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Home My WebLink About072-450-00772-45 27- -= =1496=9IP,E _._— EARLY, 'Bob ]27,:W Sandra.. ;Oroville `-Cont,: .Harold Ba ; • _* .. sem. r i,iti (utilities/mh) . GAS COMPACTION TEST REQ SUPPORT ST REQ - ' �.. 72-4-,57- . i_r Permit#1900-91B a 0'q T (mh on perm fid < 072-450-007 05- 78 EARLY, BOBWv 727 W. SANDII Cont: MARV M/H PERM F 0 I� � o 0 __j RECORDING REQUEAr BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 ul z -/If�) -60T 2005-0077591 Recorded I Official Records I County of • I Butte I CANIME J. GRUBBS I County Clerk-Recorderl I I 03:02PN 22 -Dec -2005 1 REC FEE 13.00 CONFORMED COPY 1.00 DD Page 1 of 3 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. BOBBY L AND MAXINE J. EARLY J.T. REAL PROPERTY OWNERILESSOR 727 WEST SANDRA LANE MAILING ADDRESS OROVILLE BUTTE CA 95966 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 MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-3178 (530) 538-7541 BUI DING PERMIT NO. TELEPHONE NUMBER I2 Ig -0 b, S113VATORE OF LOCAL V9ENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO FLEETWOOD 1991 SUNPOINTE 552 3K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER CAFLM17ABI2999ST 52 X 25 RAD591627/8 SERIAL NUMBER(S) LENGTH X WIDTH , INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 072-450-007 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. EXHIBIT "All A, A DESCRIPTION: All that certain real property situate in the County of Butte, State of California, 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 said Section 26, South '00 deg. 44' 55" East, 1320.56 feet; thence leaving said East line South 89 deg. 15' 41" West 331.18 feet to the true point of beginning for the parcel herein described; thence South 89 deg. 13' 33 West, 329.18 feet; thence South 00 deg. 26' 38" East 439.79 feet; thence North 89 deg. 15' 41" East 330.35 feet; thence North 00 deg. 35' 47" West, 439.99 feet to the point of beginning. PARCEL 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 1722, Page 475, Official Records. EXCEPTING THEREFROM that portion lying within the bounds of Parcel II -A, above. PARCEL III: 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 tangent curve to the left, having- a radius of 100.00 feet, a central angle of 58 deg. 00' 58", and being concave Southeasterly; 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. 211. 01" West, a distance of 491.54 feet to the end of description. (continued) PARCEL IV• 9 1 -23264 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 deg. 06' 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' 15", 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. PARCEL V• A non-exclusive 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 in the East line of Section 26, Township 19 North, Range 5 East, M.D.B. & M., said point bears South 00 deg. 43' 23" East, 1237.97 feet from the Northeast corner of said Section; thence from said point North 82 deg. 53' 24" West, 103.60 feet; thence North 47 deg. 27' 24" West, 198.81 feet; thence South 73 deg. 38' 36" West to the West line of the East 330 feet of the South 440 feet of the North one half of the Northeast one quarter of said Section 26 and the True Point of Beginning of the herein described .ling:; thence South 73 deg. 38' 36" West, 154.4 feet; thence North 79 deg. 27' 24" West to the West line of the West 330 feet of the East 660 feet of the South 440 feet of North one half of the Northeast one quarter of said Section 26 and the end of said line. PARCEL VI: A non-exclusive right of way 60 feet in width for road and utility purposes over the West 60 feet of the following described property: The West 330 feet of the East 660 feet of the South 440 feet of the Northeast quarter of the Northeast quarter of Section 26, Township 19 North, Range 5 East, M.D.B. & M. EXCEPTING THEREFROM all that portion lying North of Sandra Lane West. =ENC CF C,-% 'UMENT .. BUILDING PERMITS NUMBER: 05-3178 " Address or location of unit: 727 WEST SANDRA LANE, OROVILLE Legal Description of Real Property: 072-450-007. SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial, Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551.- Owner's 8551: Owner's name: BOBBY L. AND MAXINE J. EARLY J.T. Owner's address: 727 WEST SANDRA,.OROVILLE INSIGNIA OR HUD NUMBER: RAD 591627/8 SERIAL NUMBER OR V.I.N.: CAFLM17ABI2999ST MANUFACTURER'S NAME: FLEETWOOD YEAR: 1991 OFFICIAL APPROVING INSTALLATION: DATE: 12- P-05 PHONE: (530) 538-7541 H.C.D. 513C q Butte County Department of Developmeht Servibes. V urrf Asea . [ O T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-76d1°u++< vnnv.buttecoun(y neUdds RESIDENTIAL APN: Permit No. Owner: 072-450-007 05-3178 EARLY,BOBBY Site Addr+ 727 W SANDRA LN, OROVILLE contracte Cont: MARVIN PLOURD M%H PERM FND (EX) Type of PI C L r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID F LE fT WOO Ma 5116277 AICD 511 Cts, DATE JOB FINALED• L 1 19 - �� Drawing �1 . =OK 0 = Not OK - MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET DATE D E C K S`C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils -Sz-Dpth-Spacing -CnnctrsSteeI 3 Sewer; Loctn-Test; Fall/C/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ 4 Wood Awn- Posts -Beams -Rftrs-Cnnctrs-Shthg . Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers -Breakers -CIrncs 8 Frmg; Sills -Anchrs -Stu ds-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing Veneer -Stucco -Lath 11 Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbersm`s DATE POOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 40,�� °�o o� 5 Elec Pool Lting; 15 volts-GFI 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Gmdng; Eqp wl5' Crcltng Eqp-Pool Ightg Bones-Encisrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr, Fencing -Alarms 13 Bonding, Diving board or Slide s` s` Drawing �1 = OK = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Ace 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub. Ace 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test , 10 UF, Gas Pipe; Sz Anchrs-Sz Test tt Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgmd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders -Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Ace & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm if Furnace in attic mac` DATE IFRAMING 17 Sills Proper Materials &Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frpic Ties or Type A Flue-Frpic Throat Clmc 26 Attic Ace; Sz & Rmx Prtctn-Draft Stopans Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Cliannel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass P rtctn-S kyLts-Plas tic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insulin -Walls -Ceilings 39 Infi Itration-Walls-Wndws DATE JELECTRICAL 40 Fxtr & Tmsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or C AL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ ga 0 C or DAL Oven Circ W EJ cu orFIAL Insulated Neutral EJYes F-1 No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clmcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 1$e 16,�� P 4 FINAL 66 Ext Steps -Door & Side Lt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub AccSpa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frpic or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters OYes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb Appinc-Frplc-Clrnc to Opngs .90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler e -- e`\c c e BUTTE COUNTY . DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (630) 638-7636 (OROVILLE) (630) 891-2834 (CHICO) OFFICE #: (630) 638-7541 PERMIT NO. BP053178" PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 12/13/2005 APN: 072-450-007-000 the Business and Professions Code, and my license is in full force and effect. License Class License Number: 3 C/.3/ % : Site Address: 727 W SANDRA LN ORO Date: rL —Contractor.!'//cnu�� /0� Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ex mh, ex site, prm.fnd Contractors' Stale 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 Owner: EARLY BOBBY L & MAXI NE J JT to its issuance, also requires the applicant for such permit to file a 727 W SANDRA LN signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVI LLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 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 Applicant: PLOURD, MARVIN owner of property who builds or improves thereon, and who does DBA PREMIER BUILDERS such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1584 WAGSTAFF sale. If however, the building or improvements are sold within one PARADISE, CA 95969 year of completion, the owner -builder will have the burden of 530-872-1096 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 not apply to an owner of properly who builds or improves thereon, Contractor: PLOURD, MARVI N and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). DBA PREMIER BUILDERS 1584 WAGSTAFF ❑ I am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95969 Date: Owner: 530-872-1096 License #: 343173 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit s issued. U I have and will maintain workers' compensation insurance, as Architect: Engineer: 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: �� V v -2,7 Z-2,�� s— I I Total Square Ft: Policy #: Valuation: $0.00 -V ❑ 1 certify that in the performance of the work for which this permit is Census Code: I 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: L2 I316 Applicant: 4, -1 • 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 ereby issue 'der the ap icabl provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution o do work in cated above f r w ' h fees have been paid. performance of the work for this permit is issued (Sec 3097 Civ.) /2 —j "which Name: By. Date: PERMIT EXPIRES ON: Address: (Date) " ❑ 1 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. Q. 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 the above mentioned property for inspection purposes. , ' Print Name: f �l �G DU (� Signature:_ W r PDk_P /U Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 �4, T r BUTTE COUNTY / o' o DEPARTMENT OF DEVELOPMENT SERVICES o O BUILDING PERMIT APPLICATION 0 ° AND SUBMITTAL REQUIREMENTS 0 _ '• C 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o - o OFFICE #: (530) 538-7541 0 t4 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X ` CO For office use only: CONTRACTOR OWNER W ELOUTZ41 Last Name 9 4_p_,1'+y 60S-6- First Name I v Address 7,27W. 5�WD "E City D r- E-mail State 77 Phone Fax E-mail APPLICANT SIGNATURE X ` CO For office use only: CONTRACTOR Name W ELOUTZ41 Address Address 60S-6- 07/9 City ^ State C Zip !s I y, Phone 9-7-? Fax E-mail Lic. # Class APPLICANT SIGNATURE X ` CO For office use only: ARCHITECT/ENGINEER Name Flood Zone Address O S i F X C44- U15-72 City ISE State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X ` CO For office use only: APPLICANT NAME Name Flood Zone Address O S i F X C44- U15-72 City FAFAI> ISE StateKl Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE X ` CO For office use only: Zoning Property Address Flood Zone Cross Street 10A l�C 3A 7z7 SRAYes WORKER'S COMPENSATION No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP 0-? BIN # LOCATION Property Address City Cross Street 10A l�C 3A 7z7 WORKER'S COMPENSATION Policy Number/ � 7 ( 2 Zoe Carrier �p �(t5 c C> 0 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: �x my, t'r`y S,)TZ , 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. Received by: Amount: / Bldg 6 / SRA Receipt #: ..� Sheriff SMIP �� Other Date: �% Pjvia e— Total OVER FOR SUBMITTAL. KI=UUlKtmtN I s KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ .2. : 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). 0 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 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 SKEET OWNER: / ' / ASSESSOR PARCEL NUMBER Proposed Building Use: L��i`' `�, ��iD'►nfvvP.cfmitTechnician: Com= Date: Items required in order to apply for a permit. All box6s MUST be checked OR marked NA in order to apply. / IV 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. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Cl 4. 'Engineered truss details and layouts in duplicate. No faxesl ❑ 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 AIC for Non -Residential Buildings. N 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Find 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: Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer ctr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... y ❑rosion Control Plan Required .................................................... .............. v j(J 19' ees as shown on the attached Schedule of Fees Due Sheet......... ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ' * .......... heck:............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects -only). Sent by: ...................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Workers Compensation Carrier and Policy Number .......................................... ❑ 30; Owner -Builder Verification ( _ Given to owner, _Mailed to owner)..... • ............... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32, Recorded copy of Agricultural Acknowledgment Statement..... • ........................... ❑ 33. Existing violations and/or expired permits......................................................... 0 34. Deed Restriction.......................................................................................... �j I /V 35.-PErLegal description, M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone �&ylN - t977 -16W6 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: ` Plan Check Letter al items required C,Q�� ontra , designer, owner, was advised of the above data by phone, ❑mail, ❑counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: / Date: Yellow: Building Division K/BuildinglPlan ChecWData Sheets/data sheet page 2 9.27.05 iir, i nn rnnnr Ins na n�,'r m i na rn i irnTi Q In no nr- Xiz "uncration System installation instructions for 'California for Ground & Concrete Systems HUD Wind Zona 1, 15 PSF Wind toad Seismic 4. By Tie Down Engineering A2 Concrete System N Engineer Approwal tewaolam iiDYW am AMDA?M 11y8TM �t.ffi Al®gJIF87Y �.8�C7791i E�9sl Aftwv" ' Yd Q04BRL4�i1dM MORf�! /4}.�ti4'1�A07�bR� � APE'RA�VB AN9f �il0l1! Ct �►lA7'IOat FROt�e RbQb19IBN6ZN'i Oi A:IfiCADti i7A7'1�J1� A110 A7'lODH iMs � GytNa.b r- .-rUtSlM Page 1 of 8 BUTTE COUNTY BUILDING DIVISION APPROVED 2-I'Tua JIU13 RESIDENTIAL 72-45-07� - - - — 1496-91P, E EARLY, Bob 17 27 W Sandra Ln, Oroville Cont: Harold Balaz i (utilities/mh) Mao .al JOB FINALE Signature J=OK O = Not OK = Not Readyjble` MOBILE HOMES' Date MOB HOME UTILITIES (Plans) OK except #'s Zo ' g Requirements -Setbacks -Easements . Soi"pecial MH Support Sketch ewer; Location -Test -Fall -C/O Concrete .4--Water;-Location-Test-Easement Needed (Sketch) lectricity; Location-Clearences-Grnd-/ /Amp -Concrete s; Location -Test -Wrap: /" L" ft. / /'N�tror% /"L" ft. 'LPG -z- i 1ty Clearance Date Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity;. MH, Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O= Not OKI, 0 Not eplicable Not Ready RESIDENTIAL (Single ' =R & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning-Setbacks-Easements-Flood-Slope 45. Hangers-Post Caps-Anchors-Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purl in-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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 -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel-Wrapped 52. Ext. Doors-One T-Check Garage-3rd Story, 2 Exits 8. Piers-Fireplace Ftg.-Steel 53. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 9. D.W.V.; Fall-Fitting-Test-2 Way C/0-Sewer Test 54. plywood on Roof Overhang-Attic Vents-Rafter Outriggers 10. Gas Pipe; Size-Anchors 55. Siding-Nailing Veneer 11. Water Pipe; Test-Anchor-Regulator-Service Test 56. Stucco Mesh-Drip Screed-Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area-Glass Protection-Skylights-Plastic 13. Pienums & Ducts; Clearance-Material-Support-Ins. 58. Shear Walls; Nailing-Bolts 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 59. Insulation-Walls-Ceilings 15. Insulation 60. Infiltration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent-Access-Combustion Air-Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor-Nail Protection 61. Ext. Steps-Door & Sidelight Protection-Landings 18. D.W.V.; Test -Fittings & Anchor-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-Meth. Protection 20. Test Tub & Shower, Second Floor-Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access-Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances-Hearth 22. Fixture & Transformer Clearance-Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing-Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance 24. Size Boxes & No. of Conductors-Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing-Landing-Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage-Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation-Foam-Looked in Attic ❑ Yes 30. Service-Riser Conductors & Ground-Main Disconnect 78. Guard Rails & Deck Construction-Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light-Shower Light-Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown-Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 64. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle-Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access-Comb. Air-Return Air Vent-115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test-Meters Tagged; Gas-Electric 90. Water & Sewer Connected-C/O to Grade-HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate-Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card 8-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card 8-1 40. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings-Stairs-Chases-Tub 44. Headers & Beam-Size & Bearing each time you visit job site) (NOTE: An entry must be made a� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS .. ,196 Memorial Way, Chico — Phon'e: 891-2751 a, 7 County Center Drive, Orovi Ile — Phone: 538-7541 .9 747 Elliott,Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER I PERMI NO. t t A routine inspection indicates that the following violations of County Ordinance �• .t exist at the above address and should be corrected. Please notify this office R "i when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. •a I'en rK S1e7CU on 01— e4I'V—j^ t �' r� R% =t Ft 3 Y N w tti Date Inspector' COUNTY OF BUTTE - D*EPARTMENT OF PUBLIC WORKS 7 County Center prlve - Orp,lller Californla 96965 - Telephone: 916/538.7541 APPLICATION AND PERMIT 71 W. - *Ul 0 WA 0 ''� Iiiiiiiiiiiiiiii0a ASSESSORCEL NUMUEP 72-45-7 ZON a MR BUILDING PERMIt' OWNER Bob Earl TELEPHONE SQ. FT. OCC. BUILDING LUATION OWNER'S MAILING ADDRESS 100 Hawthorne #132 Fairfield 94533 CONTRACTOR'SNAME Harold Balaz Constr. TELEPHONE 534-1190 CONTRACTOR'S MAILING ADDRESS 3070 Louis Ave.; Oroville 95966 Fireplace CONSTRUCTION LENDER Unknown UNKNOWN Total Valuation Is FilingFee $ .9, 9-96� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITFCT OR LN .INEER _ None LICENSE NO. Plan Checking Fee $ Energy Pian Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 72 West Sandra Lane Oroville Permit fee $ 15.00 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❑ Mobilehomepg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitiesin Installation❑ Other ❑ Describe work: _ Permit Fee $40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare udder penalty of perjury (Check One): 1 I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS --'and Professions a and my license is In full Ofce and effect. 14 Ll 2 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 OCCUP.aa` ( NEW CONST. DWELLING OR AODNS. ACC. BLDGS. / , /20sgft NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES eALoso 2AL&30 \\ Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g 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. I shall not employ any person in any manner so as to become subject o 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 5 - 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 i 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 aid County in (conseque.ce of the granting of this pepermit. CT X 1 Date,2' ,L, ! r Signature of Applicant — Owner ❑ Contractwi Agent ❑ An OSHA permit is required for excavations over S'0' deep and demolition or construct- ion of structures over 3 stories in height.00, Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ HAz. .` cuA PARK SC HL r FLo cOF PA i HD. S UE This permit is hereby issued unser the sions of the Butte County. Code and/or work indicated above for which fees DIRECTO OF PUBLIC By PE IT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS ate 6 �C (meg p ��L�— / __ Receipt No. 93625-92.50 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROD-APPL I CANT � f ` � 1 ' 'a � 1 J .. • t .. ` .; .. • � f � f �--s ., ` � t �y-- COUNTY OF.BUTTE,;- D PAs,TMENiT OFtPULIC WORKS -BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OROVILLE, &A.LIFORNIA 95965 - TELEPHONE: 916/538-7541 , PERMIT APPLICATION DATA SHEET - "' Permit No.—,- � �/ � ., WNE90L� OR • .' e7 2� ! 5 U A. P. No. Proposed Building Use id /- Building Inspector �C-) 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 . ........................ .......... Plot plans in duplicate/triplicate, signed by preparer of plans........ 5- -�/$ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 1 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .....' ............................................... ~z. 13• School District fees paid .............. Q Sanitation approval from �_2ie_0 Health Department S- -21 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 9 Driveway permit (construction approval required prior to occupancy)k U��E 2.0 0. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractors license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _(,/"_Telephone 53'(/ -U -4d and hold for pickup at ® 212' office. Deliver w/inspector. Other Applicant 4ate C - f Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By_� The following data must be submitted prior to permit issuance: (Circle new item -not checked above)r ` 1. Index permit for above items No. 2. Additional items required: , Contractor, designer, owner, was advised of above required data by_phone--nail—counter by ..date �' J, Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved bya- Date a. Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance UAvrY Gvclr,-- 4, 7.2.- ��s- 7 O er Location AP# Plan Approved for:, Sewage Disposal Water Su fily Fold final for: Water Su play Final clearance O.R. for: Water Supply Clearance for bedroom -mobile home. Other , NOTE Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 -County Center Drive - Oroville, California 95965•- Telephone: 916/538-7541 - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / ZONING BUILDING PERMIT OWNER 0 y� / SO. FT. OCC. BUILDING VALUATION �fTELEEP/HONE'? OWNERS M/IDAILING AD(D/ C),t,Ne #�3Z �,�6�2F��C.!(/r L!� /C`�YJ CONTRACTO 'S NAME 11eo7 8+11q 1-53q-119 TELEPHONE 0 CONTRACTOR'S MAIr ING ADDRESS n //�� Q L f 5 AVe Q4) OA 755�P Fireplace CONSTRUCTION LENDE � / �� /l�0(I A •- UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR _ N .INEEP. n/dN LICENSE NO. Plan Che --king Fee $ V Energy Plan Checking Fee $ r00 S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ) � �� We CS`1__ Permit fee $ 15, OD PLUMBING PERMIT Filing Fee 10.00 w 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 0.00ea D TYPE OF WORK New❑ Addition[] Remodel[] Utilities stailation❑ Other❑ Describe work: Permit Fee $ o Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 p , 0 Main service EA. ADD -L 100 AMP 2.50 Z. 56 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 NEW CONST. DWELLING OCCUP.si OR ADONS. ( ACC. SLOGS. , /2¢sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ( Ex. Occup(OUTLETS OR FIXTURES 20350t BALa90 FIXED Ex. OCCUp. OUTLETS PLNS R RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities dV 15.00Misc. Wiring 9 15.00 Permit Fee $ 3'7, SD 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 become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� 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 $ occ CONST TYPE G� - TOTAL FEE $ !O� ,,,� cuA PARK SCHL FLD cOF PAR PD I HD. IssuE This permit is hereby issued unaer the applicable provl- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date (� Receipt No. 'G WNITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Ret.turn to DPW- AGRICULTURAL STATUIENT OF ACKNOWLEDGE 1ENT FO RESIDEiN,TIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 9 i —OpnLm Rea Fee 9.00 The property described herein is adjacent I Check 9.00 to land or included within an area zoned Recorded, for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort. arising from the .Butte 1 use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 2:04pm 11 -Jun -91 I XX 3 of. agricultural operations including, but not limited to cultivatibn, plowing,. spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority. use for productive agricultural purposes, and residents within said_..zones_ and on adjacent property . should be prepa.r. ed •-to accept • sucli -"ihcoiivehre"t6," --- or discomfort from normal, necessary farm operations. All that real property:_ situate in the County of Butte, State of California, described as follows: Date: — % �-� I PROP TY OWN RS: i L State of On this the 'i'7 day of e Y14 19__2_!, before me, the SS. undersigned Notary Public, personally appeared County of SGZA,y6 _) . /71.1 Ll Personally known to me. aProved to me on the basis OFFICIALSAAI. of satisfactory evidence. - LAURENCE R.JOHMto be the person(s) whose name n NOTARY PUBLIC -CALIFORNIA p ) S) �J SOLANO COUNTY subscribed to the within instrument and acknowledged that My Comm. Exp. Apr, 27, 19P� executed the same .for the purposes therein contained. IN WITNESS tiadaasaaaavoaa+o99R4w�+ ��' WHEREOF, I hereunto set my hand and off tial seal. Present A.P. No. 7� Notary Pu EXHIBIT "A" DESCRIPTION: .87- 1975 All that certain real property situate in the County of Butte, State of California, 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 said Section 26, South 00 deg. 44' 55" East, 1320.56 feet; thence leaving said East line South 89 deg. 15' 41" West 331.18 feet to the true point of beginning for the parcel herein described; thence South 89 deg. 13' 33" West, 329.18 feet; thence South 00 deg. 26' 38" East 439.79 feet; thence North 89 deg. 15' 41" East 330.35 feet; thence North 00 deg. 35' 47" West, 439.99 feet to the point of beginning. PARCEL 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 1722, Page 475, Official Records. EXCEPTING THEREFROM that portion lying within the bounds of Parcel II -A, above. PARCEL III: 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 tangent curve to the 'left, having. a radius of 100.00 feet, a central angle of 58 deg. 00' S8", and being concave Southeasterly; 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. 21' 01" West, a distance of 491.54 feet to the end of description. . (continued) e1-19151 PARCEL IV: 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 deg. 06' 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' 15", 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. PARCEL V: A non-exclusive 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 in the East line of Section 26, Township 19 North, Range 5 East, M.D.B. & M., said point bears South 00 deg. 43' 23" East, 1237.97 feet from the Northeast corner of said Section; thence from said point North 82 deg. 53' 24" West, 103.60 feet; thence North 47 deg. 27' 24" West, 198.81 feet; thence South 73 deg. 38' 36" West to the West line of the East 330 feet of the South 440 feet of the North one half of the Northeast one quarter of said Section 26 and the True Point of Beginning of the herein described .tine; thence South 73 deg. 38' 36" West, 154.4 feet; thence North 79 deg. 27' 24" West to the West line of the West 330 feet of the East 660 feet of the South 440 feet of North one half of the Northeast one quarter of said Section 26 and the end of said line. PARCEL VI: A non-exclusive right of way 60 feet in width for road and utility purposes over the West 60 feet of the following described property: The West 330 feet of the East 660 feet of the South 440 feet of the Northeast quarter of the Northeast quarter of Section 26, Township 19 North, Range 5 East, M.D.B. & M. EXCEPTING THEREFROM all that portion lying North of Sandra Lane West. END OFDOcUMFNT .. _ ... _.. _..._.__....,•.,--.�..�.;.,.�Y��..,•_.. _._.-,,..�.�..-,.,,.s..: +.cew`•"�xr�.,.gar°�:�ra�r�.nanean�Ta+c��clR►�.sr..ryw�t�+Airax+�f•....-n�wceyre.�,�,a'--., ... O 3'x,0 EG 0 top 1p CD CD 41 CC, o.gffp 03 `s 4►sm �O C) amCD aC)0 -4459.. 0 R. c �m or o" ob a p m m Or, a CD 23.2.64 •- Ret,u' n to DPW AGRICULTURAL STATEP1EAtT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded ----� — -- --�_� i prior to issuance of a building permit. i .91-023264 1 Rec Fee,'* 9.00' The property described herein is adjacent i Check 9.00-4, to land or included within an area zoned ( Recorded for agricultural purposes, and residents "Official Records; of this property may be subject to incon- ; , County, of Si s' veniences or discomfort arising from the �' Butte 1 use of agricultural chemicals, including, j Candace J. Grubbs 1 but not limited to herbicides, pesticides, f Recorder 1 and fertilizers; and from the pursuit 2:04pm 11 -.Jun -91 I XX.�._ of agricultural operations including,-- -- _-- - -- — - --- -- -- - - but not ]limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones .which have as a priority use for productive agricultural purposes, and residents within said zones and _on adjacent property -.should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All 'hat .real -property 'situate in the County of Butte, State of California, described as follows: Date: � i % ") ( PROP TY O��iN RS State of CA II i* ) On this the 17 day of 1Y14% , 19before me, the SS. undersigned Notary Public, personally appeared County of :441 ) X , yr— T . GrA2 LY � n Personally known to me. IaProved to me on the basis OFFICIAL SEAL of satisfactory evidence. LAURENCE R. JOHNS to be the person(s) whose name(s) IS ,NOTARY PUBLIC•CALIFORNIA SOLANO COUNTY subscribed to the within instrument and acknowledged that My Comm. Exp. Apr. 29, 1604 executed the same for the purposes therein contained. IN WITNESS�+ �,m,�:a�oaaaao0oowa04+!' 4_ IMEREOF, I hereunto set my hand and of�ijial seal. Present A. P. No. Notary Pu 3 RESIDENT4AL I 72-45-07 1900-91B EARLY, Bob 727 W Sandra Ln, Oroville cont: Harold Balaz (mh on perm fndn) h 0 OF'FFIICE COPY Address �� GAS Meter By Dat Z1S— i ELECTRI I� Meter By Datf�_ - JOB FINALE Signature J=OK 1 O = Not OK = Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE OME UTILITIES (Plans) OK except #'s ni g-Requirements-Setbacks-Easeme is oils; Special MH Support Sketch—��_ 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance V Date7— / Card B-1 Date Card B-1 { Date Card B - _j. Date Card B-1 Date MOBIL OME INSTALLATION (Plans) OK except #'s o g Requirements -Setbacks Easements ooti ; Size -Spacing -Marriage Line r as; M 'st-Demand-Valve—Connector lectr' MH Test -Crossovers -Breakers -Clearances rain est -Fall -Flex Connector { ater,MH Test -Regulator -Connector ate Sewer Connected -C/O to Grade -HD Approval i Gas lectricity Tagged . Exits; Insp.-Sketch Y , Da '� / Car Date Card B-1 i Date Card B-1 Date Card B-1 7�-�Z� CA- 47 L A t `'7 /3 12 Sin r,` S � i i MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh -10.-Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card.13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK -=Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except #'s i & Duplex) Date FRAMING (Continued) 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-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ------------------------------------------ --------------- DateCard B_1 --- Date - Card B_t - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------------------------------------------ --- --23. -Elec.-Receptacles -Spacing-Lights & Switches at Doors ------- ------------- ---------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled - - -------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------- 26. Equip. Ground made-up w!Mech. Fastners-Bond Gas & Water ----- - ------------- --- ------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI - -------------------------------------------------------- 28. Subfeed Wire Size r i ga. Cu or AI-A.C. Wire Size r / ga. _ Cu or AI 29. Range Circ / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes El -No 30. Service -Riser Conductors & Ground -Main Disconnect ---------- -------------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------ ------------------------------------------------------ --------- 32. Clothes Closet Light -Shower Light -Spa Light -------- ----------------- ---- - --------------------------------- 33. Smoke Detector ---------- - - ------------- -- -- --- - ---- - - -- - - --- - ------ - -- ---------------- ------ --- ---- - --- - - -- Date Card B-1 Date Card B-1 --------------------------------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------------------------------------------------------------ -------------- 35. Vent Fan: Exhaust above insulation -------- ------ -------- - -- - ---------- - ----- - - - - - -- - - -- --- - --- 36. Condensate Drain & Overflow: Size & Grade -------------------- - --- - --......... 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------------------------------------------------------------- - 38 Attic Access & Platform if Furnance in Attic ------------------------------------------- ------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------ ------- ---------------------------------------------------- 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound --------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ------------ - -------------------------------------------------------------- - -------------------------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------. ------------------ ----------------------------------------- 44. Headers & Beam -Size & Bearing 45. Hangers -Post Caps -Anchors -Connectors 46. Clnq. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthnq.-Rfn 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -------------- ------- - ________ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection -------------54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------ --- 55. -Siding -Nailing Veneer ------------56.-Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------- --- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------------ Date Card 6-1-- Date Card B-1 --- ------------------------ Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings _ 62. Smoke Detector ------------------------ - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exitin ------------------------------ ---- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- ---------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth - ------------� - -------------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. --------------------- - ----- 70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: SwingLandin Closer ------------ ----------------- 73. A.C. Duct in Gar age -Damper 74. Wtr. Htr.: Vents -Clearance -Comb Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: G.F.I. -Romex Protection ---------------------------------------------- 7 . Insulation -Foam -Looked in Attic ❑ Yes ----------------------------------------------- -- 78. Guard Rails & Deck Construction -Post Caps - ---------------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No, Walks ❑ Yes ❑ No; Planters ❑ Yes Cl No -------------------------------- -- 81 Stucco: Brown -Finish 82. A.C. Unit: Disconnect Electrical, Plumbing -------------------------------------- ------ 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ---------------------------------- 84. Water Well: Disconnect, Electrical, Plumbing -------------- --------------- ------- --- -------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House - - ----------------------------------------- 87. Glass Protection 88. Corrections from Previous Inspections -- -- - - ---- ----- -------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric -- -- -- -- -------- --------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - - --- 91. Energy Compliance Certificate -Other Certificates --------------------------------------------------- --- DCard-B- Date Card B-1 ----ate----------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 9f-3508 „ AND WHEN RECORDED MAL TO: t+aE DEPARTMENT' OF PUBLIC WORKS 7 COUNTY CENTER DR. MEET OROVILLE, CA 95965 IXTY, STATE, amd Z1P 91-034308 1 Total I Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 11:07am 21 -Aug -91. I XX 11A�l A..irk. T} ` i ,:i f0 I.£CC"�._t t I C.- Y 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 un i t de scr ibed 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 per- sons thereafter dealing with the real property. BOBBY/MAXINE EARLY REAL PROPERTY OWNER/LESSOR 100 HAWTHORNE, APT #132 MAILING ADDRESS FAIRFIELD, SOLONO, CA 94533 CITY COUNTY STATE ZIP 727 W. SANDRA LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION DEPARTMENT OF PUBLIC WORKS LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DR. MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 1900-91 916) 538-7541 BU G IT TELEPHONE NUMBER 8/20/91 SIGNATURE OF LOC AGENCY OFFICIAL DATE FEATHER RIVER HOMES, INC. DEALER NAME (If not a dealer sale, write "NONE") 91179 DEALER LICENSE NO. FLEETWOOD 1991 SUNPOINTE 552 3K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLM17AB12999ST 52 X 25 RAD 591627/628 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 072-450-007 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) 4/86 3 EHT Or HOGS WP Z Q c P > I z C0 4~41HITY OVA' 9 1 -23264 87-197s1 EXHIBIT "A" DESCRIPTION: All that certain real property situate in the County of Butte, State of California, 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 said .Section 26, South '00 deg. 44' 55" East, 1320.56 feet; thence leaving said East line South .89 deg. 15' 41" West 331.18 feet to the true point of beginning for the parcel herein described; thence South 89 deg. 13' 33" West, 329.18 feet; thence South 00 deg. 26' 38" East 439.79 feet; thence North 89 deg. 15' 41" East 330.35 feet; thence North 00 deg. 35' 47" West, 439.99 feet to the point of beginning. PARCEL 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 1722, Page 475, Official Records. EXCEPTING THEREFROM that portion lying within the bounds of Parcel II -A, above. PARCEL III• 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 tangent curve to the left, having" a radius of 100.00 feet, a central angle of 58 deg. 00' 58", and being concave Southeasterly; 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. 21' Ol" West, a distance of 491.54 feet to the end of description. (continued) 9 1 -23264 PARCEL IV• 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 deg. 06' 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' 15", 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 B1ack.Bart Road and end of description. PARCEL V: A non-exclusive 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 in the East line of Section 26, Township, 19 North, Range 5 East, M.D.B. & M., said point bears South 00 deg. 43' 23" East, 1237.97 feet from the Northeast corner of said Section; thence from said point North 82 deg. 53' 24" West, 103.60 feet; thence North 47 deg. 27' 24" West, 198.81 feet; thence South 73 deg. 38' 36" West to the West line of -the East 330 feet of the South 440 feet of the North one half of the Northeast one quarter of said Section 26 and the True Point of Beginning of the herein described .ling:; thence South 73 deg. 38' 36" West, 154.4 feet; thence North 79 deg. 27' 24 West to the West line of the West 330 feet of the East 660 feet of the South 440 feet of North one half of the Northeast one quarter of said Section 26 and the end of said line. PARCEL VI: A non-exclusive right of way 60 feet in width for road and utility purposes over the West 60 feet of the following described property: The West 330 feet of the East 660 feet of the South 440 feet of the Northeast quarter of the Northeast quarter of Section 26, Township 19 North, Range 5 East, M.D.B. & M. EXCEPTING THEREFROM all that portion lying North of Sandra Lane West. .-ENC CF DCCUMFNT .. SMD of n�CrIU4SN'T ..._�..... .-��.... .».�.....�., w..w.�-+.'w�.� �:!�B`�Iw•h7aEw'•'^lR7M'.DST.7�•l��".!T'T��Ll�Q1+�-..w.1tl�l�q.rw Address or Location of lepd Description of Rea! Prop" CES 1 AT 1900-91 NO. 727 W. SANDRA LANE, OROVILLE AP. #072-450-007 SEE ATTACHED LEGAL DESCRIPTION: A ®Mobilehome/Manufactured Home Commercial Coach has been affixed to the real property described above by installation cn a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: BOBBY/MAXINE EARLY Owner's address: 100 HAWTHORNE, APT #132, FAIRFIELD, CA 94533 INSIGNIA OR HUD NUMBER: RAD 591627/628 MANUF sca a 1 x r71e01 WAMM-0wow. Co M, M.O-0006.. r:.. SERIAL NUMBER OR V.I.N. CAFLM17AB12999ST YEAR OF MANUFACTURE: 1991 8/20/91 0-7 (916) 538-7541 Ord No. 3-94454 Escrow No. AP # 72-45-7 Loan No. Mid Valley Title WHEN RECORDED MAIL TO: Bobby L. & Maxine J. Early P.O. Box 9185 Napa, CA 94558 W / # " — .- 87-19751 _ 11L3 CLERK-RECOROcR FEE. 8'7-19'751 SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $.......:.8.:80 ........................ same as above... C uted on the consideration or value of property conveyed; OR Zompued o theconsw tion or value less ns or encumbr,ynature of Decle n r Agent detennining tax —Firm Name MID VALLEY TITLE AND ESCROW COMPANY GRANT DEED l:�^ FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ' Pacea HENRY T. RUNGE, JR. and CYNTHIA A. RUNGE, husband and wife hereby GRANT(S) to BOBBY L. EARLY and MAINE J. EARLY, husband and wife as Joint Tenants the real property in the City of unincorporated area County of Butte State of California, described as SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF STATE OF CALIFORNIA COUNTY OF BUTTE ss. On this 19th day of May , 19 87, before me, the undersigned, a Notary Public in and for the State of California, duly commissioned and sworn, personally appeared HENRY T. RUNGE, JR., personally known to me (or proved to me on the basis of satisfactory evidence), to be the individual described in and who executed the foregoing instrument for himself and as Attorney in Fact of CYNTHIA A. RUNGE, also therein 5g m u n M m o g A n ®a described, and acknowledged to me that he signed and sealed the same as a o his voluntary act and deed and as the free and voluntary act and deed of DEBORAH A. DAVIS the said CYNTHIA A. RUNGE, for the uses and purposes therein mentioned, NOTARY PU`_'►.il;-CA'_IFOSNIA a and on oath state that the power of attorney authorizing the execution of V, Bure Couni; a this instrument has not been revoked and that the said CYNTHIA A. RUNGE, m My Commissicn Expires April 00. 1990 A m o is now living. �v®enemvas®aaisea■Isslao>o�lao® WITNESS d and official seal here fixed the day and year in this certifi ve written Sigmti Deborah A. Davis : Land/Home Financia! Services Inc. Mortgage Division June 17, 1991 a RE:, Bobby & Maxine Early West Sandra Lane Oroville, CA 95666 APN 072-450-007 Butte County To Whom It May Concern; Please be advised that Land/Home Financial Services is aware of and will require the Early's to place their new home on a permanent foundation system. Land/Home Financial will also require a Certificate of Occupancy and a recorded 433 prior to funding of the loan. Should you require any additional information, please contact our office. Thank You: Kim Bursell V Loan Processor 4401 Hazel Avenue, Suite 125 fair Oaks, California 95628'o (916) 965-4424 c ��`wrtr of+a STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a:& Mobilehome l__J Commercial Coach L__J Floating Home � Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) 'S I/We, the undersigned, hereby state that the unit described above: QL 4 Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above -M viW unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on —() at, 24 fl (Date) (Ci (State) Signature of each affiant Printed name of each affiant city �.1L� �.. 5 State 2R HCD 476.6 (Rev 11/86) COUNT�-1Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.' 7 County Center Drive - Orovi 're,,Calurornia 95965 - Telephone: 916/538-7541 . ' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 72-45-007 ZONING MR BUILDING PERMIT O E"T TELEPHONE "�'o� Early �- Ot — :.1-341 WO Hawthorne #132, Fairfield CONTRAC-TOR'5-N-AME'- �%--J `""=�= TELEPHONE Harold Balaz Construction S0. FT. OCC. BUILDING VAL N R- 68,391.00 CONTRACTOR'S MAILING ADDRESS 3070 Louis Ave. Oroville 95966 Fireplace CONSTRUCTION LENDER Unknown UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee 340Z2 $ 170.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan. Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 269.00 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❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other [:1 Describe work: 3 BEdroom MH on Perm Foundation _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): p y p I y hk ( )• I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions -Code and y license is in full _force and effect. License No. Classification. \�J ❑ 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 license6contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.U) OR ADDNS. ACC. BLDGS. , h¢sgft NEW CONSTFLULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES eALO 30 zAL@30 EX. OCCup. OUTLETS P(RESID )FIXED ALNS.REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. 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 FiIingFee 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.TOTAL 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 againsl said County i consequence of the granting of this permit. b X-it Date ( Signature of Applicant — Owner 6 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._7A Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - FEE $265.00 HAz. CUA -PARK SCHL FLD -` CDF PA PD HD. Issu ; This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated ab a for which fees have been paid. DIRE OR F PUBLIC WORKS y PERMIT EXPIRES Date —V L_Z__ Receipt No. 94002 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,:COUNTY OF BUTTE - DEPAR;TM60t OF PUBLIC'WORKS - BUILDING DIVISION - ♦rr►' 7 tNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER ` Proposed Building Use M PERMIT APPLICATION DATA SHEET w Permit No. A. P. No. 7 Z �l �- o7 Building Inspector d Date AT- 1L11 q1 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 . . -Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions00Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 'z Pam feeld paw School District fees paid . f ............................................... 14. Sanitation approval from Health DepartmentU- MHU 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec.request to - Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. + 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... a_vaa I vi aiyI ICA a.ui c "L"vi icauvi ... , , , , , , , r e a C1eT 56 / When yoy issue the permit process as follows: Mai o r. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Date Copy of Haz-Mat form sent '-Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to'permit issuance: (Circle new item not checked above). 1. Index permit for above items No. _ r� tILP"A kyvl 8- 6/TO/91 2, Additional items_ required: _ 6at2gC �%laln a1PJ Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date Plans approved by Date GIZ f f9i Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT 0F 7 -County Center Drive - Oroville, California 95965 - PUBLIC WORKS Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NU BER ') 2. — — Q ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD 55 goo .. � 32eld CA 0r��C13 CONTRACuR(Lj#oN E TELEPHONE 53 -/!1a CONTRACTOR'S MAILING ADDRESS Ave Mo ^_ 015`76 3CU-716 � �O�ufs /LJ/t1 Fireplace _ CONSTRUCTION LEN ER 1 _ (�N /�N�t/`� UNKNOWN Total Valuation is Filing Fee $ ;0,00 LENDER'S MAILING ADDRESS Permi: Fire qo � $ ARCHITECT OR LN.;INEEP LICE`:SE NO. Plan Chesking Fee $ 5- � Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS e�� LAIJ gb Permit fee $ PLUMBING PERMIT Filing Fee 10.00 CA - Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome2"" Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00 ea TYPE OF WORK New ❑ Addition ❑ Aemodel ❑ Utilities �lnstal a ion G Other ❑ Describe work: t �.� MA N e�c/-t— . 3. (� . Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1111 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 ❑ {, 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.N OR ADDNS. ACC. BLDGS. ,/z¢sgft NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea (POWER /POWER APPARATUS .&) OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eAL030 FIXED PR Ex. Occup. OUTLETS IRESID IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 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 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE O TOTAL FEE $ HALcuA PARK scHL FLD coF P R Po i HD• ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. l/ v WHITE-D.►.W.. T!L OW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �r .. 1 try � �fY "" oiF�ilrt"'�iY�MrYie '• i$�id�'k�kn4{T.1-W'^NW".+y.ix: vtj�sgit+nrWr{nqs.i'"`'�t`�'..yyP„stp�Mirt+.t n,�t�iM.'f�., sv.cv� �... .r,.' BUTTE,COUNTY,�SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM /({O�Jne Form per Building) A.P. Number r� ,�Bui.ldi.ng Department No. School District .Qeo- JrI "''" City [:] County Jur `sdiction j a Property Owner � �! ,, J('� y/� P /� Project Location/Address +e, SA �1dVA �AJ Subdivision Residentiakl Development: . o a # of Living MHI Units Commercial/Industrdal y Lot Number Sq.. Footage 13.gl Addition (Group R) Sq. Footage , New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. /A 7 7 (Vllt�' EL:2_�� School District certifies that (Applicant Name) (Phone Number) I. (S� reet ' Address ) !(City);r.�� ' . t.(State), .x(Zip.C.ode.)' . has complied with 'tle' requirements of Resolution No. ,��- cJQ- Q V by the p�yme t of $ 4.2//representing square feet. /, School Dist -r'/ epresentative Da..e r PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: e white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) t iTTE COUNTY .DING DIVISION APPROVED