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072-600-021
{ .:,'-.. ..r � - .., ,, , __ ... _> __ -.,.. ' .. --y -,q_. � — _ _ r. _ ..�� _..:�,.. _ • _ #� _ _ - .. mat' -.. ... � -- ` ! w l Donald lb7idsong0j Lumpkin Rd. , p. 4 'Mfo-Of Forbes- town orbes town Rd. ,- Orovil C� r Permit 1254 7,E .i�� ELEC . Y O�-r GAS 71 SUPPORT STRUCTUREa COMPACTION TEST REQ. Permit#3773-86P(util, MH)gas pi pi GAS g1 OF Contr: R Vsn Stavern % AP --er-mit;,-1317=-� Issued_ Permit#1796-87B(new'front-steps)MH-" r i . I ' a a i Contr: R Vsn Stavern % AP --er-mit;,-1317=-� Issued_ Permit#1796-87B(new'front-steps)MH-" r i . I ' a a Contr: R Vsn Stavern % AP --er-mit;,-1317=-� Issued_ Permit#1796-87B(new'front-steps)MH-" r i . I ' a 1� � GflliO� October 12, 2001 Davidson Living Trust 1045 Santa Clara Ave. Alameda, CA 94501 LAND OF NATURAL WEALTH AND BEAUT`( BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 Re: Availability of 911 emergency services to Butte County Assessors Parcel # 072-600-021. Dear Mr. & Mr. Davidson; In order to enable a prompt, timely response to emergency situations, Butte County maintains a 9-1-1 Master Street Address Guide (MSAG). As the addressing authority for Butte County, and in an effort to assure this service, the Building Division will issue to any building owner or occupant within the county, an address in accordance with Butte County Code chapter 32. The above mentioned property has not been addressed, and could not receive prompt emergency services if they were to become necessary. Please contact us at your earliest convenience so that we may assign your property an address, and assure emergency services if the need arises. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira at the number above. Sincerely, Scott Rutherford Chief Building Inspector ONE MR, �Na D`AVIDS®N LIVINGftpImST �Asmt # Flee # 072 600021 D00� v 5takus' ACTtIVE Stakus Date ; :` �Addr1 DAVIDSONDONALDSR`& 61TILVIA TRUSTEE � �'; � � Tax 000 iNORWMAlOWNERSFIP T�R�A 091O1]7� ,� �� Addi2 1045 SANTA-CLAR 4 AVE -Situ� r �ALAM E DA"CA 94501 t =y a Ol l011�998 . Qd 4 - Land 29`306 EZIgg,m 1 AgPies Str� 33 724 EF Comment R MAP FR�M072F26007200010/24%97 Etal"T ° Fixtures 0� _ Notes' Growing 0 n Creating4Doc# 1977R223B466rDate: „�� Bonds 3 �Ur uTotal Likl 63 030 r pp e Doc# Multi Situs' Cur TSS4R51`717 Date 12127 R - fl Killmgj ,'db.. � �� pate 9. MFI PPS �0 Asmt`Desc Su ICnt 0 1 _ - PPS �A �D 015 30ACS,EC12 T1'9N P _'FIag2 m, _�01 �- �Etsem t 0 ���on�n9Dwell1 AsmtPP Pen �P etF Acres ,% 15 30 N/C 072 TaxzPP Peng �� m OT Assessor �Es � � � �N°ame DAVIDSON�LIUINGTRUSTI NMI.� HIM AG�T€IUE -Dat W» m, .Status �$t Mlddr1 DAVIDSONDON�ILD SR4& SYLVIaTRUS�TE'EA ' � � �' Tax� 0' NORMALOWNERSHI•P;� TRAM 091°007 Addr2 45SA 1AC'Li4RAAUE�� TAM LIIMPKINRD%°OROVILLE ���I- ME n� �ddr3 AL$AMEDA�CA�94501 8ase�Dt� 01�l011/�1988 �` '` �, x Land29=892 TM Timber Preserve �`� Structure X34 398 l n „' F Mt Fixtures 0 Comments RE�MAP FRDM072�260072 000„10/24%97 ri Etal�* fi�� �;-----� Growrng .. -M:J,.. ?..E F '*3F. 'iklt . lureatin�Doc# r1=977R223B466 � Date ` Notes �t9�� �� 3.Tfota�bl t a Bonds5 �CurrentQoc# �1994RI'517 7 Date r12/271�1994 ��� Fix�R0 K ,�, MUItiSitusT=f =, �Killmg Doc#Date SPP '9N �' Asmt Desc 01_530AC5,EC12 T1SuplCnt 0$ , FI�ag 6p, ,,'Zoning` N� Dwell1� , 910thM � 4, lIg�J Asmt PP�Pen; CNet 64fZ90 ' AcresiSq Ft 15 3 N!C 072 �. � �` -� ����' '� .*� ��``� �� ;�� T�ax�PP Pen •� �� ;t Apl Pending lit Pendin9� RICSat�:. Sp14 _ AT SIT APR, ��p PHIf OWN Y!EXF' T'AX_, LHON _�_�� ” b . = OK '0 = Not OK ' MOBILE HOMES MISCELLANEOUS = Not Read�yable Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS ,COVERS, CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements gxt g Requirements -Setbacks -Easements 2. Soils; Special MH -Support -Sketch &. "Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.;' Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. 6. Carports; Windows -Doors / - /"Nat. or/ ' /''L"ft./ /"LPG 7. Utility Clearance 7. Elea 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -61 Date 10._Reof; Shthg-Roofings Card -81 Date Card -81 Date 1. Ext.; Steps- Do or,&eCandi s Date MOBILEHOME INSTALLATION (Plans) OK -except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Dat Card -61 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -61 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector _2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged i Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5.•Elec.;,Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -131 Date Card -61 Date 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. .• Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -131 ' Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -81 Date Card -131 Date = OK = NotOK RESIDENTIAL (Single and Duplex) = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -B1 Date 67. Fireplace Stove; Clearances -Hearth or Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Floor-Mech. Pr Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive 0 Yes O No; Walks O Yes D No; Planters o Yes o No Card -131 Date Card -B1 Date 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl: Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Card -81 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY Or BUTTE - DEPARTMENT OF PUBLIC WORKS PERWT 0. 7 County Center Drive - Oroville, Cailfornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONI G BUILDING PERMIT' OWN TELEPHONE SO. FT. OCC. BUILDING V LUATION _1191,A2 O WN ,i�S MAILING AR A [-� (/(Jc/)SJ; Q Y'a i tJ CON ACTOR'S NAME E V1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ l0 ARC I ECT OR ENGINEER © LICENSE NO. Plan Checking Fee $ / Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN DDRE s` ti h4 IDAa 1W Ll Aq I Permit fee $ PLUMBING PERMIT Filing Fee 10.00 O. I © ' Each Trap 2.00 �l V Il C`-- 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 7� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: (=4of T Sri PS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV OR LESS10.00 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- 0rs.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.6 , AUC /z¢sgft New CONST R.TI -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200500 BAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ 1 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. l� I shall not employ any person in any manner so as to become subject '£� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cotdnty i consequence of the granting of this permit. X Date Signatur of Applicant — OwnerLL? contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �� Q OCCUP. CONST.TYPC I FLOOD 77PT ND s This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTO OF PUBLIC PE T EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date —` 1�d' 1�� � 4 57 RFBY eceipt No. W NITS-D.P.W.. YELLOW-ASSr3SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER .,".-Z w :.4 Iry?„�r., F.t :�. ty -4X,. ..tea+.':!•-� x �..`..r�ttt, �+F,:>,� ,�r�h -` �..: ,. �'. `i .,.. '�.; COUNTY OF BUTTE - DEPARTMENTOO PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, GXL_`j6 A 95965 - TELEPHONE: 916/534' �54+1 PER IT APPLICATION -DATA SHEET ' - Permit No.�� L Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED ml 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. , 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans.. s 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . , . , , , Letter of signature authorizati___,IVjK 1 . Sanitation approval from ✓ 11 ►� Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner El ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector '18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of J J1 yr When you issue the permit, process as follows: Mail to owner, Mail to contractor, r Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant ate /, Ai Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by—date date Plans checked by Date Plans approved by `�yDate Sets of plans on hold in File cabinet AP folder — Hours: 10:00 a.m. - 3:00 p.m. ,y Copy—DPW TO Buildinq Department FR6m: Environmental Health SUBJECT: Sanitation Clearance _� "A Owner Lo tfon AP# Plan Approved for: Sewage Disposal /%_Water Supply Hold final for: Water Supply Final Clearance O.K. for: Water er Supply Clearance for -__ bedroom mobile home. other NOTE Sanitarian tDate' COUNTY OF BUTTE - Department of Public Works s 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and'bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit. will be issued until this verification is.received. 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have) j+ ✓g_� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name /Jn 11J,�7 Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name y�J O Yv Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted. (hired) the following persons to provide the work indicated: Name Address Phone Type of Work VIJO YJ t='_ Signed: Property Owner Social Security Numbe , ! Datey &Z NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. VAR/ES 36" MIN. 7C1� r X x, a c r rrl 'd r= CAN z 3 n c —1 'CI MAX, 3 'm � t a� 3 I X u. -01 17 rn m w z � �v b r o � N o -n O m 6' x` W Oo c co o ;U) N G" C7 7C1� r X x, a c r rrl 'd r= CAN z 3 n c —1 'CI MAX, 3 3 / ts-,-- c30"- 34" Op I I I I /HNORW HE16HT FE 30" MIN. STAfR m W I DT4 y -P c 'm -nRaco 00 wI- u. -01 17 3 / ts-,-- c30"- 34" Op I I I I /HNORW HE16HT FE 30" MIN. STAfR m W I DT4 y -P c 'm u. -01 A O c m w m b V MAX N o -n O 6' x` W Oo c co o ;U) N C7 3 / ts-,-- c30"- 34" Op I I I I /HNORW HE16HT FE 30" MIN. STAfR m W I DT4 y -P c r This set "of plans and specifications MUST be kept on the job at all times and it is tHIlawful to L make any changes & alterations on same wlt out written permission from the Department of Pub)jg Wo&, Coun+y 64 Butte. A setback of 5 ft. f ror i the f?Roy property lines and a tback of 50ft. from the roa centerline shall be clear of structures or equipm nt except.. -�" - w UL for a 2 ft. eave overh ing. None Pow a A Poly O idO H Materials Workmanship Shall Acmdande vritl'1 Recognized Good Practices and �ity prescribed for 'the Specified use . in -the AWOL f _- Uno�m Building in`g& Machanical Codes and �So' ilr t I ButTE E Ay DEPART . APPRu 176 -g7 PERMIT NO. r . PERMIT EXPIRES ' a4r' + ' ,, �• + OWNER • Pon Davidsair- CONTR. ASSESSOR PARCEL 72-26-72 LOCATION NIS Lumpkin Rd. 1/4 Mi N Forbestown Rd /�(��/�/�/�j►i,/./ .. �.,'. /I. fit ..1: ` ' 737 � r k11.1.N t-AwOFFIIbE COPY I Ads41 tJ err w� r'tiC Datermt:>1.4.. , j F- T IC,! t ysr 1 �i c• - 3 Me rZA cd T s. I Temp. Power Pole Called PG&E Temp.•Eloc. Service Called PG&E' f / Temp, Gee Servico — Called PG&E' ;z "{ J08 FINAL ED (Date) SEZ t Signature — --- I-- — • . v✓ rs J41 rj s= Not Of•- i �.. _ Not Applicable MOBILEHOMES MISCELLANEOUS +R a Not Ready Dale MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. IPlans) OK except P's 1. Zoning Requirements–Setbacke–Easements 1. Zoning Requirements–Setbacks–Easements ' 2. Soils; Special MH Support–Sketch ~ 2. Footings; Size–Depth–Spacing–Connectore 3. Sewer; Location–Test–Fell-C/0–Concrete _ 3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails 4. Water; Location–Test–Easement Needed (Sketch) 4, Wood Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rtg.–Bracing s. Electricity; Local lon–C learances–Grnd.–/ / Amp–Concrete S. Alum_. Awn.; Columns–Connectione–Splice–Decal–Enclosures 0. Gas; Locallon–Test–Wrap:/ /"L"ft./ /"Neta/ /"L"ft./ /"LPG 0. Carports; Windows–Doors 7. Utility Clearance 7, Eloc. — Card -81 Date Card -Bl Date Card -BI Date Caro -BI Date Card -81 Date Card -BI Date j Card -BI Date Card -BI Date Date MO6LLEHOME INSTALLATION (Plans) OK except N's Zoning Requirements–Setbacks–Easements 1`901ings: Size–Spacing–Marriage Line ii3'fasa; MH Test–Demand–Valve–Connector –4._fIeCtrlclty; MH Test–Croseovere–Breakers–Clearances r. OT2: MH Test–Fell–Flex Connector MH Test–Regulator–Connector and Sewer Connected–C/O to Grade–HO Approval 8, Gas and Electricity Tagged 9. ,F,xi ts: Insp.–Sketch Cert. of Occupancy Card B-I9.4z) Date (JP Card -Bl Date Card B -I k X Date Card -BI Date Date POOLS (Plans) OK except N'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 S. Elec.; Pool Lighting; 15 volts–GFI 0. Elec.; Enclosures: Conduit Entries–Terminals–Listed 7. Elec.: Bonding; Metal w/5'–Circulating Equipment–Heater 0. Elec.; Grounding; Equip.w/5'–Circulating Equip.–Pool Lghtg. Boxes–Enclosures–Panel boards–Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test–Water Supply Test Card -BI Date Card -BI Date Card=Bl Date Card -81 Date I d = Of( O = Not OK -r - = Not' Apphcabte d * - Not Ready RESIDENTIAL'ISinglo and Duplox) 1 Date. UNDERFLOOR (Plans) OK except N's - I. Zoning requlremenls-_Setbacks-Easements -- 2.. Ftg„ Main; Soils-Stool-Elec. Grnd.- / /" Ftg. Depth 3. Fig., Garage; Soils-Sleel- / /" Fig, Depth -4.Flg„ Porches 6 Docks: SOils-Steel- / /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab _ - 6. Stemwalls, Garage: Steel-_Blockouts-Wrapped-Slab -_ 7 Piers-Fireplac_o Ftg•-Stool 6. O.W.V.: Fell -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors i 10. Water Pipe; Test-Anchors-Regulator-Servico Test Electric; Underground Plenums 8 Ducts; Clearance-Matorial-Support-Ins.' 13. GirdersSills-Anchor Bolts-Joisls-Vents-Cripples Card -Bt DateCard-BI Date Card -BI Date Card -BI Date Dale PLUMBING (Permit) OK except N's 71. 72. 14. Water Ht.: Vent -Access -Combustion Air 74. _ 15. Water Pipe: Test ori Anchors -Nail Protection Following insild.: Drive i_ Yes (= No: Walks [ Yes C No: Planters (-Yes :JNo 16.- D.W.V_.: Test -Flings ti Anchors -Nall Protection -_. 17. -Shower Pan: Test, First Floor -Tub Access Furnace -Vent. Access -Comb. Air -Return Air Ven_, -115V outlet 18. Test' Tub 8 Shower_2nd Floor -Tub Access AIIIC AcceSS S Platform If Furnace in Attie . ---- 19. Gas Pipe: Size 6 Anchors Card -BI - Dale Card -BI Data Card -BI I D.ue Date Card -BI Date Date ELECTRICAL (Permit) OK except Ws _ 20. Fixture 6 Transformer Clearance -Ins. Protection IYalls Studs-N.ulnry. Sparnt'3 K Blacmg-Pl,nes-Sound 21. Elec. Receptacles Spacing -Lights & Switches at Doors _ 22. Size Boxes 6 No. o1 Co_nduclors-Stapled D"Itl Slap nl W.111f: (lar pluul) ... _ 23. Romex Inst 11 ted Close to Edge of Studs & C.J. ine Slop. Fulled Cethii9s-Slain\-Chases-Ttit) - .. Equip. Ground made up w/Meth. Fastoners-Bond Gas 6 water Hr.ldt.l & I1"mil S.,*.? K Bearing .24 25. 2 Appliance Circuits in Kuchen b Conductor Size 11.111111`,\-1'11\1 (,.Ip\ -Alli 11{11 ••�(, VIIIII`l.tnt\ 26. Subteed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga. Cu or A CImi. ,ha•.I -fill,. T les- I'll, lin- Roof [l,ac. -Truss--Shlhng.-Rtnq. 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, {'ut•pL11 r 1 n•\ u, T 1pe A V'lur-Fnep Llcc Iwom l _ Insulated NeutraYes No - 28. Service -Riser Conductors & Ground -Main Disconnect ,lung 11y1. & Ulmenstuns 29. _. _ ----c- - .... ----- Equip. Clearances. Panels-Motors_-_MeCh,_Equip• 30. Clothes Closer Light -Shower Light Card B -I Date Card -BI Date Card B -I Datc Card -BI -- - Date-'-- ---- Date MECHANICAL (Pern•il) OK except N's 71. 72. 31. A.C. Ducts. Insulation 8 Support 74. _ 32. _ Vent Fan. Exhaust above Insulation - Following insild.: Drive i_ Yes (= No: Walks [ Yes C No: Planters (-Yes :JNo 33. Condensate Dram 6 Overflow. S_ize_& Grade -_. 34. Furnace -Vent. Access -Comb. Air -Return Air Ven_, -115V outlet -- 80. ;{S, AIIIC AcceSS S Platform If Furnace in Attie . ---- Cald•BI 82._ Date Caid-BI Date Card -Bl _ Corrections from Previous Inspections Date Card -BI Date - I D.ue FRAMING(PLmsl OK em:ept Ws Water 6 Sewer Connected -C/O to Grade -ND Approval J F.. Silts. Pluocr Kilvi4dl 8 Anchors 37. IYalls Studs-N.ulnry. Sparnt'3 K Blacmg-Pl,nes-Sound Date__ Card -BI Date _ --Date T-- - Card -BI Date ___-- Date Card -BI Date 38. (lr:u nil) YLllls noel Gudols ✓?, Floor Nadini; 39. D"Itl Slap nl W.111f: (lar pluul) ... _ 40. ine Slop. Fulled Cethii9s-Slain\-Chases-Ttit) - .. .11 Hr.ldt.l & I1"mil S.,*.? K Bearing �1.'. 11.111111`,\-1'11\1 (,.Ip\ -Alli 11{11 ••�(, VIIIII`l.tnt\ U. CImi. ,ha•.I -fill,. T les- I'll, lin- Roof [l,ac. -Truss--Shlhng.-Rtnq. .11. {'ut•pL11 r 1 n•\ u, T 1pe A V'lur-Fnep Llcc Iwom •11,. All,, A, It•s\ S,:o d Haub• fhulucuun--DI,111 Slop -111s. 11,11110\ ,lung 11y1. & Ulmenstuns Date FRAMING (Continued) 48. Property Line Firewall & Openlnpa _49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs: width-Headroom-Rlse_Run-Landing- Fire Protection ------- . - - _-_-- 51, Plywood on Root' OveTang_ Attic Vents-Raftor Outriggers 52. Siding-Nailing-Voneer - 53. Stucco Mesh -Drip Screed-Fdn. Vents-Undorflr, Access ny ..tea -Masa rroiecl 55. Shoat Walls; Nailing -Bolts lastie Card -81 Date Card -BI Date Card -BI Date Card -81 Dale Card -81 Date Card -BI Date Date FINAL Plans OK except N's - 58. Ext. Steps -Door 6 Sidelight Protection -Landings 57. Smoke Detector _ 56. Furnace: Vent s-Clearahce-Comb. Air-Conneetor- In Garage: Above F100r-000Ia-Meth. Protection 59, Bedroom Exiting 60. G.F.I. 6 Bath Fixtures 8 Tub Access 61. Elea. Trim & Subpanel: Breaker Sizes -Labels 62. Stairs 6 Rails , 63. Fireplace or Stove: Clearances -Hearth 64. Elec. Outlets at Wood Panel: Int. & Ext. 65. Kit. Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at KIt.,Counter- 67. Garage Fire Door: Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage: Above Floor -Meeh. Protection 70. Plb.. Efec, &•Mach. Equip. Listed for Location 71. 72. Elec, Receptacles in Garage: (13.17.1.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails 6 Deck Construction -Post Caps 74. _ Fdn. Vents 6 Crawl Hole Door -Drainage 6 Wood -Earth Clearance _Looked under Floor E. Yes 75. Following insild.: Drive i_ Yes (= No: Walks [ Yes C No: Planters (-Yes :JNo 76. Stucco: Brown -Finish 77. A.C. Unit. DisConriect-Clrnces-Brkr. 6 Cond. Size -115V Outlet 78. Vents Above Root: Plbg: Appliance-Firepl.-Clearance to Opngs. 79. _Water Well. Disconnect, Electrical, Plumbing -- 80. _Eitterior Elec. Trim: G.F.I. Receptacle -Underground 81. Ventilation throughout House 82._ _ Glass Protection 83. _ Corrections from Previous Inspections 84. -Electric --- Gas Test -Meters Tagged: Gas_ 85. Water 6 Sewer Connected -C/O to Grade -ND Approval 86 Energy Compliance Certlticate-Other Certificates Card-2.Bl Card -61 _- Card-BI Date__ Card -BI Date _ --Date T-- - Card -BI Date ___-- Date Card -BI Date Cemn-entc at Final 410A�arfihart Omen & Oiiock7tei ifornio Corporofion 1881 A Robinson Street Pa Box /576 Orovi/ie, CA 95965 9/6/534- 19/1 CIVIL ENGINEERS • LAND SURVEYORS December 19, 1986 Dave Clark 5211 Oro -Bangor Hwy Oroville, CA.. 95965 RE: Mobile Home pad_ for Don Davidson, Lumpkin Road. Butte County A.P. #71-26-60 Dear Dave, Alan G. Brown CE 24578 Richard Barnhart LS 4202 Thomas Odeklrk LS 3991 Michael Evens VP Thomas Finlayson LS 2900 In accordance with your request our firm has performed in- place density tests to determine the quality of placement at the reference site. The native material is brightred silty -clay with an optimum density of 109 pcf at 12% moisture content. We conducted eight tests at various depths and locations throughout the pad and determined the average to be 95.4% relative densitv. If we may be of further assistance on this project feel free to contact this office at your convenience. Very truly yours, BAR.NHART-BROWN & ASSOCIATES Joseph E. Hassel ;�?� JEH/cj 86-161 ��• MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 i PERMIT N0. 4 t_ Address or locatiotn of mobilehhome A 5"��1i h'\ ))ki h r -t "� t �j I"I�ME,oi(i�tJ� lh' L 1X111d 0 i-� Owner's name 1 I ��Owner's address <4\c4 Insignia or hud number Manufacturer's name i' Serial number of (Official Approving Installation a Year of manufacture !Yrv, (Date) ) pIF TF.€ MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION i IACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE ' iftMOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS , 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 131.-7-P7 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this o fice immediately. .try- rzl" - ' - —fl. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 APPLICATION AND PERMIT PERMI / ASS SS R PAR EL J�JNUMBER r ZONI G BUILDING PMIT ER OWN TELEPH//O^^//N SO. FT. OCC. BUILDING VALUATION OW ' 'S MAILIN A DRESS r d h 1/; C' CON RA T R'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS kl+30 L&A^_,& ,P Xl^ Fireplace CON T�UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS END Permit Fee $ ARC 1 ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGAQDRESS , r S L Permit fee $ L PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 E— 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�r Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New Addition E:1 Remodel Utilities 0Installation] Other ❑ Describe work: r) 1 �` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury : P Y P l y(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. 31�� Classification L T "' r ❑ 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.g ,h2sgft OR ADDNS. ACC. BLDGS. NEW CONSTFLMULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ExOccu P(OUTLETS OR FIXTURES 20050C . SALO 30 FIXED Ex. Occup. OUTLETS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ET 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Per- Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �� 4- ,�-L��7 Signature of Applicant — Owner ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oai r 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE �r OCCUP. CONST.TYPC LOOD ARCEL PD ND 39UE This permit is hereby issued under sions the Butte County Code and/or wor i icated a ove for which R CTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date f- f,2 Receipt No. �t WNITC-D.P.W., YCLLOW-A381190R, PINK -INSPECTOR, GOLDENROD -APPLICANT .R -�. -.gam.'.• a :y. T.. .� M �, ��. .. s.,�. ��.��"'i�..+s'n..: •s•W`Sh'�+�.e., .:t.'tn.... `i. ,.r, ., .. �� 1:.-. ., COUNTY OF BUTTE - DEPARTMENT .OFPUBLIC WORKS - BUILDING DIVISION w , 7 COUNTY CENTER DRIVE - OROVILLE, CAL'IFORMIA 95965 - TELEPHONE: 916/53,4-4541 F Y J PERMIT APPLICATION DATA SHEET � Permit No. OWNER U ✓/ O's O 1 A o. _ -V - M Proposed Building Use �"/ i TC— ;,Bui ldiin' Inspector Date At time of permit application, I was advised the following data must. be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED -1. All items have been submitted. . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , , , , , , I Letter of signature authorizati ' . 0. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) . 14. Owner -Builder Verification (Given to owner❑, Mail to owner[] ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . 4 17. Pre -Inspection for Pre-Inspec. Required, Building Inspector request to (Date)`` 18. Recorded copy of Agricultural Acknowledgment Statement. t 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as. follows: Mail to owner, Mail to contractor. Telephone 977- 6 (9 k and hold for pickup at—PA—c'affice, Deliver w/inspector. Other Applicant-��y��'. �D e - 2 V__Rl-7 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai I counter by- date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in File cabinet AP folder Copy --:-DPW — Flours: 10:00 a.m. - 3:00 p.m. i TO Building Department FROM:- Environmental Health SUBJECT: Sanitation Clearance Owner Loca fion AP# Plan Approved for: Hold final for: Sewage Disposal - It Final clearance O.R. for: Clearance for bedroom Ile ome. Other NOTE * * * Sanitarian Water Supply Water Supply Water Supply to a/ �+ It . to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT [?E(;Oi3DED BUT Q U OO`I4 Y v _ OFFICIAL RECORDS t,Y;` j,FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement PARS SHOWN be recorded prior to issuance of a building permit. 87- 13060 ' 1987 iAN 23 PM 1: 49 The property described herein is adjacent to land or included CANDACE 4.GRUBBS- within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from CLERK-RECORDER.FEE the use of agricultural chemicals, including, but not.limited to herbicides, pesticides and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing,•spraying, pruning, and harvesting which occasionally generate dust , smoke, noise, and odor. Butte County has established agricultural zones which have as a Pam priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: PROPERTY OWNE State of Qu FOe)y 1,09 ) On this the 0_ day of NJAVV44ey 19 IN, before SS. me, the undersigned Notary Public, personally appeared , County of .A.L-4wK&-b9 ) �oNALp �R•v �� SvR/ 4v�.�. SYt-Vt�g ��}y�,�Sv,rJ . rIe: OFFICIAL SEAL .tOHN S CRITTENDEN NOTARY PUBLIC - CALIFORNIA AlJ1MEQA COi1NTY tAy Comm. expires NOV 30, 1990 Present A.P. No. Ll Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the persons) whose hame(s) Q 4e-$ ubs�cribed to the within instrument and acknowledged that ' -- executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. A'. 7 03060. ........ DESCRIPTION: All that certain real property situate in,thc Cou-aty.of Butte., Suite of California, described as follows: All that portion of the South 1/2 of the South 1.12 of Section 1.2, To,.-niship 1.9 North, Range. 5 East, 14. 1). B. & 1.1,v lying East of Petcrs,,,,n Gulch as the same existed on February 25, 1933. ExcEPTING-THEREFRO11.1 all tilt portion deede'd to'tha State of California, recorded March 18, 1966 in Book 14U., of Official 1k2 ccords, at page 77., H .southeast .quarter of the Southeast ALSO EXCEPT11,IG THEREFROM all. thqt. portion of tli(� quarter of Section 12, Township 19 North, Range 5 East, 1.1. 1). B. 6. N., lyinc., South- certala 1"Cad, casturly of the Sout'hicao. ter J:y line of conveyed to thq State of Califntiiia, by Deed recorded 14arch 3.8, 1966 in Book 1.419. of Official Recr)rds, at page ALSO EXCElYrING THEREFRO71.1 all. that portion of the -Southeast, quarter of the Southeast quarter of Section 12., To,..7p.ship 19 North-, Range East 'vl.,.,D. B. & 1I.',0 more particularly described as follows: r J* • MrIMENCING at the Sout-heas corner of said Section 12-i)and+_running thence South 860 -561 5211 I -lest, alOTI,- the So-ith line thereof, a dil'tr ,-IC6 of �954.72 feet .to the most - I I recorded 1-4arch -1.8, Wester'ly corner of Parcel '.-, in a.Deed. to the Stai-e of California, 1966 in Book 1419 of Offic-i-al Recol-ds, at page 7 ; thelice leaviric, the SOUL11 1j.1 -le of said Section 12, North '.9' 381, 19" -,ast, 107.1;..5 fe ' ct; the -ace North 41' 031 1511.- East7 500.37 fe(,,t; tncn-icc 53)` /-,`)1 5011 East_ 1_to�010 feet to the true pol.rlt of f -I ;� -It be - i it i uz Dior the parcel o' )_an6,c1,zsc-TjJ.)('d t:QT).CC IYOU. �; ie, trUC Of be -inning South 871' 241 16,1 West -'along ti -,,c I I-Iorth line of the property described in a Deed to John F. SarmietIl OL recor( 1c1`jaxwary 1.6, lc�69 'in hook 1.550 'of Official Re( ( at pad -c 560, for a eti-toncfi of 125 thenco- at a right an -le ilortiicrl- o r 3 C r t -.--c t .1 of 65 fcct; t1l,�:1-...rcl 1-'nrtli 3.611 f"..a.st o a paint in the :'}ort,' I I.Y -for Folls Boad. C. i' the descril)cd-j*.n boundary line of. the Oroville-)TN-1,1 1- r r4-1-1 n-1. 1: 1 (N r,-, -z--, 4. C , 1): o r Cl. at v.:),; e 77. J11 -n;- c 1: o t ILI e I o t h r! Y of f; i(1 r0 53" to t1 I C.. trtl,- Point of Z, S portiory o+- thc SoL;thC!,,.I,,;t qua..Lor of SCcti::11 122 1,C)wn 11 i p )"an"c doscribcd a-3 fo.1lo-.73 551 54" k1r,',3L. ("54.72- ioet.to t1lc 11-10st ?n:"^). ". corrun: 0r of sz-1JI n 1:11' 031 1511 1:3�t, 5,00. t fuc:t; LIWIICCt 'C011A.-A) Lru�.: foi- 1,:Arccl o." 53' Wo -0— 3,1,0,00 tc.,*.,(.,(1j0!j1cIi--39* -3 o. cj (1 -1,(:-tion-1•"L, I C - I C c- -7 Q) 17_fCet t 1 01.` 1471 th.cilce llwri.-11 070 S51 J.511 Lasts 204.79 feet- tl',_ilco !Nor001 to that South 871 211i West fro::i tlic triic �poii)t of bc,,,3.nni.*,lg,, I �'H_cc 10-1 t -11 _87 `24" U) 11 "E'as t- inzi-d -,:.rc*'c t 1. injl__ to the true. poi.Tli-. of TOG MI'W"111, UT'M i V 2 r". C (`.? C! 11. L :,I* or road 1'ui-pos6s 60 Fl.- in wi.61th as rcscrvod in Dr_,cd -frort recorded January 16, 'o JC,,j-Ijj F. c', w-:7 L 1969 -in Book J-550 of Of %i' 1,c cr., rds at pag 56r'. END OF DOCUMENT goo, I cgs ELJ THIS se4 0 pians ana speAmcd6rii MUST kept an the job at ail times and it ' z make any changes or alterations ons me without pRoPAa�► Q written permission froze Departm nt of Public l� w Works, County ofU L] 11 fman (�, tJ Vb't a}eria s . „ Practices: f' \ Z CL Reco tlifed Goo eX1S� S a f i �e � Accordance with 9� the $pe tied use in t4» p 1112 f a quality prescribed, . Mach ical Codes and TA u K —� Uniform Building,• Plum!!'': - --r D P R ��� r1S-p►cP sa��aii - v,ltiiity t�1�'�1`e'cfion"s s ietl he viii}�% X.ft. of the FrtobiieNorite; either, 4' '- 10611, . 'directly behind.or;�iifihiri the rear half of..the roadside (left) of the: .14 DK fRt hnobilehome. a� .. sO f /SJR. A Setback- of,5 ft..r from -the. . Sys. p"operty lines and>a;setback a „ ... :... :. - • of 50ft:-from the road .. - - • s . FQ®yT . centerline shall be clear of ;_. �� • . structures or equipment except fora 2, ft. gauta nxiomchagg �, r N BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 5. What is the mobilehome electrical rating? -------------- (�® Amps 6. What is the mobilehome site service rating? --- - ----.---- —� 2 mps 7. What is the mobilehome site circuit breaker rating? ----- l © Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes © No (If yes, identify the load and size: _ (Load) (Amps) 9. What is the mobilehome site gas pipe size? --------------r� 3�'� , (in.) 10. What is the type of gas service?-------------------- Natural I LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- -3 (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on .natural gas or less than -50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1. Owner's Name: 2. Installer's Name: UGti` F-1 3. Is the site currently under permit? Yes No _ (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach fields and clear of all setbacks and easements? Yes No F] - .(If no, clarify 5. What is the mobilehome electrical rating? -------------- (�® Amps 6. What is the mobilehome site service rating? --- - ----.---- —� 2 mps 7. What is the mobilehome site circuit breaker rating? ----- l © Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes © No (If yes, identify the load and size: _ (Load) (Amps) 9. What is the mobilehome site gas pipe size? --------------r� 3�'� , (in.) 10. What is the type of gas service?-------------------- Natural I LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- -3 (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on .natural gas or less than -50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA Y` •"�-`�°'` If other than single wide, Mobilehome Mfr.< < '" � furnish Setup Model No. 4-.0 Year Width )_ 14 (ft.) Box .Length (ft.) Tagalong or Expando Size ft, x — ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)[31. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) ©1. Concrete block. 1-12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line ,+,_` Main Beams Tag or Triple t Line 1 Val llv�� Line 1 Piers: �� 1 Line 1 Openinits' Size -Min. ------------ „ Size-Min.------------------ Spacing-Max - -----------------Spacing-Max. --------- „ Each Side of Openings From Ends -Max. ------- ' With Width Over --------- Line 2 Piers: Size -Min. ------------ Spacing-Max ---------- From Ends -Max,------- Line 3 Roof Loads: Size -Min. ---------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .__________________ Sc i u Spacing -Max.__-____________ From Ends -Max -------------- "x3o V f^x 30" .2Y'k30 30 Line 4 Piers: Size -Min .------------ 'k " Spacing -Max.--------- ,- From Ends -Max. ------- Line 5 Roof Loads: Size -Min, ------------ Location (From Front) d O ;s WEi s«•' J (Under Bear Size -Min .------------------ Spacing -Max.--------------- From Ends -Max .------------- '- i 1254-78P,E s „+ ;PERMIT NO. ' PERMIT EXPIRES OWNER Donald -Davidson CONTR. owner 'LOCATION (A.P. 72-26-72 ) N/S Lumpkin Rd.,ap.p.i mi.N.of Forbestown Rd., Oroville Temp. Power Pole '111117 Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. C II d PG&E a e JOB INALED (Date (Signature COUNTY OF BUT 1TE DEPARTMENT OF PUBLIC WORKS' I in BUILDING INSPECTION RECORD \ BUILDING BUILDING (Cont'd) /1\ PLUMBING tipack I FVewall rc Pa ets Mai Bldg. Rest om Finish Stem all Siding Slab Roof Shea in Piers Roofing Garage ` Fdn. Vents Footin s Stemwa l l Garage Vents Insulation Slab Carport Footings V Prov. for physical handica ed Conformance of ex. structure Slab A Final Patio I Footings Footing Masonry Walls _ Throat SdXI Piping 1 t Floor 2n Floor 3rd k0or To out Water Pi I Sewer Fixtures Water Htr. Heaters Appl lances Gas Piping & Test Temp. Gas Sanitation Final EIC Bond Beam/ I /FIRE SPRINKLERS I Motors rraming / \ I Test / \ I Water Htr- / Gird. FaAlt Prot. Servi T p. Pole nder round I rlor Lath N I Y§ntilation Permanent f.0or Closer lu anal anal MOBILEHOMEUTILI IES ------------------ Elec- Service - ,Elec. Pedestal Water Piping y� �7 &V"-- Sewer 41zll 79 Gas Piping.AJ�� OBILEHOME INSTALLATION Support Elec. Continuity Water Piping Drainage Gas Piping DATE —/ -- REMARKS OR CORRECTIONS 7 J` (NOTE: An entry must be made on this form each time you visit the job site.) To:. 3uildi Department Fro---: EnviroMaental Health Hera- -g: Sewage and/or Water and/or Addition Clearance(s). t�crIly 0 L4 . 1 LOC.,,;.TIo �1.P. No. Plans are approved for: Sewage Disposes1` , Fold U_: Final _ Plater Supply for: Ipc uc-el 1i�1U Water Supply r1F?1 i.ea mince 0-7, for: Water SuppI Clearw:,ce is for a — t Q 1?� I b?.droom (.home or, mobile homey."':rther Tlhc3 adI-V-On(s) will be Sanitarian�� Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /} 7 County Ceriter Drive - Orov'ilte, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / ,Q aVUIVIIcc I P...crltauvGO VI LIIV VUUIIIY VI OUllO IV CIRUF UPUII lilt: above-mentionedpr�opert for inspectlion purposes. Q",Ji�tXee.,Pl e l S-— Date .� 2 Signature of Permitee or Agent // Receipt No. l 7 `w`�"� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date y-3 - 77 Building permit expires Date _ Lf 3-7 1 BUILDING Owner Q SQ. FT. OCC. BUILDING VALUATION Mailing Address Q Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ,/ / �(/ Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 / Zoning Verificafinr_�, QnJV Repair drainage or vent piping 1,50 A. P. No. ��j" 7/ — ��/ zoning � S-�`/ Water piping 1.50 Each gas water heater or vent 1.50 F s I W/C/. Sqq on Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking PI ns Parcel Declaration Parcel M 60' R/W Improvem nts Each additional outlet .30 Building sewer 5.00 Bldg. ens Recd Parce royal Plans XAooroval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 3 186$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,0-0 Single Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service 600V OR LESS too AMP LESS 5.5 -L Main service EA. gDD'L 100 AMP 2,50 7 OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. !i) 22Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RES'D.CONSTBRANCHPUICTI.O NON•RESID � BRANCH CIRCUITS) 2.50ea NEWCONSTR POWER APPARATUS & NON •RESID, (SINGLE OUTLET CIR, I Ex. OCCUD(OUTLETS OR FIXTtIRES 6 L1� � Ex. OCCU p• FIXED APPLNS, OR OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification t g 6.25. Wir Miscc. I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of. Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that 1 have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee 7-L $ ` TOTAL PERMIT FEE $ Fq re aVUIVIIcc I P...crltauvGO VI LIIV VUUIIIY VI OUllO IV CIRUF UPUII lilt: above-mentionedpr�opert for inspectlion purposes. Q",Ji�tXee.,Pl e l S-— Date .� 2 Signature of Permitee or Agent // Receipt No. l 7 `w`�"� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date y-3 - 77 Building permit expires Date _ Lf 3-7 1 �� F/Icterirls & WorlCmansl�ip Steal! Be in t... — me)d Practices and /CGQIrI�"c' mitis . Reroctn��eci . of a q urylit�� nrPcr";ISE,.! for the Specified -use~ in ".the this, set of plans and specitications MUST tis . � P►umi,ing & Maebaniea_ l Codes and kept on the job at all timers and it is e�nla:v>%ul to Uniform Building, , a. 77, ri tationr5I Electrical Code. < ,make any changes or a.tarauons on sarne without A 1.7 written permisson from the Department of Pubric Works, County of Butte. The J• Setback shall be 5 ft. from the tine and 5u :i'. firoir the side properry, , ". cert;eriir�e oT tre rc�A,. pe,rai;i-,i:►y a maxi-•• Septic system and location o - murs� of G 2 ftceave evariiang but entirely ;i t to be as per out of all easements. Butte County Wealth Dept. Re- quirements. 4 i { � T All utility connections shall Le 0 ''4to. f� located within 4 ft. outside the rear f third section of the mobile home on the left (road) side of the-mobile A pe.. : will F fired for the home.irmt-allation o the obilehome. '"post a v'cou t9 . . 4 Vpdo* as-d T AN KcY* a �. BUTTE COUNTY BUILDING DEPARTMEN1 APPROVED Materiels &Workmanship Shall Be in, this set of plans and specitications MUST , b._ Accor Circe 4r�+h R� :!r+ized .Goon - Prn-ctices and cept on the job at all tim§s and it is unlawful to of a�qualtt, ,nretcc"il---1 for the Snecr'fied use in the make any changes orr-alterations on same witkoul ent df Pubfiic ?I Un�farm ;Building, , .�m!',inq iVlachanical Codes and. written permisson from the Departm the:'National -Electrical Code. Works, Couhty of Butte. The . Setback shall be 5 It. #nom the SaSe P l X cefilierltt:e.CT r:ur;s ct c 2ft. cave overhang but entirely out of alf easements. Permit#3773-86P Don Davidson NIS Lumpkin Rd 6 C ! COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541y� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -_V4 - 7a ZONING - BUILDING PERMIT O WNER - .7M / V/ �S� / /V TELEPHONE -� �/ SO. FT. OCC. BUILDING VALUATION'tt OWNER'S MAILING �A�DjDRESS�? CONTRACTOR'S NAME / DGCi�l TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ! e i , UNKNOWN Total Valuation $ - Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ,r; Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /V/S • L41I.P i W-iA J AI A///79J. AJ 0.,4 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomet0 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S, I' (:rl W I 10.00ea / .4�1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities'R Installation ❑ Other ❑ Describe work: _ .127•,A./ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury p I y (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 't❑ 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 l 1 NEW CONST. DWELLING OCCUP.y , OR ADONS. ( ACC, BLDGS. /z¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CRC ITS 2.50 ea POWER APPAIRATUS e (SINGLE OUTLET CIR. i Ex. Occup(OUTLETS OR FIXTURES 20®!30* eAL030 FIXED APPLNS. R Ex. Occup. OUTLETS (RESID,)EA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor- WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury'?(check one):! The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure:'` O I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.-- MECHANICAL PERMIT Filing Fee 10.00 Heating 1 r ' Cooling , Hood 1 1 3, ,r 3.00 Ventilation 1 1 permit Fee $ Contractor 1 certify that I have read this;appiication,and state that the above information is correct. I agree to comply,to all County'Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all •.liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X/Date/_2 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 I � 1 $ TOTAL PERMIT FEE $ occUP. CONST.TYPc PLooD PARCEL PO `NO " 1590E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By—^�t-, PERMIT EXPIRES Date /� the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. %-7 .c/ S� ~TE-O.P.W., YELLOW-ASeESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 _ APPLICATION AND PERMIT MIT NO. ASSESSOR PARCEL NUMBER 7Q ZONING BUILDING PERMIT OWNER / ^ / V TELEPHONE S.Q. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S/NjAAM�E) TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS '/ ^ N J L��oY ml. Af T 14 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[-] Mobilehome,0 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I Sff G W 0.00ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other❑ Describe work: / _ 10097Iti Permit Fee $ 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 under penalty of perjury (check one): El 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.� , DR ACDNS. C ACC. BLDGS. �z¢sgft NEW CONSTRU TI -OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCu 20®50e p OUTLETS OR FIXTURES BAL030 FIXED APLNS.I, Ex. Occup. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ -I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation penult Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also a ree to save, indemnify and keep harmless the County of Butte against al I 01ties,pAdgments, costs, and expenses which may in any way accrue gai st id nt in ;onsequence of the granting of this permit. Date% �L_ 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 inheight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE I I =PD -RD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. . WORKS Date "/ -stories Receipt No. SCG 7� ; WHITE-D.P.W.. YELLOW -ASSESS R, PINK -INSPECTOR. GOLDENROD -APPLICANT i COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)_ 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name %? /f �A Address City Phone Contractors License No.. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date /;�?— l -Y — NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.