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HomeMy WebLinkAbout073-180-019;COMPLAINt. TO =INSPECT OR COMPLAINT TO. INSPECTOR • - it 756j" r '77 _iiie.7arc!; �• 73-18-19 e N.Janet Frazee Cayot N:/S Oro Forbestown Rd.,app.1000'E.of Ne )srk Flat Rd. & Old Forbestown Rd. Foiestcan Area. Permit #6363-77B,P,E(remodel east hal up stairs/duplex) i 73-18-19,� Permit#1022'-80B (lst & 2nd' renews 73-18-19 ✓ Janet Frazee Cayot N/S Oro Forbee -town Rd.,app.1000'E of New York at Rd.,&Old Forbes - town Rd., Forbestown Area Permit #6.06-81B(3rd renewal/6363-7 .73-18-19 Permit #607-81B(replace exis.porch/ SF) 73-18-19 PermiF x'761-83E(ele ser ch/duplex) 73-18-19 ermi,t�� 778-8 st thru 3 d ren/(�07 81� Permit k57 t&A%14sth thru rbth ren/6363- 7 013-180-019 01-1930 LAWSON, RANDY. &CINDY FORBESTOWN RD FORBESTS �. CONT: SKYCREST ENTERPRISES _NEW MH PERM FND EX SITE 073-180-019 01-2096 LAWSON, RANDY & CINDY ALE D 5415 FORBESTOWN RD. FBST 7-0 CONT: OWNER 2 OPEN DECKS 12 X 20/6 X 20 U73-1250-U19�� 01=Z39U-- LAWSON, RANDY ( D 5415 FORBESTOWN RD, /Z'' y' )2- FORBESTOWN 2FORBESTOWN DECK COVER REV BPO 1-209 r I 1 i , V- : NOTES RESIDENTIAL Jf .073-180-019 01-2096 6 - LAWSON, RANDY & CINDY 5415 FORBESTOWN RD: FBSTWN CONT: OWNER 2 OPEN DECKS 12 X 20/6 X 20 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 0 °41 i" JOB FINALED (Date)��-- Signature ./= OK a = Not OK = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete Date D S, COVERS ARPORTS GARAGES (Plans) OK except #'s iIZZI1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance 8 Disconnect 8. Utility Clearance 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 MOBILE HOME INSTALLATION (Plans) OK except #'s Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Soils; Compaction -Structure Stability 2. Footings; Size -Spacing -Marriage Line Pool Structure; Steel -Connections -Thickness Dead Men -Lining 3. Gas; MH Test-Demand-Vatve-Connector Elec.; Receptacles and Lighting, Distance-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Pool Lighting; 15 Volts-GFI 5. Drain; MH Test -Fall -Flex Connector Elec.; Enclosures; Conduit Entries -Terminals -Listed 6. Water; MH Test -Regulator -Connector Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 8. Gas and Electricity Tagged Health Department Approval 9. Tie Downs -Type -Installation Cert. Plumb.; Cir. Test -Water Supply Test 10. Exits; Insp.-Sketch Light Niche 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date D S, COVERS ARPORTS GARAGES (Plans) OK except #'s iIZZI1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card 13-1 Date Card B-1 Date Card B-1' J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Ring. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ P' Fig. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation 1 nfiltration-Walls-Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral Q Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Insild./Drive :1 Yes J No/Walks J Yes J No/Planters J Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Dale 40. Sills Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 1 nfiltration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive :1 Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Dale Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541E IT N0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-180-019 ZONING - BUILDING PERMIT OWNER LAWSON RANDY & CINMY TELEPHON 675-1224 SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 27 PORBESTOWN, CA 99941 160 0 21990-00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEERLICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 25.10 BUILDING ADDRESS 5415 FORBES Energy Plan Checking Fee $ $ PERMIT FEE _ ina in LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling ee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping . 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work(2)0PEN DECK 12 X 20 & 6 X 20 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fee 20.00 RLEFling 800VMain Service 20OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f the following reason: 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ' ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed 0 the permit is for work of a valuation _Atone hundred dollars ($100) or less.) Vr I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pr 'sions of section 3700 of the Labor Code, I shall comply with th rovisions. Date 3 _ Wignaturep Icant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO t000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADONS. ( a ACC. BLAS. 3.50FT: NON -A SID CIR UT MUL 1 ITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 O 1.00 Ex. Occup. OUTLET OR FIXTURES BAL o ,50 FIXED Ex. Occup..OUTLETS EEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ – FEES IMP – I AMDCDf – – PARCEL < PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By q to PERMIT EXPIRES ON Dete Receipt No. _31.885./1 09 -1(7 WHITE-D.D.S.�.- D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CO(INTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION. - 7 COUNTY CENTER DRIVE= OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 .[ 4 PERMIT APPLICATION DATA SHEET i; OWNER:,' t�c��� ASSESSOR PARCEL NUMBER: O 1 Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit p ces ing and/or issuance: Date Received By ❑ 1. All items have been submitted .----------------------------------------------------------------------7-------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ---------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.------- 1112. ------ ❑12. California Department of Forestry plan approval/fees. ❑ 13/Flood elevation certificate. ------------------ `Sanitation and plot plan approval ❑ 15. City of Chico plumbing permit. ------------- Department. 1116. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: C>j< (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainagegal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). -- El 20. --• ❑20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------- 023. Owner -Budder Verification (Given to owner ❑, Mailed to owner El) - ------------------------------- 1124. Letter of signature authorization. ------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. ---------------------------------- 027. Manufactured Home utility clearance. -------------------------- ❑ 28. Existing violations and/or expired permits. --------------------- 1329. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: Wh�en you issue the Rernut, prooce.js follows C1 Mail to owner, ,ail tto`cp tractor. BTelephone �P� and hold for pickup at 1' U VI 1 office. ❑ Deliver with inspector. Applicant e/Ze. Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: ti - J;7- 2 3 --o i 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 4_. E.H. USE ONLY a., Plot Plan Attached Floor Plan AttachedT- Sent to TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposals Water Supply: Public Private Well Clearance for dwelling. Other / Hold final for: Final clearance O.K. for: NOTE: vironmental Health Specialist 8/96 V.roil/ I, Date J 7' CX s n9 - 3Z N �Q�k _7 ool • 46 �- owner -se �' !8 sI'ofo jCVA uK) zoo JX`Ke wq#ero r- �- ro{ +(HAS -f6 hS 7 H UIIr.�, / S OJV duE/c©�q� — Owner - L W 80 Df q # ? F b Rte! )FO �b� 5 �6�� C-A c a I� S „= io J_ '' ?/Z /0 n PLANNING DIVISION -BUILDING PLAN APPROVAL Use: 1� Date: 8 A 2,&-O f Parking: Landscaping: Other: Signature: r 0 t VARIES 36 MIN. 4 -0 -v a rnm 7a v Q) rrip --A A c, mm C X 3 -P m T1 .c 34° ? . I 1 J,'NFWuRaIL RE16HT 4W G3 0 Ory,l Ga✓ l 4 q-_ MAX. MAX. C> n G,.36"M/N. STAIR � W I DT+ 6` d ° x' .�, A ,p X Ory,l Ga✓ l 4 q-_ MAX. MAX. C> n G,.36"M/N. STAIR � W I DT+ 6` d ° x' .�, A 'oma May 1995 6.5 NOES RESIDENTIAL PERMIT NO. C"073=1K0-019 01-2390`_ LAWSON, RANDY' 5415 FORBESTOWN RD, FORBESTOWN DECK COVER REV BPO1-2096 61 1 O 1 . } y. SPECIAL CONDITIONS CHECKED BY -- SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date Signature J = OK, 0 = Not OK = Not Applicable =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rflrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s ` 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rflrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GF] 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (; Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 80. 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes O No 81. 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels -Motors -Mach. Equip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38, Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 92. 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Insild./Drive J Yes 'J No/Walks 0 Yes ] No/Planters 0 Yes ❑ No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-2390 ASSESSORPA8CFL3ag8O-019 ZONING BUILDING PERMIT OWNER RANDY LAWSON TE1161P.5E­1224 SQ. FT. OCC. BUILDING VALUATION OWNEWS MAI71 0`B'If " 27, FORBES TOWN 95941 CONTRACTORtCBrN,At4 R TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 25 IQ BUILDINGADD!Ss15 FORBES TOWN RD, FORBESTOWN 95941 4 Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK yy New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other r=i Describe Work: DECK COVER REVISION TO 01-2096 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2a/0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PDWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: 1Z 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Ur I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers'. compensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X l i�i' Q/���' Date Q�'Q _ Signature of Applicant -• M'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction structures over 3 stories in height. Mein Service PDA TO Lo00A 46.00 NEW CONST. DW LING OCCUP. SO OR ADONS. ( a ACC. S.3.50,. EIN9 ULTI-0@7.50 HOµgaID.T* ='-O, APPARATUS a SINGLE OUTLET CSR. 20•0° Ex. Occup.oLmEroRFIxTUREs X .so Ex. Occup.oFlL,T PED AM.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ log. 10 D T FLOOD — coF — PARCEL X pp X HD X ISSUE X 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. Dete6 i'�of By i ��fj PERMIT EXPIRES ON 7/019 Dete Receipt No. 332241/$109.10 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a'y a-',r� Fr ✓'dt3bs x�a C � �iRAT11 x7i� 1r. �.3: .v' "r "" 1 1-3W " * . 01, .'S I .l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 11 ASSESSOR PARCEL ER: t/) - Proposed uilg Use: BuildingInspector: Date: - } At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By '{ All items have been submitted.---------------------------------------------------------------------- - -------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ E16. ----------------- ❑6. Energy Design Compliance and supporting documentation. ------------------ ----------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.-----------------------------------------------------------------=--------------=-------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .-----------------= ❑ 10. Fees of $--------------------------------------- - ------------------------------------------ ❑ 11. Impact fees as shown on the -Attached schedule. ----------------------------------------------------------------- �' ❑ 12. California Department of Forestry plan approval/fees.---------------------------------------------------------- 1113. ----------❑13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- r 0 17. Planning approval for (A) Use: (B) Parking: ---------------- --------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 1124. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement ---------------------------------------------------- E126. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. ------------------- -------------------------------------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 030. other: ------ When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. El Telephone 67S - I a 2 y and hold for pickup at 0(0IJ -2 office. ❑ Deliver with inspector. Applicant: C-L^t, i� S.lLj Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di i counter, by Date• Plans reviewed by: Date: Plans approved by: Date: 9 .z 7 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Vpllnvi rnmi - rla,.o,-f--f ..f T -1-l.,,,,,, f co.,., U -NA:. . 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 V— NO ❑ 2. I HAVE -0i HAVE NOT ❑ signed an application for a building pehnit for the proposed work. 3. I have contracted with 41e following person (firm) to provide the proposed construction: NAME: KaS A U ADDRESS: Po eRn 4r Z % CITY: k iUl'� PHONE: iS - / Z 2 `1 CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue, the permit. OVER W OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being, performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +ce Vi iia, C.BO,uilding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER L r OIL— 02 vF 2X(. c./c- oZ rtt rM • EYES .45 ltdA D C" Z -*a D.C. i5x ST- HOc1S6 ROOF- 1 6� # 2 qw�l P 4 x 4 'Pas r 4yb- Ilk =�p `7 �P'5 POST ItiS1 Dc fLOa1R LJAI STEP$ - I f - 1$x Is'At a /1foTES: f�L� t� 1141LS r E ? PAC*10`CONSULT1NG ENGiWffl ---- 2150 BELL AVE.. SUITE Ifs SACRAIMENTO, CA £5838 OIL— 02 vF 2X(. c./c- oZ rtt rM • EYES .45 ltdA D C" Z -*a D.C. i5x ST- HOc1S6 ROOF- 1 6� # 2 qw�l P 4 x 4 'Pas r 4yb- Ilk =�p `7 �P'5 POST ItiS1 Dc fLOa1R LJAI STEP$ - I f - 1$x Is'At a /1foTES: f�L� t� 1141LS r E ? PAC*10`CONSULT1NG ENGiWffl ---- 2150 BELL AVE.. SUITE Ifs SACRAIMENTO, CA £5838 Lc- s l LL= -&0 Fx� -bL= I0 6?c- IX) L a ! ` W(,0t10 PSP)z 2 p PL -Jr zrD 7 PSQn1 p4 yy .�asT' Ca+Fp 5 , New srS r -zoo --A w w p tom CsT�t ber- r L Z/ of ca��F°�� t&Olt-10 Ps r-� Tc� P LP— fat,ry l 1.uw A e eA^-d &f,-POFbfZ Gp. x .&.n crpj N Po s r V .- s(zaa) � 10ca0 Gd 2K Ta Paz A FmT Ps p g Ga tic) tgo tkDpsP) _ l200*�- d'^► Siz.e- ; =240 18" eap Rc+of7Q, rl; . nJ yob LE .11 �wi�ta -� �i.J C(eOfit�i YO �/dP51Z�= Z-�tOC� MIt4Sr7-k. Tg/ X1?,21 /8,S PA-riQr COINSUI.TING ENGNE -iS rp r �N Zlr , s •\\ T v► � D i �co PT C 5 %A LAI r NOTES RESIDENTIAL 013-180-019 01-1930 LAWSON, RANDY & CINDY , f4//S'FORBESTOWN RD FORBESTWN CONT: SKYCREST ENTERPRISES NEW MH PERM FND EX SITE THE HOD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: I I1) LICENSE PLATE(S) OR DECAL (THE j INSPECTOR MUST RETREIVE) (2) STATEMENT OF FACTS (ONLY ON INEW MH'S.) INSPECTOR TO VERIFY SERIAL & LABEL #.'S. ' F SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ' VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER J OFFICE COPY S Address GAS Meter By Date ELECT RI Meter Date �• JOB FINALED (Date) — Signature ✓ = OK 0 = Not OK - ='Not Applicable = Not Ready, MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / ' P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Onlv: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater ' 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V=OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (EE Date 46. Underfloor (Plans) OK except #'s 1. Zoning-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils-Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage, Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel-Wrapped 8. Piers-Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-Regulator-Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance-Material-Support-Ins. 14, Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 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 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent-Access-Combustion Air Baffle 18. Water Pipe; Test & Anchor-Nail Protection 19 D.W.V.; Test Fittings & Anchor-Nail Protection 20. Shower Pan; Test, First Floor-Tub Access 21. Test Tub & Shower, Second Floor-Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance-Ins. Protection 24. Elec. Receptacles Spacing-Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light-Shower Light-Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 39. Attic Access & Platform it Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Piates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting,Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls- Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUILDING PERMI.T NUMBER: 01-1930 Address or location of unit: 5415 FORBESTOWN ROAD, FORBESTOWN, CA 95941 Legal Description of Real Property: A.P.073-180-019 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: CYNTHIA L. WILSON-LAWSON Owner's address: P.O. BOX 27, FORBESTOWN, CA 95941 INSIGNIA OR HUD NUMBER: ULI 527278/79 SERIAL NUMBER OR V.I.N.: 17-70-0217-P-A/B MANUFACTURER'S NAME: SKYL E EAR: 2001 1 + OFFICIAL APPROVING. INSTALLATIO : DATE: 9/27/01 PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 01 -Oct -2001 2001-0045264 Has not been.compared rith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Rccording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 1855 L .This document is evidence.that such, local agency has issued a certificate of occupancy for,instaliation 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. CYNTHIA L. WILSON-LAWSON REAL PROPERTY OWNERILESSOR P.O. BOX 27 MAILING ADDRESS FORBESTOWN, BUTTE, CA 95941 CITY COUNTY STATE ZIP 5415 FORBESTOWN ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT FORBESTOWN, BUTTE, CA 95941 CITY COUNTY STATE ZIP SAME UNIT OWNER (if alto property owner, write 'SAME*) MAILING ADDRESS CITY COUNTY STATE ZIP t.NIT 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 01-1930 /) 1 (530)538-7541 RMT TELEPHONE NUMBER 9/27/01 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE COUSIN GARY'S 11 DEALER NAME (if not a dealer tale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE ' 2001 WOODFIELD P258 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 17 -70 -0217 -P -AB 26'X 76' ULI 527278/79 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER A.P. #073-180-019 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. Order No. 205471 EXHIBIT "ONE" - Commencing at an iron stake in the Northerly boundary line of the Forbestown and La ! Porte County Road, from which stake the Quarter section corner between sections 10 and 11, Township 19 .North, Range 6 East, M. D. B: & M., bears North 590 30' West, a distance of 848.15 feet; thence along the Northerly boundary line of said Forbestown La Porte County Road, South 751 16' East, a distance of 96.60 feet to an iron stake; thence South 62° 06' East, a distance of 427.50 feet to the True point of beginning; thence North 270 54' East, a distance of 46 feet; thence South 62106' east a distance of 20 feet; thence South 840 12' East, a distance of 161.92 feet; thence South 270 54' West, a distance of 107 feet; thence North 620 06' West, a distance of 170 feet to the true point of beginning. EXCEPTING THEREFROM ANY PORTION LYING WITHIN THE BOUNDARIES OF THE FORBESTOWN LA PORTE COUNTY ROAD. ALSO EXCEPTING THEREFROM ALL MINERAL RIGHTS ON THE ABOVE TRACT OF ..,.,:.. :,�,,,, _:•..., LAND AS RESERVED IN DEED FROM J. R. OWENS, A SINGLE MAN, TO MRS. ELODIA CARRILLO, A WIDOW, DATED AUGUST 1, 1935 AND RECORDED AUGUST 5, 1935 IN BOOK 152 OF OFFICIAL RECORDS, AT PAGE 31, RECORDS OF BUTTE COUNTY CALIFORNIA. ALSO EXCEPTING THEREFROM ANY VEINS OR LODES OF QUARTZ AND OTHER ROCK IN PLACE BEARING GOLD, SILVER, CINNABAR, LEAD TIN, COPPER AND OTHER VALUABLE DEPOSITS WITHIN THE LAND ABOVE DESCRIBED, WHICH MAY HAVE BEEN KNOWN OR DISCOVERED TO EXIST ON OR PRIOR TO THE 2ND DAY OF AUGUST 1888. Assessor's Parcel No: 073-180-019 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: SAME TREET `. DDRESS .TY, '(ATE rid ZIP 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 reol'properfy described with certdinty below, as of the dote 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. C,� r I�ciL� \`i�N C�.�I L •vim lw, O Imo\ REAL PROPERTY OJVNERAESSOR MAILING ADDRESS �-c)r\vse(-AOwt-N 3,,A ( a �15q�11 CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT 1; to wr �? 5 1 b w) \J\,AA 5-1 I j CIT COUNTY STATE ZIP `1 LA V\n UNIT OWNER (If alio property owner, writs "SAME'l MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY MAILING ADDRESS CITY COUNTY STATE ZIP BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCM AGENCY ++ OFFICIAL DATE C -C1,3 %_�. � w L3 dJ✓�_s DEALER NAME (If not a dealer sale, write ' ONE'1 DEALER LICENSE NO. CK�►\:tee 9\00 k MANUFACTURErt S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER SERIAL NUMBER(S) LENGTH x WIDTH INSIGNIA/LABEL NUMBER(S) V REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER I') In I �j HCD FORM 433(A) Rev. 8/91 WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept. JUN. -27' 0-1(WED) 15:04. FIDEUt Na.TIONAL ' RECORDING MUL'S= by BIDWELL TITLE AND ESCROW COMPANY Order 1 ,tglm— ( MID WHEN RBC=ED MA t, To L►WttrA- L. W(c%oN-CA„tSp+J ?A1 o?/r4D vq - P4livei?, ,4LASKA Q9(oft.S- TEL: 5308931 P. 004 II�INaIfI�IIIINIIIIif IIIIIff i• X001 --00m97 49 REC FEE 13.80 ►taureen pale t cf 3 SPAM A80VU TM LINE FOR RECORDER'S USC. ArA ay3- go -oil, Interspousal Transfer Grant Deed d�3-/�o-oi8, 073 --/ 80 -0?0 (exc =W Rrtont kenrrausAL unM Ceurott,an oomsTrrvnon ART►nto la A S 1 LT. Soq.) 7rtrr trotua rutrtcmop BY DIDWti 1, TMY B ZSCROW COMPANY r This is as Interspousal Tratufcr artd not a cb=90 iu owAasblp wader 163 of the RcvcaUC and Tax code anti Grantor(s) has (have) dwckod the applicable exclusion from appraisal: ❑ A transfer to a uvstte for dte bereteW use of s spat:ae, or the sttrviviog spouse of a clo %W1 tMukrror, or by. a (tustce of nteh a (lust CO the apottsr of the tm9or. ❑ A transfer to a sponse or former spouse in copaoulon with a property settleauut 4mment or decree of dissolution of ma rive or legal separation, or A cordon, traoxfea, or temgmtdon, solely betwcen The distribution of a le stili(• �� or any Co-ownerr interest. tl:s legal entity iu cvz+rt va wiW am Y to a spouts. or botma' spouse in ex huge for tin inte=t of such spotue in separation. tn'0p settlement agtcttnent or a decree of dim udoa of a marriaga cr legal ❑ Other: FOR A VALUABLE CONSIDERA770N, receipt of which Is heeeb aclr owh:drod, hand al L Go-ne- Lis gym, t�us b e.-, C� a�' -�h e. 9 rc,�n�-ems � A hereby GRUtNT(S) to I— Gv rls�,� Ltqwsan m e c p dt the following described calproperty I Droperty in tit: County of Butte Stat of California: SEE THE ATTACHB"CHE III C FOR LEGAL DESCREMON The grantor is executing this instrument for the purpose cf relinquishing all of the grantor's rights, title aid interiost, including, but not limited to any co*ntunity proyert:y interest in and to the land described herein and placing title In the name of the grantee as his/her separate property. This conveyacCO establlsheu.separate property of a spouse, R & T 1:911. �%IeA,.rtnq-��fat Over- P- Ccxd T41'e R-(Tt1g11 Dated: a-ts-Of State or Ctflfot k Cwaty SS. 04_ F'Eb. IS Zoo I d�o ++sn�. N" wwlo tn.ea rar too s�,t p<roa y gbcfppma persattuy kAoWn to Mo (or pro?W to eve 00 tba bans of atltAesory "14=0 to ba the yenon(Yi whow oy0441611e tubs -LW to the Wllhi111112t aOd p ts1 salt dsW tie LW bNdteAbay,=snored the Yma.rt of the taetrmaat Ota OF -11000). ad 1W by l�har/4tdr aipmtoce(i) Paja(s).ctrd PeattttDd %oAaw eL -4a beisdi of wsiitb *a 1N[INM ttprfi*W WW odeW a41. CYNTHIA A COSTA - COMM. 01219257 RqTM FuUjr CAAf fA OF NM I Own. pNin Oet k1Lit10i 51gtt mm t L� hum TAX STA s TO SAM Ole arc (Or oRi d aotuisl sag JUN. -27' 01(ftiED) 15:05 FIDEL!._NATIONAL TEL:53089,_.31 4 P. 005 SCHEDULEC THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: P1IRCEL X COMMENCING AT AN IRON STAKE IN THE NORTHERLY BOUNDARY LINE OF THE FORBESTOWN AND LA FORTE COUNTY ROAD, FROM, WHICH STAKE THE QUARTER SECTIOU CORNER BETWEEN SECTIONS 10 AND 11, TOWNSHIP 19 NORTH, RANGE 6 FAST, R'D,B. & D1., BEARS NORTH 59° 30' WEST, A DISTANCE OF 848,1S FEET; THENCE ALONG THE NORTHERLY BOUNDARY LINE OF SAID FORBESTOWN-L,A PORTE COUNTY ROAD, SOUTH 750 16' FAST, A.DISTANCE OF 96.60 PEET TO AN IRON STAKE; THENCE SOTJ?H 624 06' EAST, A DISTANCE OF 427.50 FEET :'O THE TRUE POINT OF BEGINtiING; THENCE NORTH 270 S4 - EMT; -3 A DISTANCE OF 45 FEET _ 62° QQ6.' EAST, A DISTANCE OF 20 FEET;. TI�ENCE..SOUTH 84''12 EAST SOUTH DISTANCE OF "161..9p FEET; THENCE SOUTH 37°- 54' OF BEGINNING . WEST, A DISTAPI CE OF FEET; THENCE NORTH 62° 06, WEST, A DISTANCE. OF 170 FEET TO THE TRUEOPOINT , EXCEPTING THEREFROM ANY PORTION LYING WITHIN THE BOUNDARIES OF THE FORSESTOWN-LA PORTE COUNTY ROAD. AZISO EXCEPTING THEREFROM ALL MINERAL RIGHTS ON T"'iE ABOVE 1`FcACT OF Ip ND, AS RESERVED IN DEED FROM J. R. OWENS, A SINGLE MAN, ;0 PBtS. ELJDIA CARRILLO, k WIDOW, DATED AUGUST 1, 1935 AND RECO.RriED AUGUST 5, 1935'!N BOOK 152 OF OFFICIAL, RECORDS, AT PAGE 31; RECORDS OF BUTTE COUNTY, CALIFORNIA. ALSO EXCEPTING THEREFROM ANY VEINS OR LODES OF QUARTZ AND OTHER ROCK IN PLACE BEARING GOLD, SILVER, CINNABAR, LEAD, TIN, COPPER AND OTHER VALUABLE DEPOSITS WITHIN THE LAND ABOVE DESCRIBED, WHICH MAY RA V2 E BEN KNOWN OR DISCOVERED TO EXIST ON OP. PRIOR TO THE 2ND DAY OF AUGUST, 1888. AP NO. 073.180-019 PARCEL In COMMENCING AT AN IRON STAKE IN THE NORTHERLY SQUNDARy LINE OF THE FORBESTOWN AIM LA pORTE COUNTY ROAD, FROM WHICH STAN THS QUARTER SECTION CORNER BETWEEN SECTIONS 10 AND 11, TOWNSHIP 19 NORTE RANGE 6 EAST, M•D.B. & M., BEARS NORTH 59° 30' WEST, A DISTANCE OF�8449.15 FEET; THENCE ALONG THE NORTHERLY BOUNDARY LINE OF SAID FORBESTOWN-LA PORTE COUNTY ROAD, SOUTH 750 16' EAST, A DISTANCE OF 96.6 FEET TO AN r THENCE SOUTH 629 06' EAST, A AISTANCE,OF 353.50 FEET TO THE TRUE POINT OF SEGINNiNG FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF' BEGINNING, SOUTH 629 06' EAST, A DISTANCE OF 74.0 FEET ALONG THE NORTHERLY LINE OF SAID F'ORBESTOWM-LA PORTE COUNTY ROAD TO A POINT WHICH IS THE HOST WESTERLY CORNER OF THE PARCEL OF LAND DSSCRXBED IN THE DEED FROM RONALD PULLEYBWX TO E. E•. MARVIN, ET AL IN BOOK 487 OF OFFICIAL ' RECORDED OCTOBER 6, 1948, CALIFORNIA RECORDS, AT PAGE 202, RECORDS OF BUTTE COUNTY, THE PARCELIDESSCRIBEDDINGTHE Di80 LINEFROM ROISAID�LD PVLLEYBC&L AND THE LINE Op WADE, RECORDED APRIL 24, 1952, IN BOOK 626 OF OFFICIAL Rg�ORDS� AT PAGE 70, RECORDS OF BUTTE COUNTY, CALIFORNIA, NORV4 270 54' EAST, A DISTANCE JUN. -27' 01 (WED) 15:05 FIDELI�iATICNAL TEL:5308911 F. 006 OF 104 FEET TO A POINT IN THE SOUTHWESTERLY LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN THS DEED FROM RONALD.EULLEYBLANK TO CLARENCE PETERSON AND WIFE, RECORDED FEBRUARY 27, 1946, IN BOOK •390 OF OFFICIAL RECORDS, AT.PAG3 239, RECORDS OF BUTTE COUNTY,-CALIFORNXA;-THENCE ALONG SAID PETERSON LINE, NORTH 620 06' WEST, A DISTANCE OF 74 FEET TO A POINT THAT BEARS NORTH 270 54' EAST FROM THE TRUE POINT OF BEGINhING;'THENCE ,$OJTH 27. 54' WEST., A DISTANCE OF 104 FEET TO THE. TRUE POINT.OF BEGINNING. -- EXCEPTING THEREFROM ALL MINERAL RIGHTS 'ON- THE ABOVE TRACT OF LAND, AS RESERVED IN DEED FROM J. R. OWER*S, A SINGLE MAN, TO MRS. ELODIA CARRILLO, A WIDOW, DATED AUGUST 1, 1935 AND RECORDED AUGUST 5, 1935 IN BOOK 152 OF OFFICIAL RECORDS, AT PAGE 31, RECORDS OF BUTTE COUNTY, CALIFORNIA. ALSO EXCEPTING THEREFROM ANY VEINS OR LODtS OF QUARTZ AND 07HER ROCK IN PLAC&•BEARING GOLD, SILVER, CINNABAR, LEAD, TIN, COPPE't AND OTHER VALUABLE DEPOSITS WITHIN THE L.%ND ABOVE DESCRIBED, WHICH MAY }-:AVE BEEN ia0h'W OR>DISCOVERED-TO EXIST- ON OR PRIOR -TO THE 2ND DAY- OF -AUGUST; 1888'. AP NO. 013-180-018 PARCEL 111; f A PORTION OF TKE SOUTHWEST QL RTBR OF SECTION 11, TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMJriE14CING AT AN IRON STAKE IN THE NORTHERLY EOUNDARY LINE OF THE FORBESTOWN AND LA PORTE COUNTY ROAD FROM WHICH STAKE THE QUARTER SECTION CORNER BETWEEN SECTIONS 10 AND 11, .TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M.,' BEARS NORTH 590 30' WEST A DISTANCE OF 848.15 FEET;.THENCE ALONG THE NORTHERLY BOUNDARY LINE OF SAID FORBESTOWN-LA POp.TE COUNTY ROAD, SOUTH 759 16' EAST A DISTANCE OF 96.60 FEET TO AN IRON STAKE; THENCE SOUTH 62°•06' EAST A DISTNACE OF 427.50 FEET; THENCE NORTH 270 54' EAST A DISTANCE OF 46.0 FEET TO THE TRUE POINT OF BEGINNING; THENCE SOUTH 620 06' EAST A DISTANCE OF 20 FEET; THENCE SOUTH 840 121 EAST A DISTANCE OF 161.92 FEET; THENCE NORTH 279 54' EAST, A DISTANCE OF 65 FEET; THENCE NORTH 629 06' WEST A DISTANCE OP 150 FEET; THENCE SOUTH 270 *S41 WEST A DISTANCE OF 68 FEET; THENCE NORTH 620 06' WEST A DISTANCE OF 20 FEET; THENCE SOUTH 279 54' WEST A DISTANCE OF 58 FEET TO THE TRUE POINT OF BEGINNING. EXCEPTING THEREFROM ALL MINERAL RIGHTS ON THE ABOVE TRACT OF LAND, AS RESERVED IN DEED FROM .7, R. OWENS, A SINGLE MAN, TO MRS. ELODIA CARRILLO, A WIDOW, DATED AUGUST 1, 1933 AND RECORDED AUGUST 5, 1935 IN BOOK 152 OF OFFICIAL RECORDS, AT PAGE 31, RECORDS OF'BUTTE COUNTY, CALIFORNIA. ALSO EXCEPTING THEREFROM ANY VEINS OR LODES•OF QUARTZ AND OTHER ROCK IN PLACE BEARING GOLD, SILVER, CINNABAR, LEAD, TIN, COPPER AND OTHER VALUABLE DEPOSITS WITHIN THE LAND ABOVE DESCRIBED, WHICH MAy HAVE BEEN IWOWN OR DISCOVERED TO EXIST ON OR PRIOR TO THE 2ND DAY OF AUGUST, 1888. AP NO. 073 -180 -020. --'Tis lnsinA WO Mod for record by Bidwell Title 6 Esorow Company as an accommodation only. It has not b ban ex. wgmd es to Its execution Or as to its 41fect upon the title. 09/28/2001 07:29 5303429174 CHICO BLDG ISYSTEMS __PAGE _ 02, J srArel v; vAUFVRNw, BUSINESS, TRANSPORTATION AND FiO ING q f, NUMBER: ( DEPARTMENdT OF HOUSING AND COMMUNITY LOPMENT O b T 7 9 0 4 8677904 ur/N DIVISION OF CODES AND STANDAR08 MANUFACTURED HOUSIN3 PROGRAM MANUFACTURER CERTIFICA E OF ORIGIN ❑0(&'� 0-1, IF CMRCK THIS IS A DUPUCATE TACO ORIGINAL MCO NO, NUFA TI -UNIT MANNtFACTURFO HOUSING EF SFO (SINGLE FAMILY DWELLING) ❑ MUMM (MULTI -UNIT MANUFACTURED HOUSING NUMBER OF TRANSPORTABLE SECTIONS COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: UFA TURER LICENSE NUMBER: SKYLINE HOMES INC 90002 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: 1720 EAST BEAMER STREET WOODLAND CA 95776 CiState Z $ 86,955.00 MANUFACTURER TRADE NAME;: MODEL NAME AND(OR NUMBER: GATE OF MANUFACTURE: WOODFIELD P258—CT 9/13/2001 NAME OF DEALER OR TRANSFEREE {OWNERSHIP TRANSFERRED TO): CALIF. EALtR NU WBER OR DATE OF TRANSFER: SKXCREST ENTERPRISES/COUSIN GARYS TRANSFEREE DES NgnoN: 91265 9/14/2001 DEALER OR TRANSFEREE DRESS: 13468 HWY 99 SOUTH CHICO C.A.95926 S State , 'NvtNTQRy CREDITOR NAME: TEXTRON FINANCIAL CORi INVENTORY CREDITOR ADDRESS: 701 XENIA AVE SOUTH SUITE 300 GOLDEN VALLEY sN„�et MN 55416 c') Its(see (zip) SECTION t! MANUFACTURER SERWL NUMBER "CO INSIGNIA OR HUD LABEL I KOBER LENGTH VtAOTH IAIEIGN:f INCHES INCHES(POUNDS) 1 17-70-0217—P-8 ULI 527278 912 156 26,014 2 17-70-0217—p—A ULI 527279 912 156 27,184 TRANSPORTER NAME: D & R TRANSPORT TRANSPORTER ADDRE33: P.O. BOX 179 DURHAM CA 95938 csdrSMl (c (Sade Z. OESTINATWN FOR UNIT DESCRIBED ABOVE SKYCREST ENTERPRISESM.,, 13468 HWY 99 E CHICO C 95926 sly. I ='*W" Parody d WWY &Neer"Umv Or mS SIMS or Ce.fonte trod ft abwo Inao am bus end asrea Exwba11462001 at WOODLAND POLO CA (Oncc�y) (co.or�) (StatSl SIGNATURE AUTHORI2ED AGENT: oot*w L (Pb11p FOtiNNRO TO TM INW%TORY CREOMW UNLESS THERE IS NONE, N FORWARD TO THE PURCHASER (OMER OR TRANSFEREE). COPY t (06m) FORM TO THE DEPARTYENY AT P.O. BOX tela. ZACRAME . CA 12 -tate. vwnaN FIVE (5) DAYS OF RELEAgC. COPY 2 (VELLO" OELIVER TO THE TRANSPORTER TO ACcompANY THE UNFY TO ITS OE MATION. COPY 3 (GOLOMROD) TO IM AUTAMEO BY THE MANUFACTURER -' C-Z(p CW z H C . CJ3 S IA DEPARTMENT OF HOUSING-ANDAOFtCOMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION hi -s unit is a:IxJ Mobilehome ecal (License) No.(s) STATEMENT OF'FACTS Commercial Coach Floating Nome Trade Name Serial No.(s) 'sky-i;fl e - wood -F-; Q 1� T/3-2) /We, the undersigned, hereby state that the unit described above: May be placed on a permanent foundation. Truck Camper ffiant further agrees to indemnify and save harmless the -D irector of Housing and Community evelopment, State of California, and subsequent purchasers of said unit, for any loss they ay suffer resulting from registration of the above-described unit in California, or from ssuance of a California certificate of title covering the same. /We certify under penalty of perjury that the foregoing is true and correct, xecuted on k13161 at ChicocA Date (City) (State) Signature of each aff ant Printed name of each affiant, . 1 Cousin Gary's Homes address 13468 Hwy. 99 :ity Chico State CA iCO 476.6 (Rev 11/86) - 1-1 COIJNTY 0 BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95555 • Telephone (530) 538-754 PER NO. (Rev.12(96) APPLICATION AND PERMIT' C� �� 3 ARCEL NUMBER 073-180-019 ZONING BUILDING PERMIT 97 CA 95941 TELEP NE SO. FT. OCC. BUILDING VALUATION AILING ADDRESSw----a�� RANDY:&:@G NDYI I 1976 R 106 704.00 R'S NAME TELEPHONE ST ENTERPRISES 42-2694 RS MAIUNG ADDRESS HWY 99 E CHICO CA 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is 106 704.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 664.00/2 $ 332.00 ' ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS FORBESTOWN RD. FORBESTOWN CA Energy Plan Checking Fee $ $ PERMIT FEE $ 375.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation )C] Other ❑ Describe Work: NEW MH PERM EM EX SITE Gas piping system 1 - 5 outlets 15.00 1 S_00 Building sewer 15.00 Mobile Home S G W (?20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service pq OAR,:: 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. G, License Class y% Lic. No. cZ'7 L5- !� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensati, n in urance.Wrier an olicy number are: Carrier /- /�1 Policy Number (The above sections nee not be completed if We permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ith comply with thos Prov' ions. D e ZSi nat of Applicant - ❑ Owner ❑ Contractor Age An OSHA permit is required for excavations over 60" d and demolition or construction of structures over 3 stories in height. Main Service 200► TO 1000A 46.00 NEW CONST. DWEwNo OCCUP. So. OR ( FT DONS. 3 5¢ A MULrI o RLET NOµIcONDs @7.50 POWER APPARATUS 8 SINGLE CIS. .00 R FM EX. Occup. OUTLET OR FDLTUREs BAL 20 @ 1.S0 Ex. Occup. ovn�°IS ACJ F11 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 483.00 HAZ. D. FEMP ES I X FLOOD XF pAQ�EL ]� pQ, jL Q X ISSUE This permit is hereby Issued under Of the Butte County Code and/or indicated above for which fees have / By / �y PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 7 r_0 to Receipt No 31274L314RI_nt1 WHITE-D.D.S.-B.D.ACY NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT z 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 Count Center Drive • Y Oroville, California 3565 •Telephone (530) 538-7541 ERMIT NO. cRev,1 vesl Nf� APPLICATiON AN-0-PIERT ���� > ASSESSORPAP7 — U ZONING L BUILDING PERMIT OWNER - ONE 6111 - SO. Fr. OCC. BUILDING VALUATION Q+ DBEs NrRACTOR'STUEPHO NAA1E �� E D' SKYCREST ENTERPRISES 342-2694 OONRUCTQA*8 MQUNO ADDRESS J14MMY 99 E., CHICO CA 95973 OONSTRUC11ON LENDER LENDER'S MULWO ADDRESS Fire I gt?6 1 331�Y3 PERMIT FEE Ii Mobile Home Installation Fee $ Energy Inspection Fee S xT: CONST. TYPE AL FEE - c� 11AZ. t COF I EL i ND I ISSUE This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Dery ace Total Valuation 3 Filing Fee Permit Fee 6 Plan Checkin Fee . $ Agt2-' 20.00 - 2 3 ,. cz ARCNRECT OR EN004 E3i LICENSE N0. ARCWrECrOR EN"EERs LAUN0 "DDR OUIDWO ADORESB4. D'S C � �o� J T � S Ener Plan Checking Fee PERMIT FEE $ $ _ % . : &-v LOT No. sueorv� 9NMAE PARCEL MAP PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Fling Fee 20.00 7.00 23.00 15.00 J�1 dAZ 15.00 15.00 011::b 15.00 d -O ®20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobllehome XOther TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Litihes ❑ Installatlon Describe Work: IF iItn ❑ Other� Each gas water heater or vent Gas Piping stem 1 - 5 outlets Building sewer Mobile Home S G W PERMIT FEE f a -CD tti iJwiv{- jf✓ = /�y��j ELECTRICAL PERMIT Flln Fee 20.00 _ WOW WOW ��� f �� t/ � � � /1 <g, <5 f-Lfl�T— ( Main Service •00V OR LESS 200A OR LESS Main Service 200A TO 1000A 23.00 48.00 Jew CONSY. Dwaim OCCUP. OR ADONS. i ACC. BLDG 3.5,z','.' NEW COFST.NON-REBID. MULT'oVrL: T @7.50 POWER APPARATUS a s o cl EX. Occup. OUTLET OR FMRES r 1OB® 00 AL .SO Ex. OCCU i1xE0 APPLNS• OR ouTLETe REsio. EA 5.00 Temporary Service 23.00 i Mobile Home Facilities 20.007- 0.0023.00 23.00 i PERMIT FEE s b'7 MECHANICAL PERMIT Filing Fee 20.00 Heatln Cooling Hood 6.50 Ventilation gt?6 1 331�Y3 PERMIT FEE Ii Mobile Home Installation Fee $ Energy Inspection Fee S xT: CONST. TYPE AL FEE - c� 11AZ. t COF I EL i ND I ISSUE This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Dery COUNTY OF -BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY.CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: ev,m 4 ' u1 0.A.) ASSESSOR PARCEL NUMBER: 73 Proposed Building se: u Building Inspector: /L Date: At time of permit applic9 'on, f was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By All ems have been submitted.-----------------------'------------------------------------ - ------------ Amt. I ---------- - __az -:GL of plans, 3/4 sets, signed by the preparer of plans. --------------------------- - ----- -- ' f ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ .0 ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ who.ufactured Home data and installation instructions including Tie Down Specifications.------------------ s of $------------------------------------------------------pact fees as shown on the attached schedule. JG Oj T -----*a Y� California Department of Forestry plan approvaUfees.-------------- p`2 Flood elevation certificate. --------��Department ---------------------------------------------------------- 4. Sanitation and plot plan approval. ------------------------------------------- �❑-----------------------------_____________________________________________________ 15. City of Chico plumbing penarrt. - ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ---------------- --------- C1 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.-----------------�--- ncroachment Permit fo driveway construc a ro al prior to occupancy).�- r�------ Q y ( PP P --+� -inspection for ��=required Request to Building Inspector on `7 D (Date 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 1122. Workers' Compensation carrier and policy number. --------------------------------- -------- ------------------ ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 11) - -------------------------------------- ❑ 4. Letter of signature authorization. -------------------------------------------------------------------------------- Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- a / 6. Letter of intent on building use. ----------------------------------------------------------------------------------- 1127. Manufactured Home utility clearance. -------------------------------f ------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- �'❑433 A, C1 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- ❑ SO. Other: ------- Wh ou issue the permit, proces follows ❑ Mail to owner, ❑Mail to co tractor. Telephone 3 Y Z ^ 6 g and hold for pickup at �iD t% �`P inspector. office. ❑ Deliver with / Applic : ` Date: C� Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: 4 Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by E3 phone, ❑mail, ❑ Building Di '9Q�} counter, by Date: Plans reviewed by: Date: Plans approved by: 157. Date: �— Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. • E.H. USE MY �_r • Plot Plan Anschod Floor Plan An he Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance "tAa "2ta — r alat— b / 014 T-0 Owner Location Plan Approved for: Sewage Disposal � Water Supply: Pu Clearance for • dwelling. Other i klj/wo-A --77" Hold final for: Final clearance O.K. for: NOTE: Environmenta 8/96 Specialist AP# / blic Private Well 1/ R-7K'i /OA Date .-�f1r) 10. %.F-44NSPECL: OWNER44 I I lV641 LOCATION: v r e 15 41A -),L) CONTRACTOR: C(nUG -A- PRE-INSPETION ORT DATE: �- e=, -- 6 A.P. # 73 ZONING: i DATE TO INSPECTOR: PERMIT HISTORY:( )NONE 9jAS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Electric: Gas: Residential/# of Units: 0 Currently Occupied___o Abandoned/Vacant Yes No__Z Electric currently On Off Condition of Electric Natural Propane None_,,,,-' Currently On Off Obvious Problems: Sanitation: Plumbing. Working__ jAm Well Working .... . j Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: Potable Water HOLD FOR Inspector: Date Sketch buildings on reverse and indicate location on property. *...-j-•r-w�.wa�r�.as� :F�..a+..-��ww^•.� ro--"-w•. . ,. -.-. -c. ., -.� ��r.•---•.;,,a„�•_.._._...� ,.•..FYw-y••.�•„�- ,-.,,-.. . Marysville Joint Unified School District Exhibit 3614 #1 CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES To be completed by applicant and taken to: .Marysville Joint Unified School District 1919 B Street, Marysville, CA 95901 Pert I (530) 749-6114, Room. 106 Property Owner's Name: #�'S r'1- C(" � CL Owner's Address: e C} T0 c � 4e Project Address:S� :S�v c 6,aa + 0,,-j A 6i c- - A Q0. Parcel No: La -7 3 ` o U 1 r Lot No: City or County: <. -H P-� Building Dept: Permit No: TYPE OF CONSTRUCTION: Residential Construction Single Family Dwelling ; Residential Reconstruction Multiple Family Dwelling S =orf Commercial Construction No. of Units t Commercial Reconstruction Mobile HomeR. ` 1w. Total Number of Habitable Square Feet: r TRIS CERTJFTCA77ON COVERS ONLY THE AMOUR' OF SQUARE FOOTAGE BVDIcATED ABOVE. ANYADDrr.XWS OR „ CORRECTIONS TO THE SQUARE FOOTAGE FOR TRE PROJECT WILL REQUDIE AN AMNDMEW TO THE CZRT1Fl--' CATION OF COMPIZANCE. FALSIFICATION OF SQUARE FOOTAGE AND/OR TYPE OF CONSTRUCTION 18 CAME F=1 -011V$11 REVOCATION OF CERTIFICATION OF COMOWWCE. ACCORDING TO GOVERNIf NT CODE SECTION 66020 (d) (1), 1 HAVE BEEN NOTW= THAT WII'H,mz - OF TMS FEE, TRE 90 -DAY APPROVAL PERIOD IN WIUCH I HAVE TO PROTEST TBE FEE HAS HEOUN. Applicant's Name: 12n-,\ w L 4. ,-i S k\k.J Date:^ j y ,; 4:c;; . f Applicant's Signature: • �%' ,' ;` a� '�: ,; ` TO BE -MKP .ETEDrBY BUII.DING DEPARTIF. N Total Number of Habitable Square Feet itff City of Marysville r. County of Yuba ' . Signatyre County of Butte P1aIgTO ° NELEM By SCHOOL D1871UCT Certification of Compliance No. (Receipt No.): Fees Collected: No. of Square Feet x's $.28 for Commercial = $• .,No sof Square Feet 14) `7 h x's $1.72 for Residential = $ Exempt from Fees: �-A,�!aason: ._ Ct...G�.r. u A9 THEA[R7iORIZED SCHOOL DlSTR1CT OFFI(, iAI.. t �RF.BY THAT J= REQU1itE1�1 M OF GOVERNMWENT CODE SECTION 65995 HAVE BEEN C70AO%= WITH BY TRE ABOVE SIGIM APPLICANT. Signature,�/ gn r L Sandra Davini. Assistant superintendent &mAm Am Date Mute - scow Disauc Yeuus �8Pink- � /10/00 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE l PROPOSED BUILDING USE Alt4-� - z 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES 9n j (paid at District Office) . 3�SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. —x—=$ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK Pit ?/ 4 $89.00 (paid at Building Division) 1 7 0 — 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # '25 — /8— /9 DATE 04 6� RECEIPT # DATE REC. 33QY3 8 E m I At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICA > �DATE o Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) _ _ .�.._.... ._ ..�.-__._..�..._.�...�........�....-.c...�..�...uw.�r�u»rs]•.r.-rsau:Bei+�aaw.:ae......,.w...�....n......-.. .. . FO RBES T O WN T. 19N.R6E. h .\ x89.50 N 890 4244 E 88.4 AC Ocoo /0 o - -O .891AC ' ' 6 6.33 AC R/.s5143 ti 189.50 RS/01-87 Q264'05 233.11 I O8 N N ° s 89° 58 05 g 239.98 /2 !3 ° SEC. / i T 4.9/AC ^ 11 / . Dti CO ') /4 0 95 ° 22 92e %4 Q. pa 2e� 0 (�o ' ° 2/ 43.76 AC c+ O 78.9- 2,? Na %c 26 1.52 AC �'? 4 Bi /6 { p, �Og asp O N 243 35 ; 36 0'°p V %ems ti° Zea /9 ,a� 3 o V -2a3•� 34 - 5s z 38 h rJ`�O� OR d1'� �.� ti° c 27 2 285.75 3T O � 18 s D�<<E LJ � ,�.. O a 33 gip s N� is FOAe ti tro Q N O 75 q isp SY" 2 ,� 19 t CIO 4 280.2 a6Ac 39 W 141 320 �' 01 �• r 66;� ,�� USA /67 ACi.49AC /63 �' 1434 Aa N� P�,yn- 267.44 346.5 �� 9 o1y ��,�A�a � g 5•' ,31 - a .9,9-9.9 16 R5 5d323$A 0-, 3.10AC 9��8 3 N p4q"_►y //_/ /5.00 6 62.7Y /�65210 254.10 I 3 10 13.36 AC 72 1�4 96AC Yu bo Co. Wtr. Dist. ►� 14 a L42*. 6.3 331P 111 _ - -4�--- 84904 "� "1 -103.95-eS�.err�- - - 450.36 1 - \ 64 -252.14 ;r. 1071:13 �, -103.91 03.95 ` 2� 18 3!2s 9 \i 65 0 249 W 6 9.99 AC 109 DITCH • 2. 7AC m P, N 464.56 N 208 ? 1143.sd -63.18 9.23Ac IAC2 -22.4 r.�j 7 3 ��070 '�9.5 O rrvi d' 135- PM 79.487 1/ � 5.26Ac 7.i9 AC - T- y aw �t R.13 3 ' - PM 63-46 � 73-18-19 anet Frazee Cayot ' S Oro Forbestown Rd.,app.1000'E.of Ne Yrk Flat Rd. & Old Forbestown Rd. Foihestwn Area. Perm #6363-77B,P,E(remodel east hal up st rs/duplex) 73-18-19 Permit#102 80B(lst & 2nd renewa 6363-77)dup x 73-18-19✓� Janet Fraze Cayot N NIS Oro Ycrbe own Rd.,app.1000'E of New York at Rd ,&Old Forbes - town Rd., rbestown Area Permit -81B(3rd renewal/6363-7 .73-18-19 Perm #607-81B(replace exis.porch, SF) 73-18-19 lean 761-83E(ele ser ch/duplex) it 78g 4B 73-18-19 607 g rmi t��7 79884.�(�+thttiru3rbthrren/6363147 CAUNTY'OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No 61 APPLICATION AND PERNrrT ASSESSOR P AJ7 OWN" ZON!NO BUILDING PERMIT - ------------ -- -•NONe SO• FT. I OCC. I BUILDINGVALUATION ORES— ri CONTRACrOn MAawo ADOREnG -- - --- .y�c-LV J4 CONSTRUCnDNLENDER HlCO CA 95973 LENDERS MMLY+o ADDRESS Flre lace ARCNrrECT OR E4W4aR Total Valuation b LICENSE NO. Filing Fee b A"c'�TECT ORENOwEtA9 "JUNG ADDRESG Z' 20. 00 Permit Fee — b SULDINO ADOREBG Plan Checking Fee b A2 3, r �a eS QW Energy Plan Checkin Fee b LOT NO. Gusolvs vNAME PARCEL MAP PERMIT FEE 1 11 . —.-ING PERMIT Fling Fee 20.00 USEOFSTRUCTURE mac'T►a 7.0o Solar or heat um water heater 23.00 SFO Duplex O Mobilehome Other ePECLw Water I In 15.00 JCI TYPE OF WORK 7 Each gas water heater or vent 15.00 New O Addition ❑ Remodel ❑ Utllflies ❑ Installation ❑ of Gas J2121no stem 1 - 5 outlets 15.00 61�b Buildingsewer 15.00 3-c Describe Work: Mobile Home S G W @20.00 S InG / till n 1 PERMIT FEE S �, Qrli7 Le.l bV�1/V i' %/ii %y��j ELECTRICAL PERMIT Filln Fee 20.00 Main Service 800v OR LEGS Sow OR LEGS 23.00 Main Service Zow To t000A 48.00 CONE DWE1I OCCUP. OR AD ONS. i ACC. BLDG. NEW c3MULTI.OUTLErNID. @7.50 POWER APPARATUS Ex. Occup, OUTLET OR FIXTURES r- ® •50 aAL .so Ex. Occur). HxED APPL49 oR OUTL,tTG RESID. EA 5.00 <5 �[ /'1 Aq- Temporary Service r 23.00, " �r Mobile Home Facilities 20.00 Misc. Wirin 23.00 r� PERMIT FEE SRM MECHANICAL PE IT Flling Fee 20.00 Heatin Coolln Hood 8.50 Ventilation - G� PERMIT FEt ! S Moblle Home Installation Fee ( b Energy Inspectlon Fee S oDc XONGT TYPE TOTAL FEES ` - (*Q . D. FEES IMP FLOOD I CJF PARCEL PO , ND 6SUE This permft Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ADara t � +s• � � yam. qs;// 1 - O = _ � u O V so �- H r I, i h � ' OD n� f � N i �. M. %A—� i Lcr Q 1 r V o 3� Lcr 1 PROVED ! tte Ctnf lO Envi n Health T f L I ate �� Si n tore � Q ro 3 ! �o AQ p J 3 � r i AK O 6. v 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 11 NO 0 2. I HAVE Of HAVE NOT ❑ signed an application for a building permit for the proposed work. . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SI N D: v PROPERTYOWNER: SOCIAL SECURITY NUMBE : — DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19831 of the California Health and Safety Code. This verification must be completed. and returned to our office before we are permitted to issue the permit. MM, , OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 198.0 of dee California Health and Safety Code I OVER 10/ b 10- 08 1-2 iO : /Ircll V � y `IO (74y v y vZ/ G� U► ''�fb^� �f — 00/ Yf 10 P,9—-laGMp. F S z � bl XP f N V PLANNING DIVISION -BUILDING PLAN APPROVAL Use:___ d 1� Date: 8l �� ° ' Parking: Landscaping: Other: Signature: — —_ ELEC. GAS Ya, TE 69'-0 9'-4- 12' 4m M C-- --, 1---- — i-4 It' A w co is )-4 DRAIN CENTERLINE SUPPORT REQUIREMENTS THIS SHEET IS TO BE INSERTEO MTH SUPPLEMENT TO FIELD INSTALLARON MANUAL FOR 30# ROO.f- ZONE SNOW LOAD. SEE ABOW PRINT FOR LOAO REQUIREMENTS AND LOCATIONS. 30# RMF UW LOAD 7626-VY-28-CA'14 12 TILE - ��1932-1 vot. 5rc. lLt 51 PC 6-22W DRAW 9Y : VAN DA TE: 0/13/2800 likrl_ifI —(; -R—u 06—F k P258 -C) 4 � c ELEC. GAS / 10! 74401 7.4401 14'-Q" 18' ir -0" 1'-4 19501 17901 4510/ - in 00 J A ; a i as 5'-4' 1 16' j A IR it L. - DRAIN 47'- 4" CENTERLINE SUPPORT REQUIREMENTS THIS SHEET" IS TO BE INSERTED MTH SUPPLEMENT T4 FIELD INSTAL`ARON MANUAL FOR 30# R00." ZONE SNOW LOAD. SEE ABOVE PRINT FOR LOAD REWIREMENTS AND LOCATIONS. .301 ROOF W LOAD I 1616 -VY -28 -CATH 4-0# 12' fiLE -: TN 9321 vol. _ _-- 5fC. --�--- Ill 51 PC. 5-)21:' ���I� DRAW 9Y : VAN UP IL: "I W 16- P258—C) OC ■■■■■■■■■■■■■ n iii■■■■� � � ■■■■■■■■■■■■■ 111 �■■■■■� iiiiii ��■■-------r■■■ .rye a■■■■� BEDROOM DININGlillf 11111111111 11 11 44:1�11 8'-8 FAMILY ROOM No. 4 ROOM tlSIMI'D 15'-4" 9,4" 12' BEDROOM l� No. 3 K. 10, PANTRY /t \ OPT / I \ / 1 \ MASTER RIVING �I OOM\ OPT BONUS o-mJ�' BEDROOM ;Tllm , 18' '\ °'S ROOM D00R51 No. t \ 10, 14'-8" SKVVIEY MbAER \` TRAPS ABOVE . P136CTl1626 4BEDROOM • 2BATHS - CATHEDRAL THRU-0UT 11,91 o SQ.FT.1 OPTION DEN I ENt ■ -- OBIE ROD---; I I 1 1».ir x 2"x 3/16" STEEL ANGLE UA_ ,.A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH -. 0112" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND W11H two 01/2" ADJUSTER HOLES ABESCO ABS PAD #so3 STEEL FRAME-\ SEE DETAIL "A" 0 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 1/4" STAND BASE 7 f-- ABESCO ABS PAO #503 j 36" MAX TO BOTTOM OF PAD 01/2"x 3" C.H. LOCK PIN WITH / 01/8" BRIDGE PIN COACH "C" FRAME - 2" CHANNE 1/4"xl-1/4' TEK STS (2) REOUIRE:o 1/4" GP.IPPER DASE 11:" .4307 BOLT (2) REQUIRED 3/8"x 6-x 6 - STEEL PLATE 1/2" A307 BOLT--zC-BEAM (1) REQUIRED ATTACHMENT -- 10. f10 �I 1 D.00 09/16 HOLE (TrPP S:FAND._BASE TOP VIEW x UF_ -1. PERMANENT /,a ,/z" � FOUNDATION SYSTEM ADESCO C=LIC GUARD CUIvp�ANY \ 5851 FLOWN - PEMUNS ROAD SACRAMENTO CA oca-)z GRIPPEF "LATE .1—BEAM ATTACHMENT I "J" FRAME 0-1/4" STS EOUIREO 1/4" GP.IPPER RASE. 1/2" A307 BOLT (4) REQUIRED ¢ 8 1/2" DIA. HOLE_ (8) PLACES Imo- ------._...---- - --- 30"a . -�--- -- --i _S7 EEL FRAME TOP VIEW STATE APPROVAL _z a 4 xa n o u ea- s z �s v a w 1, L qv o 1 TT "J V < y � x WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 1 or 3 r m 04 ul m Ca m L0 u)' W GENERAL.NOTES CUS GUARD TUF-1 I. DESIGN LOA05: LIVE LOAD — 30 LB. FLOOR LIVE LOAD — 40 PSF WIND LOAD — 80 MPH EXPOSURE "C* SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE 115) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR. MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SANU MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION, WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHAH BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: —ALLOWABLE .LOADS: HORIZONTAL VEPTICAL GUS GUARD TUF-1 2200# 6000¢ GUS GUARD MGP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 2200# 60001 8. DURING PREUMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOWE CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNOATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPT{ Of FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDEDd THE NUMBER OF TUF-i UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12_ SINGLE—WIDE UNITS REQUIRE. ADDITIONAL RESTRAINT- • (SEE SHEET #3) s 13. ALL METAL COMPONENTS AND ATTACHMEMTS ITEMS SHALL BE PRDTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT 16. FOUNDATION BLOCKS 16"z 16"02" POURED IN PLACE AT GROUND LEVEL WAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / B' MAX. E= 2* MIN. / I1' MAX. S= 6' MIN. /16' MAX. S= 6' JAN. / 22' WAX. VARIES 10'-70' (SEE TABLF. ON SHEET #3) -----.-_ U C1 I_ 1 RIDGE BEAM SUPPORTAS _ REQUIRED BY MANUFACTURER L E -](TYPICAL) L.. -I Ll [-] 8' NOM. � � - -- Com} NOM. _ Ell -� PADS IN ANY PAIR MAY BE I STANDARD M.H. FOUNDATION, ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET 10 OTHER SIDE TU THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) � ii778 � �� • �EXP'�'11.� REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUE-1 PERMANENT FOUR (A) 1/2-x 3 1/1" EXPANSION ANCHORS. 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES FOUNDATION SYSTEM ALLOWABLE SNOW LOAD TO 100 PSF WHEY INSTALLED AI3ESC0_GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - P[ RKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. SACRAMENTO, CA 95823 STATE APPROVAL N W ttLCC�Ojj � A g L) F' -e v � � J F'�°� c CJ a 0y n oW �N•� U u 0 WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 or 3 s 1/2"x 3 1/2" 1/2"x 8 E:cPANCHOR\ . ANCHOR (4) ) REQUIRED (4)'REOL CONCRETE PAD INSTALLATION CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER SASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REOUIRED 01 1/2" SCH 40 PIPE RISER WITH—, o of/2" ADJUSTER HOLES AND 3/8" }f THICK TOP PLATE e2- SCH 40 PIPE STAND WITH TWO 01/2_ADJUSTER HOLES ASESCO ASS PAD #503 `o STEEL FRAME I 3/4" DIA. x 18" LG. (4) REQUIRED 3/8" CAD PLATED BOLT, NOT A WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. N (8) REQUIRED �\ POURED IN PLACE 16x16x12 CONCRETE�'y OUND.ATION INSTALLATION 36" MAX TO BOTTOM' Uf PAD 01,/2"x 3" C.R. LOCK P1N WITH 41/8" BRIDGE PIN i LIGHT HEAVY --WEIGHT PLASTIC PAD INSTALLATION A:ULTI-WIDE UNIT'S SINGLE WIDE UNITS LENGTH UT WI TH OF HOME LENGTH OF WIDTH OF HONE HOME 24 26 28 40 HOME 10 12 14 t6 UP TO 44' 8 $ 8 12 UP TO 44' 6 6 6 6 44'-1" lu 66' 12 12 12 1 I" to 66' 8 8 8 8 OVER 66' 16 16 16 22 OVER 66' t0 10 FO iD NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED NDTE: SINGLE WIDE UNITS REOUIRF.. (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT 4PPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL. 37 TUF-1 PERMANENT FOUNDATION SYSTEM STATE APPROVAL :+r 5-1 Z 0 a Z gn WAYNE T. POLVADO, PE -LISTING NO. E94249 SHEET 3 of 3 z- --..mak CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAM , Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field - inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-_,rtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus.weighing up to 40,000 pounds. T[ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. �] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. M 1273.05 Turnarounds. If required, will have a minimum turning .radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3--, AP # PERMIT # AME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide 'a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts _shall be provided no more than 400 feet apart. [}(] 1273.10 Turnaround. A turnaround shall be provided at all / building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to_allow a vehicle to stop without obstructing traffic on that roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings.and accessory buildings from ul] property lines and/or the center of the road. (�) 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. `IJ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction .)r fi:ial inspection of a building permit. Page 2 of 3 �1 , -7.3 -(f,/ y el —I r7 3D L,�4bA) 6A/,Oy J AP # PERMIT # NAME Other Requirements [IV If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10t of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Page 3 of 3 ture 4 1. - ex�s Slab o Oo�_ w t OIC 1� 161..3? ___---- s�.�11� � � JTais S —T No M� 2!-- j6 REVIEWED RY �FIRE DEPT. �. of FORESTRY �CAUF 0 approved as sur,+ .`teci -approved witti c: tdaf-ns per atta h d c, eet. 9/4 /'\ I S7 -IJ _ < Date OvieRhA{!!QS S� �B AND _signature BACK L BEC QUt OF � OFALL "V CC c L Rop FROG I T, B ,q �O THE B/ pB OE A 2 P � � O� BEROA N� ENTERR �L�IyEB A�� rRyANO EQWP�,E�C BE �PQ \ EPT ,r l nJ 6S- PCX 40" Owner - L A W SOA/ 14PN 0 3-1 80 -011? F0"b-c" 7oWk Rd, F0 h�c 5GW�'l 1 'CA c ca n ` r cu 0 051 o� ►7c,r 2 5 c _. ma5� zooQ„,�, P2xe 4 1. - ex�s Slab o Oo�_ w t OIC 1� 161..3? ___---- s�.�11� � � JTais S —T No M� 2!-- j6 REVIEWED RY �FIRE DEPT. �. of FORESTRY �CAUF 0 approved as sur,+ .`teci -approved witti c: tdaf-ns per atta h d c, eet. 9/4 /'\ I S7 -IJ _ < Date OvieRhA{!!QS S� �B AND _signature BACK L BEC QUt OF � OFALL "V CC c L Rop FROG I T, B ,q �O THE B/ pB OE A 2 P � � O� BEROA N� ENTERR �L�IyEB A�� rRyANO EQWP�,E�C BE �PQ \ EPT ,r l nJ 6S- PCX 40" Owner - L A W SOA/ 14PN 0 3-1 80 -011? F0"b-c" 7oWk Rd, F0 h�c 5GW�'l 1 'CA c M.H.I.-2 1VI{flB (E: ....... NSTA. L —10-N .DATA::*-.."-'-'--'..... . 1 . Owner's Name: Randy & Cindy Lawson 2 . Assessor's Parcel Number: 073-180-019 3 . Installer's Name: SKYCREST ENTERPRISES 4 . Is the site currently under permit? Yes [ ] No [ XJ Permit No. (If yes, furnish two plot plans). 5 . Is the site an existing site: Yes [X J No [ ] 6 . What is the electrical rating of the mobilehome? 7 . What is the mobilehome site circuit breaker rating? 8 . What is the electrical rating of the mobilehome site? 9 . Is the main service remote from the mobilehome site? the rating? Amperes. 200 Amperes. 200 Amperes. 200 Amperes. Yes [. ] No [X j If it is, what is 10 . Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage, etc.)? ' Yes [ ] No [ ] If yes, please identify the load and size: a) The mobilehome site: Load - Amperes - b) The main service: Load - Amperes - 11 . Type of gas service at mobilehome site: Natural [ ] Propane [XI None [ ] 12 . Size of gas pipe at the mobilehome site from the meter or tank: 3/4 inches. 13 . What is the gas pipe length from the meter or tank to the mobilehome? 15 (ft.) 14 . What is the mobilehome gas demand? BTU.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on. propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION d ti M.H.L-2 � n�tos�;i��tc�n� s�rr�c���r n��a Mobilehome Manufacturer: -SKYLINE Manufacture Year 2001 If other than single wide, furnish Setup Model Number: P258CT Width: 26 (ft.) Length: _66_(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. FOOTINGS: Wood pressure treated or foundation grade [X] Other: SUPPORTS: Concrete block [X] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ............................................................................................ Line 2 Main Beams Line 2 ....................................•....................................................... Line 1 Line 3 ....................................................................................... Line 2 Main Beams Line 2 ............................................................................................ Line 1 ............................................. Line Tag or Triple Line 4 Line 1 Line 1 Piers: Line 1 Openings: Size minimum: I ]XI Size minimum: Spacing maximum: Each side of openings From ends -maximum:' with width over: Line 2 Piers: Line 4 Piers: Size minimum: 24 x 24 Size minimum: Spacing maximum: 1 6' 0"1 Spacing maximum: From ends -maximum: 2' 0" From ends -maximum: Line 3 Roof Loads: Size minimum: Location (from rear): [ 12] x [24] 4' 0" !4x24 24x24 12x24 112x24 136x24 136x24 112x24 112x24 112x24 112x24 I'0" 110V 14'0" 18'0" 21'4" 366" 387" 427" 462" 507" Line 3 Roof Loads Continued: Size minimum: 112x24 112x24 112x24 12x24 Location (from rear): 547" 587" 627" 667" OVER lymm��= RUILDING DI . . • s APPROVED Butte County Environmental Health ELEC. GAS }#- :z OL z E23 — t y 4:01 o b• I --S'-4' I I � 12' rl�r �Ax•li THIS SHEET IS TO 8E INSERTE:O WITH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR 301 ROU= ZONE SNOW LOAD. SEE ABOVE PRINT FOR LOAO REWIREMENTS AND t nCATIM'q 1 0 2 n H O c I G G IIATE 69'-0- `\ . � r 8• e,+ 19. o E,, a l� Am N }#- :z OL z E23 — t y 4:01 o b• I --S'-4' I I � 12' rl�r �Ax•li THIS SHEET IS TO 8E INSERTE:O WITH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR 301 ROU= ZONE SNOW LOAD. SEE ABOVE PRINT FOR LOAO REWIREMENTS AND t nCATIM'q 1 0 2 n H O ■■EE■■ ■■■■■■■■■■■ ■■■■■ ■■■E■EM■ ■■■■■■■■■■■ ■■■■■ BEDROOM■■MEMO ■■ NONE ME ■■■1■ O•i ■■M■■■■r ■■■■■■■■■■■ ■■■■■ ROOM 1100■■■■t ■■■■■■■■■■■■■■■■■■� ���■■■■. . • � • ■■■■■■■■■I!■■■■■■■■I BEDROOM " No. 3 l� 10, PANTRY /I \ OPT / I \ A xMNG (LOOM \\\ DPTs ROOM mss`,. BBONUS EDDROOM BEDROOM g No.2 I / I \ 10, No.1 18' ' / I \ r 14'-81 1 SxvvF W DORwER \\ TRAPS ABOVE P25RCTf1626 4BEDROON9 - 193THS -CATHEDRAL TNRU-0UT (1,976 SQ.FT.1 OPTION DEN c- = IAiifYl I■■■■■■�C •a'an 1■■■■■ a t►EN�-- DBIEROD---� / I 1 B rrc NFR AV y x 2% 3/16"-- ST££L ANGLE m :aJ � O_ _VE!AJL „A» 3/8" CAO PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 1/4" STAND BASE ASESCO ABS PAD #503 CHASSIS FRAME -� 1/4" GRIPPER PLATE/ i36" MAX (2) REQUIRED TTOM OF PAD O 1/4" GRIPPER BASE CJ cr) W 1/2-13UNC—A307 x 4"--- % fs1/2"x 3" C.R. co BOLI WITH NUTS ! LOCK PIN WITH (sit/8" BRIDGE 4) REQUIRED o PIN fill 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" !' THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO ) 01/2" ADJUSTER 140LFS ABESCO ADS PAD #503 STEEL FRAME-\ SEE DETAIL "A" m /N - CD i In �\ �n W1/2"18 / CD N \ v N r` m . COACH "C" FRAMr 2" CHANNI 1/4"xi-1/! TEK STS (2) REQUIRE 114" GRIPPER BASE 1/2" A307 DOLT (2) REQUIRED 3/8"x 6`x 6" STEEL PLATE , 1/2" A307 BOLT--/-Q.-BEAM (z) REQUIRED ATTACHMENT V 1 0. DO ,09/16 HOLE (TTP)' STAND BASE TOP VIEW 37,. TUF- j- EERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD Co")ANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 GRIPPEF 'LATE J-6EAM ATTACHMENT ,H J - FRAME xt-1/4" STS REQUIRED - 1/4" GP.IPPER BASE. 1/2" A307 BOLT (4) REQUIRED 8" 1/2" DIA. HOLE (8) PLACES -- - --.. -- 30" - -- - --� STEEL FRAME TOP VIEW WAYNE T. POL-VADO, PE -LISTING ND. F94249 SHEET 1 of 3 V, 4�. bc > 0 3 STATE APPROVAL r ea a _p 00 z tod 4Q l o J�o V s ll' O t ._ U K U n dd 8�m ° _ N O o �` 0 pyo H ° O A WAYNE T. POL-VADO, PE -LISTING ND. F94249 SHEET 1 of 3 V, 4�. bc > 0 3 GENERAL,. NOTES CUS GUARD TUF-1 I. DESIGN LOADS LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C' SLISUIC ZONE "4" *SNOW LOAD 100 PSF (SLE NOTE Y15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR. MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS !/d", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. S. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPAFIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING 10 AVIS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. T9l GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY 8SK AND ASSOCIATES FOR THE FOLLOWING LOADS: Allff-ABLFLOADS HORIZONTAL VERTICAL GUS GUARD TUF-i 2200# 6000¢ GUS GUARD MGP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 2200,# 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOLE CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UMTS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSIALLAIN7N IN FLOOD PLAIN AREAS WHERE DEPIIt OT FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDEDd THE NUMBER OF TUF-S UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12, SIKGLE-WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. S (SEE SHEET {3) • 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH FOUR (4) 1/2'x 3 1/2" EXPANSION ANCHORS. 15. GUS GUARD TUF-1 FOUNDAf10N SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 1DO PSF WHEN INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. 16. FOUNDATIC%N BLOCKS 16'a 16"02' POURED IN PLACE AT GROUND LEVEL MAT BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / B' MAX. E= 2' MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' 41N. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E RIDGE BEAM SUPPORT A% 0'Ia STATE APPROVAL z �$ h 0 �� H Q O o �. OC q •- U O C2 3 U >» 1 1 tz �tu N < n 4 La U C� u Z s' cS �o °Wi ,Nl 17918 � \, Exp. TUF-1 PERMANENT FOUNDATION SYSTEM PVC SERIES SUPPORT PAD (TYP) WAYNE T. POI_VADO. PE -LISTING NO. F94249 SHEET 2 or 3 s REOUIR�BY(TYPICALMANUFACTURER -- ------ L:._I Ll C� U CJ CJ Ll ��-8—�' NOM. _ U 2 NOM. r `- R `-PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNOAfION � ROTATED 90 DEGREES 0� PIERS AS RECOMMENDED OFFSET FO OTHER SIDE FU THE MANUFACTURER 6Y OR THE AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT ,Nl 17918 � \, Exp. TUF-1 PERMANENT FOUNDATION SYSTEM PVC SERIES SUPPORT PAD (TYP) WAYNE T. POI_VADO. PE -LISTING NO. F94249 SHEET 2 or 3 s w Q CL 1/2"x 3 1/2"3/4" DIA. x 18" LG. UPANSIDN ANCHOR LONG (4) REQUIRED (4) REQUIRED ANCHOR SOLI (4) REQUIRED 3/8" CAD PLATED BOLT, NUT A WASHER _ COUNTER BORCO FLUSH WITH BOTTOM AT 8" O.C. (b) REQUIRED ....�� CONCRETE PAD INSTALLATION N PLACE 6x 1 6x 12 POURED OUNDAT ON ,INSTALLATO�NCRETE _ 1 4iY1_ Ii)i;;:4�1;;_lll tr. 11.•:.. , _Eu 1l =.,nut CHASSIS FRAME -, 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WETH NUTS (4) REQUIRED 01 1/2" SCH 4U PIPE RISER WITH -- 011/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02- SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD X503 LIGHT HEAVY --WEIGHT PLASTIC PAD INSTALLATION N.ULTt-WIDE IINIT'S SINGLE WIDE UNITS LENGTH OF WI TH OF HOME LENGTH OF, WIDTH OF HOME HOME 24 2u 28 40 HOME 10 12 1d t6 UP - 44' 8 8 8 12 UP TO 44' 6 6 6 6 44'-1' Eu 66' 12 12 12 1 (4'-1' fo 66' 8 8 8 8 OV R 66' tb 16 16 22 OVER 66' 10 10 EU TO NUMBER OF TUF-I REQUIRED NUMBER OF TUT -I REOUIRCD NOTE: SINGLE WIDE UNITS REQUIRE.. (4) E -Z TIE PADS. GUS GUARD TUF- 1 PEERS ARE TO B£ PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL, 1:: 7D x L; 640Qv- TUF-j PERMANENT FOUNDATION SYSTEM STATE APPROVAL WAYNE T. POLVADO, PC—LISTING NO. E94249 SHEET 3 of 3 _ _ a..;:_ . ; J"-- l� la "RECORbING REQUESTED 8y FIDELITY NATIONAL TYRE CO. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965-7-�- 200 1 —0035290 Recorded OfficialRecords Of Records County CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant. 09:00AM 08-A4g-2001 REC FEE 10.06 Fay Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the butte County Code require this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from';the pursuit of agricultural operations including, but not limited to, plowing, 7"=dispraying, pruning, and harvesting which occasionally generate dust,.smoke, noise, and order. Butte County has established or (7"-- discomfort scomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIP77ON Date 9- 2 " C) % PROPERTY OWNERS: State of California County of -Bt i4 -e On V4 /:?-/ D 1 bgfore me, X &i Gindyo�Law on -, X personally appeared personally known to be (or proved tom noe the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that h/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/heir signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS h d flicial 1 Mi an o ea 4m;�kl: Signature A.P.# 073-180-010 Order No. 205471 Commencing at an iron stake in the Northerly boundary line of the Forbestown and La Porte County Road, from which stake the Quarter section corner between sections 10 and 11, Township 19 North, Range 6 East, M. D. B. & M., bears North 590 30' West, a distance of 848.15 feet; thence along the Northerly boundary line of said Forbestown La Porte County Road, South 75 ° 16' East, a distance of 96.60 feet to an iron stake; thence South 620 06' East, a distance of 427.50 feet to the True point of beginning; thence North 270 54' East, a distance of 46 feet; thence South 620 06' east a distance of 20 feet; thence South 840 12' East, a distance of 161.92 feet; thence South 270 54' West, a distance of 107 feet; thence North 620 06' West, a distance of 170 feet to the true point of beginning. EXCEPTING THEREFROM ANY PORTION LYING WITHIN THE BOUNDARIES OF THE FORBESTOWN LA PORTE'COUNTY ROAD. ALSO EXCEPTING THEREFROM ALL MINERAL RIGHTS ON THE ABOVE TRACT OF LAND AS RESERVED IN DEED FROM J. R. OWENS, A SINGLE MAN, TO MRS. ELODIA CARRILLO, A WIDOW, DATED AUGUST 1, 1935 AND RECORDED AUGUST 5, 1935 IN BOOK 152 OF OFFICIAL RECORDS, AT PAGE 31, RECORDS OF BUTTE COUNTY CALIFORNIA. ALSO EXCEPTING THEREFROM ANY VEINS OR LODES OF QUARTZ AND OTHER ROCK IN PLACE BEARING GOLD, SILVER, CINNABAR, LEAD TIN, COPPER AND OTHER VALUABLE'DEPOSITS WITHIN THE LAND ABOVE DESCRIBED, WHICH MAY HAVE BEEN KNOWN OR DISCOVERED TO EXIST ON OR PRIOR TO THE 2ND DAY OF AUGUST 1888. Assessor's Parcel No: 073-180-019 2 e COUNTY OF BUTTE - DE,PARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calfornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. .71i0_k1_3 ASSESSOR PARC L NUMBER �r r ZONINt BUILDING PERMIT OWNER ' `T� TELEPHONE a . SO. FT. OCC. BUILDING VALUATION OWNER'S.MAILING ADDRESS f/--,�' '4) M - k Q (_ — / ( r 0 (.l J LA .4� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER '� UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER r` _ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �r� �� r 1St_ 9 r PLUMBING PERMIT Filin9Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 L Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF lJ DuplexvMobilehome❑ Other � y SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti I.ities ❑ Installation❑ Other Describe work: ) ec, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 1000 . /0+ Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. t 2h0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, 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 CONTR ULTI.OUTLET NON.RESISD (BRANCH CIRC ITS 2.50 ea NEW -CONSTR-((POWER APPARATUS &1 \\ NON R ESID. ISINGLE OUTLET CIR. 20050a Ex. Occup(OUTLETS OR FIXTURES SALIP300 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 + Misc. Wiring 15.00/S06 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 o.f California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ 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. X { �� i *( , /!, a Date Sigature of Applicant — F Own/[J Contractor ❑ Agent ❑ kin OSHA permit is required for excovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD 11 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which /f EC R OF PUBLIC (0` BY PERMIT EXPIRESf Date the applicable provi- resolutions to do fees have been paid. WORKS Date!? Receipt No. Zo � / 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT eX�•54t31q Ser�� IO M� owner -5e� — uKd 7-00a m�;.j, Axel li�c �6 a 40 040 fe ►- �� ne«rs Pole (HAS /U R, 6S - ` t INI ` \ V Owner L W S ®JV APN 07�3-1s0 -OIq # ? Fc, rbGS Io wk gat, / o hLc 5 )6 V., At CA SCC{ IG Z. O ?/Z /p COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC,WORKS ,BUILDING INSPECTION RECORD +�F BUILDING BUILDING (Cont'd) Grd. Fault Prot. PLUMBING Setback Firewall Soil Piping Cooling Forms Parapets 1st Floor Underground Main Bldg. Restroom Finish 2nd Floor Door Closer Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings ' Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physlcally handicaped Conformance of ex. structure Appliances Gas Piping Temp- Gas &Test Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Suboanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping EDWE INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS a-;' 3- ,nky-4 c, oK Be1.44® s�o� .. .2 f( r A10 % /` 2.A Y A e ✓ �L R c . �e ✓v+ e- e, r,X',J4 e, uvr ^ - �� C:57, e-� (NOTE: An entry must be made on this form each time you visit the job site.) MIT EXPIRESA I Janet FiAzee OWNER CONTR. owner LOCATION (A.P. 73-18-19 NIS Oro-Forbestown Rd.,app.1000'E.of New Yrk Flat Rd—)0QQUfX & Old Forbestown Rd., Forb.estown Area ICI --V 1-0 I Temp. Power Pole Called PG&E y. Temp.,Elec. Serv. Called PG&E Temp. Gas Serv. t: Called PG&E JOB FINALED (Date) (Signature) r`Building Department 6 TO: FROM: Environmental Health :RE: Sewage and/or water Clearance i OR LOCATM411 �JI�' Has been approved for: S 7.-IAGE DISP08AL 6, i•IATgR SUP_'LY 617%-i� • • • Sanitarian Date S95-775 t s10 609-81H i t PERMIT NO. PERMIT EXPIRES 1 'F { OWNER Janet Frazee Cayot CONTR. owner ASSESSOR PARCEL 73-18-19 LOCATION NIS Forbestown Rd.,app.1000'E.of New York Flat Rd.& Old Forbestown Rd., Forbestown Area ,i r �I a t r .. r' Temp. Power Pole Called PG&E i Temp. Elec. Service i Called PG&E Temp. Gas Service . Cal led PG&E JOB FINALED (Date) t� I Signature J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (ting.le and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. E.00 Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel -1.. /" Ftg. Depth tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers . 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Q Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 402 71 tar -Sills -Anchor Bolts -Jot -Vents-Cripples Card -BI 7Pf Date . G Card -BI Date Card -BI Date Card -BI Date A Card -BI Date Card -BI Date Card -BI Date YQ fl Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI" Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Waver Pipe; Te & Anchors -Nail Protection 16. D.W.V.; Test -F ngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Tes , First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Show r, 2nd Floor -Tub Access 19. Gas Pipe; Size A nchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI -Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transfo er Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles pacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. fConductors-Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Clse to Edge of Studs & C.J. 24. Equip. Ground mad4 up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuit in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. . g Cu or AI -Oven Circ. / / ga. Cu or A[, Range Circ. / /11. Insulated Neutral Yes ❑No 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks C] Yes C] No; Planters ❑Yes ❑No Stucco; Brown -Finish 28. Service -Riser Conducloks & round -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) OK except q's 31. A.C. Ducts; Insulation qkSupport 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust abo a Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & 0 erflow; Size & Grade 34. Furnace -Vent; Acces -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platfor urnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors Card -BI Date Card -BI Date Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ _ ^_ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) = OK = Not OK t r = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -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.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except a's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r' —7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 73-18-19 ZONING BUILDING PERMIT OWNER Janet Frazee Cayot TELEPHONE S0, FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 26 Forbestown 95941 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 2 origins X3 $ 108.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty _ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 118.00 BUILDING ADDRESS NIS Oro Forbestown Rd, #960 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater - 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 1 5,00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 4th. 5th & 6th renewal/6363-77) remodel duplex Permit Fee $ Contractor ELECTRICAL PERMIT Fi'IingFee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2th¢sgft 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 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 LTUT NON.RES'D CONSTR.BRANCH CIRCET. ITS. 2.50 ea NEw CONSTR. ( POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR. / EX. OCCUp(OUTLETS OR FIXTURES BAL®30 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 $ Contractor MECHANICAL PERMIT FiIingFee 10.00 ORKMEN'S COMPENSATION INSURANCE I declare under p nalty 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-lnsure. IRj�j 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. t Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for i nspecti on' 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 again said County i cons ence of th granting f this permit. r� X ate d Sig ure of Applicant — OwnerContractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3(ssttories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 118.00 OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ECT R OF PUBLIC WORKS By 12 DE t PERMIT EXPIRES HatP A—' Receipt No. l iS � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' PERMIT NO. i 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 APPLICATION AND PERMIT _lam r ASSESSOR PARCEL NUMB F$ Y ZONING , - BUILDING PERMIT OWNER r a TELEPHONE 7S % 12 SO. FT. OCC. .BUILDING VALUATION OWN 'S MAILg ADDRESS //_ t O�-��O CONTRACTOR'S NAMIE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER A/ �'r1 UNKNOWN Total Valuation $ " Filing Fee $ 10•00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ may, BUILDI ADDRESS hi& PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 - Gas piping system 1 - 5 outlets USE OF STRUCTURE SFR Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system E5O TYPE OF WORK New ❑ Addition ❑J odel ❑ Utilities 6LInstallation[] Other Describe work: �� KQ2'1 QAA) a% �fei�'%� Penult Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELL[ NG.00CUP. N) OR -ADONS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): A ❑ 1 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 CONSTR. C1 OUT, ET 2,50 ea NON.RES'D BRANCH CIRLC TS NEW CONSTR. / POWER APPARATUS 6) NON.RESID, ISINGLE OUTLET CIR. •Ex. Occup OUTLETS OR FIXTURES_ BAL@1 00 IXED APPLNS. OR EX. OCCUp.�OUTLETS (RESIO.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 10.00 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read, this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t said County in nsequence of a granting of this permit Z X Date ature of Applicant — Owner Contr -tor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- over 3 stories in height.pt Mobile Home Installation Fee $ TOTAL. PERMIT FEE $ OCCUP. GRUP I TYPE of CONST. 1. PARCEL PD ND 159UE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D TO OF PUBLIC PERMIT EXPIRES - Ate. J� the applicable provi- resolutions .to do fees have been paid. WORKS DateD.P.W., R U r rion,structures No. 47 9T3By YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS f ,o 7 County Center Drive _ brovflle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for ins p ction purposes. X Date Signature of Permitee or Agent Receipt No.yv v��� 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 f hich fees have been paid. DIRF9 MBalte LI - WORKS r r Cf By Building permit expires Date l BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i n ddress Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address /Z Plan Checking Fee &/or Pt-414,- e alPermit PermitFee w PLUMBING No. @ FEE { �f– PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A.., P.�No. ��--% �— Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Each additional outlet .30 Building sewer 5.00 Bldg. ons ec Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ kod3 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ACCLBLDGS.LING CCUP. '�') 20sgft 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 le of: style T NEW RESID,CONSTBRANCH CIRCUITS NON-RESID l BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES) 5B L@; APPLNS. OR Ex. QCCU (OUTLETS P• 1 OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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 I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for ins p ction purposes. X Date Signature of Permitee or Agent Receipt No.yv v��� 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 f hich fees have been paid. DIRF9 MBalte LI - WORKS r r Cf By Building permit expires Date l COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS —� 7 County Center Drive — UroviIle, California 95965 Telephone: 534 - APPLICATION AND PERMIT o1366 -7 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X (1��— Date /2-6—)7 Signature of Permitee or Agen Receipt No. 146 IL e) 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 Ok*_NBLIC WORKS BY Date B 'ding permit expires Date BUILDING Owner ��(f rT A Z G G SQ. FT. OCC. BUILDING VALUATION • 00 Mailing Address „�. Oulu Telppone o � Fireplace k �Q O ,D p Contractor Total Valuation 00 'o IU a Mailing Address Permit Fee �. o C Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ Building Address s ©rout��e O r es TO u/✓ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3, O Ed d r -C Si. 1040' NetAJ Ylw /C Each Trap 1,50 4, 5 FLA7— oLcd F6 r b Q3 j ®W r.1 IR, . Repair drainage or vent piping 1.50 f , �U Water piping 1.50 I's -01 K b ny 723 L !—g,4 Each gas water heater or vent 1.50 A. P. No. / ._ 9 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 41'sC. Sia i'tation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 F:� Bldg. Ions Recd Parcel Approva. Plan;.Approval Permit Fee $ p �J' � G $ 3 .S NEW ❑ ADDITION K UTILITIES ❑ OTHER g ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _p AA 0P -I# S LF t4 10 S 7—A I rS Main service 600 AMP 001 OR LESSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING 0 OR ADDNST ( ACCLBL GSYb6) ',O'2¢sgft l ',y`Q, NEW CONSTR. MULTI.OUTLET NON•RESIO. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. 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: y Ex. OCCUP(OUTLETS OR FIXTURES) @"1109 Ex. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ ;2 3.00 $ A3100 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 I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. ' MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ c� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X (1��— Date /2-6—)7 Signature of Permitee or Agen Receipt No. 146 IL e) 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 Ok*_NBLIC WORKS BY Date B 'ding permit expires Date COUNTY OF BUTTE - DEPART45NT OF PUBLIC WORKSPERMIT NO • 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-45Z_�� ;7— APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZO _� �•j9 ING -v BUILDING PERMIT OW a TELEPHONE sem- 2 SQ. FT. OCC. BUILDING VALUATION O R'S MAILING ADDRESS Q 1AS CONTRACTOR 'SAME JAey_ TELEPHONE I_ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Q UNKNOWN Total Valuation $ Filing Fee $ 10.00 .LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING AD RESS Permit fee $ , BUILDING AQQRESS PLUMBING PERMIT Filin Fee 10.00 FilingFee Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE �- SF K,/ Duplex❑ Mobilehome,❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: t , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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) 1 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -Du LET 2.50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS Dl NON-RESID, `SINGLE OUTLET CIR. Ex. OCCUROUTLETS OR FIXTURES BAL@1 FIXED APPLNS, OR EX. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue—/ aga' t said County,G'n consequence f the granting of this permit. X Date �y 5' nature of Applicant — Owner C CA/tractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei ht. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 8Q, O occuP. GRouP TYPE OF CONST. PARCEL v PD v ND v I ISSUE c./ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO"F PUBLIC By PER6 EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date'` —24 Receipt No. L d WHITE-D.P.W., YELLOW -ASSESSOR, 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 PERMIT NO. r/ �d ASSESSOR PARCEL NUMBER 73-18-19 ZONING ' BUILDING PERMIT OWNER Janet Cayot TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 26, Fortestown CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 2 originalX 3 $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 25.00 BUILDING ADDRESS 960 Forbestown PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 1 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation❑ Other ❑ Describe work: 1st, 2nd & 3rd renewal/607-81 porch _ 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 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgit CONTRACTORS LICENSE LAW 1 declare under penal t of perjury (check one): El 1 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.ULT'-OVTLET 2,50 ea NON-RESID BRANCH CIRC ITS. & NEW -CONSTR ( POWER APPARATUS .&') NON RESID SINGLE OUTLET CIR /. EX. Occup\OUTLETS OR FIXTURES SAL@ OQ 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 $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under p natty 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you.must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 agains aid County in c nsequ a of the gr nting of this permi . X ate Sign re of Applicant — Owner Controctor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 25.00 OCCUP. GROUP I TYPE OF CONST. PARCEL PO ND' I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. C OF PUBLIC WORKS BY PERMIT EXPIRES D e 2/26/85 r -- Receipt No. - WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �3 SO -CO CD 00 oho90 c C co Na ,co F � o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,Calffornia 95965 - Telephone 916/534-4541 l APPLICATI.ON AND PERMIT f PERMIT NO. / ASSE 0-� -- R ZON G BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC.1 BUILDING VALUATION' O R' AILING ADDRESS CONTRACTOR'S NAME D11 J 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 $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS � � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 t 'i( S Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,&11'USE OF STRUCTURE t SF IJ Duple Mobilehome❑� Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti 'ties ❑ Installation ❑ Other Describe work: S�;` e -C_ — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1000 P Main service 600V OR LESS 100 . AMP OR LESS COt Main service EA. ADD -L.100 AMP 2.50 NEW CONS. DWELLING O OR ADDNST ( ACC. BLOGS.CCUP.&) 21h0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and 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 CONSTR. MULTI -OUT LET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BA @6 oQ Professions FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1,1rr 06 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a t said CoWy)3n consequence f the granting of this pier/nit. Date S arure of Applicant - Owner tractor ❑ Agent ityos requiredfor of inexcavations over 5'0" deep and demolition or construct- ion OSH structures Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCcUP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under the applicable provi- sions of. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. C R OF PUBLIC WORKS By Date'oZ PERMIT EXPIRES Date Receipt No. aro / V WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT