ,.. ROOF 'LIVE L vE LOAIi � APR 1510 . ROOF DEAD LOAD .• = .. Oct Q. 3 LENGTH 40 40 WIDTH 3D:0' Ll ~9 30 4- :....`.'.t � D ... �9F # � e to 316136, 50= 2'11:9• 5':8' IYNWARD LOAD (LBS SPECIAL INSTRUCTIONS OL. OWNWAR t)LOAD LBS. SPECIAL INSTRUCTIONS fCOL. 1 1128 z `' ��� o /.,z. 30„ _ 2 .7300 ,. ,, to �2 /& 0 11 7,5 4 72 8¢Pro�. ... 1.2 IF Aa�dud S o-0 13 �. 6 .2 39 4 �. ' ? 5 91. FootinTor pad size must be determined by dividing!;Jhe_ otJ:Se#inc}'. a'-W'��C'j+to-iF�_._ downward load. Ex: Soil bearing capacity - 1500 PSF• downward load 3200 LBS. i Footing size = 3100 LBS = 2. 13 SO. FT. iSGO �COUN 1 - 3UILDIINGvr-PA Q Ek" APPROVED I RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 22 -Aug -2000 2000-0032647 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. ED H. NAPIER,MAE E. NAPIER, SHIRLEY JONES, BETTY J. HIPPENSTEAL & EDWARD E. NAPIER BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMrr and CERTIFICATE OF OCCUPANCY 1371 FORBESTOWN ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE, BUTTE, CA 95966 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME 00-1876 (530)538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDZF'r RM1T N� PHONE NUMBER �V 08/17/00 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY107TIVI. DATE ED HIGH NAPIER & MAE E. NAPIER NONE UNIT OWNER (if also property owner, write 846 SHIRLEY LANE MAILING ADDRESS SUNNYVALE, SANTA CLARA, CA 94086 My COUNrY STATE LP UNIT DESCRIPTION DEALER NAME (if not a dealer sale, write 'NONE") DEALER LICENSE NO. FUQUA HOMES 1987 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 9513U/X 56'X 28' OFEI53580/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 072-270-040 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. BUILDING PERMIT NUMBER: 00-1876 Address or location of unit: 1371 FORBESTOWN RD., OROVILLE, CA 95966 Legal Description of Real Property: A.P. #072-270-048 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: ED HIGH & MAE E. NAPIER Owner's address: 846 SHIRLEY AVE., SUNNYVALE, CA 94086 INSIGNIA OR HUD NUMBER: ORE153580/1 SERIAL NUMBER OR V.I.N.: 9513U/X MANUFACTURER'S NAME: FUQUA HOMES' YEAR: 1987. OFFICIAL APPROVING'INSTALLATION: DATE: 8/17/00 PHONE: (530) 538-7541 H.C.D. 513C •� r LEGAL DESCRIPTION A.P. #072-270-048 All that certain real property situate in the County of Butte, State of California, described as follows: PARCELI: Parcel 2, as shown on that certain Parcel Map entitled, "A portion of the SE 1/4 of the SE 1/4 of Section 15, T. 19N., R.SE., M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on October 5, 1984, in Book 98 of Parcel Maps, at Page 4. PARCEL II: A driveway easement over Parcel 1, as shown on that certain Parcel Map entitled, "A portion of the SE 1/4 of the SE 1/4 of Section 15, T.19N., R.5E., M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on October 5, 1984, in Book 98 of Parcel Maps, at Page 4. AUG. -21' 00 (MON) 09:29 FIDELITY TITLE TEL:530 S33 1526 P.002 AUG -a 1-2000 0B? 00 NCD/HD9TRSiSACT0 916 323 924b V. %W= wlw+ vwvla, uorrrllo, ' �11Ala w-L/IV{AtNN•OY7MG)0. aAwlmrywa wla�w wwy pEPARTNlENT OF HOU .COMMUNITY OimoPMENT � o tsion of Codes and 9134duft a� 'I1tle Seuch ,,, PIP Dan P. 08/21/2000 Decal N: LAJ4208 ManufacnUer. 09733 FUQUA HOMES INC Tradeaame: FUQUA Model: 702 Manufactured Date: 06/0811987 Registration Exp: First Sold On: 06/24/1987 Use Code: SFD Original Price Code: AML Rating Year: Tax Type: LPT Last IL.T Amount: Date ELT Fee Paid: ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width 9313U ORE153530 56, 14- 9513X ORE153581 56 14' Record Conditions: - -PPF Fxcmpt Registered Owner. ED HIGH NAPM MAE E NAPIR TIRS 1371 FORBESTOWN RD OROVILLE. CA 95%6 Last Titte Dote: 0782/1987 Lacs Ree Card: 07W1997 Salerfrandter Into: Prim $45.625.00 Transferred an 06/24/1987 Situs Address: 1371 FORBESTOWN RD OROVMLE, CA 95966 Situs Canty: BUTTE Title Searches: FIDELITY NATIONAL TITLE 475 ORO DAM BLVD SUITE A OROVILL& CA 95%5 Title Fits No: 101757 SL ••• END OF TITLE SEARCH •*w TOTR- P.03 AUG. -0S' 00(TUE) 10:34 FIDELITY TITLE TEL:530 533 1526 P-001 - - � ItIININ�IIlIIIIIIIIIIIIIIIIIIII - 1 999-4a0288CC3 1 Recorded.I REC FTE 13.8A Official Recods I VAKEN RECORDED, MAML TO: County tyOf ' ED IL NAP¢R CAN KE J. GNiBBS I 1371 FORBESTOWN RD. ROSEMARY DICKSON I OROVnIS, CA 95%6 Assistant I Fay 18:41AN 08-Ju1-1999 1 Page 1 of 3 i. SPACE ABOVE nO LDM FOR RECORDER'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $ 4 - ED Ii NAPIER X Computed on the consideration or value of property eoaveyed: OR 1371 FORBESTOWN RD. Computed on the considers tine or value less Bens or encumbrances OROVII I.E, CA 95966 remaining at time of sale. Lu�_rr�.c�aQ 3 Signature of oadarant or Agent dfitamiining tax - Firm Name "N: 012-027-078 GRANT DL�',ED FOR A VALUABLE CONSIDERATION, trceipt of which IS hereby aclatowledged, ED H. NAPIER and MAE E. NAPIER. husband and wife, as Joint Tenants„ hereby GRANT(S) to: ED E. NAPIER and MAE F NAPIER, husband and wife, and StURLEY I- JONES, a uierried woman, BETTY J EIPPENS'TJ?.AL an unmarried woman, and EDWARD E. NAPIER, a married man, their children, all as Joint Tenants. the real property in the Uwncorv4ratetl area of the County of Butte. Stan of C. _-a, de=l)cd as: The�Grantor is executing this mstetamm for the ptrepo9e of relinquishing all of grantors rights, tide and interest umleding, but not limited to, any community property interest s and to the land described therein and place title is the name of the grantee as their separate Property. 'This is a bonaSde gift and grantor received nothing in return, R & T 11911." Description: "See attached description" r^ � Dated: day of July 1999 Ed K Napier Mae E. Napier MAIL TAX STATEMENT'S AS DIRECTED ABOVE (Notary CemScate attached) AUG.-08'00(TUE) 10:34 FIDELITY TITLE TEL:530 533 1526 P.002 DEtCRIPTION: All -that certain real property situate in the County of Butte, State of California, described as follows: ✓ PARCEL I: Parcel 2, as shown on that certain Parcel Map entitled, "A portion of the SE 1/4 of the SE 1/4 of Section 15, T.19N., R.5E_, M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on October 5, 1984, in Book 98 of Parcel Maps, at Page 4. PARCEL II- A driveway easement over Parcel 1, as shown on that certain Parcel Map entitled, "A portion of the SE 1/4 of the SE 1/4 of Section 15, T.19N., R.5E., M.D.'M-", said Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, on October 5, 1984, in Book 98 of Parcel Maps, at Page 4. AUG. -08' 00(TUE) 10:34 FIDELITY TITLE TEL:530 533A526 P..003 CALIFORNIA ALL-PURPOSE ACICNIOWLEDGUTIN T State of California) Optional Section County of BUTTE Capaciry Claimed by Signer Thoalb starve do= out tArite dx pow4 to Go 6. On��s.h`i m before me, GAIL MOMUSON mayo °""Matwble dfe davorcnt. a Notary Public, ptssonally appeared: PWM *j t%bedo peQens id7ie! on (1 1NDMOUAL ( ) CORPORATE OFFICERM L ) personally known to me Olt K proved to me on the basis of satisfactory evidence to be the petson(s) whose name(s) it/are Tide(s) subsenbed to the within iestltt hent and () PARTz,jER(S) ( ) LIlrr= acknowledged to me that hft*W/they I ) GENERAL le"Mthe same in kifA ltheir authoti ed �) AT IORNEY IN•FACi es), and that by )&Aker/their[)TRUSLEE(S) (s) on tate inswumew the petson(f). GUARDIAWCONSERVAT[OR ntity upon behalf of which the acted. ex %,'-I enOTf�1i■■my aREPRESENTMe nseal SIGNER '� � W Patna_ rwd� . se tees i ♦ Name of PerMAW W FAdMCr d 11 OPSONALSWneW T1 w CX mmcA'LE MUST BE ATmtHw TO TITLE OR TYPE OF DOLZJI NT ej,-M -Lr p _ THE DO(lAvii M DES(RMM AT IUQfr: r11 (9 f NUI�FA OF PACES: I DATE OF DOCI1Ir�1JT 1 u amM pemat baadulou am tw t of tui: Cam SIMEA(S) OM -MR THAN HAMM ABOVE ' o a F. 4 t 'Ai NOTE.—AH Materials '& :Workmanship :Shall Be in Accordance with ReCand O9 fortheSpecified cusee in the o{ a quality proscr.l f Uniform Eui!ding, Plumbing &Mechanical Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, dounty. of Butt,'. • A. setback of 5 ft:• from thy: r >sunes from the road $hill within centerline, shall be clear of ui ment,exce¢fi structures; or eq P d or within the re {ora 2 ft: eave overhang Com. 1<a�hiH half of the roadside (left) of the , mobilehome. ' ff. A permit will be required for #Ise il)72E5 7e' instcllation °f the mocileha+ae. I \�. — -- ' j�C[>/'.t1 l ° Afix r - Imo' s'c BUTT OUNr _....... _,......_.._ !�_ / �� BUILDING; DEPARTA PP 2 _� s 0 4zol A �XKc, i n} ev ►v,cc6 c�cUd rc�i (5. �oov- ex ic,+'tKca , � Xlo r2Qa2,u,•a�eQ _ . iN Uxc� H n gYif6 i3s in NM �r+lols V'�ar! mansFi ` ,.r� c•" r, -aa �a4 �;cc�s acrd Of Cl quc , cc`- F ria in the Unif r1 L: -� , 1::..:_.. .::�:....;"ic:�i (.;odes and -ElcOdGal Cii7Q4 FCA /V I ktG --O l6, E D r -N -"U 4'I u 1' OSJ- 0v, A -O( o� g rc� ec( w/ a5,- !StrcLI o)-, a l l 4/ - U2C eoc i i 'S 4;" J . ce•�r�'ts r ' �} C''q4°� ,t 15 ,...fin• �•.) ! 1 I t,)cc; SPECIAL. RQOF COVENNG REQUIRE'D' SES PiTTACt, n SHEET. AO ice• �. a � p . SONE w/ 30 ka) 3lojA� P�ic�F�a� 07 5"w'ejr��'� /� less �ha�i Tp 0/ `-roll x(o 60 N 72-27-48 3168-89B ! NAPIER, Ed 1371 Forbestown Rd, Forbestown a (deck cover over exist deck) PE I I PEI OWNER —01 -02 " CONTR. ASSESSOR PARCEL LOCATION Temp. Power Pole Called PG&E_ Temp. Elec. Service Called PG&E _ Temp. Gas Service Celled PG&F JOB FINALED Signature = OK 0 = Not OK = Not Readyiable MOBILE HOMES MISCELLANEOUS 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. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -81 Date Card -61 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -81 Date Card -81 Date Card -131 Date Card -131 Date Date DEC , OVERS,CARPORTS,GARAGES, (Plans)OK except #'s Hing Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel s; Girders and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing �5_Al�arAwn' Columns-Connections-Splice-Decal-Enclosures --6-eaTpDTt9*,-= ndows-Doors Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9 Siding; 'ailing -Veneer -Stucco -Mesh hof; Shthg-Roofing LS 11. Ext.; Steps -Doors -Landings Card -B1 Dat i _XKCard-B1 Date Card -131 M Dateard-131 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards=Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date = uK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r /"Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66.Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84, Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -61 Date Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 -� ' APPLICATION ASID PERMIT PERMIT NO ASSE OR ARC UMB R .� ZO I G BUILDING PERM OWN / ` N SO. FT. OCC. BUILDING V UATION E0 OW ER• MAI LING�D� SS L/` [Y(�6rc= CO TR C OR•S NAME TELEPHONE COTITRACT R'S MAILING ADDRESS Fireplace CON RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH T CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ A CH T CT R ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 © I^ e iq Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME IPA Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomem Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 10.00e TYPE OF WORK New ❑ Addition ❑ odel Uti ties ❑ Installation❑ Other Describe work: 77c- V Y% 0 ve- r-1 ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 CJ Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.a NEW CONSTR.A , /zQsgft ULTBI.OUTLET NO N.RES'D BRANCH CIRC ITS 2.50 ea POWER APPARATUS SINGLE OUTLET CIR.a ) Ex. OCcup�OUTLETS OR FIXTURES 20@50¢ BAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 1 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 Hood 3.00 Ventilation_ permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against a liabilities, judgments, costs, and expenses which may in any way accrue again C unty 'n consequence of the granting of this permit. X �� �O _ �F � Datez, Signature of A Icant — ner lel/ Contractor ❑ Agent ❑ An OSHApermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ % ` HA2 CUA PARK SCHJ F "'*'IPD ` HD ISSU ^ This permit is hereby issued under sions of the Butte County -Code and/or work indicate above for whi fees D R CT OF BLIC BJ� PERM T EXPIRES Date _. the applicable provi- resolutions to do have been paid. WORKS / ate. / /( J `��v/�� Receipt No. WHITE-D.P.W., TELLOW-AS 8C990 R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public.Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541' OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building.permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. -- 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)V � signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and .provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: c' Property Owner Social Security Number Date—�ZPJ ✓ S�1 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT.O'F OUB'LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. ))JJ OWNER A A. P. No./ TAProposed Building Use Building Inspector Date At 71. 0 permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............... 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ............................:........ 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail owner. Mail to contractor. Telephone - and hold for pickup at -Pt*Doffice. Deliver w/inspector. Other Applicant le7�04 C7' `Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_JnaiI—counter by .date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by /2 � Date Sets of plans on hold in . File cabinet AP folder Copy—DPW PERMIT NO. 1914-89B PERMIT EXPIRES a OWNER ED NAPIER CONTR. Ames R.L. Const ASSESSOR PARCEL 72-27-48 LOCATION 1371 ForbestownRd, Oroville • o, ^ r a t C t l Temp. Power Pole 1 e Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOS FINALED (Date) Signature OK, 0 = Not OK = Not Readyable 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.-/ / Am 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 4 Card -131 Date Card -131 Date Card -61 Date Card -81 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -131 Date Card -131 Date Card -61 Date MISCELLANEOUS Date DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK excep-. #'s on' Requirements -Setbacks -Easements N ootings; Soils -Size -Depth -Spacing -Connectors -Steel r ers and/or Joists -Decking -Bracing -Stairs -Ra Is Posts-Beams-Rftrs.-Con nec.- Shthg.-Rfg.-Bracing umns-Connections-Splice-Decal-Enclos fres s -Doors •7 -Efec7._ �- 7 fmg; Sills-Anchors-Studs-Rftrs-Trusses �• Siding; Nailing -Veneer -Stucco -Mesh �i 10. Roof; Shthg-Roofing 11. t.,,Stegs-Doors-Landings , 'g Card -131 Date . Card -131 Date -17 Card-B1Date Card -131 'rVDate Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lgitg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -131 Date Card -131 Date = UK rt t OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope, 1 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth '46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/-. P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48, Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50:•Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation - 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -81 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 66. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67. Stairs & Rails Card -81 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture &Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer . Gara 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75• plb., Elec. &Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 78• Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 31. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support . 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -81 Date Card -B1 Date 92• Roofing Certificate Card -B1 Date Card -B1 Date Card -61 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -131 Date Card -81 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) �1 COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS P RMIT N0. --z 7 County Center Drive - Oroville, California 95965 - TelephUne: 916/538-7541 P ATION AND PERMIT ASSESSOR PARCEL NUMBER ZO IN BUILDING PERMI OWNER ..^ TELEPHONE r„ z OWNER'S MAILING IDDRESS //�� EZ©W /V 0 t SQ. T. OCC, BUILDING ALU ION CONT ACTOR'S -`J �ME( TE_L.EP,I�ON ,?ACTOR'S MAILING ADDRESS 5 CTCkr 1,a7&_ — Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee .$' 10.00 Permit Fee $ 5 ZZ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,b' _z6 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS }'� ( ��? ,�/ �/� J-7 r'L�`W ��W/V moi/ Permit fee $ 7 PLUMBING PERMIT Filing Fee 10.0c Each Trap 2.00 oeo, Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC L AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeV Other (�� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition F Remodel�❑U-tilities ❑ Installation[] Other Describe work: � G�l, _, F Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.04 Main service 100 AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de la . under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess Io Cod and my license is in full force and effect. Q License No. �° Classification 6"C -Q k 1 16JV, 1d�9' I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y OR AODNS. ( ACC. BLDGS. , 10sq ft WCOBRANCH CIRCUITS)CONSTR ' .OUTLET POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. OCcU OUTLETS OR FIXTURES 20050 P eALeso FIXED ALNS.❑ Ex. OCCup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Fri shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3.00 Ventilation pennl4 Fee $ Contractor I certify that I have read this application and state that the abovE information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 conseque a of the granting of this per it. X pate �•�� r�J,/ _ Signature of Applicant — Owner Controctor AgentVn An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE Z4%yS7-6 ._� Occu P. coNST. TPE school PLoo PARCEL PD i N ISSUE This permit is hereby Issued under sions of the Butte County Code and/or work indicated above for which DIREC OR OF PUBLIC BY91� PER T EXPIRES Date the applicable prcvi- resolutions to do fees have been paid. WORKS Date 1 L-, Receipt No. y/ 3 WNITE-D.P.W., YELLOW-ASSESSOn, PINK -INSPECTOR. GOLDENROD -APPLICANT t", !. 1 .. ....r ,.•! •'i!+ .it d•r T.. yw ....nom rry �. - n , , Axa .a. • .4 •• • COUNTY OF BUTTE - DEPART -LENT OFUBL"IC W-OR;KZ; BUILDING DIVISION NTY ENTER DRIVE«C CALIFORNIA 95965 TELEP -� '- 7 COU C � - HONE. 916/538-7541 PERMIT A. LICATION- DATA SHEET G� Permit No. OWNER C-6 AAMEL - ' A. . No. Proposed Building Use /t%EE G� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED �1. All items have been submitted . .................................... 2. Plot plans in duplicate/tripljcate, signed by preparer of plans........ r 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $.. I . .......................... 1�0. Chico Urban Area fees paid ........................................ 11. Park fees paid ................................ ............ ...... :412. School District fees paid .................. 13. Sanitation approval from —Health Department .. . 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre -Inspection for required . , , , . ,•Building Iris Pre-Insperequest to p q nspect _ (Date) ___02o. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. en you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone <9`1 -4/�SS and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire -Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---Mail —counter by -date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter "by date ! C Plans checked by Date Plans approved by Date 0 Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: EnVironmental Health SUBJECT: Sanitation Clearance _..__ Owner /vLocation. AP# im Plan Approved for: Sewage Disposal Water Supply Hcld.final for: Water Supply Final clearance O.R. for: Water. supply bedroom mobile home. Other �/� Clearance for . tarian uar6e ''_7�RECORDINI;; REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2000-0032647 Recorded Official Records CoBU14E f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:23AM 22 -Aug -2000 REC FEE .00 CONFORM .00 Cindy Page 1 of 2 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. ED H. NAPIER,MAE E. NAPIER, SHIRLEY JONES, BETTY J. HIPPENSTEAL & EDWARD E. NAPIER BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR . LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 1371 FORBESTOWN ROAD 7 COUNTY CENTER DRIVE MAILING - OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP ED HIGH NAPIER & MAE E. NAPIER UNIT OWNER (if also property owner, write "SAME") 846 SHIRLEY LANE MAILING ADDRESS SUNNYVALE, SANTA CLARA, CA 94086 CITY COUNTY STATE ZIP UNIT DESCRIPTION MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE Zip 00-1876 (530)538-7541 BUILDING LEPNE NUMBER 08/17/00 SIGNATURE OF LOCAL AGEN 1 1 DATE NONE DEALER NAME (if not a dealer sale, write "NONE') DEALER LICENSE NO. FUQUA HOMES 1987 KNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 9513U/X 56'X 28' OU153580/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 072-270-048 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY . HCD PBVK - Applicant GOLDENROD- Building Dept '4t LEGAL DESCRIPTION A.P. #072-270-048 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Parcel 2, as shown on that certain Parcel Map entitled, "A portion of the SE 1/4 of the SE 1/4 of Section 15, T. 19N., R.SE., M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on October 5, 1984, in Book 98 of Parcel Maps, at Page 4. PARCEL II: A driveway easement over Parcel 1, as shown on that certain Parcel Map entitled, "A portion of the SE 1/4 of the SE 1/4 of Section 15, T.19N., R.SE., M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on October 5, 1984, in Book 98 of Parcel Maps, at Page 4. n s PERMIT NO. 3102-87B PERMIT EXPIRES OWNER ED HIGH NAPIER CONTR. Owner } ASSESSOR PARCEL 72-27-48 . LOCATION 1371 Forbestown Rd, .Oro ville { 1 t Temp. Power Pole r k Called PG&E Temp. Elec. S Called PC Temp. Gas Se .� Called PC JOB FINALE[ Signature = OK 0= Not OK - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date " MOBILE HOME UTILITIES (Plans) OK "except #'s Date DECK$,COVERS,CARPORTS,GARAGES, (Pgns)OK.except # s - 1. Zoning Requirements -Setbacks -Easements KsA. ZoWg Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete c3�-Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch)4-Wo-od Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5-.Atatff. Awn.; Columns -Connections -Splice -Decal -Enclosures 6 -Ca ports; Windows -Doors 7. Utility Clearance 7c Ete� 87-Frmg S-SI1Is=Anchors-Studs-Rftrs-Trusses 9 -Sidi ng -,-Nal II ng -Veneer -Stucco -Mesh Card -131 Date Card -131•' Date T0-,Roof,-Sh-thg- Roof ing Card -131 Date Card -131 Date i-11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B Date / % Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -61 \ Date Card -81 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OR except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7 -Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elect; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lght3. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -81 Date Card -B1 Date Card -131 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready I I Date - UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Botts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic 0 Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 79. Following instld.; Drive D Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No (NOTE: An entry must be made each time you visit job site) 80. Stucco; Brown -Finish Card -131 Date Card -61 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ^ 7 County Center Drive. Oroville— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE JER j PERMIT NO. A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. i I �_ Inspector Date .,� �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Ctaliforni4 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT AS ES OR PARCEL NUM E _ _ t ZONING BUILDING PERMI ORJ TEL aHgN SO. FT. OCC. BUILDING VAL TIO O NE 'S MAILIN,1DD ESS nro CO TRACTOR'S AME TELEPH NE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LEND R'S MAILING ADDRESS Permit Fee $ 1 ARC I ECT OR ENGINEER LICENSE No. Plan Checking Fee $ J Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS — l` Sul Permit fee $ 1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Or', U /ta- Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S TG i W 0.00ea TYPE OF WORK New 0 Addition ❑ Remod utilitiv nstallation❑ Other ❑ Describe work: h Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI , OR ADONS. ACC, BLDGS. /20sgft NEW CONSTR U TI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &J SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 8AL@3t ALO 30 FIXED APLNS. Ex. DCCUp. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains i Cou tyi ons quenq"f the granting of this perm' 4. < %16/8' X I Date Signature of Ap Icant - Der ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. C0119T.TYPC JSCH00LJFLt.P6rAVJ PD ND is This permit is hereby issued under sion the Butte County Code and/or i Gated abve for which E 7TOa OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to d3 fees have been paic. WORKS �n Date /g Ser 91 Receipt No. (l 00/0 WNITL-D. P. W.. YCLLO W-Aee C3sO R, PINK-INeP LCTOR, GOLDLNROD-APPLICANT 7" �� moi', .: f. .. �ir4y YL._.:'Y�`..—'� J �i�.. �s.�,l•y ., .�.,w m _ry, _1. _ • yr: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLS? CAL'IFO`RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT -APPLICATION DATA SHEET Permit No. OWNER 4 e ua 10 1, & t- A. P. No. - - Proposed Building Use CPO h oec -, /j1 rT Building Inspector Date 1-1214 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid'' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Ki 0. Letter of signature authoriz Ion. Sanitation approval from ✓ t / Health Dept. 6 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) -14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _._-._._15. Improvements may be required. . , , . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . 17. Pre-Inspec.request Pre -Inspection for—_--_. _ - -.- _. _ Required. Building Inspector to (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. _ 20. Plot plan approval from city of 21. - - 22. W n you issue the it pro ess as follows: Mail to owner; Mail to contractor - /Telephone �and hold for pickup 6Kaoffice, Deliver w/inspector. Other Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: _ Contractor, designer, owner, was advised of above required data by—phone---Mail —counter by Contractor, designer, owner, was advised c? above required data by—phone —mail—counter btj Plans checked by Copy -DPW Date Plans approved Sets of plans on hold in File cabinet AP folder _ date — date �( Date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply',--,' Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other aer c - NOTE * * * Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,".Oroville., CA 95965 Phone: 916-538-1541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (.yes or no) 2. I (have/have not) �il� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.. I plan to provide portions of this.work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Ew Date - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832.of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. dit�tl� 6e half of the A permi�will i I i Ian% 116 within >hii ®rye, ei r . d within the re 'de, (left) of the c quired for the mobilet,ev , ... .... ...... NOTE..—Ah Materials:& Workmanship Shall Be in Aeeordance with Recognized Good Practices and ! of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. j this set of plans and specifications MUST 6e kept on the job at all times and it is unlawful to make any, changes or alterations on san•�e without written permission from fihe Department of Public Works, Bounty. of Butte. A. setback 1 of 5. �� � Vt4 � Jiro,% 76ro of 8• from the road ` centerline, shall be clear of structures or equipment except fora 2 ft' eave overhang.' Zt . p SPE-Ta�.oy � $ t�vit,oir - - - i M • �/ / /0 BUTTE COUNTY I c 4�?UI*P�G DE01ARTMENt. T- 41 A, : E C -- r4 �� l VARIES 3�- b„ NI AX. `f N W Y d'd V Tl� � Maine E4 - W i.ns :E: a • 4 m mo 1 '-� T] O U N D c- z � � u, -40 C) O 7 c `G (D �m o M0 ' 30" MIN. STA(R:--- - .. i mi ru W I DT14 Z a o :V`qJ' Z. 7q A m �• `l b �z �o A 0 c �c Ln Co rnr • 3 v x r 3�- b„ NI AX. `f N rri 3 i�30"- 34" J//HNMDRAIL HEIGHT W Y d'd V I Maine E4 - W i.ns :E: a x m mo 1 '-� T] U N rri 3 i�30"- 34" J//HNMDRAIL HEIGHT v�yJ' W z � � u, 30" MIN. STA(R:--- - .. ru W I DT14 7q '< c • 3 v x r PERMIT NO..___. PERMIT EXPIRES r OWNER ED.NAPIER ' CONTR, owner a56�� ASSESSOR PARCEL 72-27-48 LOCATION 1371 Forbestown Rd, Oroville OFFICE'COPY Temp. Power Polo Address i' Celled PG&E Temp. Eloe. Servli Date Ij LELECTRIC Called PG&E'49-Dat)o� Temp. Gas Sorvlce -- -- _ -- - - -----� Called PG&E JOC FINALED lJalal Signature_____ .. a Not Apt ticable ri a Not Resdy MOBILE HOMES , MISCELLANEOUS '. - Date 1110 LEHOME UTILITIES (PlenA) OK except M's Doto OECKS, COVERS. CARPORTS, ETC. 11"lanal OK eacopt It's 1. onlnq Requirements-Selbacka-Eassrnents 1. Zoning Requirements -Setbacks -Easements eIts; Special MH Support -Sketch -_ 2. Footings; Site-Depth-Spacing-Conrw_c1o_rs_ r, Locotlon-Teat-Fall C/0- Corterate3. Docks; Girders and/or Joists -Decking -Bracing -Stairs -Rails p a; Location -Teat -Easement Needed (Sketch) d. Wood Awn.; Posts-Beams-Rltrs.-Connsc.-Shih_g.-Rig.-Bracing - Electrlclty: Location-Clearances-Grnd.- Amp-Concroto 5. Alum. Awn.: Columns-Connections-Splice-Decal-Encloaures ffC"�by.-_oospore-Teat-Wrap:/ /^L" 11./ /"his 1.or/ /"L" ft./ /"LPG Q�1tility Clearance 0. Corporis; Windows -Done 7. Else. Card -BI Data Card -BI Date Card -BI Date Card -81 Date Card�l Oate Cord -81 Date Card -81 Date Card -BI Date Date MO ENOMF INSTALLATION (Plana) OK except p's Date POOLS (Plans) OK except V's .zoning Requirements-Selbacks-Easomsnlo I 1. Setbacks -Easements Footings: Size -Spacing -Marriage Line 2. Solis; Compaction -Structure Stability --- _ --6-Gas; 1101 Test-Demand-Valeo-Cwvtecta r FJ. Pool Structure: Stool -Connections -Thickness -Dead Men -Linin iA. pct►lolly. MM Test-CrossovarBraaRers-Clearencos 0, Efec.; Receptacles and Lighting; Distances-GFI U-0 n; MH Teet-Fall-Flea Connector Water; MH Test-Rogulator-Connector , 5. Elec.; Pool Lighting; 15 volts-GFIfik'_ 0. Elec.; Enclosures: Conduit Envies -Terminals -Listed A-vater and Sewer Contested -C/O to Grado-HD Approval 1:ae�artd Electricity Tagged Vf- 7. Eiec.; Bonding; Metal vi/S'-Circulating Equipment -Heater S. Elec.: Grounding-. Equip.w/5'-Circulating Equip. -Pool Lghtg. -- Boxes-Enclosures-Panolboards-Ins. to Mein in Conduit J*"txits; Inap.-Sketch 10 Cwt. of Occupancy 1 9. Noalm Deportanni Approval 10. Plumb; Cir. Test -pater Supply Test Card 8-1 Date azdz�arcl,-Sl Data Card -BI Dote Card -BI Date Card B -I Date Cero-BI Date Card -BI Date Card$1 Date V � I 1 .J, s- .Jot Cr+A o Not App Lc,lhle 4 Not Re.ij, :• i RESIDENTIAL (Single and Duplex 0.1tr._ _ UNDERFLOOR (I'lans) OK o.cepts's - _ - 1. Zoning requirements-Setbacks-Easerlenls M,i1n. SoiEl ls-SINI-ec. Grad.- / /" FtQ. Depth - •3. Fig.. Garage: Soils -Steel / /" F1 - -- " _ Q. Depth -- 4. Ftp., Porches A Decks; Soils_Sloel- / /" Fig. Depth 'r5. Stomwalls, Main; Steel -Blot Moats-tura--------------' •- OPed-Slab 6. Stemwalls, Gera o: Steel-Blockoul6-Wra - - - --• -•-Q---•--•--- peed -Slab 7. Piers- F_ueplac_o Ft -Stool -"--- _ Fall-Flltings-7est-2 way C/0-Sewet Test ---- -~ 9' Gas Pipe; Sizo-Archon -- - 10. Water Pipe: Toot -Anchors -Regulator -Service Test --" Electric; _ Underground 12. Plenums g Ducts: C104fance-Material-Suppor1-I1713; 13. Groot a -Sills -Anchor Bolts-JOlel!-Vents-CrIpplas Dain FRAYING ConI1n,/M - - 48. Ploperty Line Firewall_A Upenlflgs 67. Doors-Orle_J=Chock _Garape-Jra s1Q;y, 2 eats Storrs slydlh-Headroom-glse _---50. 51. -Run _Landl- - Plywood on R00) Uvertlanp-Attic Vents --Pira P'election for Outrrppers 52. Siding-Nailing_-Voneet --�° -- 53. Stucco Uesh-_drip Screed-Fdn, V_enls-U11derflr• - 54. Access Glazing Aree-Glass PrototliOn-SkyllphL!-Plastic - 55. Shear Malls; Natling-Bolts I rD�. Card-81 Date Card -81 Dale Card -131 Date Dale PLUMBING (Permit) OK except al's _14, Water Ht., Vent -Access-Colnbuslion Alt 15. water Pipe: Test g Anchors -Nail Protection 16: D.W.V.: Teat-Fttrtps g Antlers -Nell Projection 17. Shower Pant Test, Fist Floor -Tub Access 1S, Test Tub g Shower. 2nd Flop -Tub Access ig. Gas Pipe: Size 4 Anne• Cara -el _ Dale _ Coro•BI Date Card -BI Date Card -81 Date Date -_ Date Date FINAL (Plans) OK ora 56. Eat. SNaps-door 1 57. Smoke Detector 58. Furnace: Vents -C In Garage: Above 59. Bedroom Exiting 60. G.F.I. g Bath Fixtures i Tub Access 81. Elac. Trim g SWpanel: Braekcr Sizes -Labels 62, Stairs g Rails 63. Fireplace or Stove: Clearances -Haan 64. Eiec. Outlets at wood Panel: Int. g Est. 65, _Kit. Fixt, g Appliance' Gmd -Air Gap -Cooking Clearance 66. Elec. Outlets g Race to 1 K1 71 ♦ 1 Card 81 Date Card -81 Data Card-81 Date I's Plight Protection -Landings Ince-Comb. Air -Connector - r -Ducts -Mach. Protection - _ ate - _L=_ 67. IR t es al I. Counter Garage Fire Door; Swing -Landing -Closer Otte ELECTnICAL Permit OK except a's 83. Corrections from Previous Inspections 68. A.C. Duct in Garage -Damper 20. Fixture 6 Transtormer Cteerenco-Ins. Protection' r 85. Wort« g Sewer Connected -C/O to Grade -HO Approval --6g. ' 69. •Wtr. Hir.> Vents -Ctesrance-Comb. Air-Connecta-P.R.V.- 21. Elec. Receptacles Spacing -Lights g Switches at Doors Energy Compliance Certlticate-Other Certificates --'--- ---• -- - In Garage: Above Floor-Mech. Proteclion 22. Size Boxes g No. of Co_ndutlot s-Step_led 70. Plb.. Etec. 6 Math. Equip. Listed for Location 23. Romex Insiilled'Closo to Edge of Studs 6 C.J. 71. Elec. Receptacles in Garaps: (G.F.I.)-Roinex Projec. 24 Equip. Ground made uplit/tsoch. Fasteners -Bond Gas g water - O.ne Card -AI Date 72. Insutaion- Pporn- Looked in Attu, L1 Yes , 25. 2 Appliance Circuits in Kitchen g Conductor Size Cmmn•r•n!c .It Fin.tl •-.--_ .. _. _. _ .. ._ _. ....-'_-_-_-_' -- . 73. G.tard Rails g Deck Construction -Post Caps' 26. Subleed NNire Size / a. Cup -Ws AI-A.C. e S I z e /e / / ga. Cu or At W.rlls Swdl:-Nm1mlO. Spacm•J X Ut.leing_{'I,ues-`:nand 74• Fon. Vents g Crawl Hole Door -drainage g Wood -Earth Clearance - 27. *g Range Circ. / / ga. Cu or AI -Own Cuc. .7---7 ga. Cu or A1, _ _Looked under Floor �' Yes 1)1,111 \1,111 III IY.111 •: (1,11 p1ou1) Insulated Neutral Yes .No 75. Following) instld.: Drive L Yes ONO: Walks [ Yes [ No: _ 20. Service -Riser Condts Disconnect .t) itr.ut • A lice" Si: e h Ileenny Plant" :Yes JNoucor 29. Equip. Clearances: Panels-_ - -- ------ Motes -_Meth, Equip, )t.et,,,•,.. 1'o•.i 1..11„_ani hat•.. <lutnr, Lu♦ 76. Stucco: Brown -Finish _ 130: Glottics Closet Ligh'i Shower Light - ---'-" ' _- 77, A.C. Unit. Orscon nect-Clrrxes-,Britt. g Cond. Size -1115V Outlet 1 ....da, e 1 r,•, ur 1 , 1 p,• A 1 lar• -F uepl lie Iht o.11 " ' - --- 78. Vents Above Root. Plb ,_Appliance-Firepl.-Clearance to Dan 9. - •--- --- - •_-_ _- 79. Water dell. Disconnect, Electrical, Plumbing Ca,d B -I Dile Card -81 Oate _80. Eilet'ior Elec. Trim: G.F.I. Receptacle -Underground Card 0-1 . _ Date Card -81 p - --- - gi. Vamriation throughout House ate - _L=_ - -_-' 62. Glass Protection Dalt MECNAN4CAL fPem•n) OK oace0l e's 83. Corrections from Previous Inspections 84 Gas Test -Motors Tagged; Gas -Electric 31. A.C. Ducts Insulation g Supper 85. Wort« g Sewer Connected -C/O to Grade -HO Approval --6g. ' _ _ - 32. Vent Fan. Exhaust above Insulation 33. Concensaie Otain 8 Overflow. Sire g Grnde Energy Compliance Certlticate-Other Certificates --'--- ---• -- - 34. Farnace-Vent Access-Cumb. Air -Return Air Venl-115V outlet 15. Attic Access 4L PtaUorm it Fu•naco in Attic -----•-•-- ---"---- - Card•Lll Date Card -RI Date - ---' -•----- --•--' ---bate- Cara -D1 D,I;c_-- _ Card -BI ---��D.IIC-~ Cara -01 - O.ne Card -AI Date Cafd-BI ----Card-81 -Uato --•-- - - ----'-- - - ------- Carn 81 Cite Card -81 Date Cmmn•r•n!c .It Fin.tl •-.--_ .. _. _. _ .. ._ _. ....-'_-_-_-_' -- . C'.11e FRAMING011•o,st OK vNceinl a'. jt,. SIIIS. I"Opt-f M.Ilctr,ll 6 Ani hots )7. W.rlls Swdl:-Nm1mlO. Spacm•J X Ut.leing_{'I,ues-`:nand -'-•-- --'----•-- --... 30. Ile '1 111- l',.ills over Nortel:: d Flun, N,ullm; ' ;19. 1)1,111 \1,111 III IY.111 •: (1,11 p1ou1) - - -- oro. t ❑t' Stop\ F1111",) Cellmys- stat11 _cn.l.e•:- 111n - •. .t) itr.ut • A lice" Si: e h Ileenny .t.'. )t.et,,,•,.. 1'o•.i 1..11„_ani hat•.. <lutnr, Lu♦ - - - - •. _ __-_ •1 �. �: Iny„I,n•.1 IIIU. I It's- I'm lin - Nool It. ,IC. -•Tru•.•: Slriluhl.-Illn,t, •- .11. 1 ....da, e 1 r,•, ur 1 , 1 p,• A 1 lar• -F uepl lie Iht o.11 '- - •---- --- •-- --' -- .1 •.. Am, A, .. .. ..... A Iluui, 1 1•. u1 e1 IrO�dll Slup- In,. IletUr. 4•:. It ,nu. 1L n.p,., :. er 1 •dual Iluu?-lilt Ildl, h lh meo�, t,•u5 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name j "j Serial number of V.I.N. �I Z/ Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513E White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 7 f� R A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PA CEL NU BE `. ZONIN BUILDING PERMIT SQ. FT. OCC. BUILDING VALUATION OWNER I TEL P ONE OWNER' Iyl 1 ING Aqp ESS [/ o K .e v't S CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOW Total Valuation Is Filing Fee $ _Q_06 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3 Permit fee $ — PLUMBING PERMIT Filing Fee 10.00 ' G Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL M P Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities © Installation❑ Other ❑ Describe work: Permit Fee $ 30 Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 600V OR LESS Main service 100 AMP OR LESS 10.00 !/ Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 am licensed under provisions of Chapt. 9, Div. 3 of the Business an Professions Code and my license is in full force and effect. License No. Classification rVI X�Ll1, a . 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) ❑ ossa (Sec owner, am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.S ,/z¢sgft OR ADDNS. ACC. BLDGS. NEW CONSTR ULTLOUTLET 2,50 ea NON.RES10 BRANCH CIRC ITS POWER APPARATUS 6 OUTLET CIR. EX, OCCUp�OUTLETS OR FIXTURES z o®soa .ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 5 = Misc. Wiring 15.00 Permit Fee $ SJ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W.'C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia lities, judgments, costs, and expenses which may in any leaccrue a nst s 'd County in conseq ce of the granting of this per it. Date a Signature of Applicant Owner❑ Contractor ❑ Agent An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , OCCUP. CONST.TYPC I I 00 PARCE PD ND VISEUE000 lol-1 WI -11 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RECTOR OF PUBLIC B PERMI E IRES Date the applicable provi- resolutions to do fees have been paid. WORKS % Date �� eceipt No. iS-��?5 FW NITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF.,OFt•NIA 95965 - TELEPHONE: 916/534-4541 `3 PERMIT APPLICATION DATA SHEET Permit No. OWNER �u (� � A. P. No. Proposed Building/UseBuilding Inspector 6Date v2Z ,,;e At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED U� 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 10. Letter of signature authorization. . Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner El _15. Improvements may be required . . . . . . r . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 7. Pre-Inspec. request to (Date) Pre -Inspection for Required. Building Inspector (i 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, ocess as follows: —Mail to owner, —Mail to contractor. x Telephone ' j�and hold for pickup at GNU office, Deliver w/inspector.. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone----jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date — Flours: 10:00 a.m. - 3:00 p.m. TO Building Department FROM: Environmental Health ;SUBJECT: Sanitation Clearance a e�d�l»� caner Location AP# Plan Approved for: Hold final for: Sewage Disposal Final clearance OA. for: Clearance for _._ bedroom 6home. Other NOTE * * * /__KP _ Sanitarian Water Supply (:ie Water Supply Water.Supply Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) -Z• 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: l Property Owner Social Securi-tv Numb r .— Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. AFFORDABLE OUSING CONCEPTS BLAKE REALTY 19,10 Feather Rives I:tnulavard Oroville, California 95905 (916) 534-8336 Butte County Health Dept. Llutte County Public Works Dept. PG&'E Gentelmen; 4/24/87 This is to authorize Don Blake to apply for permits on my behalf. Ed H. Napl r/ Return to DPW _,,0,'tQAGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be. recorded prior to issuance of a building permit. -158,56' RECORDED BUTTE ;OUNTY OFFICIAL RECORDS BY 198T «AY - I PIA 19- 03 The property described herein is adjacent to -land or included within an area zoned for -agricultural purposes, and residents of this CA14DAGE.J.GRUBBS property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbici ;"MMUN and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, sptaying, pruning, and harvesting which occasionally generate dust,' smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL I: Parcel 2, as shown on that certain Parcel Map entitled, "Aortion of the SE 1/4 of the SE 1/4 of Section 15, T. 19N.., R.,5E., M.D.M.�', said parcel Map was filed in the office of the Recorder of the county of Butte, State of California, on October 5, 1984, in Book 98 of parcel Maps, at page 4. PARCEL II: A driveway easement over parcel 1, as shown on that certain Parcel Map entitled,,"A portion of the SE 1/4 of the SE 1/4 of Section 15, T. 19N., R. 5E., M.D.M.", said Parcel Map was filed in the Office of the Recorder of the county of Butte, State of California, on October 5, 1984, in Book 98 of Parcel Maps, at page.4. PROPERTY OWNERS: Ed H. Na ier Mae E. Napier 41l State of L &-1 112 ) On this the day of 19 before SS. me, the undersigned Notary Public, personally appeared. County of .fid ��! . Y1xt t7 i Pr an Ll Personally known to me. 20Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) • RVQ subscribed to the within instrument and acknowledged that _4 ktil executed the same for the purposes therein•.contained. asap WITNESS WHEREOF, I hereunto'set my hand and official seal: OFFICIAL SEAL ; G. DAYNERTL i o NOTARY PUBLIC • CALIFORNIA SANTA CLARA COUNTY MY commission expires sept. I. 1990 Notary Pdb tic Present A. P. No. ZO2' -27-Ve AP OWNER PERMIT.3 S MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compactior lTest.Req.- Service Size Other Load Type Pipe Size Length YES NOI YES NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER_�iIIT N0. F 7 County Center Drive - Oroville, California 95965;7 Telephone: 916/538-7541 APPLICATION AND PERMIT hn ASSESSOR PARCEL NUMBER Z _ Z1 _ ''g ZONING BUILDING PERMIT OWNER EA TELEPHONE SO. FT. OCC, BUILDING VALUATION �NER'S AIL? G ADDRESS CONT'�ACTOR'S NAME �4 V�._ 0 T EPHON 77 6 CONTRACTOR'S 4-3MAILING ADDf3 ESS �� I�TT// 33 CC a�C/�� (�/fJ Fireplace - CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS Permit fee !$ $ S PLUMBING PERMIT Filing Fee 10.00 Each Trap '"2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[J' Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I WO.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: ;� 1 3� Z �d-7 1 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.D0 Main service 600V OR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codeand my license is in full force and effect. License No. —Classification 6 —4'4' Fl 1, as the owner, or my employees with wages as their sole compen- sation, will -do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e OR ADONS. ACC. BLDGS. , /20sq ft NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. EX, OCCUp(OUTLETS OR FIXTURES ew 030 FIXED PR Ex. Occup. OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Q The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑c/f shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10. CIO Heating Cooling Hood 3.00 Ventilation perrnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X a �' Date '" % Signature of Applicant — Owner 9 PP Contractor'[9-- Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ cr� TOTAL PERMIT FEE $ Occup. CONST.TYPE I I F1..qJ,1ARCEL Po ND leg This permit is hereby issued under sions f the Butte County. Code and/or wor i dicated a ove for which IR CTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS / , / p-� Date �Z�/�/� o � /2 \/eyy ' Receipt No. 2:76 07 WNITE-D.P.W.. YELLOW-ASeESSOR, INF -INSPECTOR. GOLDENROD -APPLICANT 'J COUNTY OF BUTTE - DEPARTMENT -OF. PGBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, (AtIFG hNIA 96965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET (' Permit No. `--� OWNER /. Leh- t r, A. P. No. -72.- 2-7- Proposed Building Use Building Inspector Date ' (o `L7 At time of permit application, I was advised the following data must be submitted prior to permit processing and1or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , . , . 9. Letter of signature authorization. . . . . . . . . . . -10. Sanitation approval from Health Dept. 11 Planning approval for (A) Use: (B) Parking: _12. Certificate of Workmen's Compensation Insurance. . . . . . _13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner 0, Mail to owner ❑•), _15. Improvements may be required. . . . . , _16. Mobilehome Installation Data. . . . . . . . . . Pre -In spec. request to (Date) -17. Pre -Inspection for Required. Building Inspector -18. Recorded copy of Agricultural Acknowledgment Statement. -19. Driveway Permit. _20. Plot plan approval from city of 21. -22. When you issue the permit, process as follows: Mail to owner, ���Mail to contractor. r yTeIephone 7 ? G (9 �f - and hold for pickup atQ�.Deliver w/inspector. Other i f0� ApplicantG-� % Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone—nail counter by date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by - Sets of plans on hold in File cabinet AP folder - Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW ;Workmanship Shall Be In . It 'FrC�'TE;,,_A�1 Hlaterials & ''ized Good Priactices and Accordance with Recogrjin the e use a quWity+ fir Prescribed the• S ecifil Codes and i Uniform Wilding! PlumbA & Mec , ; } I the National Electrical; Cbde. } ► Phis set of plans and;specifications MUST Be i ! kept- on Ae job, at all, firknes and it is unlawful lawful to 1 , I make any;choncfes or alterations on sarr�e without I written permission from the •Department of Pubrc { { Works G1ounty� of Butte. - i + •�rorm th { i ,k tc of fijit. from the road dip. �onn@�tiona $fall b�iwithin I centerline; shall be clear x�t ftf too®bil@h►e, ' structures or eq p t ' alp Whind or within the re for a 2 ft eave overhand. half of the roadside' (left) of the mob'lehorne.' t j i I i A permit will be required for tM ib I 'L J`� installfation of the mobilehoesee. I � Y V _� , a _ /��7Z;5 �j..&C •. r Z_iPe.QArceca }iU 97 1 "T • SUN WILDIN EPAR TM, E I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541• MOBILEHOMEINSTALIATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes E�- No FJ (If yes, furnish permit number « 5-2--'k % ) OR Is the site an existing site? Yes F-1 No Eg— (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe•length less than 6 ft. on natural gas or less than 50 ft. on LPG.) fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- C)CY Amps 6. What is the mobilehome site service rating? --------------- oj.O a Amps 7. What is the mobilehome site circuit breaker rating? ----- 2 -(Do Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------------------------=- Yes No (If yes, identify the load and size: .low (Load) Z _(Amps) 9. What is the mobilehome site gas pipe size? -------------- �---� (in.) What is the type of gas service. Natural P LPG • ::;�10. 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe•length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If•othe' than single wide, Mobilehome Mfr. furnish Setup Model No. 7 C>Z Year k Width- g (ft.) Box Length 5 ly (ft.) Tagalong or Expando Size t. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)'% Concrete block.1-1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Main Beams Line 2 "in — — — — — — — — — — — — — a,F Line .. --- � -- — --- — — — — — - Line 2 Main Beams 2 Line 2 � `v Line 1 tc Tag or Triple Line 1 y0 1 ( `G�--'c-c�-esu— Line 1 Piers: ` Line 1 Openings: Size -Min. ------------ „ Size-Min.------------------- Spacing-Max - -----------------Spacing-Max. --------- ,- „ Each Side of Openings From Ends -Max. ------- With Width Over --------- " Line 2 Piers: Size -Min ------------- 2 Spacing -Max.--------- ,- From Ends -Max .------- Location (From Front) Spacing -Max. --------- From Ends -Max. ------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only)---- Size-Min ------------------- Spacing-Max________________ Flom Ends--------------- ------- Spacing-Max ---------------- Spacing-Max.--------------- `y FUQUA HOMES INC. ..COLUMN SUPPORT SPEC: SHEET... 1 •. • APPROVAL Mm IMMINSAMIM i sow-tiAtttiM� �FEDL( W.r77 APR 151 5 AD * =�' '"-�"' i''. =may_ M,nom.OAD. 11:.9.' Vo • ' . • s; E ¢ ' -' • •�3.•:.. a .a2��j•rAV l� Lb . S0= 2' / 30_.3. 340.-136. T AI,�SV QZS 177 wNWARD SPECIAL INSTRUCTIONS OL, OWNWgRD COL. LOAD (LBS. SPECIAL INSTRUCTIONSL 12=6 - LOAD LBS. 10o# % 11 ,* �4 7284' ,, 3 S 1.2 Sa Sta>axA vtk 5 O v •� l 6 .239 Z'• p c t ' NSI 5 ' �__ l I- $ .2/Goy" l2Y t___ _ r FootinTor pad size must be determined by dividin' lid 1 downward load. Ex: Soil bearingcapacity�'`Iap�° 3200 LBS ' 1500 PSF, downward load 3200 LBS. Footing size = 15 = 2. 13 SO. FT. , APPROVED'-'