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078-070-017
A. - 1 [FRANK' J. NARDINI _368 Upper- Palermo Rd.,O--ro-.----WARDEN, , Leslie 718 70,x: CONTR : Ray Sprague, Oro : �I-q- +1� _ 607 70�'� h Permit 3124-74B,P,E,M•. (cNN garage to family rm. -& .additior Jo ������ ` - 6368 Upper Palermo* Rd., Oroville i 1 93-2069 B (new single family) COMER, JOHN - I , I 6368. UPPER PALERMO RD, OROVILLE oZ - REROOF%SF � -G � � • � -: e L;y- 03-1167, -- — COMER; JOHN;X " 'j 6368 UPPERPALERMOnL°E Cont:�HYSMITH, RickDETACHED GARAGE -i �B07 2398 078 070-017 SECOND,DWELLgRU-Mobile Home SFT;,; MH'ON.TIE DOWNS; 2ND;DWELLINC-:, t IIPPER'PALERMO RD � CUMER FAMIL'Y'LIVIN t •, s I f'r I' I I im I BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD lV.fTJST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-2398 Issued: 01/03/2008 Address: 6380 UPPER PALERMO RD Area: OROVILLE Owner: COMER FAMILY LIVING Applicant: FREEDOM HOMES Permit Type: SFD-Mobile Home SFT APN: 078-070-017 Description: MH ON TIE DOWNS, 2ND DWELLING (536) Flood Zone: None SRA Area: No Front: 0 Ultimate R/W from CL: 40 Rear: 10, SRA: Side: 10' AG: Other: Total Setback from Centerline of Road:0+40 ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING 11 _- - OFFICE COPY =_.� -ATE Seta Bldg Permit: Founj .� Pier/( Address: Grath - - Eufei M Form GAS By: Date: r Ele&ic By. t� Dat4 Pre-' wfM Gas k- . :. Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 ShearwalVB.W.P.-Interior 135 Shearwall/13 W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing ma b' Final 813 Pool 145 Stucco Lath 142 tl r Final 802 Mobile Home Final 802 ; Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barri ers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 �' O Blocking/LJnderpining 612 ie o /Foundation System :.611 Site Utilities/Trench Insp. '137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 1 . Skirting/Steps/Landings 610 Coach Info Manufactures Name: e ,., 0 0 CJ Date of Manufacture: "Z , Model Name/Number: • o 0 cAal Serial Numbers: R- r— L is 2 C'U 12 Length x Width: °i Insignia: -{ (Att: ( k J - Public Works Final 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 S i *Project Final is a Certificate of Occupancy for (Residential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISS(;tANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PR90R TO EXPIRATION Inspector Copy M 13 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6380 UPPER PALERMO RD Owner: Permit NO: B07-2398 APN: 078-070-017 COMER FAMILY LIVING Issued Date: 01/03/2008 By KCG Permit type: SECOND DWELLING 6368 UPPER PALERMO RD Subtype: SFD-Mobile Home SFT OROVILLE, CA 95966 Expiration Date: 01/02/2009 Description: MH ON TIE DOWNS, 2ND DWELL] (530) 533-4722 Occupancy: R-3 Zoning: AR -2-1i Contractor Applicant: Square Footage: FREEDOM HOMES FREEDOM HOMES Building Garage Remdl/Addn 2243 FEATHER RIVER BLVD 2243 FEATHER RIVER BLVD 536 OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (530)532-3301 (530)532-3301 536 FEE INFORMATION CWIF MH $1,663.57 CWIF MH $1,853.79 CWIFAUD Impact Processing Audi $50.00 CWIFDDS Impact Processing Fee $50.00 DBEH Building Review Fee $75.70 DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 Total Charged: $4,280.44 Fees Paid: $4,280.44 DBSMIP Residential $3.48 Balance Due: $0.00 Receipt No: B5966 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License FREEDOM HOMES 839031 / B / 05131/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing wi ction 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for nd ect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 01/03/2008 411�1 X4 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Co of S girnAture Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractofs License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). -Liz I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to the builds improves My Workers' Compensation insurance carrier and policy number are; an owner of property who or thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the XL Specialty Insuran RWD9435192 07/0112008 Cartier: P tY Policy Number: Exp. Date: Contractor's License Law.). (This section nee not be completed if the permit is or one und2r ollars ($100) oress. F-1 IAM EXEMPT under Section B. & P.C. for this reason: ECERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X t 01/03/2008 compa tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date I pr ion . X 01/03/2008 I hereby certify that I have read this application and state that the above information is correct. I agree atuf Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building ARNING: FAILURE TO SECURE WORKERS' C ENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal ' AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above mentio property for inspection purposes. I hereby certify that I am the pr a owneroramauth a of n the property o)vnersbeh 1 CONSTRUCTION LENDING AGENCY 2/ 01/03/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for SI N] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1Contractor OR. Agent for Owner Pent for Contractor FILE COPY Lenders Address City State Zip />iS -off BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: ) 538-7541 A FEE WILL BE REQ IRE,D ATTIME OFAPPLICA77ON **PLEASE PRINT CLEARLY** r':'-URMS1BUILDING ORMS,BId gApplSub-- v Rgmts.doc her ��Ut� �� �ec. Oron k -e, urymn Page 1 of 2 REV 7-27-04 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-2398 Date: 11/26/2007 Location: UPPER PALERMO RD By: KCG Parcel Number: 078-070-017 Sub Type: SFD-Mobile Home S1 Owner Name: COMER FAMILY LIVING Phone: (530) 533-4722 Description: MH ON TIE DOWNS, 2ND DWELLING (536) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 I■ -EEE] City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner(, wner Date: 11/26/2007 FILE BUTTE COUNTY ,FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Permit Number: B07-2398 Job Address: UPPER PALERMO RD Contractor: FREEDOM HOMES 2243 FEATHER RIVER BLVD OROVILLE, CA 95965 Printed: 11/26/2007 2:47 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt CWIF MH CWIFPWRDS MH 1831-0-280-1011001 $786.79 CWIFFIREF MH 1851-0-280-1011852 $299.21 CWIFFIREVE MH 1851-0-280-1011853 $577.57 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 11/26/2007 $75.70 CWIFAUD Impact Processing Audi 0010-0504617998-101001 $50.00 CWIFDDS Impact Processing Fee 0010-4400014617999-1010 $50.00 DBMSC Mobile Home Permit Fee. 0010-4400014210500-1010 $350.34 DBF MH Plan Check 0010-4400014210500-1010 $233.56 11/26/2007 $233.56 CWIF MH CWIFLBRYM MH 1825-0-280-1011827 $132.35 CWIFLBRYF MH 1825-0-280-1011826 $196.74 CWIFGGVE MH 1810-0-280-101001 $250.42 CWIFSHERFVE MH 1840-0-280-1011842 $124.73 CWIFSHERFJL MH 090807 1800-0-280-1011811 $347.00 CWIFGGF MH 1808-0-280-101001 $542.98 CWIFLBRYV MH 1825-0-280-1011828 $3.94 CWIFSHERFF MH 1840-0-280-1011841 $255.63 DBSMIP Residential 1001-0-280-1011298 $3.48 49280.44 $309.26 Printed By: Kourtni Graham Balance Due: $3,971.18 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. Theses may change 4uring the plan checking process. Date: 11/26/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds crc National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B07-2398 Date: 11/26/2007 Location: UPPER PALERMO RD By: KCG Parcel Number: 078-070-017 Sub Type: SFD-Mobile Home SI Owner Name: COMER FAMILY LIVING Phone: (530) 533-4722 Description: MH ON TIE DOWNS, 2ND DWELLING (536) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 11/26/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municii)alcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-2398 Location: UPPER PALERMO RD Parcel Number: 078-070-017 Date: 11/26/2007 Owner Name: COMER FAMILY LIVING Phone: (530) 533-4722 Description: MH ON TIE DOWNS, 2ND DWELLING (536) Signature of Applicant: Date: 11/26/2007 FILE 10/15/2007 11:37 FAX 530 343 4410 FIDELITY NATIONAL TITLE U003/003 Parcel 3, as shown on that certain Parcel Kap was recorded in the office of thi Recorder of the County of Butte, state of California, on May 27, 1997, in Book 107 of Naps, at page 39. EXCEPTING THEREFROM an undivided oho -half of all oil, gas and other minstals and hydrocarbons, reserved in the Deed from the Federal Fara kortgage Corporation; a corporation to Rufus A. Dotson, Bt Ux, datod Novamber. 15, 1945, and recorded December s, 1945, in Book 371 of official Records, at page 321, records of Butte County, California. Dated: August 19, 1992 �.✓ (,v Gam.-•�✓ //)JOHN W. COXIER yy AUDREY E. =NCR STATN OY C=T0AM=1 ? CODS TY Or 2AC§;XrM1 Q ) s. Go p 5.00 On August 19, 1992, before me, the undersigned, a Notarryy Public in and for said County and State, personally appeared JOHN W. COKER and AUDREY B. COOTER, personally known to as for proved to as on the basis at sati■factory evidence) to be the persons whose names are subscribed to the within instrusapt, and aeknowle76.9 d to as that they executed the ease. Vd my hand and oCCiclal Baal. ,- +Will � • rIWn•Fl W%.M..WM M Notary Pmbakc END OF Do(.1JAlbNr Description_ Butte, CA Document-Year.Doc/D 1992.39052 Page: 1 of 1 .� Order. j Comment 10/15/07 MON 10:32 1� (T%/R%fNO 99951 0003 �l•39�51 ' 92-039052: Pee Fee ICbvck Recording Requested b Y� Ae Official al Recvcorda 1 and when recorded call to: County of 1 Hutto 1 ANERICAN PROVIDERS Candace J. Grubbs 1 l 5333 81 Camino Avenue, Suite 200 Rerotder 1 C•'ll ichael, California 95606 8a02an 31-Aup-922 I PURL yJ Mail Tax Statwnents To: rs gned declare- ec are:Transfer TransferTax: None lQi. i MRS. Ima; W. COKER No consideration. 6366 tipper Palermo Road Transfer to Revocable Orovills, Califeraia 95966 Living.Trust for benefit of Grantor(s), Rxampt: RAT 11911 09ITCUM DnBD i,p.H,: 036-400-094-000 NE, JOHN K. COMER and AUDRRV E. COMER, husband and wife, hereby remise, release and quitclaim to jow w. CO?moi and AUDREY E. COKER, TRUSTEES of the COHER FAMILY LIVING TRUST DATED Aggust 19, 1992, any and all right, title and Interest in and to that certsin real property situated in the county of Butte, State of California, described as follows: Parcel 3, as shown on that certain Parcel Kap was recorded in the office of thi Recorder of the County of Butte, state of California, on May 27, 1997, in Book 107 of Naps, at page 39. EXCEPTING THEREFROM an undivided oho -half of all oil, gas and other minstals and hydrocarbons, reserved in the Deed from the Federal Fara kortgage Corporation; a corporation to Rufus A. Dotson, Bt Ux, datod Novamber. 15, 1945, and recorded December s, 1945, in Book 371 of official Records, at page 321, records of Butte County, California. Dated: August 19, 1992 �.✓ (,v Gam.-•�✓ //)JOHN W. COXIER yy AUDREY E. =NCR STATN OY C=T0AM=1 ? CODS TY Or 2AC§;XrM1 Q ) s. Go p 5.00 On August 19, 1992, before me, the undersigned, a Notarryy Public in and for said County and State, personally appeared JOHN W. COKER and AUDREY B. COOTER, personally known to as for proved to as on the basis at sati■factory evidence) to be the persons whose names are subscribed to the within instrusapt, and aeknowle76.9 d to as that they executed the ease. Vd my hand and oCCiclal Baal. ,- +Will � • rIWn•Fl W%.M..WM M Notary Pmbakc END OF Do(.1JAlbNr Description_ Butte, CA Document-Year.Doc/D 1992.39052 Page: 1 of 1 .� Order. j Comment 10/15/07 MON 10:32 1� (T%/R%fNO 99951 0003 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 �0am7-0s®z6i0�03 Recorded. I NEC FET 10.80 tlfficial Records I County of i CWIES 2.68 Butte 1 =&a J. 61i1,'I1B8 I County Clerk-Recorderl 1 1118 09:1"- 31 -Dec -M7 1 Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required 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 cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date PROPERTY OWNERS: State of California County of Sal77? On ��"y� before me, personally appeared vo,�W C'J/'7Cof personally known to me (or proved to me on 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 he/she/they executed the same in his/hi r/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my h)andand gffi�c' 1 seal. Signature '� (�-" � Seal: RiC!- ARD FEU SiERSTEIM1I g C���Ni X1565619 NOTARY ?UBLIC - CAIJFORNIA L BUTTE COUNTY A.P. # 03& ~ 3C90 OQd _ fG7A My Ccmm. Expires Aprii 13, 2009 10/15/200.7 11:37 FAX 530.343 4410 FIDELITY NATIONAL TITLE `JL - 92-039052' Pec Fee t Check iieeordin Re ueated b Ascot4e4 1 3 q Y% O_Sicial R:.r.- 1 and when recorded sail to: County of Butt• 1 AH$RICAN PROVIDER!i Candace J. Grubbs 1 5433 $1 Camino Avenue, Suite 200 Recorder 1 Carmichael, California 95606 g;JZoa 71-Auy-9a 1 PUBL JJ Mail Tax Statamenma TO: - fieUndersignad declare, Transfer Tax: Nona MR- i MRS. JOHN V. COMLri No consideration. e36a Upper Palermo Road Transfer to Revocable Croville, California 95966 Living Trust for Benefit of Grantor(s). Xxampt: R&T 11911 COITCI,AIR DaBa L B.S.: o36 -J00 -0l9-000 WE, JOHN W. COXER and AUDAEV E. COKER, husband and. wife, hereby remise, release and quitclaim to JOHN W. COMM and AWFM E. COTTER, TRUSTEES of the COMM FAIiILB LIVING TRUST 04TED August 19, 1992, any and all right, title and interest in and to that certain real property situated in the County of Butte, State of Calitorhia, described as follows: Parcel 3, as shown on that certain Parcel Nap vas recorded in -the office of tha Recorder of the County of Butte, state of California, on May 27, 1987, in Book 107 of Maps, at page 39. 5.00 p 9.00 EXCEPTING TH=FROEI an undivided oho -hail[ of all oil, gas and other minetals and hydrocarbons, reserved ib the Deed from the Vederal Farm Mortgage Corporation, a Corporation to Rufus A. Dotson, Bt Ux, datad November. 15, 1945, and recorded December 4, 1945, in Book 371 of Official Racorda, at page 321, records of Butte County, California. Dated: August 19, 1992 ,✓ (,lJ (.�...c✓ OHTI W. Coxa au at 4a Y r-: AUDRST E. WNER ,TAT1! ' Or CA=Vo"XA } } ss. COUNTY or BaCBArmwo } On August -3,9, 1993, before me, tho undersigned, a Notary Public in and for said County and State, pelreonally'appear% JOHN W. COKER and AUDREY S. COMER, personally known to me for Proved to me on the basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument, and ackncwlsdq d to as that they executed the ■ame. W 'TZI my hand and official Waal. 4I/ L11 ..w� ....►ere u..e Notary Public i ENJ OF rv.&jmv r Description: Butte, CA Document-Year.Doc/D 1992.39052 Page: 1 of 1 Order. J Comment.' 10/15/07 MON 10:32 I 0003/003 (TX/RX NO 99951 1a003 r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District O r oy, k I Winn bnh'(rh)d Building DD�partment No. J Tax Rate Area No. �q2- (� A.P. Number Jurisdiction: = City County Property Owner t) (7V)'( & N d rP Property Location/Address ony-ple �J U m oroy l P , CA Subdivision Lot No. .............. ............................D........................ Ch ®: g Residential Development Sq. Footage rj,sG No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # Cr. Demo - ( ) *(No foundation inspection) existing sq. ft. see attached ................................................................................................... Net total sq. ft. 53 P Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 0 New Addition District Identification No. Sq. Footage (Including Exterior * Roofed Areas) XV Date School District certifies that (Payor) U C> V.-:KM6 R6 . (: o)(- \ F (Street Abdr ss) (City) (State) has complied with the requirements of Resolution No. Qs'� n (Zip Code) by payment of $ representing S3 square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # 1�� =��1g3 Remarks: r ell, 531- 3301 (Phone Number) \yoCI Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm BUTTE OUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) �j ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Building Permit Number bm-n,77_ Property Owner (s) Project Location /? Subdivision Name New Development /Alteration/Addition(s) Mobile home Assessable Sq. Ftge 53cb Type of Residential Development (check one) Demo Permit (date issued Comments: Single Family -Detached Non -Residential to Residential Mobile home replacement Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department ❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: Applicant Name Phone Number �OCA �l Y d\A Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: < � � Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No:61 G 1y3aLkgSPaid by C Recreation and Park District Representative per unit for a total of $ per sq foot for a total of $ Receipt No: _ Date 1. \ 451AIro,;0- WJ):W—� Butte County Building Division MANUFACTURED HOME SUPPORT DATA MI; -r z °7 °moo a/7 Owner's name:_ NA.P.# _ Home Manufacturer: r.(1-Ge�nr�tS Manufacture Year: d Model Number/ Name: /A Width: (ft,) Length: FOOTINGS: Wood -pressure treat d or foundation grade[ther:[ ] SUPPORTS: Concrete block( then[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications, SINGLE WIDE Line 1� Line 2 Pier Footing Sizes and Locations Section 1 Line 1 Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum: Section 3 Line 2 Piers: �9 za Minimum size piers: [ z { X Spacing maximum: << From ends maximum: Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): .tri! t.; Minimum-sizerpiers: Locatio�n�( o� lin6ued): SEM; ,-'ES MULTI -WIDE Line 1 Line 2 Line 3 Line 2 Line 4 (triple wide only) Lin -W2' Snow Load: psf Snow Load requirements may be obtained at http://www.upstate-ca-com/butte/bufte county/ Insert AP #, view snow load in lower right comer. Line 1 Openings: �`- Minimum size pier: [ 24 ] X [ z, ] Re wired at each side of openings over r - ` o wide. - r, N O O o. co co N N co CD M LO z X d Lx- En L En L.I.I 1 Q i/] 0 0 0 3 F-' Lc] LLJ Li. Q. LO LO N_ T E— N 0 0 N Lo O 2 su _-_________ ____________-..�_-________1 r v BA2YR INLE7 I I I I PAIIEL BGx I _____.._--___--_—__J i 1t 114. sc�a 32'-2 3/4' i i s e e 9 IiDVClM6 S-3ces: 1_ 7.12 PMgIH2 n PLIICMIO ICH INS sMl MPD MIIID I0 m Is TO De USED IM CCHJUMCTICH NITS IPE IHsIALMICH Mma1, .1110 I23 2. Ecatt11C2 THE 2H3w Ica EXAMMA OxLT_ (UaM:ITT an 12AC 72'G VAT 7AHT DA2LD w :at SIM 1CIL COD[TSCIf. ETC_ 1. 0 !1DD Pow a P[e:3 JAL 32041SW Al 37PPMT Emli_ 37a 3ss_.V.LA2!Cg WXVAL Poi IG107u5-- WCOD9URN 371 2iLC/1 .4iE T 1HBDRIiCOD M!- W. Ec-7vu MR LAYOW 2911 ROOr LOAD Ii:.21 7/. i7ia�ne P. 1'1[1 99it9%07 31? ar. sP.1c.1 A 95-7 lJ[ '� ® enols arrLl:r a-vlltr eLsx Duc co"NECTI077 I PAIIEL BGx I _____.._--___--_—__J i 1t 114. sc�a 32'-2 3/4' i i s e e 9 IiDVClM6 S-3ces: 1_ 7.12 PMgIH2 n PLIICMIO ICH INS sMl MPD MIIID I0 m Is TO De USED IM CCHJUMCTICH NITS IPE IHsIALMICH Mma1, .1110 I23 2. Ecatt11C2 THE 2H3w Ica EXAMMA OxLT_ (UaM:ITT an 12AC 72'G VAT 7AHT DA2LD w :at SIM 1CIL COD[TSCIf. ETC_ 1. 0 !1DD Pow a P[e:3 JAL 32041SW Al 37PPMT Emli_ 37a 3ss_.V.LA2!Cg WXVAL Poi IG107u5-- WCOD9URN 371 2iLC/1 .4iE T 1HBDRIiCOD M!- W. Ec-7vu MR LAYOW 2911 ROOr LOAD Ii:.21 7/. i7ia�ne P. 1'1[1 99it9%07 31? ar. sP.1c.1 A 1'-w z CD ' c I N N - p O ' z FLEl�7r11W °��� r !z-1 _ .�. ''i `• I r>6 sorT• r.' ,-A iLIVING RM --- PORCH 7�IBATH 2'—`-i - �- 170 surT f. MBER wt �('". 1: OPT surT p _ ..... _.... �r _... .._._ ED _ ITCHENU '� -{F ..... sJ- REFER . O ►- i.�;.�:i.� j-' i its_ rs',iarsE._ ..._, - - .... -.... -- r t °..A• o - -- ue _.. .. .. ••- .. - CA SMRT 11 Uatt ~ — - -i- ,..{•-� } f ' 830 YYo1S 1830 30 tp n C 10/1.9-/07 2481E NBLACKLINECA - xa� �-, , t*�t• . ci BIL I'ic t)ivl IQ j 6 -APPkd\IF,- -- o O O d CJ] r m En x z 0 cn CD w Co ED N N O O WF 0 co 0 Xi2 Engineered Tie Down System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 WQ By Tie Down Engineering C4 Nle,, Xi2 Concrete System C� 7/10 2 Engineer Approval State Approval ENGINEErF D TIEDOWN SYSTEM APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not authorize or approve any omission or deviation from requirements of applicable State laws and regditns. State of California Department of Housing and Community Development D SION OF CODES AND STANDARDS M4 -A IV ae re Date O 7 SPA NO 07'- l' I q -2- This Z This Plan Approval Expires __:Z 24 In Page 1 of 8 N co 0 0 0 0 Y • 'rl; 'PERMIT NO. 3124-74B, P,E ,M P E M MH UTIL. ,PERMIT NO. p PERMIT EXPIRES OWNER Frank J. Nardini CONTR. Ray Sprague, OroVille ocanoN (A.P. 36-30-59 6368 Upperi,.Palermo Rd, Oroville ` r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E -�— Temp. Gas Serv. Called PG&E JOB FINALED -- (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor —/J Main Bldg. ' Restroom Finish 2nd Floor Footings Windows E? / —2 —'%` 3rd Floor Stemwall Siding To out Slab Roof Sheathing —,Z Water Pi in / 0 Piers Roofing /— Sewer Garage Fdn. Vents Fixtures Footings Garacie Vents Water Htr. _ StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final -- — Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat - _ Rough ,D .� • Reinf. Steel Final w Fixtures • Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels "Mesh MECHANICAL Grd. Fault Prot. / — — Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final _ Final -- DATE _REMARKS OR CORRECTIONS COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT -- z ,„•.�,, =_a y V UU— W U1 ICI UPUII IrJU abned prn purposes. X' o Signature of-ermitee or Agen Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant inls permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS �f By Date / D Building permit expires Date ............................................ BUILDING Owner z�gh�� ed1141 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor yi Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty � Tele p Telephone No. Permit Fee Building Address PLUMBING No. @ FEE ERMIT FILING FEE $2.00 © Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. .r�0 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W anitation Fire Dept. Fire Zone Use Permit Building sewer 5,00 EQA I Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 BI g. tans 'Re c'd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 to •&-eeAykogge Main service incl. 1 meter Additional met s, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 ess) (more on 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b l 10 Receps., switches & fix outlets 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 �S I- Youf Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No G C d Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ C WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 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. @ FEE PERMIT FILING FEE $3.00Heating 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 aws relating to building construction, and hereby author17P . raeantnti, o of/+k. r..�... ..f n.. — — _-'-- --- -,- - TOTAL PERMIT FEE $ -- z ,„•.�,, =_a y V UU— W U1 ICI UPUII IrJU abned prn purposes. X' o Signature of-ermitee or Agen Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant inls permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS �f By Date / D Building permit expires Date ............................................ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 /'"��� _ % � /•7 Telephone: 534-4541 011— APPLICATION AND PERMIT f au tn ze r presentative of ne County of tsutte to enter pon the ab a -me lone rop y fo inspection purposes. Date Sign e • " P itee or Agent,"' -- gent qRecipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS � BY Datep.-la! % Y/ Building permit expires Date .................................. BUILDING Owner ��� K A tL O SO. FT. OCC. BUILDING VALUATION % Z@ ^--' Mailing Address ZO Telephone No. Fireplace Contractor Ii�ny U (5— Total Valuation Mailing Address ,. 1902 Permit Fee Plan Checking Fee &/or Penalty 020 yZ� Tele hone No. _0 Permit Fee $ $:3 3 O Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Z •00 /ujgG��M�d Each Trap 1.50 •SO Repair drainage or vent piping 1.50 Water piping 1.50 /;-O Each gas water heater or vent 1.50 A. P. No. 3 O — c �/ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sj&44Cn I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel M 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. PI ns ec'd Parcel Aprovol ns Appraval Permit Fee $ NEW ADDITION UTILITIES ❑ OTHER 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 x•00 C', CA; d)Zr S, k &--, Main service incl. 1 meter �V,,,V6 Additional meters, each 1.00 Sub -panel (12 or less) (more an 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal!a2 •(3b s.,swi We & fix o is �"�®zJ , CONTRACTORS LICENSE LAW I am licensed er the provisi of Chapter 9, Div. 3, of the State of Cal' rn' Business rofessions Code under the name style of: - Hoo , Ex. Fa or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 �� 70r2 Temp. Power Pole 5.00 License No_et2O 6 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I 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 orkmen's Compensation Insurance. certify that in the performance of the work for which this rmit is issued I shall not employ any person in any manner so to become subject to the Workmen's Compensation Laws of Cafol ;,rnia. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3•0v Heating Cooling -Vo0 Ventilation Hood 2.00 Permit Fee $ $ 7 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 St Laws relating building construction, and hereby TOTAL PERMIT FEE $ au tn ze r presentative of ne County of tsutte to enter pon the ab a -me lone rop y fo inspection purposes. Date Sign e • " P itee or Agent,"' -- gent qRecipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS � BY Datep.-la! % Y/ Building permit expires Date .................................. i b 36, .3o-5 3 3- a-7 s Z_ e 4pAR o°R �ry O���FiyT NOTES RESIDENTIAL 036-300-094 403-1167 PERMIT NO. COMER, JOHN 4 6368 UPPER PALERMO RD, OROVILLE Cont: HYSMITH, RICK i DETACHED GARAGE N 11 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Signature CHECKED BY J=OK 0 = Not OK » = Not Beadyable DECD, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s ootings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) ric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 11. Ext.; Steps -Doors -Landings 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card 6-1 Date Card B-1 MISCELLANEOUS Date DECD, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Zo g Requirements -Setbacks -Easements ootings; 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 ric . Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9�ding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Linina 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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 61. Brace Interior/Exterior Wall Panels 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 Date Card B-1 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. 64. Ext. Steps -Door & Sidelight Protection -Landings 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Stairs & Rails Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 75. Garage Fire Door; Swing -Landing -Closure 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 81. Guard Rails & Deck Construction -Post Caps 22. Gas Pipe; Sixe & Anchors 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 23. Fire Sprinkler; Test Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes D No/Planters 0 Yes O No Date 84. Stucco Brown -Finish Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 89. Ventilation Throughout House 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 92. Gas Test -Meters Tagged, Gas -Electric 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 95. Address Posted 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Card B-1 Date Card B-1 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral O Yes O No Comments at Final: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes D No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75PERMIT 0. (Rev.12/96) APPLICATION AND PERMIT ( �� ASSESSOR PARCEL NUMBER 036-300-094 ZONING AR 2 1/2 BUW61NGPERMIT GVV�Omer, John 533-4276 TELEPHONE FT. OCC. BUILDING VALUATION (.SO. 672 U 12 096.00 OWNERS MAIUNG ADDRESS 6368 upper Palermo Oroville CA 95966 CONTRACTOR'S NAME Rick H smith 846-4409 TELEPHONE CONTRACTORS MAIUNG ADDRESS PO Box 1030 Gridley CA 95948 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 144-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93 60 BUILDING ADDRESS 6368 Urmer Palermo Road QrM7illp CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 2 Water piping 15.00 Each gas water heater or 15.00 TYPE OF WORK New X Addition O Remodel ❑ Utilities ❑ Installation ❑ Other13 detached arae 24 X 28 Describe Work: g g Gas piping stem J_,,5—outlets; 15.00 —Building sew 15.00 Mobile me S G W eG 20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLESS 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 II force and effect. �-/ License Class Lic. No. I I I 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 Main Service 200A TO +000A 46.00 NEW CONST. DWELLING OCCUP, SO OR ADDNS. ( a ACD. BLDS. 3.5¢Fr: NEW MULTI.OUTLET 97.50 POWER APPARATUS a swGLe ounEr CIR. EX. Occup. OUTLET OR FIXTURES BAL 0 1.00 09 ET Ex. Occup. OUTLEEDTSA(REESID °R 5.00 Temporary Service 23.00 Mobile Home F es 20.00 Misc. Wir' 23.00 PERMIT FEE $ 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' p n on I surance carrier and policy number are: Carrier .�Q9mT�I,( pKX Policy Number p o� <',— ) (The above sections need not be completed if the 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' comp sation laws of California, and agree that if I should become subject to the orker ' compenIsn provisions of section 3700 of the Labor Code, I shall wi comply with those provisions. �Jc _ ) Date (�� _ g tur o A plicant - ❑ Owner Contractor ❑ Agent An O HA ermit is required for excavations over 5'0" deep and demolition or construction of stru as over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEL= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 257 60 HAz. D FEES IMP FLOOD COF PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate Above for which fee have been paid, 1 y ate O PERMIT EXPIRES O 51-5 ,8 ReceiptNo. r o -. e) WHITE-D.D.S.-B.D. CA -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 14. t/7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �D 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (5305 8- 0 — PERMIT APPLICATION DATA SHEET / OWNER: C, nni,� ASSESSOR PARCEL NUMBER J G- 36 e 9 y Proposed Building Use: —01 CA An 2,P Counter Technician:Date: Items required in order to apply for a permi All boxes MUST be checked OR marked NA in order to apply. 41.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings........... ....................... ...................... _j. Detached Accessory Building Form filled out by the owner...... 12. Hazardous Material Form............................................................................... ❑ 13. Other — R maining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... --. _ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. 4x. ............ Sanitation and plot plan approval from the Environmental Health Department in _ ❑ 17. City of Chico Plumbing permit ........................... 18. California Department of Forestry plan approi-iffid. Sent by: ...................... 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. /#❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for required ................ Contractor's license information. (Number, Name Style, Classification) ...................... 4. Worker's Compensation Carrier and; Policy Number ..............:. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 2P. Existing violations and/or expired permits......................................................... O❑ Grant Deed. ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ Other: enissued Telephone �f �/ (� — /lcj and hold for pickup. I have been in rmed of he above i__ A ms a� reuirements for obtaining a building rmit. 'AAD licant: s 1. Index pe t app ation for a above items numbere ! 2. Addition item required Plan Check Letter Contractor, designer, owner, was advised cfthe above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the 4bp ve da by 0p hone, ❑ mail, ❑ counter, by Date: Plans reviewed by: �'2/� Date: / 2- $ Plans approved b Structural reviewed by: Date: pp y' �� Date: / Z 3 Structural approved by: Date: Note transfer by: Date: .%A TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE GNLY Plot Plan Anncho Floor Plan Anpshad Sane to 8.09 — ,-x L�n�� - �9 �V f== T4 11 L q� - Owner Location AP# Plan Approved for: Sewage Dispo`saL� 11Vateapply: Public Private Wel Clearance for dwelling. Other q X - 1,1 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner:—Phone: Mailing Address Site Address: Assessor's Parcel Number: — r ®i' Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: 1. Is there a primary dwelling on the property? YesNo ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yesig No 3. Will items produced in this building be offered for sale? Yes ❑ No . 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? Yes ❑ No 15. What type of floor covering will the building have? 16. What type of mall covering will the building have? OVER 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport. If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop 1 ❑ Home Occupancy Z ❑ Other — Use = . Describe type of Work-3hop :. Muit be approved by the Buue Cowtty Plarating Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. `* Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to dhe use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. O%vner's Owner's h 2 of 2. W - --="�1rr-=��+�-wn7., :. .. ..;_ ...''�7'f',,.`•r',�•r''`aZ�''�%.,��M1'�,b`i�+'rM'w-°Y��y;;L'�',�,�1-.,��'�'�,r�'�""�'"`a`"'•�a;+;�'"�-,rf'�»�J-�'J 036-30-0-094 93-2069 B COMER, JOHN 6368 UPPER PALERMO RD, OROVILLE REROOF/SF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone,' 916'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION ` OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ " PLUMBING PERMIT FiIingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex 17 Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New Addition Remodel❑ „UtiIIi,ties❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 [_ Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. oR ADDNS. 1 ACC, BLDGS. NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 5•�� POWER APPARATUS s (SINGLE OUTLET CIR. ) J20 Ex. OCCUp(OUTLETS OR FIXTURES 764 Ex. OCCUp. OUTLETS FIXED P(RESID.)LNS REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 0 r11 I IMP I FLOOD I CDF PARCEL PO HO ISSU ; This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abovefor which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT AS ESSO PARCEL NUMBERZONING 036-300-094 ARMH21 ' BUILDING PERMIT OWNER JOHN W. COMER TELEP NFr'S E SQ. FT. OCC. BUILDING VALUATION p 28 60 1680 OWNER'S MAILING ADDRESS 6368 UPPER PALERMO RD., OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filin Fee g $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 33.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6368 UPPER PALERMO RD., OROVILLE Permit fee $ 48,00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New (_ Addition D Remodel C Utilities El Installation ❑ Other [X] Describe work: REROOF W/COMP _ ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ' Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO10o0AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): .' r t i ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1 S 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=`M;rsc:•Wirin ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.&\ NEW CONST.( ACC. SLOGS. II OR AODNS. _37.50 3.6Q sq. NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. OCcup(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESI0.) EA.) I 3.00 Temporary service 15.00 Mobile Home Fa6ilities• ' g- _ +! 15.00 15.00 - ` ' Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 I Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai said ounty/•inJ copse ence of the granting of this permit. X �`' Date ,&/— Q � ure of Applicant — owner pp ❑ Contractor ❑ Agent ❑ A SHA permit is required For excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $48.00 HAz 0FEES IMP FLOOD CDF PARCEL PD HO ISSU This permit is hereby issued under the sionssi of the Butte Count Code and/ wor In icated which f IR F UBL v EXPIRES Date applicable provi- re olutions to do s ve been paid. W KS Dat 6/3 /93 Receipt No. WRITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Deppr'tment of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to.provide the major labor and materials for construction of the proposed property improvement (yes or no)' 2. I (have/have not)signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 'Contractors License No. 4: I plan to provide -portions -of this work,.but'I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors' License No'. 5. I will provide some of the work but I have contracted (hired) the following persons to provide .the work indicated: Phone Type of Work Name Address Signed: Property Owner 4,4 Social Security umber S-7 3 z2 SSG 5� Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY DEVELOPMENT SERVICES -a cam/ ComplUint Form // Complaint Date: „� `/A.P.# '��P -� 4 � 'n �t Owner: C U pyl L !�[ { Zoning: Address: (D 3 Supervisorial District: Taken By: Complaint \ti Location: VIOLATION TYPE: BUILDING HEALTH PLANNING T - CAUTION: Yes No PERMIT HISTORY ON FILE: NONE AS FOLLOWS: FIELD INFORMATION: TENANT: Address:' Description of Violation: r OTHER COMMENTS: Approximate Building/Mobile Home Size: Approximate Building/Mobile Home Age: j Under Construction t Built by/for: Present Owner Has Power Has Gas +� Written Notice Given & Attached Describe Action Taken: 4 r n„�—� n tz�z4k ; ACTION RECOMMENDED: Information Only, File 30 Day Letter S 10 Lette t By: Previous Owner Occupied Has Sanitation Facilities Person Contacted Hold for1Q Days Complaint Unfounded Other` Date: COMPLAINANT: ADDRESS: PHONE NUMBER: it OTHER COMMENTS•. COUNTY OF BUTTE ~ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C0 MSA - &3 6 o°P OWNER PA — -, et �RMIT,A(O. A routine inspection indicates that the following violations of Butte County Ordinances exist at/ the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r �,Qj� o—�'l 71 i �v ej 1-i- Y_S NO -M. - the attached { rements pages it f T/E l�r�Lar� f IJ Ll IV Z3 ,44 0F5' J APPROVED ! ButteCounH alth D ��Zc�cyx�� E,viron,mental �irrr DateX��.� �� I S n$S 7/7.99" �5•�9 "S2 0 2— 723.0 //,c, 7O /. P \ ono n ALL STRUCTURES "AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EAciEMENTS. A SET BACK OF %�! FT. FROM HE SIDE, AND FT. FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT cOR A 2 FT. EAVE OVERHANQ. p3 6-7 OWE COUNTY KQLDW DP ' AP P R o v E -o �2 v, a- A � ' I BRACED WALL PAN=L-.roe 41 FL OOJFN Butte %` ,,u my Environ-- ;ntal Health �7 . Signature FOUNDATION PLAN • 4" SLAB • 12 x 12 FOOTING 06x6x10x10REMESH e 1/2" REBAR 2 P' i� ey ms 1i2." x 10" FDT BOLTS 6' O.C. AND NO MORE THAN 9" FROM PLATE ENDS OR USE SIMPSON MAS FDT. ANCHORS 71 rZG�` O /u G ts3 J �� % �� C T't► ,fq OWT, ' m AMONGDEPARTNM 0;. Bb�ais1R' 0. Bu 1038 40"! RIDGE 2XG R,AfTEK5 L 41C"o. C, C-1- A 12 20 YEAR COMP051TICON 5HIINIGIL.5 41 �ZX $- kMALLI IESl15#' FELT 0/ 7/1 G" 05.5 0 '- 4-- -0. C. • VEk L/ -,FT. P. 21" 5LOCIKINIG @ CORN`F 11 11 11 11 4/\'1 2 II it 1i 11 11 11 4X 12 11 111 11 11 11 11 Tl D 2X4 4 TRIMMER TYl- 2/v.4 FLAT 2 X 4 RED, 0 0 D OR F. T. 511-1- FLAT 1,�! � j; � i I i I! i� I � � E Ij 1 FIN. 51DINIG NAILING: 5ci HD GALV, 4" COKNE-P-5, 8" JOINTS, 12 ffIFL:0 5t-ILEARYVALL/ R0.01p:: NAILING: 51d1-0 GALV. 12" FfflD CONCRETE fOUNDIATION 710N FRAMIN" TYr-K-3AL 101IL-C 5%CAI F: 1/4"= I;-CY' ?-Mw5TUD5-52 -114111 hro", O.C. 2X4 F.T. 51LL I /�"O AX 19' ffI)T BOLT @ G" 0. C. klV12"X2"X31I G" 5TL. PLT. VVA5H`R,`-- T 1 F, FILL SUMCOM" ..Ni SUW MG DA M M, fc=2500 p5i R 0 V E D' -M-INJ Is MUNDATION DETAIL i-oli 03, TRU55 BOTTOM CHORD -� G LB BEYOND 2X 50LID BLK'G @ 5HEATHING JNT5. (ORIENT FACE TO 5HTH'G) 3/8" 05D 5HEAR IN51DE 5/8" L.P. 5MART BRD OUT51 DE NAIL W/ 8d G" EDGES, 12" FIELD - 4X4 P05T 2X P.T. 51 LL 51MP50N OR EC). W/ — 5TG23G STRAP DBL, PLT. TO STUDS. 12" WIDE X 12 DP. CONCRETE FOOTING MIN. 112"0 ANCHOR BOLT W/ MIN. 7" EMBEDMENT 2'-8" SHEARWALL -PANEL SCALE: 1/2"=1' W VAIS y t- 'l .APPROVED; 1 - mr, I:. Box I038 wig s.T�'1fIPk;' 219 699AFTE S 1655 MY �ALlTfE�4��<�. 4Ql� � � I i i' I, i � � 891 ISTR' 7/1OSEI LETING GGERED 15# 36" 120 tR ZE1 A R108FIN? X II r� 2" X 4" OUTRIGGERS 24" O.C. AT BOTH 3ABLE ENDS e- A//- 4,-P BUTTE COUNTY BUILDING DEPARTMESV' ' 7 -1 'E��a I -TIO -1 � i -4— 4 9--J—le I /'I Arr.nvvcu 7/1 G" 05D 5HEnNG STAGGERED 15# X 30 ff-LT,;Zd YEAR RMMe$5t�ft ROOFING r 7/1 G" OSB SHEETING STAGGERED 15#X3G"FELT, ,RoYEA—\ iW ROOFING I [if 0 (-.- X 196s 5/8 Z -BAR REAR ff-LEVXrll0N SCALE: 114"= P-0" 14" X 18" GABLE VENT Dollo.c. 12 14 4030 RIGHT ELEVATION SCALE: 11411= 1 1-011 FIN. GRADE BY: W�ACC ED L-Rojq-, WX <4,' BUTTE COUNTY. WILDING DEPARTMEW APPROVED ELEVATIONS SCALE DRAWING. N0.,,-j.SHT. I REV: I BRACED WALL PANEL 5/y 8. O.C. . -/l / --: --, —S,";7, ,e;, 75 FIN. GRAD 7/1 G" 0515 5HEETING STAGGERED 15# X 3 G" FELT, YEA P, ROOFING 12'X 7' SECTIONAL DOOR FRONT ELEVATION 51C -ALE: 1/4"= 1'-0" .. I . 4" X 18" GABLE VENT- 3, 7/1 G" 0513 5HEEI ING STAGGERED 15# X 3G" FELT, P,00f=ING Jlyle 12 4 LEFT ELEVATION SCALE: 1/4"= 1 1-011 5/8 Z -BAR BUTTE COUNTY BUILDING DEPARTMM APPROVED - o...'Boxim ELEVATIONS DRAWN BY: SCALE: DRAWING .-RO ].SHT.1-R LEFT ELEVATION SCALE: 1/4"= 1 1-011 5/8 Z -BAR BUTTE COUNTY BUILDING DEPARTMM APPROVED - o...'Boxim ELEVATIONS DRAWN BY: SCALE: DRAWING .-RO ].SHT.1-R kt ......... ....... ...... ............ ..................... .......... .......... CALIFORNIA CODE of REGULATIONS TITLE25 Requirements as amend6d by the SITE PLAN I .................... ....... ........... ......... .................. ....................... jurisdiction apply to this'project ............. ...... . ........... ...... ...... ....... ...... ............ ...... CPO, • THE 2001 BC, CMC ................. ..... . . 2004 CEC, AND 2005 ........... ...... ............. I ...... ..................... ........... .......... ...... ................................ ................ .. .......... CALIFORNIA ENERGY STANDARDS ............ ....... ...... ...... AS AMENDED BY THE ......... ...... ....... I .............. 4k. ............. ... ......... : ....... ;*-. � ...... ... ............ ...... ......... ............. ...... ...... .... ... ....... • ...... ............ ...... JURISDICTION APPLY To THIS NOTE ............ ...... ..... ...... ...... ............ ...... ..... ...... ...... .... PROJECT. ...... .......... ...... ............. ...... ...... SITE CONDITIONS ............ ............. 4n .......... ...... . ...... ........ ..... ....... trul-A.3 IVAT BER IF ANY OF THE FOLLOWING SITE COVERED DECKS AN .................... ALL • CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED ........... ................... OPEN DE . . ........ . . . PLANS: ............. ............ CKS EXCEEDING 36 ............ ...... ...... ...... ...... IN AREA WILL EXCESSIVE SLOPES SqUARE FEET ..... ...... ............ ...... ................ ... EXPANSIVE SOILS ... ....... .......................... •• EXCESSIVE CUTS OR FILLS REQUIRE A BUILDING PERMIT .................... ....... .......... ...... ...... ................. ...... ..... ..... . ......... ...... .......... %. ...... ...... ...... ....................... .. ALTERATIONS TO NATURAL DRAINAGE • OTHER UNUSUAL SOIL OR GEOGRAPHICAL ...... ...... ..... ...... ....... .......... ....... ...... * ...... ...... CONDITIONS ....... %.. N, ............. ...... ...... ...... : ...... ......... ........ ...... ...... / .......... ...... ....... ...... ................... ...... ...... ...... .................. gk/ . . .... ..... ..... . ............ . ...... ...... ..................... ---- Coo, Z ............ ......... ...... L ................... ............... . . . . . . . . . . Z . . . . . . . gp ........... ....... I ...... ............ ...... ............. ...... ... .............. . ..... .......... ... ..... il . ... ..... ... .............. 7 ..... ....... ...... 4..*.. . .......... ...... ...... ....... ............ ...... ...... .... ...... ............. . ... .............. .. .......... ............. 0, 1LI ;"n .... I ..... ............ DISTANCE .... .. ..... ..... ...... ...... .......... ...... ..... ...... ............ ...... PROV .. ........ . ...... ...... 7 ...... ...... pt - Y - IDE MINIMUM DIST F STRUCTURE 4 A:?.A e� ..... ... ..... . . ..... . ... . ..... ... ...... . ..... ........ . : ............ FROM FO OTI N 13 AO ....... ; ... ....... A= ...... ...... FT FROM ALL PORTIONS OF AGE DEPOSAL ....... ..... ...... . ... ...... ................... ................ ... PRIVATE SEW ....... -: ...... OF INcUOING SEPTIC SYSTEM ...... AREA AND PITS ..... ..... .... ...... ..................... ....... . ...... ............ ...... ............. ....... ...... ..... ... ....... ............ .................... ...... W ................ : ........ ......... ...... ......... .... ......... tri ........ ... ............. ........... .... .. ...... TANK, LEACH A * ............. ............ ............ ................... .................... ... .................... ...... ..... ........... ....... ...... ......... ..... ........... .....,......•_......•"'*'*!* . . . . . . -T . . . . . 7.; ............ ..................... ...... ...... .......... .................................... ...... ................... ............. ...... . NOT E: . ............ OWNER IS RESPONSIBLE FOR ... ......... ......... . ---Z ...... ;.; ........... ...... ...... . ..... .. .. .. ...... r ..... PROPERTY 0 ...... ...... Z ...... ............ ES LOCATIONS OF PROPERTY LIN ............. ...... ...... DETERMININGf -4, ........... - .................... •AND EASEMENTS AND MAINTAINING REQUIRED ................ . ............. ........ LANDING AT EXTERIOR %4 . .......... I SETBACKS FROM PROPERTY LINES AND ...... EASEMENTS. A SURVEY MAY BE REQUIRED IF . ..... ...... ...... ............. ....... . ..... ...... ...... ...... ...... ....... ..... ..... .. .. ... ..... ........ Z ...... . .......... .... ........ ...... ....... DETERMINED NECESSARY BY THE BUILDING DOORS SHALL COMPLY Ale-.. 1:M 7H CBC SECTIONS ............ W11 Y, .............................. T 4.;4---': ....... : ....... OFFICIAL. ................... ....... .............. . ... ..... lk'"A : T-11, ...... 1 00:3-3 1 0 MT. a. 1-.7 A-: .. ......... ...... ..... ........ ....... ............ ...... ...... ...... 411- .............. ...... ..... ...... C,9,*A I-eL /-�o m, kf L j V/wj ...................... -------- ....... ....... ... ................... ..... . ......... ................. .. ............. ...... ....... .. ............. ................... .................... ............... ...... .............. ..... . BUILDING BUI .............. ....... ............ ....... ...... ...... ............................ ....... : .......... .. ...... ....... . . . ............ .............. ...... ...... ............. ............. ..... ...... ...... .............. ... ...... ...... ............. PERMIT# .................. ASSESSOR'S ................ 0 PARCEL# REQUIRED AT FINAL INSPECTION .......... ................ ............. ...... ............. ...... ................ ...... ............. ...... * ............ ...... * ...... * ...... ...... ...... ...... ...... ............ • ........... ................. ***:--.--7* .... : : : J A C PR OV R IF 0 0 IF SYSTEM TAI ...... ............. ...... Butte Courtly Mobile Home/Ma nufactured .4: ......................... ............ ...... ............. ...... .................. ............. .... Home Acceptance Certificate. Form 513. . ...... ..................... ............... ..... ...... U ivi ............ ............... ............. ................... ...... ...... tor. Heath and �L I DIN field inspector Form to be completed by f ..................................... .......... ............. .................................... ..... ........... ... Safety Code Section 18613 or 1855(b) • ................. ............................ .. ft oftemkowft 1 -- - ,, 1 10 11 OAIS AA, i91--Y45Nv F' PROVIDE FOP, ALL it ;0 9 4vi Assessor's Parcel fd"mhcxr Fto-12LM — rftf =An — 14af �—] I a V,= /11'0 FOR OFFICE USE ONLY !:.j L -L -j L+ -j %jtlo 1-7 Zoning: Owner Vlame Address / Phone No RkE'9,640--Rl� Site.Location Contact Naine Phone 0 General Plan Desig: `Size, Acres ........... . 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