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072-440-035
FAILURE TO OBTAIN FINAL INSP GARAGE 4/3/89 f/'o j/) )' P 5 a Iv-i�L C/--6/ �S DAVID AVID BERTRAM - - certificate of compliance 356 15-LDe�eker-.L-an.e-,...Or_oville.-,..Or Permit#443-88P,E(well & future lot �/ development) C�A)� I-, � 3'�d Permit#908-88B,P,r-new_garag6)( 72-44-35 Permit 43-88P,E(MH il) ELEC . O GAS G tis x.23 8`� SUPPORT STRU TURE p COMPACTION TEST REQ. 72-44-35 Contr: Rich Van Stavern Permit#3 -8g Iiu 072-44-0-035 BERTRAM 92-3367 B;E David. j '15 Dedeker-LN,'Oroville comp1ete/88-908•' 072-440-035 04-3025 BERTRAM, .DAVID , 15.I!ED.EKER LN. ,O WAII,L",LE. F0NT:"L1FE 1M.E,EXTERIO �IdALE® E -X MH PERM FND �I w , f kyr i RECORDING REQUEST;d,D BY: 4� I - AND WHEN RECORDED MAIL, TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 ilii oil ISI � iu� i ui i rill ioe o IIII ii �. 2��4—i0�16721 g Recorded I REC FEE 16.00 Official Records I CONFORM 1.00 Countyy Of I EGRUBBS ZIP CANDACEUJ I ,. Recorder I ROSEMARY DICKSON I Assistant I Alyce 01:24PM 02 -Nov -2004 I Page 1 of -4 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. DAVID F. BERTRAM AND JOAN M. BERTRAM REAL PROPERTY OWNER/LESSOR 15 DEDEKER LN. MAILING ADDRESS OROVILLE BUTTE CA. 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE 604 MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-3025 530 538-7541 BUIL I G PERMIT NO. TELEPHONE NUMBER S N URE OF LOCA AGENCY OFFICIAL DATE NE EALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FUQUA HMS INC./09755 1986 604 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 9314U/X 54'X 147 50'X 14' ORE148386/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 072-440-035 SEE ATTACHED ' HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. I .o- RE-ORDING REQUESTED B' Fidelity National Title of California Escrow No. 200808 -DP Title Order No. 00200808 When Recorded Mail Document and Tax Statement To: David F. Bertram 15 Dedeker Lane Oroville, CA 95965 III IIII II II IIII I II II 1111111 II II III 1 998-01052779 Recorded Official Records County Of Butte CANDACE J. GRl1BBS Recorder 09:00M 09 -Dec -1998 REC FEE 13.08 Maureen Page 1 of 3 APN: 072-440-035 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED GIFT The undersigned grantor(s) declare(s) Documentary transfer tax is $ , City Transfer Tax is $ [ 1 computed on full value of,property conveyed, or [ 1 computed on full value less value of liens or encumbrances remaining at time of sale, [ 1 Unincorporated Area City of Oroville " FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, David -F. Bertram, a married man as his sole and separate property hereby GRANT(S) to David F. Bertram and Joan M. Bertram, husband and wife as Joint Tenants the following described real property in the City of Oroville, County"of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: December 3, 1998 f f STATE OF CAUEORNIA �Z<J COUNTY OF \ U* -e- David F. Bertram ON 1;L— 8' before me, 1ir�2 thr%prSu�r a personally appeared TrL,.:.d F • 2eri-rax. _ personally known to me (or proved to me on the basis of ,satisfactory evidence) to be the personls) whose name(s)'is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by' his/her/their signaturels) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed instrument. Witness my hand a o cial seal. Signatur MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED Escrow No. 200808 -DP Title Order No. 00200808 EXHIBIT ONE PARCEL ONE -A: Commencing at the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B.&M.; thence South along the East line of Section 26, South 000 44' 55" East, 880.38 feet; thence South 890 11' 25" West, 1476.03 feet to the true point of beginning for the parcel herein described; thence South 890 11' 25" West, 164.00 feet; thence South 000 00' 50" West, 439.21 feet; thence North 890 13'33" East, 164.59 feet; thence North 000 03'45" West, 439.30 feet to the point of beginning. PARCEL ONE -B: Commencing at the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B.&M.; thence South along the East line of said Section, South 000 44' 55" East, 880.38 feet; thence South 890 11' 25" West, 1312.03 feet to the true point of beginning for the parcel herein described; thence South 890 11' 25" West, 164.00 feet; thence South 000 03' 45" East, 439.30 feet; thence North 890 13' 33" East, 164.59 feet; thence North 000 08' 20" West, 439.40 feet to the point of beginning. PARCEL TWO: A right of way 60 feet in width for road and utility purposes lying 30 feet on each side of the following described centerline: 4 Beginning at a point on the East line of Section 26, Township 19 North, Range 5 East, M.D.B.&M., bears South 000 43' 23" East, 1237.97 feet from the Northeast corner of said Section; thence from said point of beginning North 820 53' 24" West, 103.60 feet; thence North 630 34' 22" West, 246.47 feet; thence South 740 39' 03" West, 160.62 feet; thence North 790 27' 24" West, 669.97 feet; thence South 190 50' 20" West, 653.10 feet; thence South 020 14' 36" West, 186.15 feet; thence South 140 48' 36" West, 750.08 feet; thence South 250 46' 24" East to the South line of the Northeast quarter of Section 26. PARCEL THREE: A right of way 60 feet in width for road and utility purposes lying 30 feet on each side of the following described centerline: Beginning at a point that bears South 890 06' 14" West, a distance of 30.00 feet from the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B.&M.; thence South 600 51' 23" West, a distance of 45.02 feet to the beginning of a tangent curve to the left, having a radius of 100.00 feet, a central angle of 580 00' 58" and being concave to the Southeast; thence along said curve an arc distance of 101.26 feet; thence South 02" 50' 25" West, a distance of 236.13 feet to the beginning of a tangent curve to the right having a radius of 100.00 feet, and a central angle of 680 56' 03"; thence along said curve an arc distance of 120.31 feet to a point of reversing curve having a tangent bearing of South 71 0 46' 28" West, a radius of 100.00 feet, a central angle of 62107' 24" and being concave Southwesterly; thence along said curve, an arc distance of 108.43 feet; thence South 090 39' 04" West, a distance of 117.02 feet; thence South 020 21' 01" West, a distance of 491.54 feet to the end of description. PARCEL FOUR: Easements for road and public utility purposes 60 feet in width, as contained in Deed from D. & C. Enterprises, Inc., to Lee Colby, et al, recorded December 22, 1971, in Book 1722, Page 475, of Official Records. PARCEL FIVE: A 60 foot non-exclusive right of way for road and utilities, lying 30 feet on each side of the following described centerline: Beginning at a point from which the Southeast corner of Section 23, Township 19 North, Range 5 East, M.D.B.&M., bears North 890 06' 14" East, a distance of 30.00 feet; thence North 110 14' 44" West, a distance of 127.91 feet; thence North 040 50' 12" West, a distance of 602.11 feet; thence North 10 30' 16" East, a distance of 258.67 feet; thence North 031 13' 41" West, a distance of 318.96 feet to the beginning of a tangent curve to the left, having a central angle of 20° 46' 15" a radius of 375.00 feet and being concave Southwesterly; thence along said curve, an arc distance of 135.94 feet to the end of curve; thence North 230 59'..56" West, a distance of 5.51 feet to the beginning of a tangent curve to the right having a central angle of 950 42' 29" and a radius of 222.08 feet; thence along said curve, an arc distance of 370.97 feet to end of curve, being a nail and shiner in the centerline of Black Bart Road and end of description. RECORDING REQUESTED BY: i AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 02 -Nov -2004 2004-0067211 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 shalt 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. DAVID F. BERTRAM AND JOAN M. BERTRAM REAL PROPERTY OWNER/LESSOR 15 DEDEKER LN. MAILING ADDRESS OROVILLE BUTTE CA. 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT c A mlp CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner. write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-3025 (530) 538-7541 BUILD G PERMIT NO. TELEPHONE NUMBER S)ONITURE OF LOCA AGENCY 0 CIAL DATE NE EALER NAME (if not a dealer sale, write 'NONE-) NONE DEALER LICENSE NO. FUQUA HMS INC./09755 1986 604 MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 314U/X 54'X 14'/ 50'X 14' ORE148386/7 cFRIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 072-440-035 HCD FORM 433(A) REV. 8/91 roLDENROD - Building Dept. /I RECORDING REQUESTED BY: Fidelity, National Title of California Escrow No. 200808 -DP Title Order No. 0020,0808 When Recorded Mail Document and Tax Statement To: David F. Bertram 15 Dedeker Lane Oroville, CA 95965 III IN 1111 {1111111111111111111111 1 998-01052779 Recorded Official Records County Of Butte CARACE J. GRUBBS Recorder 09:88M 89 -Dec -1998 REC FEE 13.8A Maureen Page 1 of 3 A . 6 GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) declare(s) v Documentary transfer tax is $ City Transfer Tax is S [ ) computed on full value of property conveyed, or [ ) computed on full value less value of liens or encumbrances remaining at time of sale, [ I Unincorporated Area City of Oroville FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, David F. Bertram, a married man as his sole and separate property hereby GRANT(S) to David F. Bertram and Joan M. Bertram, husband and wife as Joint Tenants the following described real property in the City of Oroville, County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: December 3, 1998 f ' � - T� S ATE OF ORNIA (QCf'-tl [ COUNTY OF- L U* -e- David F. Bertram ON before me, (.,okAe&gjjeo4. 7 personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed instrument. . Witness my hand a o cial seal. Signatur MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED Oak Escrovk. No. 200808 -DP Title'Order No. 00200808 EXHIBIT ONE PARCEL ONE -A: Commencing at the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B.&M.; thence South along the East line of Section 26, South 000 44' 55" East, 880.38 feet; thence South 89° 11' 25" West, 1476.03 feet to the true point of beginning for the parcel herein described; thence South 890 11' 25" West, 164.00 feet; thence South 000 00' 50" West, 439.21 feet; thence North 890 13' 33" East, 164.59 feet; thence North 000 03'45" West, 439.30 feet to the point of beginning. PARCEL ONE -B: Commencing at the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B.&M.; thence South along the East line of said Section, South 000 44' 55" East, 880.38 feet; thence South 890 11' 25" West, 1312.03 feet to the true point of beginning for the parcel herein described; thence South 890 11' 25" West, 164.00 feet; thence South 000 03' 45" East, 439.30 feet; thence North 890 13' 33" East, 164.59 feet; thence North 000 08' 20" West, 439.40 feet to the point of beginning. PARCEL TWO: A right of way 60 feet in width for road and utility purposes lying 30 feet on each side of the following described centerline: Beginning at a point on the East line of Section 26, Township 19 North, Range 5 East, M.D.B.&M., bears South 000 43' 23" East, 1237.97 feet from the Northeast corner of said Section; thence from said point of beginning North 820 53' 24" West, 103.60 feet; thence North 630 34' 22" West, 246.47 feet; thence South 740 39' 03" West, 160.62 feet; thence North 790 27' 24" West, 669.97 feet; thence South 190 50' 20" West, 653.10 feet; thence South 020 14' 36" West, 186.15 feet; thence South 140 48' 36" West, 750.08 feet; thence South 250 46' 24" East to the South line of the Northeast quarter of Section 26. PARCEL THREE: A right of way 60 feet in width for road and utility purposes lying 30 feet on each side of the following described centerline: Beginning at a point that bears South 890 06' 14" West, a distance of 30.00 feet from the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B.&M.; thence South 600 51' 23" West, a distance of 45.02 feet to the beginning of a tangent curve to the left, having a radius of 100.00 feet, a central angle of 580 00' 58" and being concave to the Southeast; thence along said curve an arc distance of 101.26 feet; thence South 02" 50' 25" West, a distance of 236.13 feet to the beginning of a tangent curve to the right having a radius of 100.00 feet, and a central angle of 680 56' 03"; thence along said curve an arc distance of 120.31 feet to a point of reversing curve having a tangent bearing of South 710 46' 28" West, a radius of 100.00 feet, a central angle of 620 07' 24" and being concave Southwesterly; thence along said curve, an arc distance of 108.43 feet; thence South 090 39' 04" West, a distance of 117.02 feet; thence South 020 21' 01" West, a distance of 491.54 feet to the end of description. PARCEL FOUR: Easements for road and public utility purposes 60 feet in width, as contained in Deed from D. & C. Enterprises, Inc., to Lee Colby, et al, recorded December 22, 1971, in Book 1722, Page 475, of Official Records. PARCEL FIVE: A 60 foot non-exclusive right of way for road and utilities, lying 30 feet on each side of the following described centerline: Beginning at a point from which the Southeast corner of Section 23, Township 19 North, Range 5 East, M.D.B.&M., bears North 890 06' 14" East, a distance of 30.00 feet; thence North 110 14' 44" West, a distance of 127.91 feet; thence North 040 50' 12" West, a distance of 602.11 feet; thence North 10 30' 16" East, a distance of 258.67 feet; thence North 03° 13' 41" West, a distance of 318.96 feet to the beginning of a tangent curve to the left, having a central angle of 201 46' 15" a radius of 375.00 feet and being concave Southwesterly; thence along said curve, an arc distance of 135.94 feet to the end of curve; thence North 230 59' 56" West, a distance of 5.51 feet to the beginning of a tangent curve to the right having a central angle of 950 42' 29" and a radius of 222.08 feet; thence along said curve, an arc distance of 370.97 feet to end of curve, being a nail and shiner in the centerline of Black Bart Road and end of description. - ( � i _ _ f' t � � _ � � r • . REZORDING REQUESTED BY: f=idelity National Title of California Escrow No. 200808 -DP Title Order No. 00200808 When Recorded Mail Document and Tax Statement To: David F. Bertram 15 Dedeker Lane Oroville, CA 95965 III IN 11 11111111111 1 998-0052779 Recorded I, REC FEE 13.80 OfficialRecordsI unt I ButteOf I CKIACE J. SRUBBS I Recorder . I I Maureen e9:NM e9 -Dec -1998 I Page 1 of 3 Arlt': U/L-44U-UJO • GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantors) declare(s) Documentary transfer tax is S City Transfer Tax is S [ I computed on full value of property conveyed, or [ I computed on full value less value of liens or encumbrances remaining at time of sale, [ . I Unincorporated Area City of Oroville FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, David F. Bertram, a married man as his sole -and separate property hereby GRANT(S) to David F. Bertram and Joan M. Bertram, husband and wife as -Joint Tenants the following described real property in the City of Oroville, County of Butte, 'State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE.A PART HEREOF DATED: December 3, 1998 STATE OF CAUEORNIA � COUNTY OF uX1Z< David F. Bertram ON l a'3�8' before me, rn2 urar%ers(cPr, a., personally appeared -LrLL;,o( F • ,1Rer rg jk _ personally known to me (or proved to me on the basis of 'satisfactory evidence) to be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by, his/her/theirsignature(s) on the instrument the person(s), or the entity. upon behalf of which the peeson(s) acted, executed instrument. Witness my hand,a o cial seal. Signatur FD -213 (Rev 7196) MAIL TAX STATEMENTS AS DIRECTED ABOVE GRANT DEED Escrow No. 200808 -DP Title'Order No. 00200808 EXHIBIT ONE PARCEL ONE -A: Commencing at the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B.&M.; thence South along the East line of Section 26, South 000 44' 55" East, 880.38 feet; thence South 890 11' 25" West, 1476.03 feet to the true point of beginning for the parcel herein described; thence South 890 11' 25" West, 164.00 feet; thence South 00100' 50" West, 439.21 feet; thence North 890 13' 33" East, 164.59.feet; thence North 000 03'45" West, 439.30 feet to the point of beginning. PARCEL ONE -B: Commencing at the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B.&M.; thence South along the East line of said Section, South 000 44' 55" East, 880.38 feet; thence South 89° 11'25" West, 1312.03 feet to the true point of beginning for the parcel herein described; thence South 89° 11' 25" West, 164.00 feet; thence South 000 03' 45" East, -439.30 feet; thence North 890 13' 33" East, 164.59 feet; thence.North 000 08' 20" West, 439.40 feet to the point of beginning. PARCEL TWO: A right of way 60 feet iii width for road and utility purposes lying 30 feet on each side of the following described centerline: Beginning at a point on the East line of Section 26, Township 19 North, Range 5 East, M.D.B.&M., bears South 000 43' 23" East, 1237.97 feet from the Northeast corner of said Section; thence from said point of beginning North 82 ° 53' 24" West, 103.60 feet; thence North 631 34' 22" West, 246.47 feet; thence South 740 39' 03" West, 160.62 feet; thence North 79° 27' 24" West, 669.97 feet; thence South 190.50' 20" West, 653.10 feet; thence South 020 14' 36 West, 186.15 feet; thence South 141 48' 36" West, 750.08 feet; thence South 250 46' 24" East to the South line of the Northeast quarter of Section 26. PARCEL THREE: A right of way 60 feet in width for roadand utility purposes lying 30 feet on each side of the following described centerline: Beginning at a point that bears South 890 06' 14" West, a distance of 30.00 feet from the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B.&M.; thence South 601 51' 23" West, a distance of 45.02 feet to the beginning of a tangent curve to the left, having a radius of 100.00 feet, a central angle of 58° 00' 58" and being concave to the Southeast; thence along said curve an arc distance of 101.26 feet; thence South 02" 50' 25" West, a distance of 236.13 feet to the beginning of a tangent curve to the right having a radius of 100.00 feet, and a central angle of 68° 56' 03"; thence along said curve an arc distance of 120.31 feet to a point of reversing curve having a tangent bearing of South 71 ° 46' 28" West, a radius of 100.00 feet, a central angle of 62° 07' 24" and being concave Southwesterly; thence along said curve, an arc distance of 108.43 feet; thence South 0910 39' 04" West, a distance of 117.02 feet; thence South 020 21' 01" West, a distance of 491.54 feet to the end of description. PARCEL FOUR: Easements for road and public utility purposes 60 feet in width, as contained in Deed from D. & C. Enterprises, Inc., to Lee Colby, et al, recorded December 22, 1971, in Book 1722, Page 475, of Official Records. PARCEL FIVE: A 60 foot non-exclusive right of way for road and utilities, lying 30 feet on each side of the following described centerline: Beginning at a point from which the Southeast corner of Section 23, Township 19 North, Range 5 East, M.D.B.&M., bears North 89° 06' 14" East, a distance of 30.00 feet; thence North 110 14' 44" West, a distance of 127.91 feet; �C thence North 04° 50' 12" West, a distance of 602.11 feet; thence North 10 30' 16" East, a distance of 258.67 feet; thence North 030 13' 41" West, a distance of 318.96 feet to the beginning of a tangent curve to the left, having a central angle of 20° 46' 15" a radius of 375.00 feet and being concave Southwesterly; thence along said curve, an arc distance of 135.94 feet to the end of curve; thence North 23° 59' 56" West, a distance of'5.51 feet to the beginning of a tangent curve to the right having a central angle of 950 42' 29" and a radius of 222.08.feet; thence along said curve, an arc distance of 370.97 feet to end of curve, being a nail and shiner in the centerline of Black Bart Road and end of description. STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARn MnRTI FHnHF nFCAiNO_ i Ai.o-7n MANUFACTURER NAME/ID FUQUA HM INC/09755 TRADE NAME FUQUA MODEL DOM DOT 604 12/16/86 12/16/86 DFS 10/06/88 SPC EXPIRATION U SERIAL NUMBER LABEL/INSIGNIA NUMBER L 9314U ORE148386 2 9314X, ORE148387 WEIGHT 021800 018700 LENGTH 000648 000600 WIDTH 000168 000168 ISSUED 11/08/88 SCC 04 EXEMPT USE SFD TYPE LPT 3 TOTAL a FEES 5 PAID: 6 $30.00 A BERTRAM DAVID F o 15 DEDEKER LN D OROVILLE CA 95966 R r s z r q R BERTRAM DAVID F� E I A 15 DEDEKER LN s i T L. E OROVILLE �CA "5966 Avi' o s 15 DEDEKER LN w I,£� x N T � 4c t p P' r E U OROVILLE CA 95965 R s L FST INTERSTATE BK CALIF E DIRECT LN CENTER A BX 269028 9028do o SACRAMENTO CA 95826��TMy s� r� 4 .. w DATE: 10/19/88 132- bA _ E 0� R o, J U F N I I R O S R T L I : E N S H E 0 C L 0 D N E D R leAr 1105, ip b, ' ,vS' t��'f``; fi �' yam; '➢ �x!� .'q.�3-.t's._ _ E IMPORTANT 03-308-02132 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. i THE CURRENT. -TITLE STATUS OF THE UNIT MAY BE.CONFIRMED.THROUGH THE DEPARTMENT. 0301258 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP043025 LICENSED CONTRACTORS 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 Issued Date: 10/21/2004 APN: 072440-035-000 the Business and Professions Code, and my license is in full force and effect. c� License Class: Com- License Number: 1 —f cv " 4 LQ a � Site Address: 15 DEDEKER LN ORO O Date: �► U Contractor. -11oa Map Index: Description: EX MH ON PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BERTRAM DAVID F permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 15 DEDEKER LN signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966-8948 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LIFETIME EXTERIORS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 6230 JACK HILL DRIVE provided that such improvements are not intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-228-3421 proving that he or she did not build or improve for the purpose of sale.). ❑ .I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: LIFETIME EXTERIORS not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 6230 JACK HILL DRIVE OROVILLE, CA 95966 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 530-228-3421 Date: Owner: License #: 746808 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carver: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: U I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 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. Date: I i - U q Applicant:,0. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees.) CONSTRUCTION LENDING AGENCY This permit is hereby issu d under the applicable provisions of the Butte County Cody BnNOr I hereby affirm that there is a construction lending agency for the Resolutions to do w nd1cated above for which fees have been paid. r ) performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: Name: PERMIT EXPIRES ON: G - 5T, os Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Countytoenter upon the above mentioned property for inspection pu ses.. `B_utte ,� n � A "C 1 Print Name: �, ej i 1 t )Y Y e -SA Ir— Signature: lJ�3�llti4 Y . l ®� �1 �i Date: i _/ 0 Owner 0 Contractor ❑ Agent for Owner d Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REOUIRED AT TIME OF APPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Name,PA) �RT�AM rst Name V �� Address 1-5 City pouf LCL -7 City Trp Phone 5 3 31 Fax E-mail CONTRACTOR Name ?l rbc AddressP. Q� 4 Address City Statb— Zip Q y.96 Phonev �Z 3 - 34 L Fax E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name CityA LO77.� Address 7,p? S f=6 City No State Trp Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address u CityA LO77.� StateC� 7,p? S f=6 Phone ��$ ^ �4 2-1Fax No E-mail APP (CANT SIGNATURE X For o use only: Hing Property Address >- i.✓ Flood Zone Cross Cross Street 5rwA2�4- t SRA Yes No Of Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER PeR-SdJB.A IIIA•L—R EMEN TS K\FORMS\BMILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 PERMIT NO. BIN # LOCATION AP# p7L -1446-©3s Property Address >- i.✓ C'dy , p�u� L4c - Cross Cross Street 5rwA2�4- t WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 5F;T Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. II Received by Amount: Bldg I I SRA Receipt #: 41,An-3 Sheriff SMTP Date: / �Other J Total REV 7-27-04 I SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit: INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Fon-n. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy, Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Ketunds can oniy be made upon written request by the person who paid the fee. The request must be7made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS1131dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 o�-�v�S^ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING, DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ? }Q Kt V a- �-1 ASSESSOR PARCEL NUMBER OtIO - 4 4' 0 -9 -3s -- Proposed Building Use: � X M � d 1. Counter Technician -CM Date: (� / Items required in order to apply for a permit. All oxes MUST(be checked OR marked NA in order to apply. ' 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.J ❑ 3. 'Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. -2- 8. Manufactured homes: (A) Datasheets and installation ins QB)_a4araiage. be iatq_(C Floor Pla R)_ie4ewn-or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14: Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department int] Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑_ 27. Encroachment Permit for driveway fro the Public Works Dept .......................... .,Ci 26. Pre -Inspection for r; �c required....... t t n • 16- a 4- ❑ 29. Contractor's license information. (Number, N e Style, Masstfication)................... U ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35: Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... _�gt. 37. :P Grant Deedjt-M.H. TitlelStatement of Facts, it -Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: Wher issued Telephone���� 3� 1 and hold for pickup. I hav: been informed of the above items and requirements for obtaining a building permit. A Applicant: 4---<- Date: 1. Index permi application for the above items numbered: Plan Check Letter 2. 'onal items required nt 3c designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: d 6ntr3ctor, designer, owner was advised of the apove data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: 0' SO ' 0 `i Plans approved by: C Date Strucural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division REQUEST FOR INSPTECTII,ONermit No. Location' J 1 l-� -i�� ��� .P A V, • Call Ll Owner: A�' V ,QQ/ U., yr 1 Contractor: \Phon L� ., gLj� BLDG , PLUMB/MECH ELECTRIC M.H.IJM.H. RE. S INPECTIO Form Rough Rough Fnd/Ftg Frame/U erfloor Top Out Temp. Service Job Status Stucco Lath Gas Pipinglrest Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Woodstove Sewer Piping Well Circuit Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Corrections Corrections Corrections Light Niche Final Final Final Corrections Ready for Final Inspec. on: Date: Comment: PRE -INSPECTION REPORT OWNER: DATE: O LOCATION: A.P. # --0 CONTRACTOR:-� �/i'j0►�"S ZONING REASON FOR PRE-INSPECTI N E -t /Mg-, DATE TO INSPECTOR S PERMIT HISTORY ( ) NONE ( SEE ATTA(C)= BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: i Residential # of Units: Mobile home # of Units: Currently Occupied O Yes ( ) No AbandonedNacant: Electric: Electric Currently Condition of Electric Gas: Currently Condition Sanitation: ( )On ( )off'. ( ) On O Off Plumbing Worldng O Yes ( ) No Obvious Sewage.Problems ( ).Yes ( ) No ACTION RECOMMENDED: ISSUE Hold for permits or verify: 1 2 -19 "r- I— In, 1-7 ( ) Yes () No 1f -r-/1 r o f=z <) . 1"a1 Inspector: _.R — (a/ Date: �A//,f ci c T,7Tm!'ITT T)TTTT TNTNTI-0 nrT U-VAT1 Pq-P AMI TNMTf` A'P-V T f 0 A'TTl1N f1N-VDn-PTl?TV BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE KEL BE REOUIRED AT TIME OF APPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Name • , aAi'�AM rst Name �q `� Address L15 r (c am L Aj , City Ut �L� Staff Zip Phone S 3l� 5 ._ i+ 3 31 Fax E-mail CONTRACTOR Name. aQ,� as Address . CityLe Stat Zip 5 �6 Phone c, �z 3 _ .v Fax E-mail Lic. # Class APPLI CANT NAME ARCHITECT/ENGINEER Name Address P v �. Address State, -A— City Phone �Zg ^ �4 Zi State Zp Phone Book Fax E-mail Planner State License Number APPLI CANT NAME NamedG Z p,Qy2c 7 I �� Address P v �. City ,hLeat.,�nd State, -A— Z�pt � Phone �Zg ^ �4 Zi Fax E-mail APP (CANT SIGNATURE Xs/� For office use only: Zoning Property Address 5��S�C�'�c�Q L.✓ Flood Zone Cross Street 3,AaVA LA, L N SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMSWILDING FORMS\BldgADDISubRgmts.doc Page 1 of 2 PERMIT NO. BIN # LOCATION AP# 072- -4L46-635 Property Address 5��S�C�'�c�Q L.✓ City , ply Vi Lkd Cross Street 3,AaVA LA, L N WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certiricate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 5 A714)F i 7, lip _11—A111 -1,1V etA Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the. permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. II Received b4# -,-.Amount Bldg SRA Receipt #: 41,A-ja-3 Sheriff SMIP Date: Other %� ��jl �J Total REV 7-27-04 'BTAIN FINAL INSP GARAGE �t �i'O j,2 /�P5a AJ -VL DAVID BERTRAM 15 Dedeker Lane, Oroville Permit#443-88P,E(well & future lot development) %Nq i- Permit#908-88B,P,E(new garage) 72-44-35 Permit 43 88P' GASB I SUPPORT STRU TURE : COMPACTION TEST REQ. !7!2-44-35 Contr: Rich fd Van Stavern Permit#3 -88 —�� 072-44-0-035 BERTRAM, David 92-3367 B,E 15 Dedeker LN, Oroville compl.ete_9 72-44-35 certificate of compliance &ijtvl� i R f .., r ty t, i 72-44-35 certificate of compliance &ijtvl� i f i October 8, 2004 David F. Bertram 15 Dedeker Lane Oroville, CA 95966 Re: 1.5 Dedeker Lane Oroville, CA 95966 APN: 072-440-035 To Whom It May Concern: Per our telephone conversation, please be advised that it is our intention to pay off current lien holder Washington Mutual Loan# 0069207678 through the close of escrow number 604801 -RB. Should you have any further requirements or questions, please feel free to contact our office. Sincerely, RoL Branco Escrow Officer 2999 Douglas Blvd., #315 Roseville, CA 95661 • (9,16) 787-5344. Fax (916) 787-5354 letrhead (rev. 07/17/98) Ur ine - ° l -Mortgage, Corp. Reverse Mortgage Divisi®n Rena Henderson, Loan Processor 775 Sunrise Avenue ##220 Roseville, CA 95661 (916)754-6777 Fax (916) 754-6767 vvNm.reversemortgageprograms.co.m Toll Free (555)34-USF'MC September 29, 2004 David & Joan Bertram . 15 Dekeker Lane Oroville, CA 95966 Dear Mr. & Mrs. -Bertram: Our records indicate that your manufactured home is not on a permanent foundation. For your loan to qualify for a HUD Reverse Mortgage you will need to have your home place on a permeate foundation and have anEngineer certification, as well as the proper permits. The Bertram's are pre -qualified for the loan with USFinancial, however the above foundation work needs to be performed in order for the loan to take place. If you have any further question on this matter, please feel free to contact me. Sincerely, 'latu C� Rena Henderson A U.S. Financial Company t ' t NOTES. t RESIDENTIAL :r PERMIT NO. _ _'�':'-'t```'-U35 VO4-3025 .i 5.1)FDEKER. 1.N, ORO \10_LE � f tui N"'F': L,:f`FTi `•,1 E F TERIOR S i THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS. BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. a.C- p - /ac a SPECIAL CONDITIONS CHECKED RY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature A/f'/4Lt BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect./� License Class : C. License Number: Date: (0 t Qq Contractor. Joa F_)Y f c5N c.r OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did riot build or improve to? the purpose of sale.): ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy It. f/ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 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. Date: 0 Applicant: g- zy- t, _ PERMIT NO. BP043025 Issued Date: 10/21/2004 APN: 072440-035-000 Site Address: 15 DEDEKER LN ORO Map Index: Description: EX MH ON PERM FND Owner: BERTRAM DAVID F 15 DEDEKER LN OROVILLE, CA 95966-8948 Applicant: LIFETIME EXTERIORS 6230 JACK HILL DRIVE OROVILLE, CA 95966 530-228-3421 Contractor: LIFETIME EXTERIORS 6230 JACK HILL DRIVE OROVILLE, CA 95966 530-228-3421 License #: 746808 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject- an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issugd under the applicable provisions of the Butte County CodA ?nd/or I hereby affirm that there is a construction lending agency for the Resolutions to do w n tcated above for which fees have been paid. r ) performance of the work for which this permit is issued (Sec 3097 Civ.) 1 U 1 U Name: By: Date: f Address: PERMIT EXPIRES ON: G -� Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of `Butte County to enter upon t`he above mentioned property for inspection pu ses� Print Name:- atsYIi_u 1 yt�)yy e__—&, \t -- Signature: Date: ❑ Owner ❑ Contractor ❑ Agent for Owner M Agent for Contractor J=OK 0 = Not OK . = Not Readyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/0 -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit Date 9. Card B-1 Date Card B-1 Date 10. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Light Niche 1. Zoning Requirements -Setbacks -Easements Enclosure; Fencing -Alarms 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line 3. Blo ing Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged a'Aits 10. License Decals 11. Verify #'s with Office Date �� Card B-1 Date Card B-1 Date V Card B-1 Date Card B-1 oze f' g. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s f 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining, 4. Elec.; Receptacles and Lighting, Distance-GFI i 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche { 12. Enclosure; Fencing -Alarms I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al _ 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 96. Fire Sprinkler Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Building Permit Number: Q q — j 0 Z S Owner Name: A �-Frdlrh Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code. ( 2000 U.P.C.),'2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certifccate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2.. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. J i Page 2of 2 Building Permit Number: 04 — 30 Z S Owner Name:c��rn -Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. E The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of eet from the side and go ` et om the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil maybe encountered on this site. This condition may require the G foundation to be designed by a. California registered engineer or licensed architect. r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 22 *A_ �JIAv6�LQ 3. Is the site currently under permit? Yes rV t No (If yes, furnish permit number OR Is the site an existing site? Yes �j No 0 o- (If yes, furnish two plot plans.) 4.. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ,� No El (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. 'What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be'served by the mobilehome site service? ----- --------------------------- Yes No (If yes, identify the load and size: (Load) Zi (Amps) 9. What is the mobilehome site gas pipe size?'-------------- (in.) Natural LPG 10. What is the type of gas service? ------------------- T 11. What is the gas pipe length from meter or tank to the e mobilehome? ---------------------------=----------------- �s (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.) a MOBILEROME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year Width(ft.) Box Lengthc�ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)®1. Concrete block. ❑ 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Line 1 Openings: - Size -Min- ------------ k „ Size -Min- ------------------ x Spacing -Max. - -'--=-- - Each Side of Openings From Ends -Max --------With Width Over --------- Line 2 Piers: Size -Min - ------------ „Y 3Q, Spacing -Max.--------- '_ o From Enda-Max.------- Line 3 Roof Loads: Size -Min. ---------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „ Spacing -Max.--------------- From Ends -Max .------------- „ Size -Min. ------------ 'k " Spacing -Max.--------- From Ends -Max .------- „ e 5 Piers: (Under Bearing hails Only) Size -Min ------------------- 'k Spacing -Max.--------------- From Enda-`tax.------------- Line 5 Roof Loads: - Size -Min. ------------ "x k k k "x "x 11 "x " Location (From Front) E_ -MILD- ING DENI'�RTMENT APPROVED F U�, �c_ c: INC. �- � A H , ut'� � ...Y-Y..R L1Ll"L-✓J►�.� 7�'1�"` �. ET,; ��� S U, P O i SPE(--,. S H co rtDc� uw.X,clv+�n O i,;xn:•� �atztcna�c Q �, vrt� n u�or,rtaa E�1 MODEL L 0,6, ROOF LIVE LOAD ROOF DEAD LOAD IDT 4'- \1I DTH 0 C),vrlYv,�RU SPECIAL INS'TRUCTIONS COL LOAD (L X1,1 A #Z�51,1,,ij X'- HAL -- ()LLDI,�RDi SPECIAL INSTRUCTIONS LOAD(O llt'L85.1 2 120-1 6 g� 31715 LG -r Foot* or pad size must be determined by di.•iding they = IS00 F'SF,�zJ.�+��, ojl;��-�9��P��~~1�� ,�5, tl. e', ,� 11'IC downward loacl•3700 Ex: Soil bearing cipauty LESS FT 2. 1� SQ• _ Footing size = = 1500 A 3/8" ChD PLAlEO BOLT, NUT & WASHER COAC4 'C" FRAME STEEL ANGLE / COUNTER BORED FLUSH WITH BOTTOM 2" CH/.NNEL AT e" O.C. (8) REQUIRED 1/4'x1-1/4� 1/4" STAND BASE TEK SIS — � ABESCO ABS PAD 0503 (2) REQUIRED DETAIL "A" CHASSIS FRAME 36' MAX 1/4" GRIPPER PLATE TO BOTTOM OF PAD (2) REQUIP.EO 1/4" GRIPPER BASE a 01/2"x 3" C.R. 1/2-1nNC-A307 x 4" LOCK PIN WITH BOLT WITH NUTS PIN 8- BRIDGE (4) REOUIREO 01 1/2- SCH 40 -PIPE RISER WITH 01/2" ADJUSTER VOLES AND 3/8" i THICK TOP PLATE 02" SCH 40 PIPE STAND VATH TWO J 01/2" ADJUSTER HOLES ABESCO ABS PAD /503 � j; STEEL FP.AME - SEE, DETAIL "A" a;, 13 z �' I r ; 13 37" mC. D0 ® is 1/2" Z 1/4" GRIPPER BASE 1/2' A307 BOLT (2) REQUIRED 3/6'x 6'x 6" STEEL PLATE 1/2- A307 BOLT (2) REQUIRED r— 10.00 —moi 0! o F 1 D.90 `w 09/16 HOLE (TTP)-*% STAND BASE TOP VIEN Iq ESSIp 004 17918 TUE-1 PERMANENT FOUNDATION SYSTEM COACH "J" FRAME 1/4, GRIPPER 1 4- �/4" PLATE TEK(4) REQUIRED 1/4- GRIPPER BASE 1/2- A307 BOLT (4) REQUIRED C—BEAM j— BEAM ATTACHMENT ATTACHM=NT g" 1/2' DIA. HOLE (8) PLACES � 4 � 30' STEEL FRAME TOF VIEW r S TAwM ... - •A�,7tAip RARlY 0084 �C�o Nrtli _ - • w■e�*oao�la�arstal,�rioK+r - ArMOTAUM1 M1211GRQ!VA" A!R +�.,. �seo�tdLnevlAnos»lieoattol >M`.A=A 9fA1RILAVX AJlm22WAi» j' llw� JNiMllnls 40 - co - _ WAYNE T. POLVADO, PE -LISTING NO. F94249 SWEET 1 of 3 n 9 GENERAL NOTES GUS GUARD TUF-1 I. DESIGN LO&D9-LIVE LOAD - 30 LB_ FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C' SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SEE NOTE f I S) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOJL PROBLEMS. 3. CHASSIS BEAR' SUPPOP.TS SHALL BE LO:ATEO AND SIZED FOR THE LOADS AS SHOWN IN THE *WDBILE HOME INSTALLATION INSTRUCTIONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUTACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS I/4', OX WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. S. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHAT! BE COMPATIBLE WITH LOCAL SOI_ CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LDCAL VOIDS UVDER PADS. 6. STRUCTURAL STEEL- cABRICATED ACCORDING TO AISC SPECIFiCATION. WELD ACCORDING TO AWS SPECIICATIONS. ELECTRODES -370 PLATES -ASTM A36 EDLTS-SAE GR 5=ASTM A449=ASTM A3725. i. THE GUS GUAP.O ASSENBLIES SHOWN ON THIS PACE SHALL BE LISTED AND LARUlO BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS CUARD TUF-I' 2200/ 6000 GUS GUARD MGP PAD 2200F 6000 GUS GUARD E -Z TIE PAD 22001 GOOD# E. DURING PREUNINARY NSPECTION, THE ESTIMATOR SHALL ENSURE THAfi "^ MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFIITE) TO RESIST SEI'SWIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ' -)N THIS PAGE OF TYPICAL FOUNDATION PLANS. 10: THE GUS GUARD TUF-I SYSTEKS ARE SAFE FOR INSTALLATION IN FLOOD d� PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT . OF 7WE FEET. U17 MULTIPLE UNIT INSTALLATION S ACCEPTABLE PROVIDED 1HE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS - TH SAME AS SHOWN REQUIRED PER EACH UNIT. ll�j SING1LL-WIDE UNITS REQUIRE AD)ITIONAL RESTRAINT. • (SEE SHEET (3) • 1l AL WTAL COMPONENTS UIO ATTACHMENTS ITEMS SHILL BE PIDTIC1VE COATED. I0.J WHEN CONCRETE SLAB IS IN EKISTANCE, PAD IS NOT 16. FOUKDATION FLOCKS 16'x 16-YI2' POURED IN PUKE AT GROUND LEVEL MAY RE USED AT HISTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES 0OUBLE/11ULT1PLE COACHES E= 2'MIN. / 8' MAX. E= 2' MN. / I V MAX. S= 6' MIN_ /16' MAX_ S= 6' MIN_ / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) --�{ E S i S S=-+ F+ E u u U 0 u RIDGE BEAM SUPPORT AS' REQUIRED BY(TY F TURER[—] CARL) D ❑ a D E3 -T a El El a 8' sOM. a Z' I.OM. PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEC-REES OR PIERS AS RECOMMENOEO BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SVPP RT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD �TYP) RW& 17918 L it x CIV1� pF Cp��F4 _ REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT 'OFoujl (4) 1/z'z 3 1;2" EXPANSION ANcrtoas. FOUNDATION SYSTEM I S. GUARD lUF-1 FOUNDAT13N SYSTEM PROVIDES _ < M ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED AB3SCO_GUS GUARD CC)WATVY --JW"- . EXISTING STANDARDS REQUIRED BY COACH 5851 FI OR]V - PERTCWS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO +� ONE BASIS. SACRAMQNFrO, CA 95623 E ;") PH: (800) 382-8831 STATE APPROVAL MANUPACITIRED ROMWIVIOMA MMA IOUNDATION SYSTEM BBALTR AND sAmTP OODB ancrim 1t1l11 APMOVW QUBTBCT TO ODRUSLBCT C= NUM AM -OVAL DOES NOTAVIHORTES Oit AT MMN AIR OMISSIONS OR DSVIAITON MOM jt8Qil:REl rWMC f APPLICABLE STATE LAWS AND JRB(WIJ►71 M _ Stm orCaufaeh O a t Of Hvnfit and cmmmgvpY"nd _ :::.. 01 � f ODDds AN9 iTAImARZW f 'f '`' SPA NO. I V a� t / / This PlanArBmvelIF—;,— _ T� WAYNE T. POLVADO, PE -LISTING NO. F94249 'SHEET 2 o` 3 v H 0 U Ln w m a r - (s) m N in m co m m N m CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH PUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH — 01/2" ADJUSTER HOLIES AND 3/B" THICK TOP PLATE 02" SCI4 40 PIPE STAND. WITH. TWO — 01/2- ADJUSTER HOLES �/1,�ESCO ABS PAD #503 � mcev CSTEEL FRAME -� �CL z G), 0 m / 36" MAX TO BOTTOM C•F PAD 01/2"r 3" C.R.; LOCK ?IN WITH 01/6" BRIDGE PIN i �r r J LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION YOLThT mx QNITB LENm HOMZ 10 DTH OF H 26 WE 44 1/2"x 3 1/2" 1/2"x 8' LONG a a (4) REOUIRED EXPANSION ANCHOR ANCHOR BOLT 12 1 I z 3/0- CAD PLATED BOLT. NUT & WASHER (4) REQUIRED 'A) REQUIRED 1D I 10 COUNTER BORED FLUSH WITH BOTTOM y. AT >!" O.C. \ (Li) REWIRED. CONCRETE PAD INSTALLATION POURED IN PLACE 16x16x12 CONCRETE 1 FOUNDATION INSTALLATION i , , ► , CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH PUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH — 01/2" ADJUSTER HOLIES AND 3/B" THICK TOP PLATE 02" SCI4 40 PIPE STAND. WITH. TWO — 01/2- ADJUSTER HOLES �/1,�ESCO ABS PAD #503 � mcev CSTEEL FRAME -� �CL z G), 0 m / 36" MAX TO BOTTOM C•F PAD 01/2"r 3" C.R.; LOCK ?IN WITH 01/6" BRIDGE PIN i �r r J LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION YOLThT mx QNITB LENm HOMZ 10 DTH OF H 26 WE 44 UP TO J4� 8 a a 12 44'-1' ro12 1 12 1 I z 14" W-1- to Sol 10 1 1D I 10 Z4 S NCIA BIDE UNM UENGTH OF HOME 10 WIDTH OF H M 12 14 16 UP TO 44' 6 1 6 1 6 16 4t -1- b wl a 1 B1 a a W-1- to Sol 10 1 1D I 10 10 NUMBER OF TUF-1 REQUIREO NUMBER OF TUF—i REQUIRED NOTE; SINGLE WIDE UNITS REQUIRE (4) E—Y TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACEO AT APPROXNATIELY EQUAL 1NTTEtVALS ALONG EACH FRAME RAIL Q�oF 37" TUF-1 PERMANENT FOUNDATION SYSTEM SATE APPROVAL F0I1NDATION SYSTEM �T4! AND SAFETY CODE. SWnON Llf3T API ROVED SIJBTBm TO ODRRBCTIONE NOnD APFROVAI.DOES NOT AVMORIZLOlt APPROVE A" OMISSTONS OR Dr4TATTOW FROM IREQUIMMENTS OT APPLICABLE 3TAT8 LAWS AND SEQULATIONIS Stab of odifoJnia HaDeims a o Ctrmma ft OewmlaD" 1N AMID 3 i91f � •,, (ae�) STA VO. TWs Plan Approval Rxpbm WAYNE POLVADO, PE—LISTING NO. F94249 SHEET 3 eT 3 Al `a{ �Jn �� 9Q�— �� o PERMIT NO. F f -908-88B,P-E PERMIT EXPIRES OWNER DAVID BERTRAM CONTR. ASSESSOR PARCEL —44-21' LOCATION s Ded.Qkag Lane, Dr-r;llP IV,Lk) Y, Y, r- t)-� P , ilrf zo 1py- . k) S Z2 -2�? ZA U-11 Temp. Power Pole Called PG&E — I Temp. Elec. Service Called PG1 ;61 Temp. Gas Bar Called PG! JOB FINALED Signature = OK O=NotOk - =Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DE S,COVEAS,CARPORTS,GARAGES, (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements oiling Requirements -Setbacks -Easements •2. Soils; Special MH Support -Sketch . Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location-Test-Fall,C/O-Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails "4. Water; Location -Test -Easement Needed (Sketch); 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete - 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Aw.p-,'Columns-Con nections-Splice- Decal -Enclosures Car s; Windows -D or 7. Utility Clearanceecr 'tpFr grSills-Anchors-Studs-Rftrs-Trusses 9 ►ding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date C4107 Rol-, Shthg-Roofing Card -131 Date Card -81 Date Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Card -B1 Date, aril -B1 Date /`% fJ40Date and -B1 Date ME 2: Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector, 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer, Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -61 Date Card -61 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit Card -B1 Date Card -61 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date 3 Card -B1 Date Card -B1 Date = OK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) ' = Not Ready Date UNDFRFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Fig. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer - 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Suppirt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub &Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71: Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. 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 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. 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 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -B1 Date Card -B1 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 -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 Date 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 (rht 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) David Bertram 15 Dedeker Lane. Oroville, CA 95966 Eatte,countA L A N D O F N A T U R A L W E A L T H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 April 3, 1989 RONALD D. McELROY Deputy Director RE: Expired Permit A.P.- #: 72-44`?j-7 15 Dedeker Lan6, Oroville, dA Dear Mr. Bertram: This is a warning. letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain approvals of previous corrections, failure to obtain final approval prior to expiration of permits. Since permits and inspections are required for the above work, please contact this office within ten days of t'i'le date of this letter, apply for the required permits to make corrections and complete project, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed.' This field authorization cannot be made until the existing work is inspected. and approved. Please be aware that Butte County hats entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of. enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Jim Glander or Bob Keith of this office. JFG:ahb cc: Assessor Buing Inspector Yours very truly, William Cheff Director of Public Works ti:t?` 4Yt9� a79ned �. I F. Guam J.F. Glander Chief Building Inspector ;�' �.� fir:• - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER T�NO ASSESSOR PARCEL NUMBER 072-440—W ZONING MR BUILDING PERMIT OWNER DAVID BERTRAM TELEPHONE 589-4331 SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 15 DEDERER LANE OROVILLE ,37 CONNT�R}AACCTOR'S NAME \/W1� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ 67.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 15 DEDEM LANE OROVILLE Permit fee $ � PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Dff GW(Z 11 SPECIFY S Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK R New ❑ Addition ❑_—RRpmo el ���`[� II Other ❑ Describe work: - T "h*f— l _ UNDU B. P. 908-88 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 0V OR Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW M I declare under penalty of perjury (Check One): t. I am licensed under provisions of Chapt. 9, Div. 3 of the T3usiness and Professions Code and my license is in full force and effect. License No. Classification VI, as the owner, or my employees with wages as their sole'f 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 tcontract- ors. (Sec. 7044) ) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A, 37.50 NEW CONST. (DWELLING OCCUP.9 3.64 sq.ft. OR ADDNS• . l ACC. BLDGS. NEW CONSTR ULTI.OUTLET @ 5.00 NO N•R ESID BRANCH CIRC ITS POWER APPARATUS D (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 31.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. r^I I have placed on file with the County of Butte Building Department LJ a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. y LC7 ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating '. Cooling EDod 6.50 Ventilation permit Fee $ Contractor I certify that I have read this ,application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cq&tfN and expenses which may in any way accrue agai s `said Count in, que ce of the granting of this Permit.L X Date 42T� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile .Home Installation -Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 114 30 HAz 1 0FEES I IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abo/for which fees have been paid. i `% DIFIECTOR OF PU LIC WORKS % 11-y By `� , Date PERMIT EXPIRE -'Date Receipt No. 125905 -WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �.4 ��r-i+'ty�"�+^',�p"-`'sem �'-y.,�:�: � J;'�`w�'_.r.rti14✓`'�. .. }_ a _. l,rti•.�is+r.l+C.'71--#,C'Y"'..it".-'t`4•r .-, COUNTY OF BUTTE s BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7- County Cente( E rive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 s CORRECTION NOTICE,- 9,2-3-36 OTICE-9,23 6 7 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances'exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleasy,contact this office immediately. I Date Inspector REV 10/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately_ tt-r.-- W02c.. 41 +7 Date � '�?-Inspector ^'REV`11 /91 . -A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE V��, JNER 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 atter, need additional explanation, please contact this office immediately. CS}Ai1,t ,C>YIL.�Dd�y� V vY • .I Inspector Date 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 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. Inspector Date ��,..��'s.^7'�;`yC"`yM..�..jr.-T•-rCbY'�s'+�i7-'s..�-d'�L,`+{-T`�s"-,C-�xv"!-,.:..�,�::,,�:`�y'-'�`'"-•-. 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. �/- -g-sl =RMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector /- �;, Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 . r CORRECTION NOTICE OWNER PERMIT N! 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. �� t / w' F � . ;A, ✓ ;.% `ter[. �.:, �� .,.-J�if ✓' C.L� �� lrt�/../!'.�Ii''.a+'�% � ! lC ./`J /i �/' � �_ /,•�JY+ �-!k.��.',A3���.C,r+7�"`� tvl1 �,//.Ir^' .a/.-.�•E /..�, 'l!'./,s: �C✓°�G,.s✓' �„_ � i ?r-�4+-. �r-4!��Y'C.•� lfC��i—l2*`•'+'�. Inspector. -s' ' ' Date r/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, owed additional explanation, please contact this office immediately. - !r � r --1r .!.':� `/3/ f .ref ��T �.✓t. _.�'••i _1. �.'r /✓CI!/""�'��. � /"/tom£/�..•!r.i/G[a�7�� � ' Inspector Date ` c COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE T CO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �Z–�� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-440-00F ZONING'1'P1tt,�- 1 MR BUILDING PERMIT OWNER TELEPHONE 589-4331 S0. FT. OCC. BUILDING VALUAf ION OWNERSDABERGRAM DDRESS 15 DEDEKER LANE OROVILLE EST 5,376 CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ f LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 67.50 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ Bu15 ILDING DEDEKER ADDRESS LANE OROVILLE Permit fee $ 82.50 PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex F-1 Mobilehome❑ Other DET GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ I II I Other [J Describe work: PORMIT TO COMPLETE Wt�lK _ UNDER B.P. 908-88 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ?OOA OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the BUSIneS$ and Professions Code and my license is in full force and effect. Icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) NEW CONST. / DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 1 _37.50 3.60sq.ft. 16.80 NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu P OUTLETS OR FIXTURES 20 76 EX. Occup. OUTL ETS (PR ESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. hall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all HaRmues, Jud ments, c and expenses which may in any way accrue agai aid Count in ue ce ojthe granting of this ermit. X � • L^— Date �^ � Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- �ian,oF�structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 114.30 HAz DFEEs IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the P Y sions of the Butte County Code and/or fo`r vyhich fees work indicated ab4FR BY D O PU LIC applicable rovi- PP � P � resolutions to do have been paid. WORKSDate 22� 125905 rpt No. PERMIT EXPIRE ' ate r t O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERO�� 4L Z ZONING - Z BUILDING PERMIT OWNER ,04 u.' �erfr� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'SM LI ADDRESS /� ��✓ Q 5-73�i N CONTRACTO N M TELEPHONE CONTRACTOR'S AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 5 3 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $SV ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS r/ Dee Z/1,4J /�JJ''ll Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 �j Other 1) t //414 SF [:]Duplex❑ Mobilehome❑ � Building sewer 15.00 SPECI FY Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition' I Remodel ❑ Utilities ❑ Installation❑ Other Permit Fee $ Describe work: 16 co lee 0r, S'% f^F� Contractor IIAJXZ %r7P- S ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): NEW CONST. ( DWELLING OCCUP.�\ OR AODNS. ACC. SLOGS. II 3.6tsq.ft. ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NEW CONSTR ULTI.OUTLE T NON.RESID BRANCH CIRCITS @ 5.00 and Professions Code and my license is in full force and effect. POWER APPARATUS &) (SINGLE OUTLET CIR. License No. Classification Ex. Occup(ouTLETS OR FIXTURES 20 764 dAL_464 17I, as the owner, or my employees with wages as their sole compen- FIXED Ex. Occup. OUTLETS PRESID IREA.� I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring '15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 3! - d Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a CertificaterHood of Consent to Self -Insure. oolin g ❑ 1 shall not employ any person in any manner so as to become subject 6.50 to the W. C. laws of California. entilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 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 Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE e I also agree to save, indemnify and keep harmless the County of Butte against I TOTAL FEE $ / all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE against said County in consequence of the granting of this permit. I I I I X Date This permit is hereby issued under the applicable provi- Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA over S'0" deep and demolition or construct- toverr oineheight work indicated above for which fees have been paid. ions ion of structures 3Qstories DIRECTOR OF PUBLIC WORKS /S�D,r By DatePERMIT Receipt No. EXPIRES Date WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF-'BUTTEDepartment of Public. -Works` 7 County Center Drive, Oroville, CA 95.965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner-bu-ilder" 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 unaecessary.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 mlabor and materials for construction of... the proposed property improvement(yes Ir no) 2. I (have/have not) signed an application for a building permit for the proposed woryk. 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: ' n Property Owner Social Security Numper Date 12 ��- 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 roust be completed and returned to our office before we are per- mitted to issue the permit. File No BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Informalon t/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran sp. Land Dev. Drng. /S.I. Sub. & Pc 1. Mops Permits Addr. David F. Bertram 15,Dedeker Lane Oroville,. CA 95966 . RE: Building Code Violation 15 Dedeker I;ane, Oroville September 16, 1992 A.P. #: 072-44-0-035 Dear Mr. Bertram: This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain approval of previous corrections and failure to obtain final inspection prior to use and permit expiration for garage. Since permits and inspections are required for the above.work, please .contact this office within ten (10) days of the date of this letter, apply for the required permits to make corrections and complete project, and pay the appro- priate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an `effective means of enforcement if such compliance is not obtained. 'If voluntary compliance is not obtained, enforcement will be pursued' through the;,issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you° have any questions concerning -this matter, please contact Rod Taylor or David Purvis of this office at (916)538-7541. RT:dms cc:! Assessor Building Inspector, Oroville Yours very truly,, David Purvis Supervisor, -Building Inspection File No BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information If ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. 00, Design Engr. Bridge Engr. Constr. Engr, Surveys Mapping T ran s p. Land Dev. Drng. /S.I. Sub. & Pc 1. Maps Permits Addr. i EfWTi \ i I l April. 3, 1989 'David Bertram 15 Dedeker Lane :Oioville, CA §5966 RE: Expired Permit A.P. #: 72-44-�N 35 15 Dedeker Lane, Oroville, CA Dear Mir. Bertram: This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain approvals of previous corrections, failure to obtain final approval prior to expiration of permits. Since permits and, inspections are required for the above work, please contact this office within ten days of the date of this letter, apply for the ,required permits to make corrections and complete project, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware.that Butte County has entered'into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not. obtained, enforcement will be pursued through the issuance of citations,•fines, and the recording of a'Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Jim Glander or Bob Keith of this office. Yours very truly, William Cheff Director of Public Works i vIgina9 dgWj 0g J.F. Glander Chief Building Inspector JFG:ahb cc: Assessor Building Inspector J - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSN CI?ERMI aO. 7 County Center Drive - Oroville, Cfornia.95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PA CEL NUty1R ✓� ZONING Me BUILDING PERMIT OWNER, TE oN�. SQ. FT. OCC. BUILDING VALUATION / OWNER'S • MAIL G ADDRE ! /C t r '` CONTRACTOR'S NAME NNA/M�E/� VL/ /wV TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ ` r Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 115 Permit fee $ 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❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G WI ho.00 ea. TYPE OF WORK New/Addition❑ Remodel❑Utilities❑ installation[] Other El Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service/IEA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason COT. 1 DWEACCLGS LIN CCUP.N) yz2sgft (J oa NS / NEw CONSTR U TI.OUTLET NON.RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS e\ (SINGLE OUTLET CIR. / 20050 EX. QCCUp OUTLETS OR FIXTURES eAL@30 FIXED APPLNS. OR Ex. QCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ () Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. XI 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 aid County in o `quence�o-f the granting of this permit. [� � rff0�./�.. l 3,2�- $fit X �� r �_ _ Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TYPC SCHOOL FloJ PARCEL I PM1 I rlo SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC �f By ` 1 PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Ci -4-22 ~ Receipt No. 13(a Z 9 WHIT[-D.P.W., YELLOW-A3e1!53011, PINK -IN PECTOR. GOLDENROD -APPLICANT 'i COUNTY OF BUTTE - DEPARTMENT,OF�*-PUBLIC WORKS - BUILDING DIVISION " 7 COUNTY CENTER DRIVE - OROVILLE, CA 11FORNIA 95965 - TELEPHONE: 916/536-7541 J - PERMIT APPLICATION DATA SHEET {; Permit No. OWNER ` - /i^I 1�a `% A. P No. 7052,- -V Proposed Building Used C� R�G(�e/ 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 be-e,ubmitted. . . . . . . . . . . . o plans iic./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. Letter of signature authorization. . 0010. Sanitation approval from Health Dept. r. 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. . . . . . . . . . Pre-Inspec. request to (Data 17. Pre -Inspection for Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. ' 20. Plot plan approval from city of 2Engiineereed trusses 'in uplicate (required prior to pla check). J �v7Th' When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone ` N and hold for pickup at ) office, Deliver w/inspector. Other & -7 Applicant ! Date Copy of plans sent Health Dept., Fire Dept., Other Date ►— The following data must be submitted prl r t ermit issuance: (Circle new item not checked above). 1. Index permit for above items No. ; 2. Additional items required: Contractor, designer, was advised of above required data by_phone_—jnall ounter by date 5, a Contractor, designer, ner, was advised of above required data by—phone —ma ll—counter b date Plans checked by Date Plans approved by llkl_ Date 3 30' Sets of plans on hold in File cabinet AP folder Coov—DPW -. (S TO Buildinq Dq.pak&ent FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage DisposalWater Supply Hold final for: Water Supply. Final clearance O.K..for: Water Supply Clearance for _ be Other ��Ini �— anitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has-been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed pro pertyimprovement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 4 UC IO -y Address 104YO Zj VC 0 Ak 9 J Ub City 4,uirook (!A Phone 695-. /$,� 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:Azt= - Property Owner 4 , Social Security Number / Date 3- 77 - R4 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to�our office before we are per- mitted to issue the permit. { r ... Eatte Wffl L 1. 1 DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY Deputy Director May 10, 1988 Ted Runge RE: AP 72-44-21 and 22 P. 0. Box 2042 (combined as one parcel) Oroville, CA 95965 Notice of Compliance Dear Mr. Runge: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works in the office of the .Butte County Recorder on April 26, 1988. The Recorder's Serial Number is: 88-12902. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works . , )A, IJ n Mendonsa A sistant Director JM/ds / attachment / cc: Building Department CCC/// Environmental Health Department BUTTE UNTY C FICIAL RECOR S BY PUBLIC WOpKS RETURN 'TO: $88 APR .2S AN 9;54 Public Works Department Land Development Section CA�A�IA J. GNUS NOTICE OF COMPLLIANCE MO-RECOM Fff.4Q FEjl Issued to: Ted Runge $8 12.9®Z P. 0. Box 2042 Oroville, CA 95965 This Notice of Compliance is hereby issued by the County of Butte to certify that the conditions imposed on the Certificate of Compliance; recorded on September 22, 1987, under Recorder's Serial Number 87-34057, have been fulfilled to the satisfaction of the Subdivision Violation Committee on property identified as: a. Assessor's.Parcel Number: 72-44-21 and 22 (combined as one) b. Property Location: on the north side of Janet Lane, west of Sandra Lane. Black Bart area. DESCRIPTION: PARCEL I: All that certain property located in the County of Butte, State of California, more particularly described as follows: COMMENCING at.the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B. & M.; thence South along the East line of Section 26, South 00° 44'� 55" East 880.38 feet; thence South 890 11' 25" West 1476.03 feet to the true point of beginning for the parcel herein described; thence South 89° 11' 25". West 164.00 feet; thence South 00°.00' 50" West 439.21 feet; thence North 89° 13' 33" East 164.59 feet; thence North 00° 03' 45" West 439.30 feet to the point of beginning. AND PARCEL II: - COMMENCING at the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B. & M.; thence South along the East line of said Section South 00° 44'. 55" East 880.38 feet; thence South 89° 11' 25" West 1312.03 feet to the true point of beginning for the parcel herein described; thence South 890 11' 25" West 164.00 feet; thence South 00° 03' 45" East 439.30 feet; thence North 89° 13' 33" East 164.59 feet; thence North 00° 08' 20" West 439.40 feet to the point of beginning. NOTE: The above described Parcels I and II are to be combined as one and may not be sold separately. TOGETHER WITH rights -of. -way of record recorded in Butte County Official Records under Recorder's Serial Number 87-21504. Issuance of this Notice of Compliance is pursuant to Butte County Code, Chapter 20-167. County of Butte Subdivision Violation Committee V END OF DOCUMENT EA10 OF DOCUMEN'r �s � F_I :1� DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Tolephone:(916) 538-7681 RONALD D. McELROY October 29, 1987 Deputy Director Ted Runge RE: AP 72-44-21 and 22 P. 0: Box 2042 App. for Determination Oroville, CA 95965 Dear Mr. Runge: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works in the office of the Butte County Recorder on September 22, 1987. The Recorder's Serial Number is: 87-34057. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works Y JM/ds attachment cc: Building Department Environmental -Health Department U.'! -\,� , Jon Mendonsa As.sistant.-.Director u ,> RECORQED CSUTTE'�C6UNTY 0FFICI! RECOfi'DS BY 1V,) r k s ..Development Section CERTIFICATE OF COMPLIANCE ;y$7 SEP 22 M 9::05) Issued to: Ted Runge uwAC` J. u4MBS P. 0. Box 2042 N1() Fri Oroville, CA 95965 CLERK -RECORDER FEE.. 87-346,x'7 This Certificate of Compliance.is hereby issued by the County of Butte to certify that the land division which created the parcel of property : identified below complies.with the applicable provisions of the Subdivisior Map Act and"of Chapter 20 of the Butte County Code. 1. Property Location: on the North side of Janet Lane, West of �- Sandra Ln. Black Bart area. L�� - 2. Assessor's Parcel Number: 72-44-21 and 22 Description: All that certain property located in the County of Butte, State of California, more particularly described as follows: PARCEL I: COH,MICING at the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B. & M.: thence South along the East line of Section 26, South 001 44' 55" East 880.38 feet; thence South 89° 11' 25" West 1476.03 feet to the true point of beginning for the parcel herein described; thence South 89° 11' 25" West 164.00 feet; thence South 000 00' 50" West 439.21 feet; thence North 890 13' 33" East 164.59 feet; thence North 00° 03'45" West 439.30 feet to the point of beginning. AND PARCEL II CMM ENCING at the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B. & M; thence South along the East line of said Section South 001 44' 55" East 880.38 feet; thence South 891 11' 25" West 1312.03 feet to the true point of beginning for the parcel herein described; thence South 89° 11' 25" West 164.00 feet; thence South 00° 03' 45" East 439.30 feet; thence North 89° 13' 33" East 164.59 feet; thence North 001 08'20" West 439.40 feet to the point of beginning. NOTE THE ABOVE DESCRIBED PARCELS I AND II ARE TO BE COMBINED AS ONE AND MAY NOT BE SOLD SEPERATELY. TOGETHER WITH rights-of-way of record recorded in Butte County Official Records by use of Serial Number 87-21504. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-167 and Government Code, Section 66499.35 (b), to protect the public health and public safety: 1. Provide satisfactory evidence that a suitable site for the installa- Ole ste o tion and replacement of a sewage disposal system for a single family to AA residence exists on the property. 2. Provide satisfactory evidence that adequatequantities water are available to serve the property asone property. domestic 3. Provide two-way traversable access to theparcel from a publicly maintained road. 4. Meet the minimum parcel size as required by the zoning district in effect at the time of parcel creation. I 5. Verify legal access to -the parcel from a public road. •' /t'.1�'t. "'�a v,'e,+-wr"?''ri+`F •1"'�•%Yl"/iFY+..j'K:F i`TZjc� 1.%.�•V!J.l .... w,N.It� . .f .r / _ �- '443-88E 44. t DAvid Bertram 1 #15 Dedeker 'Ln. Oro,ville _1,VTE2SE6710A1 OF A• -MAIM4 ' clec OFFICE COPY Address �5 ,7 . ' GAS Meter By ' - I ELECTRIC Date_ ' Meter By, —►� Date 1 COUNTY OF BUTTE s DEPARTMENT OF PUBLIC WORKS. 0 PERMIT NO. ` 7 County Center Drive - OrovMe; C'a?Wornia 95965 - Telephone: 9 6�/ -7641 ' ! 'Arr+ APPLICATION AND PERMIT ASSESSOR PARCEL:NUMBER .. ,.,'_ </ ��} �� ZONING J - BUILDING PERMIT ' OWNER / I' TELEP O E � SO. FT. OCC. ,,-*BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME -' r -It ,1( tr., TELEP NE In CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ✓ t A� UNKNOWN- Total Valuation' $ ' ` Filing Fee ��ia � '$ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking;Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS r Penalty A $ BUILDING ADDRESS Permit fee $ p PLUMBING PERMIT Filing Fee 10.00 r Each Trap 2.00 + Sol or or heat pumpwater heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP ' . ► ,L; , �;` > . �. i Water piping ! 5.00 _5" Each gas,water,heater, or vent 5.00 USE OF STRUCTURE, I _ SF'O "Duplex Q-IM'obilehome❑''_Other A SPECIFY t Gas piping system,l - 5 outlets !.5.00" ' Building sewer 5.00 Mobile Home JS1G,1W10.00ea TYPE'OF WORK r New ❑ :Addition ❑ Remodel ❑ Utilities ❑ Instal'lation❑ Other,®' Describe work: �1° % ��`nj'/s-..• (e 'i�`�/'L/%`� f.�%--� r y r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' 00V OR Main service 100 AMP ORSLESS / 10.00 Main service EA. ADD'L 100 AMP 2.50 '<:( CONTRACTORS LICENSE LAW t declare under penalty of perjury (check one): 1 ❑ 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 'Ex. El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intendedlor offered for sale. (Sec. 7044) 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\ 1/20SQ It OR ADDN5. 1 ACC. BLDGS. I/ NEW CONST R.MULTI-OUTLETNCHCIRCUITS)2.50 ea NON-RE51D .BRA C CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. OUTLETS OR FIXTURES Occup( 5AL030 eALe90 Ex. OCCup. OUTLETS P(RESID )FIXED LNS. REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring, g,. �•� . -. - 15.00 /S //0 aU , , t _1 ,: A, Permit Fee $?,/. ; •� Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury, (check one): I ❑ The•permit is for $100.00 (valuation) ort_less. ❑ I have placed on file wiih the County. of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. r I shall not employ any person in any. manner so as to become subject to the W. C. laws of California. I Notice to Applicant:'lf 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 FiIingFee 10.00 Heating , I Cooling Hood 3.00 Ventilation permit Fee $ Contractor. , I certify that I have -read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County�.iorisequence of the granting of this permit. X ti,,, J4 �� �)_ . / Date Signature of Applicant — Owner VContractor ❑ 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 Honie Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ J S , accu P. CON5T*TYP1J ISCHOOLIFLOOC)fFZ77 ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BYE'"- _` EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS Date 1llrr-) ss r Receipt No. nC/ r/ () yl WMITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLICANTPERMIT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, JCalifomiz 95935 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCE NUMBER ZONING BUILDING PERMIT OWNER T L PH NE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ORF -55 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / Permit tee = PLUMBING PERMIT Filing Fee 10.00 Oro Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 0 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 I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 !� Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): j ❑ I am licensed urider 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y , OR ACDNS. ACC. BLDGS. 2QSgft NEW RESID, U TLOUTLET 2.50 ea NON.RESID .BRA CH CIRC TS /POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES SA0 0300 FIXED Ex. OCCUp. OUTLETS PP Ex.R ESID )EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /.S UU J D Permit Fee $ 5/5 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. ( Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iia 'lities, judgments, costs, and expenses which may in any way accrue agai aid Cou y ' ique ce of the granting of this permit. � 2 - _.�� X Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TTPEJ SCHOOL I FLOOD PARCEL I PD I ND I ISSUE This permit is hereby issued under sions the Butte County Code and/or woplit irVdicated a ove for which I CtOR OF PUBLIC By—4&, PERMIT EXPIRES Date�� the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ri / 1 WHITE-O.P.W.. 7ELLOW-ASSC330111. PINK -INSPECTOR. GOLDENROD -APPLICANT y •nYi'i'r r.ta",'y'� ` v ..+:' y.'1Arr a�'�r :'7"! •I+I Is{}y' 'r'+f1'"Y'�.,'..' * '$ 1'.' �'y 'C :.L`:ti'-t � f w. yi i1V i 1 r.^ —.1", J. ^ COUNTY OF BUTTE - DEPARTMENTS/-0'F.�PtbBLLC-WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OROVILM+CAi1t°,;�jRNlfi 95965 -TELEPHONE: 916/538-7541 ( / PERMIT APPLICATION DATA SHEET Permit No. OWNER � yt' / A. P. No. %�"`/�- �.� Proposed Building Use `� �1 „�G �" (/ Building Inspector 1 Dated 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. 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.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) "._._15. Improvements may be required. . . . . . . . . . . . — 16. Mobilehome Installation Data. re- PInde Pre -Inspection for_,�fi�/G�r G�F.GL Required. Building Inspector (Dote) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. _ 20. Plot plan approval from city of 21 Engineered trusses in duplicate required prior to plan check) 22. _ — _— When, you issue the permit, process as follows: Mail to owner; Mail to contractor. Lam' Telephones 'e3 �and hold for pickup attl)� office, Deliver w/inspector. Other _ rt'_ A p p f i� a Aktd v r �-�-�---Dat e 2-14- 9X 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: —_ 4 Contractor, designer, owner, was advised of above required data by—phone __L'nail—counter by date Contractor, designer, owner, was advised ci above required data by—phone _mail—counter by date Plans checked by Sets of plans on hold in Copy–DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPAR;i�ENT,,'OF PUBLIC WORKS 7 County Center Drive - Oroville,"Califorrlia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCE�_NUMBER �- ZONING BUILDING PERMIT OWNER � T LE PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S NAILING ADD E55 CONTRACTOR'S NAME -- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRU•. TION LENDER LI �t UNKNOWN Total Valuation $ LENDER'° MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS _ // �p / Permit fee Old 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 -S-0o 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 G W 0.00 en TYRE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑/ Other Describe Describe work: Permit Fee $ 1-5-00 -5. - Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ?DDv OR LESS 00 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license Is In full force and effect. License No. Classification ❑as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 OCCUP.61) , NEW CONST. DWELLING �ZQSQft OR ADDNS. ACC• BLOGS. / NEW CONSTR U TI.OUTLET RESID BRANCH CIRC ITS2.50ea _NON. APPARATUS &) (SINGLE OUTLET CIR, Ex. OCCU OUTLETS OR FIXTURES 20 p DAL9900!FIXED 30 Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 %S 6?(J J 7 ? 6 Permit Fee $ 3 . 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee : Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iia J,lities, judgments, costs, and expenses which may in any way accrue agai aid Cou ry aqua ceof the granting of this permitA�-This X d"u ^ Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of uructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP[ ISCHOOLIFLOOTARCELI PD I NO I ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHIT[-O'.P.W.. YELLOW-ABBESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT lv-c� (al<o 03 AA dt- 5)'770 - PERMIT NO.�� PERMIT EXPIRES / & AY9 r791( OWNER DAVID BERTRAM- CONTR. owner ! ASSESSOR PARCEL 72-44-35 tLOCATION 15 Dedeker Lane, ORoville .` Temp. Power Pole Called PG&E_ Temp. Elec. Se Called PGE y Temp. Gas Ser Called PGE i j JOB FINALED Signature = OK U= No) OK Not = Not Ready MOBILE MOBILE HOMES � Date MO E HOME UTILITIES (Plans) OK except #'s Card -B1 Card -B1 i Date Card -B Card -S MISCELLANEOUS y ing Requirements -Setbacks -Easements . S s; Special MHSupport-Sketch 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel . Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails er; Location-Test-Easemt'Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- le city; Loc@ ' - I ances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6 as; Location T ap- / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ ft. /"LPG 6. Carports; Windows -Doors tility Clearance • 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 17 Date 8ard-B1• ' Date 10. Roof; Shthg-Roofing ate _,2Z2V Card -B1 Date 11. Ext.; Steps -Doors -Landings EHOME INSTALLATION (Plans) OK except #'s �ng Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date rF tings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date Gas; VH errand -Valve -Connector 4-V—ec icity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s . nj ; MH Test -Fall -Flex Connector 1. Setbacks -Easements . • &tQ,-MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability ater and Sewer Connected -C/0 to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining . Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 0. Cert. of Occupancy , 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date - Card -B1 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit DatejD-S rd -B1' Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test f Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date t ff = OK 0 = Not Applicable - =Not Applicable - - RESIDENTIAL (Single and Duplex) ' = Not.Ready Date UNDERFLOOR (Plans) OK except #'s Uate FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" 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 3' -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-Underflr. 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 -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 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-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 67. Stairs &Rails Card -131 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. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing-Landing-Closer73. 25. Romex Installed Close to Edge of Studs & C.J. 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. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or AlA or 76. 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 Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 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 -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -61 Date 83. Vents Above Roof; Pibg.-Appliance-Firep I. -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 -B1 Date Card -B1 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 39. Sills, Proper Material & Anchors Card -B1 Date Card -131 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 job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE. r ,,{;DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-454l.- PERMIT 34-4541,PERMIT N0. Address or location of mobilehome ` \ )Carl e-) hn Y SA, ,n Owner's name+ Owner's address / A v Insignia or hud number• � (01-,,7 _ Manufacturer's name Serial number of V.I.N. / Y Year of manufacture 9Z nstallation) (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. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. ., t z �^�.4.i.+L^a..vt�� 4 ..} Gw; ^ -•s+:, ,/ �+L s. �+ ..fir . • . ! ; s �. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 � CORRECTION NOTICE VN R ERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at`the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date / '^zz r-- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS j 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-75411 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE II ERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector J Date /v / ^ 4S COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 338-7541' 747 Elliott Road, Paradise— Phone: 872.=6307 CORRECTION NOTICE OWNER MIT A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date — —�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS E MIT N 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION-AND.PERMIT ASSESSOR PA CEL UM§.E�. S ZON NG BUILDING PERMIT D �� HO . O SQ. FT. OCC. BUILDING VALUATION OWNER' A1AIL1 G RE55 C NTRAC OR'S NAME TELE O E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ ..40 Go— LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 5 , Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ S• PLUMBING PERMIT Filing Fee 10.00 ' ' 1,� .0-6-t-`-' " 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❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IO Instal lation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS AMP OR LESS 10.00 , 6-0100 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NON•RESID 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 Jl, 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.tr , OR ACDNS. (ACC. BLDGS. 2/zQsgft NEW CONSTR.MULTI-OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 eL0 FIXED PR Ex. Occup. TLETS (RESID ) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ CD Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 01 Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all I' iiities, Judgments, co s, and ,expenses which may in any way accrue agai said Coun in a nce a granting of this permit. cy X Date g- Z ^ 6 Signature of Applicant - Owner El Contractor El Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -PUBLIC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Q, occup. CONST.T7 I I FLOOD ARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which /fJF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��� Receipt No. _Z WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i r 4 1 1 ' COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTER DRIVE- OROVILLE;LTA 95965 -TELEPHONE: 916/538-7541t� PERMIT APPLIQUION DATA SHEET jj����,, .•f _ Permit No. OWNER '�L�l�l_V1.� c#3'4.Y�'Q Vel .�AA P. No. %� Proposed Building Use iil I A t��Y �`^ t�uilding Inspector Date At. time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. , 3. Complete plans in duplicate./triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5. 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. 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, rOwner-Builder Verification (Given to owner[], Mail to owner ❑ ) _15. Improvements may be required. . . . . . . , . , , .16. Mobi lehome Installation Data. . . . . . . . . Prspec. request to X17e-In. Pre -Inspection for Required. Building Inspector (Date) i �-1 . Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses 'in duplicate (required prior to plan check). 22. When you issue the ermit, process as follows: Mail tyo�owner, Mail to contractor. Telephone � �—�33 and hold for pickup atcJ/��,office, Deliver w/inspector. Other n Applicant 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: I .t r s I Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date i Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date r J Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinv Department FROM: Environmental Health {, SUBJECT:. Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply n Hold final for: Water Supply Final clearance O.K..for: Water Supply Clearance for bedroom mobile home. Other NOTES * * * Sanitarian a 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. l.. I personally plan to provide the ma', labor and materials.for construction of the proposed property improvement yes or no). "2. I av have not) OA�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: r- . Property Owner 1. Social Secu�rit� N��er�. R$ Date , --T VOTE: 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. Kel.urn ,tu DPW AGRICULTURAL STATEMENT OF•ACKNOWLEDGEMENT �.�' FOR'RES CAL DI;VI,LOPMENT Scrc•Li.on' 26-8.1 of I:he BULte County. Code, requires Lhis acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent Lo land or included. within an area zoned 1017 agr:i.cu.lLural purposes, and residents of this property may be subject to incon— 58_030949 veniences or discomfort arising from .the. use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not li.mi.�ted to cultivation, • plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establ:ished algri/•III tura.l zones which have as a priority use for productive agricultural purposes, :Ind rvsidvitI w i.Lh.i_n sa i.d zones and on adjacent property should be prepared to kiccept such i n< onvc. u i enr� or disconform from normal, necessary farm operations. A.L.I. that real property situate in the County of Butte, State of Cali.forn.i.a, descr i he (l :IN f ol. Lows: A T -r,4 cfff�z Date: r 0 State of:0-At-12-- ),SS. 2' ) ), SS. County of l m ) C,i5-&1- _ • &-5�Pri6AJ PROPERTY OWNERS: On this the AZT" day of Sb'Pr F 1? 19W , before nie, the undersigned Notary Public, personally.appeared r° ,APIGELA d. MASTELOTTO Proved to me on the basis = NOTARY PUBLIC•CALIFORNIA ■ of satisfactory evidence. ` BuneCounty :o be the person whose namel `S MyCommissionExplresSept.7,1990 subscribed to the within instrument and acknowledged that. u■■■■■■■■■■■■■■■■■■■■■■lgxecuted the same for the purposes therein contained. IN WI.TNVISS.' WHEREOF, I hereunto set my hand and official. sea].. Present A.P. No. �a— y-3 5, Notary Public ` ORDER NO. BU -97251-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL A -I: COMMENCING AT THE NORTHEAST CORNER OF SECTION •26, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D•,B. & M.; THENCE SOUTH ALONG THE EAST LINE OF SECTION 26; SOUTH 00 DEG. 44' 55" EAST, 880.38 FEET; THENCE SOUTH 89 DEG. 11' 25" WEST, 1476.03 FEET TO THE TRUE•POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE SOUTH 89 DEG. 11' 25" WEST, 164.00 FEET; THENCE SOUTH 00 DEG. 00' 50" WEST, 439.21 FEET; THENCE NORTH 89 *DEG. 13' 33" EAST, 164.59 FEET; THENCE NORTH.00 DEG. 03' 45" WEST, 439.30 FEET TO THE POINT OF BEGINNING. PARCEL A -II: EASEMENTS FOR., ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH AS CONTAINED IN DEED FROM D. & C. ENTERPRISES, INC., TO LEE COLBY, ET AL, RECORDED DECEMBER 22, 1971, IN BOOK 17221 PAGE 475, OFFICIAL RECORDS. EXCEPTING THEREFROM ALL THAT PORTION. LYING WITHIN THE BOUNDS OF PARCEL A -I, DESCRIBED ABOVE. PARCEL A -III• A 60, FOOT NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND.'UTILITIES PURPOSES LYING 30 FEET ON EACH SIDE . OF THE FOLLOWING DESCRIBEDt =' CENTERLINE: r BEGINNING AT A POINT ON THE EAST LINE OF SECTION 26, TOWNSHIP 19' NORTH, RANGE 5 EAST, M.D.B. & M. BEARS SOUTH 00 DEG. 43' 23" EAST, 1237.97 FEET FROM THE NORTHEAST CORNER OF SAID SECTION;. THENCE FROM SAID POINT OF BEGINNING NORTH 82 DEG. 53' 24" WEST,. 103'. 60. FEET; THENCE NORTH 63 DEG. 34' 22"'WEST, 246.47 FEET; THENCE SOUTH 74 DEG. 39' 03" WEST, 160.62 FEET; THENCE NORTH 79;' DEG. 27' 24" WEST, 669.97 FEET; THENCE SOUTH 19 DEG. 50' 20" WEST, 653.10 FEET; THENCE SOUTH 02 DEG. 14' 36" WEST; 186.15 FEET; THENCE SOUTH 14 DEG. 48' 36" WEST, 750.08 FEET; THENCE SOUTH 25 DEG. 46' 24" EAST TO THE SOUTH LINE OF THE NORTHEAST QUARTER OF SECTION 26. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL A -I, DESCRIBED ABOVE. i i (CONTINUED) PAGE 6 0 A Al EiI 4 !j ti h � PARCEL A -IV• A 60 FOOT NON-EXCLUSIVE RIGHT PURPOSES LYING 30 FEET ON EACH CENTERLINE: ORDER NO. BU -97251-3 OF WAY FOR ROAD AND UTILITIES SIDE OF THE FOLLOWING DESCRIBED BEGINNING AT A POINT THAT BEARS SOUTH 89 DEG. 06' 14" WEST, A DISTANCE OF 30.00 FEET FROM THE NORTHEAST CORNER OF SECTION 26, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE SOUTH 60 DEG. 51' 23" WEST, A DISTNvCE OF 45.02 FEET TO THE BEGINNING -OF A TA14GENT CURVE TO THE LEFT, HAVING A RADIUS OF 100.00 FEET,. A CENTRAL ANGLE OF 58 DEG. 00' 58", AND BEING CONCAVE SOUTHEAST- ERLY;'THENCE ALONG SAID CURVE, AN ARC .DISTANCE OF 101.26 FEET; THENCE SOUTH 02 DEG. 50' 25" WEST, A DISTANCE OF 236.13 FEET TO THE BEGINNING OF A TANGENT CURVE TO THE RIGHT, HAVING A RADIUS OF 100.00 FEET AND A CENTRAL ANGLE OF 68 DEG. 56' 03"; THENCE ALONG SAID CURVE, AN ARC DISTANCE OF 120.31 FEET TO A POINT.OF REVERSING CURVE, HAVING A TANGENT BEARING OF SOUTH 71 DEG. 46' 28" WEST, A RADIUS OF 100.00 FEET, A CENTRAL ANGLE OF 62 DEG. 07' 24", AND BEING CONCAVE SOUTHEASTERLY; THENCE ALONG SAID CURVE,*AN ARC DISTANCE OF 108.43 FEET; THENCE SOUTH 09 DEG. 39' 04" WEST, A DISTANCE OF 117.02 FEET; THENCE SOUTH 02 DEG. O1' WEST, A DISTANCE OF 491.54 FEET TO END OF DESCRIPTION. PARCEL A-V: A 60 FOOT NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND UTILITIES LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT FROM WHICH THE SOUTHEAST CORNER OF SAID- SECTION*23 BEARS NORTH 89 DEG. 061-14" EAST, A DISTANCE OF.30.00 FEET; THENCE NORTH 11 DEG. 14' 44" WEST, A DISTANCE OF 127.91 FEET; THENCE NORTH 04 DEG. •50' 12"*WEST, -A DISTANCE - OF 602.11 FEET; THENCE 'NORTH 01 DEG. 30' 16" EAST, A DISTANCE OF 258.67 FEET; THENCE NORTH 03 DEG. 13' 41" WEST, A DISTANCE OF 318.96 FEET TO THE BEGINNING OF A TANGENT CURVE TO. THE LEFT, HAVING A CENTRAL ANGLE OF 20 DEG. 46' 1511, A RADIUS OF 375.00 FEET, AND BEING CONCAVE SOUTHWESTERLY; THENCE ALONG SAID CURVE, AN ARC DISTANCE OF 135.94 FEET TO END OF CURVE; THENCE NORTH 23 DEG. -591 56" WEST, A DISTANCE. OF 5.51 FEET TO THE BEGINNING OF A TANGENT CURVE TO THE RIGHT, HAVING A CENTRAL ANGLE OF 95 DEG. 42' 29", AND A RADIUS OF. 222.08 FEET; THENCE ALONG SAID CURVE, AN ARC DISTANCE OF 370.97 FEET TO END OF CURVE, BEING' A NAIL AND SHINER IN THE CENTERLINE OF BLACK BART ROAD AND END OF DESCRIPTION. PARCEL B -I: COMMENCING AT THE NORTHEAST CORNER OF SECTION 26, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE SOUTH ALONG THE EAST LINE OF SAID SECTION, SOUTH 00 DEG. 44' 55" EAST, 880.38 FEET; (CONTINUED) PAGE 7 .p�.�tiAlt:q� C ' 46 ORDER. N0. BU -97251-3 i N\ PARCEL B -I: (CONTINUED) THENCE SOUTH 89 DEG. 11' 25" WEST, 1312.03 FEET TO THE TRUE.POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE SOUTH 89 DEG`. 11' 25" WEST, 164.00 FEET; THENCE SOUTH 00 DEG..00' 03' 45" EAST, 439.30 FEET; THENCE.NORTH 89 DEG. 13' 33" EAST, 164.59 FEET; THENCE NORTH 00 DEG. 08' 20" WEST, 439.40 FEET TO THE POINT OF BEGINNING. PARCEL B -II: 1._, EASEMENTS FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH AS CONTAINED IN DEED FROM D. & C. ENTERPRISES, INC., TO LEE COLBY, ET AL, RECORDED DECEMBER 22, 1971, IN BOOK 1722, PAGE 475, OFFICIAL RECORDS. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL B -I, DESCRIBED ABOVE. PARCEL B -III• A 60 FOOT NbN-EXCLUSIVE RIGHT OF WAY FOR ROAD AND UTILITIES PURPOSES LYING 30 FEET ON. EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT ON THE EAST LINE OF SECTION 26, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., BEARS SOUTH 00 DEG. -43'.23" EAST, 1237.97 FEET FROM THE NORTHEAST CORNER OF SAID SECTION; THENCE FROM SAID POINT OF BEGINNING NORTH 82 DEG. 53' 2411; WEST, . 103.60 FEET; THENCE NORTH 63 DEG. 34' 22" WEST, 246.47 FEET;' THENCE SOUTH 74 DEG. 39' 03" WEST, 160.62 FEET; THENCE NORTH 79 DEG. 27' 24". WEST, 669.97 FEET; THENCE SOUTH 19 DEG. 50' .20" WEST, 653.10 .FEET; THENCE SOUTH 02 DEG.. '140 36". WEST,.' 186.15 FEET; THENCE SOUTH 14 DEG. 48' 36" WEST,. 750.08 FEET; -THENCE'; SOUTH 25 DEG. 46' 24" EAST TO THE SOUTH LINE OF THE NORTHEAST QUARTER OF SECTION 26. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL B -I, DESCRIBED ABOVE. PARCEL B -IV: A 60 FOOT NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND -UTILITIES PURPOSES LYING 30 FEET ON EACH SIDE OF THE .FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT THAT BEARS SOUTH 89 DEG. 06' 14" WEST, A_ DISTANCE OF 30.00 FEET FROM THE- NORTHEAST CORNER OF SECTION 26,. TOWNSHIP 19 NORTH, RANGE 5. EAST, M.D.B. & M.; THENCE SOUTH 60' DEG. 51' 23" WEST, A DISTANCE OF 45.02 FEET TO THE BEGINNING OF A (CONTINUED) PAGE 8 PARCEL B -IV: (CONTINUED) ORDER NO. BU -97251-3 TANGENT CURVE TO THE LEFT, HAVING A RADIUS OF 100.00 FEET, A CENTRAL ANGLE OF 58 DEG. 00' 58", AND BEING CONCAVE SOUTHEAST- ERLY; THENCE ALONG SAID CURVE, AN ARC DISTANCE OF 101.26 FEET; THENCE SOUTH 02 DEG. 501�.2511.WEST, A DISTANCE OF 236.13 FEET TO THE BEGINNING OF A TANGENT CURVE TO THE�RIGHT, HAVING A RADIUS OF 100.00 FEET AND A CENTRAL ANGLE OF .68 DEG. 56' 03"; THENCE ALONG SAID CURVE, AN ARC DISTANCE OF 120.31 FEET -TO A POINT OF REVERSING CURVE,. HAVING ATANGENT BEARING OF SOUTH 71 DEG. 46' 28" WEST, A RADIUS OF•100.00 FEET, A CENTRAL ANGLE OF 62 DEG. -07' 2411, AND.BEING CONCAVE SOUTHEASTERLY; THENCE ALONG SAID CURVE, AN. ARC DISTANCE OF 108.43 FEET; THENCE SOUTH 09 DEG. 39 '04" WEST, A DISTANCE OF 117.02 FEET; THENCE SOUTH 02 DEG. 01' WEST, A DISTANCE OF 491.54 FEET TO END OF DESCRIPTION. PARCEL B -V: A 60 FOOT NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND UTILITIES LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT Ai POINT FROM WHICH THE SOUTHEAST CORNER OF SAID SECTION.23 BEARS NORTH 89 -DEG. 06' 1411 -EAST, A DISTANCE OF 30.00 FEET; THENCE NORTH 11 DEG. 14' 44" WEST, A DISTANCE OF 127.91 FEET; THENCE NORTH 04 DEG. 50' 12" WEST, A DISTANCE OF 602.11 FEET; THENCE NORTH 01 DEG., 301. 16" EAST, A DISTANCE OF 258.67 FEET; THENCE NORTH 03 DEG. 13' 4111 WEST, A DISTANCE OF'318.96 FEET TO THE BEGINNING OF A TANGENT CURVE TO THE LEFT, HAVING A. CENTRAL ANGLE OF 20 DEG. 46' 1511, A RADIUS OF 375.00 FEET, AND.. BEING. CONCAVE SOUTHWESTERLY; THENCE ALONG'SAID CURVE, AN..ARC'. DISTANCE OF 135.94 FEET TO END OF CURVE; THENCE NORTH 23 DEG. -59'`. 56" WEST, A DISTANCE OF 5.51 FEET TO' THE BEGINNING OF A TANGENT; CURVE TO THE RIGHT, HAVING A .CENTRAL ANGLE OF 95 DEG. 42' 29"., -AND A RADIUS OF 222.08 FEET; THENCE ALONG SAID CURVE, • AN ` ARC DISTANCE OF 370.97 FEET TO END OF CURVE, BEING A NAIL AND SHINER IN THE CENTERLINE OF BLACK BART ROAD AND END OF DESCRIPTION. PAGE 9 X7` met ® o .PY j, LAND V F NA'I i_IKAL V\/ A LT 1-1 A 1\1D P rr;ii-ry DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY October 29, 1987 Deputy Director Ted Runge RE: AP 72-44=21 and 22 P. 0. Box 2042 App. for Determination Oroville, CA 95965 Dear Mr. Runge: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works in the office of the Butte County Recorder on September 22, 1987. The Recorder's Serial Number is: 87-34057. If you'have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works J o n Mendonsa Assistant Director JM/ds attachment cc: Building Department . Environmental Health Department URN T0: --Public W,Drks Land: -Development Section i CERTIFICATE OF COMPLIANCE RECORDED BU1�E�CbUMTY OFFICIAL RECORDS BY PU15"UsC V,10,tKS .1581 SEP 22 Ail 9: 05 'Issued to: Ted Runge CANUACc J. GRUBBS P. 0. Box 2042 CLERK -RECORDER FEE NO FEE Oroville, CA 9.5965 87-34057 This Certificate of Compliance is hereby issued by the County of Butte to certify that theland division which created the parcel of property identified below complies, with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property Location: on the North side of Janet Lane, West of r Sandra Ln. Black Bart area. 2. Assessor's Parcel Number: 72-44-21 and 22 P?��s Description: All that certain property located in the County of Butte, State of California, more particularly described as follows: PARCEL I: COMMENCING at the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B. & M.: thence South along the East,'line of Section 26, South 000 44' 55" East 880.38 feet; thence South 89° 11' 25" -west 1476-.03 feet to the true point of beginning for the parcel herein described; thence South 89° 11' 25" West 164.00 feet; thence South 00° 00' 50" West 439.21 feet; thence North 891 13' 33" East 164.59 feet; thence North 001 03'45" West 439.30 feet to the point of beginning. AND PARCEL II COMMENCING at the Northeast corner of Section 26, Township 19 North, Range 5 East, 111,10.B. & M; thence South along the East line of said Section South 00° 44' 55" East 880.38 feet; thence South 89° 11' 25" West 1312.03 feet to the true point of beginning for the parcel herein described; thence South 89° 11' 25" West 164.00 feet; thence South 000 03' 45" East 439.30 feet; thence North 89° 13' 33" East 164.59 feet; thence North 000 08'20" West 439.40 feet to the point of beginning. 140TE THE ABOVE DESCRIBED PARCELS I AND II ARE TO BE COMBINED AS ONE AND MAY NOT BE SOLD SEPERATELY. TOGETHER WITH rights-of-way of record recorded in Butte County Official Records by use of Serial Number 87-21504. • Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-167 and Government Code, Section 66499.35 (b), to protect the public health and public safety: 1. Provide satisfactory evidence that a suitable site for the installa- tion and replacement of a sewage disposal system for a single family residence exists on the property. 2. Provide satisfactory evidence that adequate quantities of domestic water are available to serve the property as one property. -3: Provide two-way traversable access to theparcel from a publicly maintained road. 4. Meet the minimum parcel size as required by the zoning district in effect.at the time of parcel creation. 5. Verify legal access to the parcel from a public road. Page Z, CERTIFICATE OF COMPLIANCE A? 72--44-21 and 22 Ted Runge LD 1400 .87-34057 County of Butte SubdiviT>io-n Violation Committee END OF DOCUMENT Ed® OF DOCUMENT BLAKE' SAFFORDABLE HOUSING CONCEPTS +� . 2175 FEATHER RIVER BOULEVARD Oroville, California 95965 Telephone (916) 534.8336 ! To: Butte County Public Works L- Butte County Health Dept., P. G. & E. This is to authorize Don or Jolene Blake to'obtain permits on my behalf. David F. Bertram Name 15 Dedeker Lane, Oroville, Ca. 95966 Address 72-44-2,r and 2f 35 AP 8/10/88 Date AP # 7 —� OWNER PERMIT - ft� Nei UT IL. CLEARANCE DATE / INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load •T a Pipe Size Length YESI NO YES NO /�2r P � 3� / / 0 n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754 APPLIC-ATIOA-AND• PERMIT 000 ASSESSOR PARNUMBEa ,. CECSL ZONING BUILDING PERMIT OW ER TELEPHONE SQ. FT. OCC. BUILDING VALU' TION OWN.ER'S MAILING ADDRESS s' ��- CONTRACTOR'S NAM �J�Jwwww �v TELEPHON CONTRACTOR'S MAILING ADDRESS Fireplace CONS RUCTION NDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR NGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 C 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[] MobilehomePfl Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installatiorl,� Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FifingFee 10.00 3 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 ❑FIXED 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) IigoxI, 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.d , /20Sgft NEA DDNS. A C. OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu 20 a e0e p OUTLETS OR FIXTURES SALO 30 P Ex. OCCup. OUTLETS (RESIR D )EA.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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 es, judgments, costs, and expenses which may in any way accrue gainst sai County in c ns a of the granting of this per it. Date Signature of Applicant Owner ❑ Contractor ❑ Age t An OSHA permit is required for excavations over 5'0" deep and demolition or construct-/(;RPIIl(O ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu CONST.TYPEJPC IS71LI F'rl PARCEL IPD ND _199 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees haW WOR Date Receipt No. � G 9 3 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT M, :�...,.t .-...�s..��.,,Y - t :=r�e'i..rr•.,.-.. -ter r. -,i; err. Y,'r}_. lk` 4,. Y i1'�'ytr`i%¢'+'yi i�rN�:.R �".f.`.�.}'4Y�71N i�'�"i'n� t rl�•y1r.,,,Y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541] PERMIT APPIMIATIOW DATA SHEET ` Permit No. OWNER �Z��� + A. P. No. J Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted,prior to permit processing \and/or issuance: DATE RECEIVED APPROVED V 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. - c -y�7 Statement of.•1ntent for Non -Heated and AC �Buol°dings. 8:, Fees of $ _ ; 11; E 9.7 Letter of signature authorization. , � r 10: Sanitation`appr`oval from -`-' Health -Dept. tanning approval for (A) Use: (B) Parking: E ertificate of Workmen's Compensation Insurance. . . . . . ontractor's License Information (no., name style, classif.) { ._14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _ Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.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. — — — --- Whey you issue the permit, 1 cess as follows: Mail to owner; Mail to contractor. '\� Telephone 65 and hold for/pickup 424L -office, Deliver w/inspector. Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contr, ctor, designer, owner, was advised of above required data by_phonernaiI—counter by date Contractor, designer, owner, was advised c? above required data by_phone—mail—coun��Eate- date Plans checked by Date Plans approved by 2v 4 Sets of plans on hold in File cabinet AP folder Copy—DPW BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form -aper; -Building ) A.P. Number f `f S Building Department No. School Districtstzllt, f°L,-0,3-,"City Q County ® Jurisdiction. r Property Owner u Project Location/Address Subdivision Lot Number Residential Development: '5 }Q�Sq. Footage � # of Living I Addition (Group R) Units r Commercial/Industrial: a a Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date "District id No:,"Qa' School District certifies that f • ►tel .�1,� aU.PJ� Lt--.,� i ' � y � iA (Applicant Name) (Phone Number) (Street Address) (City) ,,(State) '.. (Zip Code) has complied with the requirements of Resolution No'. 7 ,�� �•%�- { 010 ,. by the pay ent?of $ '��a representingsquare feet. School DistWCt Representative Date PAID BY CHECK NO.' 02 BANK NO //`&S PAID BY CASH REMARKSf i f r T white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) MOBILEHONE SUPPORT DATA If4o.the'r. than single wide, Mobilehome Mfr. furnish Setup Model.No. �Zg9 Year Widta (-ft.) Box Length*:ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October.7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. other (specify) SUPPORTS (check one)rV71. Concrete block.a 2. other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Liar I Line 1 _Main Beams Line 2 Main Beams , Line Tag or Triple > Linp Line Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min- ------------------ Spacing -Max. Each Side of Openings From Ends -Max- ------ With Width Over--------- '� Line ver--------- Line 2 Piers: Size -Min - ------------- 0, Spacing -Max- --------- 4-0.1 / ------- /,-0,. From Ends -Max. Line 3 Roof Loads: Size -Min ------------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min------------------- Spacing-Max ize-Min------------------- Spacing-Max---------------- From Enda-Max-------------- r Line nds-Max-------------- Line 4 Piers: Size -Min------------- k Spacing-Max ize-Mil------------- Spacing-Max ---------- From Ends -Max.------- e 5 Piers: (Under Bearing Walls= 7) Size -Min.------------------ Spacing-Max ize-Min------------------- Spacing-Max---------------- From Ends -Max -------------- Size -Min .----------- L_ .1X 'Sc 1. .1x a�,J x x "x Location (From Front)C - Y UUNT 30ILDING DEPARTMeNT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes ® No 4" (If yes, furnish permit number -2 `$ ) OR Is the site an existing site? Yes ® No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes © No F1 (If no, clarify 5. What is the mobilehome electrical rating? ---------------- Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- �� Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No 71 (If yes, identify the load and size: (Load) =r Ze (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the AA mobilehome?----------------------------------------=---- V?4(ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) (BTU) Y Q c= INC. 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Z 1? - 3 4 41 ,ftbw A 2 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Arses 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: